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Esophageal Rupture

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21. Extension type fracture of the ankylotic thoracic spine with gross displacement causing esophageal rupture. (Abstract)

Extension type fracture of the ankylotic thoracic spine with gross displacement causing esophageal rupture. This study aimed at discussing the relevance of the type B3 fracture of the new AOSpine classification.Hyperextension fractures of the spine are rare in the general population, but common in the ankylotic spine. We present a case of a severe spinal fracture with concomitant esophageal rupture, which was diagnosed early and could be treated during the initial trauma care.The spinal column

2015 European Spine Journal

22. Esophageal rupture: Computed tomography with endoscopic correlation Full Text available with Trip Pro

Esophageal rupture: Computed tomography with endoscopic correlation Boerhaave syndrome, or spontaneous rupture of the esophagus, is a complication of violent vomiting. Although the syndrome is rare, awareness of it is important because delayed or missed diagnosis can be fatal. Radiographic imaging, particularly computed tomography, is the mainstay of diagnosis, and endoscopy generally does not play a role. We present a case of Boerhaave syndrome diagnosed by computed tomography

2015 Radiology Case Reports

23. Right-sided hydropneumothorax as a presenting symptom of Boerhaave's syndrome (spontaneous esophageal rupture) Full Text available with Trip Pro

Right-sided hydropneumothorax as a presenting symptom of Boerhaave's syndrome (spontaneous esophageal rupture) Boerhaave's syndrome, or spontaneous esophageal rupture, is a rare condition that classically presents with Mackler's triad of vomiting, subcutaneous emphysema, and severe sudden onset of chest pain and requires immediate medical attention. Approximately 90% of the perforations occur at the left lateral aspect of the distal esophagus, causing a left-sided pleural effusion. Less than 10 (...) % of patients have bilateral effusions, and few patients have a right-sided pleural effusion only. We present the case of a 59-year-old man with spontaneous esophageal rupture. His clinical presentation is of interest since he had no inciting event for spontaneous esophageal rupture and had a delayed presentation with a right-sided hydropneumothorax.

2015 Proceedings (Baylor University. Medical Center)

24. Repair of complete longitudinal esophageal rupture with preservation of esophageal motility. (Abstract)

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

25. Upper gastrointestinal hemorrhage and thoracic aortic aneurysm rupture as presenting signs of Behçet disease: A case report. Full Text available with Trip Pro

with the concurrence of huge esophageal ulcer and thoracic aortic aneurysms rupture, which helped us to diagnose BD at the early stage, while confronting atypical manifestations. (...) Upper gastrointestinal hemorrhage and thoracic aortic aneurysm rupture as presenting signs of Behçet disease: A case report. Behçet disease (BD) is an autoimmune disorder characterized by oral aphthosis, genital aphthosis, ocular lesions, and arthritis. However, other fatal complications are often misdiagnosed, which implies that the early diagnosis of the disease is important for a good prognosis.A 51-year-old man complained of hematemesis for 5 hours and syncope once.BD as demonstrated

2019 Medicine

26. Ruptured Thoracic and Abdominal Gastrointestinal Duplication Cysts Presenting With Failure to Thrive. (Abstract)

Ruptured Thoracic and Abdominal Gastrointestinal Duplication Cysts Presenting With Failure to Thrive. Gastrointestinal duplication cysts are rare congenital malformations, with esophageal and gastric duplication cysts being among the rarest. We report an 8-week-old female who presented to the emergency department with failure to thrive and was subsequently found to have multiple gastric and esophageal duplication cysts that had ruptured intrathoracically and intra-abdominally. We describe (...) the diagnosis and management of this patient who underwent successful resection of 4 gastrointestinal duplication cysts. This report emphasizes the unexpected, and sometimes relatively benign, presentations of gastrointestinal duplication cysts. To our knowledge, this is the first reported occurrence of multiple duplication cysts that independently ruptured thoracically and abdominally.

2018 Pediatric Emergency Care

27. Ductus Aneurysm Ruptured Into the Esophagus With Massive Bleeding. Full Text available with Trip Pro

Ductus Aneurysm Ruptured Into the Esophagus With Massive Bleeding. We report a patient with life-threatening hematemesis caused by the rupture of a ductus aneurysm into the esophagus, which was successfully treated by coil embolism for the esophageal fistula through the aorta and subsequent thoracic endovascular aortic replacement. Second-stage therapy was performed surgically after proactive antibiotic treatment and in consideration of the patient's improved general condition. This included

2018 Annals of Thoracic Surgery

28. A Creeping Malaise Leading to Calamity: Herpes Esophagitis Perforation. (Abstract)

A Creeping Malaise Leading to Calamity: Herpes Esophagitis Perforation. Herpes Simplex Virus (HSV) is an uncommon cause of esophagitis and particularly so in immunocompetent individuals. While the common presentation tends to be odynophagia and/or dysphagia, fever, and retrosternal chest pain, there are variations and rarely it can present more ominously as esophageal rupture. We report a rare case of esophageal perforation with penetration into vertebral space secondary to chronic HSV (...) esophagitis in a 71-year-old immunocompetent female. This is the second known such occurrence. The patient had a long stay in hospital but recovered from the condition and was followed up for one year after initial presentation.Copyright © 2019. Published by Elsevier Inc.

2019 Annals of Thoracic Surgery

29. Fatal hemoptysis in patients with advanced esophageal cancer treated with apatinib Full Text available with Trip Pro

treatment, the dyspnea symptoms disappeared and quality of life significantly improved. Chest computed tomography showed massive necrosis of tumor tissues in each patient. The tumors significantly reduced and a cavity was formed locally in each patient. However, both patients died of massive hemoptysis, probably due to the rupture of the bronchial artery eroded by tumors. The results indicated that apatinib was effective in treating some patients with advanced esophageal cancer, and adverse effects were (...) Fatal hemoptysis in patients with advanced esophageal cancer treated with apatinib Targeted therapy is commonly used for treating advanced malignant tumors. Compared with cytotoxic drugs, targeted drugs have the characteristics of good curative results, less adverse effects, and convenient oral administration. Hence, they are especially suitable for patients with cancer who are not able to tolerate chemotherapy. Anti-angiogenic therapy can achieve the objective by inhibiting the formation

2018 OncoTargets and therapy

30. Pemphigus Vulgaris in the Mouth and Esophageal Mucosa Full Text available with Trip Pro

Pemphigus Vulgaris in the Mouth and Esophageal Mucosa Pemphigus vulgaris (PV) is a chronic autoimmune mucocutaneous disease. In most cases, the initial manifestation occurs in the mouth as multiple ulcerations preceded by blisters that rupture and later spread to other mucous membranes and the skin. Esophageal impairment is rare. We report a case of PV with esophageal involvement in a 53-year-old woman who sought medical care, complaining of diffuse painful lesions in the oral cavity (...) for approximately 1 month, with no improvement with nystatin. Upper digestive endoscopy (UDE) was performed with findings of vesiculobullous lesions in the proximal and middle esophagus, which were biopsied and for which histopathology confirmed PV in the esophageal mucosa. We draw attention to UDE as important for the diagnosis, and it should be indicated in patients with vesiculobullous lesions of the mouth, especially if there are esophageal complaints.

2018 Case reports in gastroenterology

31. Esophagectomy after endoscopic submucosal dissection for esophageal carcinoma Full Text available with Trip Pro

); 3 patients were lost to follow-up (9%) and 1 patient died of metastasis after esophagectomy. All other patients were alive with excellent postoperative disease-free survival.Indications for esophagectomy after ESD include ESD failure, cancer recurrence, esophageal rupture, esophageal stricture refractory to endoscopic dilation, and residual tumor at the ESD specimen margin. Stage T1b alone is not an indication for esophagectomy. According to our study, we recommend that esophagectomy should (...) Esophagectomy after endoscopic submucosal dissection for esophageal carcinoma Endoscopic submucosal dissection (ESD) has been used to treat early stage esophageal cancer, but reports about additional esophagectomy after ESD and postoperative outcomes are lacking. Complete removal of cancer tissue together with lymph nodes was the advantage of esophagectomy; however, invasiveness, organ loss, postoperative complications, and worse postoperative quality of life were serious disadvantages

2018 Journal of thoracic disease

32. Esophageal Perforation After Failed Prehospital Intubation Full Text available with Trip Pro

Esophageal Perforation After Failed Prehospital Intubation Esophageal perforation is a rare condition with high rates of mortality if not recognized quickly. This is a case of a 67-year-old male with a self-inflicted gunshot wound to the head. He had one failed intubation attempt prior to arrival. On postmortem autopsy it was discovered that in addition to significant head trauma he also had an esophageal and gastric rupture.

2018 Clinical Practice and Cases in Emergency Medicine

33. Esophageal Rupture (Overview)

Esophageal Rupture (Overview) Esophageal Rupture: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI1NDEwLW92ZXJ2aWV3 processing > Esophageal Rupture Updated: Apr 09, 2019 (...) Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Esophageal Rupture Overview Background Almost 300 years ago, Herman Boerhaave, a Dutch physician, described the case of Baron Jan von Wassenaer, the Grand Admiral of Holland. [ , ] In 1724, Boerhaave was called to the bedside of the admiral, who complained of severe chest pain and exclaimed that something had burst in his chest. The admiral had consumed a huge meal, had taken

2014 eMedicine Surgery

34. Esophageal Rupture (Follow-up)

Esophageal Rupture (Follow-up) Esophageal Rupture Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI1NDEwLXRyZWF0bWVudA (...) == processing > Esophageal Rupture Treatment & Management Updated: Apr 09, 2019 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Esophageal Rupture Treatment Approach Considerations Controversy exists regarding indications for surgery for esophageal rupture. [ , , , , , ] In general, however, operative therapy depends on a number of factors, including etiology, location of the perforation, and the time interval between injury

2014 eMedicine Surgery

35. Esophageal Rupture (Treatment)

Esophageal Rupture (Treatment) Esophageal Rupture Treatment & Management: Approach Considerations, Medical Therapy, Surgical Therapy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI1NDEwLXRyZWF0bWVudA (...) == processing > Esophageal Rupture Treatment & Management Updated: Apr 09, 2019 Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Esophageal Rupture Treatment Approach Considerations Controversy exists regarding indications for surgery for esophageal rupture. [ , , , , , ] In general, however, operative therapy depends on a number of factors, including etiology, location of the perforation, and the time interval between injury

2014 eMedicine Surgery

36. Esophageal Rupture (Diagnosis)

Esophageal Rupture (Diagnosis) Esophageal Rupture: Background, Anatomy, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNDI1NDEwLW92ZXJ2aWV3 processing > Esophageal Rupture Updated: Apr 09, 2019 (...) Author: Dale K Mueller, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM Share Email Print Feedback Close Sections Sections Esophageal Rupture Overview Background Almost 300 years ago, Herman Boerhaave, a Dutch physician, described the case of Baron Jan von Wassenaer, the Grand Admiral of Holland. [ , ] In 1724, Boerhaave was called to the bedside of the admiral, who complained of severe chest pain and exclaimed that something had burst in his chest. The admiral had consumed a huge meal, had taken

2014 eMedicine Surgery

37. Esophageal Perforation, Rupture and Tears (Diagnosis)

Esophageal Perforation, Rupture and Tears (Diagnosis) Esophageal Rupture and Tears in Emergency Medicine: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzc1MTY1LW92ZXJ2aWV3 processing > Esophageal Rupture and Tears in Emergency Medicine Updated: Oct 13, 2016 Author: Ugo Anthony Ezenkwele, MD, MPH; Chief Editor: Steven C Dronen, MD, FAAEM Share Email Print Feedback Close Sections Sections Esophageal Rupture and Tears in Emergency Medicine Overview Background In 1724, Dr Hermann Boerhaave described the first, and likely most well known, case of esophageal perforation. Baron Jan von Wassenaer, the Grand Admiral of Holland, followed a large meal with his customary

2014 eMedicine Emergency Medicine

38. Esophageal Perforation, Rupture and Tears (Follow-up)

Esophageal Perforation, Rupture and Tears (Follow-up) Esophageal Rupture and Tears in Emergency Medicine Treatment & Management: Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzc1MTY1LXRyZWF0bWVudA== processing > Esophageal Rupture and Tears in Emergency Medicine Treatment & Management Updated: Oct 13, 2016 Author: Ugo Anthony Ezenkwele, MD, MPH; Chief Editor: Steven C Dronen, MD, FAAEM Share Email Print Feedback Close Sections Sections Esophageal Rupture and Tears in Emergency Medicine Treatment Prehospital Care Any patient with an esophageal tear should be expeditiously transported to the emergency department with intravenous access, supplemental oxygen with a secure airway, and pain

2014 eMedicine Emergency Medicine

39. Esophageal Perforation, Rupture and Tears (Treatment)

Esophageal Perforation, Rupture and Tears (Treatment) Esophageal Rupture and Tears in Emergency Medicine Treatment & Management: Prehospital Care, Emergency Department Care Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzc1MTY1LXRyZWF0bWVudA== processing > Esophageal Rupture and Tears in Emergency Medicine Treatment & Management Updated: Oct 13, 2016 Author: Ugo Anthony Ezenkwele, MD, MPH; Chief Editor: Steven C Dronen, MD, FAAEM Share Email Print Feedback Close Sections Sections Esophageal Rupture and Tears in Emergency Medicine Treatment Prehospital Care Any patient with an esophageal tear should be expeditiously transported to the emergency department with intravenous access, supplemental oxygen with a secure airway, and pain

2014 eMedicine Emergency Medicine

40. Esophageal Perforation, Rupture and Tears (Overview)

Esophageal Perforation, Rupture and Tears (Overview) Esophageal Rupture and Tears in Emergency Medicine: Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache (...) =aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvNzc1MTY1LW92ZXJ2aWV3 processing > Esophageal Rupture and Tears in Emergency Medicine Updated: Oct 13, 2016 Author: Ugo Anthony Ezenkwele, MD, MPH; Chief Editor: Steven C Dronen, MD, FAAEM Share Email Print Feedback Close Sections Sections Esophageal Rupture and Tears in Emergency Medicine Overview Background In 1724, Dr Hermann Boerhaave described the first, and likely most well known, case of esophageal perforation. Baron Jan von Wassenaer, the Grand Admiral of Holland, followed a large meal with his customary

2014 eMedicine Emergency Medicine

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