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Esophageal Rupture

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261. Bronchial artery aneurysm suggested to be caused by metalic tracheal stent migration (PubMed)

Bronchial artery aneurysm suggested to be caused by metalic tracheal stent migration Occurrence of bronchial artery aneurysm is rare, and it has been detected in less than 1 % of all selective bronchial arteriography cases. Here, we present a case of a bronchial artery aneurysm caused by a tracheal stent migration. A 59-year-old man was operated on for esophageal cancer, where an esophageal-tracheal fistula occurred 1 week after operation. Surgical repair of the esophageal-tracheal fistula (...) was performed successfully, the patient subsequently died from multi-organ failure. Post-mortem autopsy revealed that the massive bleeding is originated from the rupture of a bronchial artery aneurysm.

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2016 Surgical Case Reports

262. Clostridium subterminale septicemia in an immunocompetent patient (PubMed)

Clostridium subterminale septicemia in an immunocompetent patient Clostridium subterminale is a Clostridium species that has been rarely isolated in the blood of immunocompromised patients. We report a case of C. subterminale septicemia in an immunocompetent patient who presented with acute mediastinitis following spontaneous esophageal rupture.

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2016 IDCases

263. Larynx Trauma and Hyoid Bone Fracture after Bite Injury in Dog: Case Report (PubMed)

Larynx Trauma and Hyoid Bone Fracture after Bite Injury in Dog: Case Report An 8-year-old male Jack Russell crossbreed dog was admitted to our hospital with dyspnea and shock following a dog-bite injury on the ventral neck. Radiographs revealed subcutaneous emphysema and bilateral thyrohyoid bone fractures. Intraoperatively, rupture of both sternohyoid muscles, both hyoepiglotticus muscles, both thyrohyoid muscles, and a partial cranial rupture of the superficial sphincter colli muscle were (...) detected. Part of the epiglottis was detached from the thyroid cartilage. The patient's severed muscles and torn epiglottis were reattached using a simple interrupted suture pattern. Hyoepiglotticus muscles could not be identified. The bilateral thyrohyoid bone fractures were repaired with intraosseous wire suture. A temporary tracheostomy tube and an esophageal feeding tube were placed postoperatively. The dog was discharged after 8 days, re-examined at 2 and 6 months and laryngeal and pharyngeal

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2016 Frontiers in veterinary science

264. Funtabulously Frivolous Friday Five 128

morbidity in trauma patients. Strictly speaking a Morel Lavallée lesion only overlies the greater trochanter, but similar biomechanical forces can result in identical lesions occur in other areas of the body. [ ] Question 3 What is an Essex–Lopresti injury? Fractured radial head, disruption of the distal radio-ulnar joint and a torn interosseous membrane. If not diagnosed acutely, the radius migrates proximally and the ruptured IOM results in forearm instability. These can be subtle and a high index (...) of clinical suspicion is needed. Careful examination of the wrist to look for subtle disruption of the distal radio-ulnar joint is required (not so subtle example shown below). [ ] Question 4 What is the number one cause of fatal ingestions in children under 5 years of age (in the US)? Disk batteries (button battery) The majority of deaths reported have been due to aorto-esophageal fistula or fistula with another major vessel. [ and LITFL ] Question 5 What topical medication has been recently reported

2015 Life in the Fast Lane Blog

265. Avibactam sodium / ceftazidime (Avycaz)

Claforan Ceftazidime Fortaz, Tazicef Ceftriaxone Rocephin Cefepime Maxipime ß- l ac t am / ß-lactamase Inhibitor Combinations Ticarcillin clavulanate Timentin Ampicillin-sulbactam Unasyn Piperacillin-tazobactam Zosyn Ceftolozane-tazobactam Zerbaxa Fluoroquinolones Risk of tendonitis, tendon rupture, QTc prolongation, exacerbation of myasthenia gravis, CNS effects, peripheral neuropathy Ciprofloxacin Cipro Moxifloxacin Avelox Carbapenems Imipenem-cilastatin Primaxin Meropenem Merrem Ertapenem Envanz (...) Piperacillin-tazobactam Zosyn Ceftolozane-tazobactam Zerbaxa Fluoroquinolones Risk of tendonitis, tendon rupture, QTc prolongation, exacerbation of myasthenia gravis, CNS effects, peripheral neuropathy Levofloxacin Levaquin Ciprofloxacin Cipro Carbapenems Imipenem-cilastatin Primaxin Ertapenem Envanz Doripenem Doribax Monobactams Although used in pts with allergy to penicillins/cephalosporins, there are concerns about cross-reactivity with ceftazidime Aztreonam Azactam Aminoglycosides Risk

2015 FDA - Drug Approval Package

267. Secukinumab (Cosentyx)

Amy S. Woitach, DO BLA 125-504 Cosentyx (secukinumab) 52 Palpitations 2 (0.18) 0 (0.00) 2 (0.07) 0 (0.00) 0 (0.00) Pulmonary edema 2 (0.18) 0 (0.00) 2 (0.07) 0 (0.00) 0 (0.00) Rib fracture 0 (0.00) 2 (0.17) 2 (0.07) 0 (0.00) 0 (0.00) Tendon rupture 0 (0.00) 2 (0.17) 2 (0.07) 0 (0.00) 0 (0.00) Vomiting 2 (0.18) 0 (0.00) 2 (0.07) 0 (0.00) 0 (0.00) Infections, including pneumonia and bacterial abscess, were reported more frequently with secukinumab treatment, but not reported for either placebo (...) treatment periods. Infections related to Candida did appear to show a dose response as shown in section 7.5.1. All Candida infections on secukinumab were mild or moderate in severity. 4 cases of esophageal candidiasis were reported (1 on 150 mg and 3 on 300 mg). Two of these cases were mild and two were moderate in severity. All were managed successfully with antifungal treatment and did not result in any interruption or discontinuation of study treatment. There was 1 additional case of esophageal

2014 FDA - Drug Approval Package

268. Thoracic Aortic Disease: Guidelines For the Diagnosis and Management of Patients With

e64 8.1.5.3. HEART FAILURE AND SHOCK...e64 8.1.5.4. PERICARDIAL EFFUSION AND TAMPONADE e64 8.1.6. Syncope .e64 8.1.7. Neurologic Complications .e65 8.1.8. Pulmonary Complications .e65 8.1.9. Gastrointestinal Complications .e65 8.1.10. Blood Pressure and Heart Rate Considerations .e65 8.1.11. Age and Sex Considerations .e65 8.2. Intramural Hematoma .e66 8.3. Penetrating Atherosclerotic Ulcer .e67 8.4. Pseudoaneurysms of the Thoracic Aorta .e67 8.5. Traumatic Rupture of the Thoracic Aorta.e67 8.6 (...) for Intramural Hematoma and Penetrating Atherosclerotic Ulcer .e74 8.6.6.1. INTIMAL DEFECT WITHOUT INTRAMURAL HEMATOMA e74 8.6.6.2. INTIMAL DEFECT WITH INTRAMURAL HEMATOMA e74 8.6.6.3. RECOMMENDATION FOR INTRAMURAL HEMATOMA WITHOUT INTIMAL DEFECT e74 8.7. Treatment for the Management of Traumatic Aortic Rupture .e74 9. Thoracic Aortic Aneurysms .e75 9.1. General Approach to the Patient .e76 9.1.1. Recommendation for History and Physical Examination for Thoracic Aortic Disease .e76 9.1.1.1. CORONARY ARTERY

2010 American College of Cardiology

269. Branched Chain Amino Acid Supplementation for Patients with Cirrhosis

supplements. The odds ratio for progress to liver failure and death for BCAAs versus lactoalbumin was 0.43 (p = 0.039), and the odds ratio for BCAAs versus maltodextrin was 0.51 (p = 0.108). A 2005 multicenter, double-blinded, randomized controlled trial of 646 patients, showed a similar improvement for patients taking 12 grams of oral BCAA supplementation daily. The incidence of death by any cause, development of liver cancer, rupture of esophageal varices, or progression to hepatic ] Patients receiving

2010 Clinical Correlations

270. Correlation of Platelets Count With Endoscopic Findings in a Cohort of Egyptian Patients With Liver Cirrhosis

: NCT02621372 Recruitment Status : Recruiting First Posted : December 3, 2015 Last Update Posted : June 20, 2017 See Sponsor: Sherief Abd-Elsalam Collaborator: Tanta University Information provided by (Responsible Party): Sherief Abd-Elsalam, Tanta University Study Details Study Description Go to Brief Summary: Portal hypertension is a common complication of liver cirrhosis that can lead to development of esophageal varices (EV). They are abnormally dilated veins within the wall of the esophagus that lead (...) to haemorrhage (1). Majority of patients with cirrhosis will develop EV at some point, and about third of these patients will have at least one bleeding episode because of rupture of a varix . For this reason, screening endoscopy for detection of the presence of EV should be part of the diagnostic work-up in patients with cirrhosis. This is a very important preventive step for identification of those patients with variceal bleeding risk and furthermore, identification of patients in urgent need

2015 Clinical Trials

271. Vibratory PEP Device and Hospital Length of Stay for Acute Exacerbation of COPD

sentences) Intracranial pressure (ICP) >20 mmHg Hemodynamic instability (requiring vasopressor support) Recent facial, oral, or skull surgery or trauma. Acute sinusitis. Epistaxis. Esophageal surgery. Active Hemoptysis (More than 2 tablespoons of frank blood per day) Nausea. Severe earache or discharge from ear. (Known or suspected tympanic membrane rupture or other middle ear pathology) Untreated pneumothorax. Contacts and Locations Go to Information from the National Library of Medicine To learn more

2015 Clinical Trials

272. Balloon Tamponade for Atonic Primary Postpartum Hemorrhage

and other studies have suggested that various uterine balloon tamponade(UBT) devices may be effective in treating PPH. The studies used various types of UBT devices, including a condom catheter, a Foley catheter, the Sengstaken-Blakemore Esophageal Tube, the Rusch Balloon, and the Bakri Uterine Balloon. In 2007, a systematic review of treatment options for PPH found that 84% success rate of UBT does not significantly vary from surgical treatment outcomes.The World Health Organization (WHO (...) Healthy Volunteers: No Criteria Inclusion Criteria: Women who accept to participate (either the patient or her first-kin if she is unconscious) Primary atonic postpartum hemorrhage Exclusion Criteria: Traumatic postpartum hemorrhage With any suspected (e.g. prolonged rupture of membranes) or clinical evidence of infection Pre eclampsia. Diabetes mellietus(DM) with pregnancy History of Deep venous thrombosis (DVT) or other thromboembolic complication Rheumatic heart patients Contacts and Locations Go

2015 Clinical Trials

273. Results of aberrant right subclavian artery aneurysm repair. (PubMed)

error, 0.64). Late AARSA-related death in one case was due to AARSA-esophageal fistula presenting with continuing backflow from distal AARSA and previous TEVAR. At computed tomography controls, one type I endoleak and one type II endoleak were detected; the latter required reintervention by aneurysm wrapping and ligature of collaterals. AARSA-related death was more frequent after TEVAR, a procedure reserved for ruptures, compared with elective open or hybrid repair.Hybrid repair is the preferred (...) Results of aberrant right subclavian artery aneurysm repair. The objective of this multicenter registry was to review current treatments and late results of repair of aneurysm of aberrant right subclavian artery (AARSA).All consecutive AARSA repairs from 2006 to 2013 in seven centers were reviewed. End points were 30-day and late mortality, reintervention rate, and AARSA-related death.Twenty-one AARSA repairs were included (57% men; mean age, 67 years); 3 ruptures (14%) required emergent

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2015 Journal of Vascular Surgery

274. Trial of AccuPAP Device Versus Standard Nebulizer Therapy in Acute Asthma Exacerbation in Children

to Supraventricular Tachycardia). Patients with a history of spontaneous pneumothorax, recent facial, oral or skull surgery/trauma, history of esophageal surgery, known or suspected tympanic membrane rupture or other middle ear pathology, acute sinusitis, epistaxis, active hemoptysis or nausea will be excluded as these are contraindications for AccuPAP use. Patients who have received additional adjunctive therapies beyond repeated SABA and atrovent nebulizers or those who have received SCS greater than 1 hour

2015 Clinical Trials

275. Hemodynamic monitoring during liver transplantation: A state of the art review (PubMed)

variation (PPV). Although SVV and PPV have been found to be accurate predicators of fluid responsiveness, CO measurements are not reliable during liver transplantation. Transesophageal echocardiography is finding an increasing role in the real-time monitoring of preload status, cardiac contractility and the diagnosis of a variety of pathologies. It is limited by the expertise required, limited transgastric views during key portions of the operation, the potential for esophageal varix rupture

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2015 World journal of hepatology

276. Gastrointestinal Autonomic Nerve Tumors: a Clinical Review. (PubMed)

autonomic nerve tumor."All of the published literature on GANTs is either case reports or small case series. From 49 retrieved articles, a total of 107 GANT cases were collected with a mean age of 54 years and equal male to female preponderance. The most commonly affected site was small bowel followed by stomach. Esophageal and colorectal GANTs were less frequent. Clinical presentation was variable ranging from non-specific symptoms, abdominal pain, weight loss, iron-deficiency anemia, to obstruction (...) and gastrointestinal bleeding. Acute presentation due to free rupture or perforation with subsequent peritonitis was extremely rare. Endoscopic and radiological investigations were valuable in tumor localization and determination of distant spread. Thirteen patients were lost to or had no follow-up, leaving 94 patients for long-term outcome analysis. All patients were treated by radical surgical resection of the involved organ as this offered the only hope of cure. Local recurrence, metastases, or both developed

2015 Journal of Gastrointestinal Surgery

277. Tracheal diverticulum masquerading as pneumomediastinum in a trauma victim. (PubMed)

Tracheal diverticulum masquerading as pneumomediastinum in a trauma victim. The differential diagnosis for a paratracheal air collection includes Zenker diverticulum, tracheal diverticulum, apical herniation of the lung, and pneumomediastinum. In the setting of trauma, pneumomediastinum is traditionally regarded as an alarm sign that warrants investigation for tracheal or esophageal rupture,both highly morbid conditions.A patient presented to the emergency department with neck pain several

2015 American Journal of Emergency Medicine

278. Rare case of upper gastrointestinal bleeding in achalasia (PubMed)

Rare case of upper gastrointestinal bleeding in achalasia Achalasia is a prototypic esophageal motility disorder with complications including aspiration-pneumonia, esophagitis, esophageal-tracheal fistula, spontaneous rupture of the esophagus, and squamous cell carcinoma. However, achalasia is rarely associated with esophageal stones and ulcer formation that lead to upper gastrointestinal bleeding. Here, we report the case of a 61-year-old woman who was admitted to our department after vomiting (...) upper gastrointestinal bleeding was caused by Mallory-Weiss syndrome associated with achalasia and an esophageal stone. For patients with achalasia, preventing excessive ingestion of tannins is crucial to avoid complications such as bleeding and rupture.

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2015 World Journal of Clinical Cases : WJCC

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