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PubMedDate not supplied

[Acute abdomen due to a strangulated and perforated para-esophageal hernia. A case report].

Para-oesophageal hiatus hernia, a condition in which the fundus and part of the body of the stomach wrapped in a peritoneal sac herniate into the mediastinum, is a relatively uncommon entity. It tends to grow progressively and may become so large as to lead to symptoms of intrathoracic organ compression. In some exceptional cases, the entire stomach together with other abdominal viscera might herniate through the hiatus into the thorax. Paraesophageal hiatus hernias are characterised clinically by vague symptomatology, absent gastro-oesophageal reflux, and possible onset of gastric volvulus, generally without consequent incarceration of the portion of the herniated organ. Such an event is uncommon but dangerous and life-threatening. These cases often require resection of the incarcerated viscera, followed by hiatoplasty and Nissen fundoplication. The authors report on the case of a patient presenting with acute abdomen as a result of incarcerated and perforated para-oesophageal hiatus hernia.

Abdomen, Acute↗
PubMed2003

Esophageal emergencies: things that will wake you from a sound sleep.

Esophageal emergencies are a common problem facing practicing gastroenterologists and it is important to know what therapies are indicated for different situations. Patients ingesting caustic agents should be monitored intensively for signs of perforation and ultimately for signs of stricture development. Foreign bodies impacted in the esophagus should be removed promptly to prevent perforation. Although esophageal perforations are generally managed surgically, conservative management of localized perforations has become more common especially with improved antibiotics and the use of nonsurgical interventional drainage techniques. In either elected course the gastroenterologist should work closely with the surgical team.

Burns, Chemical↗
PubMed1981

Late aortic rupture after lye ingestion.

A case of liquid lye ingestion with late aortic rupture is reported. The rupture occurred 44 days after the lye ingestion. This case report shows that the lye induced tissue damage has a long duration and may lead to late aortic rupture, especially if there is an additional trauma to the esophagus due to dilatation and perforation of the esophageal wall.

Adolescent↗
PubMed2006

[Application of selective proximal vagotomy in surgical treatment of duodenal ulcer, complicated by perforation and reflux-esophagitis].

Simultant surgical treatment of 310 patients, suffering the duodenal ulcer disease, complicated by perforation and reflux-esophagitis, was conducted. There was performed of perforated ulcer dissection, pyloroduodenoplasty, selective proximal vagotomy, fundoplication. The results of treatment of 245 patients in terms from 6 mo up to 20 yrs were studied up. Good and satisfactory results were noted accordingly in 94.6 and 3.4% of observations. Duodenal ulcer disease recurrence have occurred in 6 (2%) of patients. The reflux-esophagitis recurrence was not observed. All the patients have survived.

Adolescent↗
PubMed1991

Pill-induced esophageal injury.

Delay in esophageal transit of caustic medicinal pills may precipitate esophageal ulceration. The injury is usually mild, producing only self-limited pain. More serious injury may result in esophageal hemorrhage, perforation, or stricture. Injury is more likely if pills are taken without water or while lying down. Patients with esophageal compression from left atrial enlargement are at increased risk, especially if they have had cardiac surgery.

Adolescent↗
PubMed2004

[Iatrogenic perforations of the esophagus and hypopharynx--5 year experience at the Center for Esophageal Surgery].

Iatrogenic perforations of the esophagus and hypopharynx are important problem, due to diagnostic difficulties, controversies about adequate treatment, and high morbidity and mortality rate. Incidence of iatrogenic perforations is from 50 to 75% of all perforations. In the period from April 1999. to April 2004, 15 patients with iatrogenic perforation of the esophagus and hypopharynx were treated at the Department of esophageal surgery, First University Surgical Hospital in Belgrade. In majority of patients iatrogenic perforation occured during endoscopic interventional procedure (endoscopic removal of ingested foreign body--10 pts, endotracheal intubation--2 pts, intraoperative iatrogenic perforation--2 pts, pneumatic dilatation--1 pt). Surgical treatment was performed in 12 (80%) pts and 3 (20%) pts were treated conservatively. Surgical approach was cervicoabdominal, thoracoabdominal and cervicothoracoabdominal in 9.1 and 2 pts, respectively. Among 12 operated pts, primary repair of the esophagus was performed in 5 pts, and esophageal resection or exclusion in 7 pts. Overall mortality rate was 13.3% (2 pts), in surgical group 8.3% (1 pt) and in conservatively treated group 33.3% (1 pt). Iatrogenic perforations of the esophagus and hypopharynx are diagnostic and therapeutic problem. Awareness of the possibility of esophageal perforation during instrumental manipulations and early diagnosis is essential for successful, individually adapted, and in most cases surgical, treatment.

Adult↗