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Esophageal Rupture

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1. Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping (Full text)

Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE

2018 ACG case reports journal PubMed

2. Treatment of spontaneous esophageal rupture (Boerhaave syndrome) using thoracoscopic surgery and sivelestat sodium hydrate (Full text)

Treatment of spontaneous esophageal rupture (Boerhaave syndrome) using thoracoscopic surgery and sivelestat sodium hydrate The mortality rate of spontaneous esophageal rupture remains 20% to 40% due to severe respiratory failure. We have performed thoracoscopic surgery for esophageal disease at our department since 1994. Sivelestat sodium hydrate reportedly improves the pulmonary outcome in the patients with acute lung injury (ALI).We retrospectively evaluated the usefulness of thoracoscopic (...) surgery and perioperative administration of sivelestat sodium hydrate for spontaneous esophageal rupture in 12 patients who underwent thoracoscopy at our department between 2002 and 2014.The patient cohort included 11 males and one female (median age, 61 years). The lower left esophageal wall was perforated in all patients. Surgical procedures consisted of thoracoscopic suture and thoracic drainage in six patients, transhiatal suture and thoracoscopic thoracic drainage in five, and thoracoscopic

2018 Journal of thoracic disease PubMed

3. Two-tube method for treatment of spontaneous esophageal rupture and concomitant mediastinal infection (Full text)

Two-tube method for treatment of spontaneous esophageal rupture and concomitant mediastinal infection Objective Spontaneous esophageal rupture (SER) is a rare but life-threatening condition with high mortality. The prognosis of patients with SER treated with surgical intervention or the traditional "three-tube" method is controversial. Thus, the aim of this study was to evaluate the clinical efficacy, feasibility, and safety of a new "two-tube" method involving a trans-fistula drainage tube (...) and a three-lumen jejunal feeding tube for the treatment of SER without concomitant pleural rupture. Methods From January 2007 to June 2016, patients with SER and managed with the "two-tube" method or other methods were retrospectively analyzed. Data collected included initial presentation, procedure time, duration of treatment, numbers of patients with eventual healing of leaks, and complications. Results The average procedure time for the "two-tube" method was 22.1 ± 5.5 minutes. In comparison

2018 The Journal of international medical research PubMed

4. Endoscopic repair of spontaneous esophageal rupture during gastroscopy: A CARE compliant case report. (PubMed)

Endoscopic repair of spontaneous esophageal rupture during gastroscopy: A CARE compliant case report. Most of esophageal rupture is a very serious life-threatening benign gastrointestinal tract disease with high mortality. However, there are a few cases of spontaneous esophageal rupture during gastroscopy.A 57-year-old man who underwent a routine diagnostic gastroscopy due to food obstruction was reported. During the gastroscopy, he vomited severely, which was followed by severe left chest pain (...) radiating into the back and upper abdomen. The diagnosis was made by computed tomography (CT) scan without delay. Enhanced CT showed extensive mediastinal emphysema, a small amount of left pleural effusion, and a 6 cm tear was confirmed in the lower esophagus posteriorly.The patient was diagnosed with an intrathoracic rupture type of spontaneous esophageal rupture.The patient received endoscopic suturing techniques under endotracheal intubation, titanium clip clamping, and over the scope clip (OTSC

2018 Medicine

5. Recurrent Spontaneous Esophageal Rupture Managed With Esophageal Stenting. (PubMed)

Recurrent Spontaneous Esophageal Rupture Managed With Esophageal Stenting. Recurrent spontaneous esophageal ruptures are rare, found in only a few case reports. They are treated mostly by thoracotomy and repair, but none through stenting alone. We present a patient with recurrent spontaneous esophageal rupture who was successfully treated through stenting and made a speedy and complete recovery. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2016 Annals of Thoracic Surgery

6. Hydropneumothorax Due to Esophageal Rupture. (PubMed)

Hydropneumothorax Due to Esophageal Rupture. A brief review of the historical aspects of esophageal rupture is presented along with a case and current recommendations for diagnostic evaluation and treatment.A 97-year-old woman complained of acute dyspnea without prior vomiting. Chest x-ray study showed a large right pneumothorax with associated effusion. A thoracostomy tube was placed with return of > 1 L turbid fluid with polymicrobial culture and elevated pleural fluid amylase level. Chest (...) computed tomography (CT) scan demonstrated overt leakage of oral contrast into the right pleural space. She was treated with ongoing pleural evacuation, antibiotics, antifungals, and total parenteral nutrition. The patient and family declined surgical resection as well as endoscopic stent placement. In 1724, Boerhaave described spontaneous rupture of the esophagus postmortem; Boerhaave syndrome remains the name for complete disruption of the esophageal wall in the absence of pre-existing pathology

2017 Journal of Emergency Medicine

7. Is Robot-Assisted Surgery Really Scarless Surgery? Immediate Reconstruction with a Jejunal Free Flap for Esophageal Rupture after Robot-Assisted Thyroidectomy (Full text)

Is Robot-Assisted Surgery Really Scarless Surgery? Immediate Reconstruction with a Jejunal Free Flap for Esophageal Rupture after Robot-Assisted Thyroidectomy Esophageal perforation is a rare but potentially fatal complication of robot-assisted thyroidectomy (RAT). Herein, we report the long-term outcome of an esophageal reconstruction with a jejunal free flap for esophageal rupture after RAT. A 33-year-old woman developed subcutaneous emphysema and hoarseness on postoperative day1 following (...) RAT. Esophageal rupture was diagnosed by computed tomography and endoscopy, and immediate surgical exploration confirmed esophageal rupture, as well as recurrent laryngeal nerve injury. We performed a jejunal free flap repair of the 8-cm defect in the esophagus. End-to-side microvascular anastomoses were created between the right external carotid artery and the jejunal branches of the superior mesenteric artery, and end-to-end anastomosis was performed between the external jugular vein

2017 Archives of plastic surgery PubMed

8. Successful primary repair of late diagnosed spontaneous esophageal rupture: A case report (Full text)

Successful primary repair of late diagnosed spontaneous esophageal rupture: A case report Spontaneous esophageal rupture is rare, roughly 300 cases reported annually. Diagnosis is often delayed or missed. Overall mortality is about 20%. This feared high mortality rate has led to the misconception that primary esophageal repair should be avoided in late diagnosed patients. We report a successful primary repair of spontaneous esophageal rupture which was delayed for more than two weeks.A 53 year (...) -old male presented to our medical service after falsely having been treated for pneumonia at an outside hospital. He was subsequently diagnosed with spontaneous esophageal rupture and treated with over the scope clips followed by stenting. Persistent leak into mediastinum made surgical exploration necessary. At exploration a primary repair could be performed successfully.Unsuccessful endoscopic management of esophageal perforation that was delayed for two weeks underwent primary surgical repair

2017 International journal of surgery case reports PubMed

9. Hepatic and Gastric Involvement in a Case of Systemic Sarcoidosis Presenting with Rupture of Esophageal Varices (Full text)

Hepatic and Gastric Involvement in a Case of Systemic Sarcoidosis Presenting with Rupture of Esophageal Varices A 46-year-old woman presented with massive hematemesis, caused by the rupture of esophageal varices. The laboratory investigations showed pancytopenia, and imaging tests revealed hepatosplenomegaly and ascites. A diagnosis of systemic sarcoidosis was made based on biopsies of the liver, stomach, lungs, heart, and skin. Although fat deposition was predominant, non-caseating granuloma

2017 Internal Medicine PubMed

10. Endoscopic clipping of spontaneous esophageal rupture: Case reports of three patients (Full text)

Endoscopic clipping of spontaneous esophageal rupture: Case reports of three patients Spontaneous esophageal rupture is a life-threatening condition which is difficult to diagnose early, and is usually treated surgically. Prolonged hospitalization is common. Non-operative treatment of esophageal rupture localized to the mediastinum has been reported. We report three patients with spontaneous esophageal rupture successfully managed with endoscopic clipping.Two patients had ruptures localized

2017 International journal of surgery case reports PubMed

11. Primary closure of a spontaneous esophageal rupture under hand-assisted laparoscopy: a case report (Full text)

Primary closure of a spontaneous esophageal rupture under hand-assisted laparoscopy: a case report Spontaneous rupture of the esophagus, which is also known as Boerhaave's syndrome, is a rare life-threatening condition that requires urgent surgical management. The optimal treatment involves surgical repair of the esophageal defect, which is usually accomplished via laparotomy, thoracotomy, or both, and mediastinal debridement. Here, we report a case of spontaneous rupture of the esophagus

2016 Surgical Case Reports PubMed

12. Esophageal Rupture After Ghost Pepper Ingestion. (PubMed)

Esophageal Rupture After Ghost Pepper Ingestion. The ghost pepper, or "bhut jolokia," is one of the hottest chili peppers in the world. Ghost peppers have a measured "heat" of > 1,000,000 Scoville heat units (SHU), more than twice the strength of a habanero pepper. To our knowledge, no significant adverse effects of ghost pepper ingestion have been reported.A 47-year-old man presented to the Emergency Department (ED) with severe abdominal and chest pain subsequent to violent retching (...) , with a mediastinal fluid collection including food debris, as well as a left-sided pneumothorax. The patient was extubated on hospital day 14, and was discharged home with a gastric tube in place on hospital day 23. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Spontaneous esophageal rupture, Boerhaave syndrome, is a rare condition encountered by emergency physicians, with a high mortality rate. This case serves as an important reminder of a potentially life- threatening surgical emergency initially

2016 Journal of Emergency Medicine

13. Esophageal Rupture

Esophageal Rupture Esophageal Rupture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Esophageal Rupture Esophageal Rupture Aka (...) : Esophageal Rupture , Esophageal Perforation , Boerhaave's Syndrome , Esophageal Tear From Related Chapters II. Pathophysiology Rupture results in linear tear of the lower esophagus Following rupture, only mediastinal pleura contains esophageal contents Lower esophagus lacks serosal covering Esophageal contents leaks into mediastinum Pressure gradient changes with respirations Severe inflammation and infection follows Mediastinitis Empyema (following spread to pleural space) III. Epidemiology Rare

2018 FP Notebook

14. Mitral-aortic intervalvular fibrosa pseudoaneurysm with rupture into the left atrium: a three-dimensional trans-esophageal echocardiographic approach (Full text)

Mitral-aortic intervalvular fibrosa pseudoaneurysm with rupture into the left atrium: a three-dimensional trans-esophageal echocardiographic approach 26663226 2016 12 15 2018 11 13 2149-2271 15 12 2015 Anatolian journal of cardiology Anatol J Cardiol Mitral-aortic intervalvular fibrosa pseudoaneurysm with rupture into the left atrium: a three-dimensional trans-esophageal echocardiographic approach. 1030-1 10.5152/AnatolJCardiol.2015.6663 Çimen Tolga T Department of Cardiology, Dışkapı Yıldırım (...) Beyazıt Education and Research Hospital; Ankara-Turkey. drtolgacim@hotmail.com. Doğan Mehmet M Kızıltepe Uğursay U Akyel Ahmet A Sunman Hamza H Yeter Ekrem E eng Case Reports Journal Article Turkey Anatol J Cardiol 101652981 2149-2263 IM Adult Aneurysm, False complications diagnosis diagnostic imaging Aortic Rupture complications diagnosis diagnostic imaging Aortic Valve diagnostic imaging Diagnosis, Differential Echocardiography, Transesophageal Endocarditis, Bacterial blood complications diagnosis

2016 Anatolian journal of cardiology PubMed

15. Successful Management of Delayed Esophageal Rupture with T-Tube Drainage Using Video-Assisted Thoracoscopic Surgery (Full text)

Successful Management of Delayed Esophageal Rupture with T-Tube Drainage Using Video-Assisted Thoracoscopic Surgery Spontaneous perforation of the esophagus after forceful vomiting is known as Boerhaave syndrome, a rare and life-threatening condition associated with a high rate of mortality. The management of Boerhaave syndrome is challenging, especially when diagnosed late. Herein, we report the successful management of late-diagnosed Boerhaave syndrome with T-tube drainage in a 55-year-old

2016 The Korean journal of thoracic and cardiovascular surgery PubMed

16. An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget (Full text)

An Unusual Case of Spontaneous Esophageal Rupture after Swallowing a Boneless Chicken Nugget A 25-year-old previously healthy man presented to our Emergency Department with shortness of breath and epigastric pain after swallowing a boneless chicken nugget one hour prior to presentation. Physical examination revealed epigastric rigidity and tenderness. Serology was normal except for mildly elevated bilirubin and amylase. Computed tomography (CT) scan of the chest revealed a distal esophageal (...) rupture with accompanying pneumomediastinum and left-sided pleural effusion. Treatment was initiated with administration of intravenous fluids and broad-spectrum antibiotics. Subsequently, an esophageal stent was inserted endoscopically in addition to VATS (Video-Assisted Thoracoscopic Surgery) drainage of the left-sided pleural space. This case illustrates an unusual presentation of Boerhaave's syndrome: a rare and life-threatening form of noniatrogenic esophageal rupture most often preceded

2016 Case Reports in Emergency Medicine PubMed

17. Successful closure of spontaneous esophageal rupture (Boerhaave’s syndrome) by endoscopic ligation with snare loops (Full text)

Successful closure of spontaneous esophageal rupture (Boerhaave’s syndrome) by endoscopic ligation with snare loops Spontaneous esophageal rupture is a rare condition with a high mortality rate, and it is generally treated by surgery. In the present report, successful non-surgical closure of spontaneous esophageal rupture by endoscopic ligation with snare loops in a patient with pyopneumothorax and septicemia is presented.The case of an 80-year-old man patient with spontaneous esophageal (...) rupture who was cured by endoscopic ligation with snare loops is reported. The patient was admitted with severe chest pain. Chest CT scan revealed pneumomediastinum, and an upper gastrointestinal series using gastrografin showed leakage of contrast medium from the lower esophagus. Therefore, a diagnosis of spontaneous esophageal rupture to the thorax was made. Since the family refused surgery, the patient was treated conservatively. Since extensive blood in the stool was noted on day 5, an emergency

2016 SpringerPlus PubMed

18. Factors Associated with Bleeding Secondary to Rupture of Esophageal Varices in Children and Adolescents With Cirrhosis. (PubMed)

Factors Associated with Bleeding Secondary to Rupture of Esophageal Varices in Children and Adolescents With Cirrhosis. Bleeding of esophageal varices is the main cause of morbidity and mortality in children with portal hypertension. It is important to understand the factors related with a bleeding episode to evaluate more effective primary prophylaxis. The present study aims to describe the endoscopic and laboratory findings associated with upper gastrointestinal bleeding (UGIB) secondary (...) presence of gastric varices and red spots on esophageal varices were related to episodes of UGIB secondary to rupture of esophageal varices. When these findings are observed, indications for endoscopic primary prophylaxis should be evaluated. More studies are, however, necessary to better understand this problem.

2016 Journal of Pediatric Gastroenterology and Nutrition

19. Sirens to Scrubs: Esophageal Foreign Body Obstructions

. Triadafilopoulos G. Boerhaave Syndrome: Effort Rupture of the Esophagus. UpToDate. . Published February 21, 2018. Accessed August 5, 2018. 4. Muntor D. Esophageal Foreign Bodies. In: Roberts and Hedges’ Clinical Procedures in Emergency Medicine and Acute Care . 7th ed. Elsevier; 2018:1500. 5. ASGE S, Ikenberry S, Jue T, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc . 2011;73(6):1085-1091. [ ] (Visited 832 times, 3 visits today) Paula Sneath Paula is a PGY1 in Emergency (...) Sirens to Scrubs: Esophageal Foreign Body Obstructions Sirens to Scrubs: Esophageal Foreign Body Obstructions - CanadiEM Sirens to Scrubs: Esophageal Foreign Body Obstructions In , by Paula Sneath August 14, 2018 You respond lights and sirens to a popular lunch spot near the provincial legislature for a man choking. You find 56-year-old Jeff clutching at his chest, struggling to breathe and looking very panicked. Around him are dozens of other patrons looking equally panicked, uncertain of what

2018 CandiEM

20. Repair of complete longitudinal esophageal rupture with preservation of esophageal motility. (PubMed)

Repair of complete longitudinal esophageal rupture with preservation of esophageal motility. There is no consensus on the ideal treatment for esophageal perforation and on the maximal extent of esophageal disruption amenable to primary repair. The effect of extensive esophageal injury on postoperative esophageal motility is also unknown. We report the case of a longitudinal iatrogenic esophageal laceration extending from the hypopharynx to the cardia in a morbidly obese patient treated (...) with primary repair. The patient exhibited no postoperative esophageal leak or stricture and maintained a preserved esophageal peristalsis on manometry at 3 months. An extensively lacerated esophagus can be repaired primarily while maintaining a normal postoperative function. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

2014 Annals of Thoracic Surgery

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