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Esophageal Rupture

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41. Esophageal Varices

(a progressive complication of cirrhosis), preferentially in the sub mucosa of the lower esophagus. Rupture and bleeding from esophageal varices are major complications of portal hypertension and are associated with a high mortality rate. Variceal bleeding accounts for 10–30% of all cases of upper gastrointestinal bleeding. 1.1 WGO Cascades – a resource-sensitive approach A gold standard approach is feasible for regions and countries where the full scale of diagnostic tests and medical treatment options (...) , and as the hyperdynamic circulation increases, blood flow through the varices will increase, thus raising the tension in the wall. Variceal hemorrhage resulting from rupture occurs when the expanding force exceeds the maximal wall tension. If there is no modification in the tension of the wall, there will be a high risk of recurrence. Table 3 – Prognosis in patients with esophageal varices • Approximately 30% of patients with esophageal varices will bleed within the first year after diagnosis. The mortality resulting

2014 World Gastroenterology Organisation

42. In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance

In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved (...) studies (100). Please remove one or more studies before adding more. In Vivo Evaluation of Growth and Risk of Rupture of Dilated Ascending Aorta Using 4D Cardiac Magnetic Resonance The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov

2017 Clinical Trials

43. Cholesterol crystal embolization following plaque rupture: a systemic disease with unusual features Full Text available with Trip Pro

Cholesterol crystal embolization following plaque rupture: a systemic disease with unusual features Cholesterol crystal embolic (CCE) syndrome is often a clinically challenging condition that has a poor prognostic implication. It is a result of plaque rupture with release of cholesterol crystals into the circulation that embolize into various tissue organs. Plaque rupture seems to be triggered by an expanding necrotic core during cholesterol crystallization forming sharp tipped crystals (...) including elevated sedimentation rate, abnormal renal function tests and eosinophilia are useful but non-specific. Common target organ involvement includes the skin, kidney, and brain. Various testing including fundoscopic eye examination and other non-invasive procedures such as trans-esophageal echocardiography and magnetic resonance imaging may be helpful in identifying the embolic source. Treatment includes aspirin and clopidogrel, high dose statin and possibly steroids. In rare cases, mechanical

2017 Journal of biomedical research

44. Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula after Covered Rupture of Aortic Homograft: A Durable Option? Full Text available with Trip Pro

descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion. The patient was monitored closely over time. (...) Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula after Covered Rupture of Aortic Homograft: A Durable Option? A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal

2017 AORTA Journal

45. Flood Syndrome: Spontaneous Umbilical Hernia Rupture Leaking Ascitic Fluid—A Case Report Full Text available with Trip Pro

Flood Syndrome: Spontaneous Umbilical Hernia Rupture Leaking Ascitic Fluid—A Case Report We report a rare case of Flood syndrome, which is a spontaneous rupture of an umbilical hernia.A 42-year-old man with decompensated hepatitis C and alcoholic cirrhosis complicated by ascites and esophageal varices presented with 1 day of ascitic fluid drainage after rupture of a preexisting umbilical hernia associated with diffuse abdominal pain and tenderness. A pigtail drain was placed in the right (...) upper abdominal quadrant to decrease fluid drainage from the abdominal wall defect, allowing it to heal naturally.The spontaneous rupture of an umbilical hernia in our patient highlights a rare complication with high mortality rates and stresses the challenge of treatment that falls in the area between medical and surgical management.

2017 The Permanente journal

46. Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix Full Text available with Trip Pro

Hemoperitoneum Secondary to Spontaneous Rupture of a Retroperitoneal Varix Hemoperitoneum due to a ruptured retroperitoneal varix is an exceedingly rare condition and a poor prognostic sign with catastrophic and life-threatening complication of portal hypertension. We present a unique case of a 56-year-old female with cirrhosis secondary to primary sclerosing cholangitis who presented with acute abdominal pain and hypovolemic shock prior to a cardiac arrest following a ruptured retroperitoneal (...) varix without prior esophageal varices and a newly identified intrahepatic cholangiocarcinoma. The clinical presentation with abdominal pain and hemorrhagic shock is consistently reported in the relevant literature. Early recognition affords appropriate management and urgent surgical intervention leading to survival.

2017 Case Reports in Hepatology

47. Esophageal Perforation and Rupture: a Comprehensive Medicolegal Examination of 59 Jury Verdicts and Settlements. (Abstract)

Esophageal Perforation and Rupture: a Comprehensive Medicolegal Examination of 59 Jury Verdicts and Settlements. Consequences accompanying esophageal perforation make this complication a prime litigation target. We characterize factors in jury verdicts and settlements regarding esophageal perforation, including operative procedure, patient demographics, alleged cause(s) of malpractice, outcome, and other factors.Pertinent court records were examined for the aforementioned (...) of the factors important in determining legal responsibility is of great interest for practitioners in multiple specialties. The requirement of surgical repair and a delay in diagnosis are two of the most common factors present in litigated cases resulting in a payment. The importance of explicitly listing esophageal perforation in the informed consent for esophagogastroduodenoscopy, abdominal surgery, and any patients at risk of intubation injury needs to be emphasized.

2013 Journal of Gastrointestinal Surgery

48. 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

2015 FP Notebook

49. Twin pregnancy complicated by esophageal atresia, duodenal atresia, gastric perforation, and hypoplastic left heart structures in one twin: a case report and review of the literature Full Text available with Trip Pro

discordant for esophageal atresia, duodenal atresia with gastric perforation, hypoplastic left heart structures, and significant early gestation maternal polyhydramnios. In this case, fetal magnetic resonance imaging was able to depict additional findings including area of gastric wall rupture, hiatal hernia, dilation of the distal esophagus, and area of duodenal obstruction and thus facilitated the proper diagnosis. After extensive counseling at our multidisciplinary team meeting, the parents elected (...) Twin pregnancy complicated by esophageal atresia, duodenal atresia, gastric perforation, and hypoplastic left heart structures in one twin: a case report and review of the literature The antenatal diagnosis of a combined esophageal atresia without tracheoesophageal fistula and duodenal atresia with or without gastric perforation is a rare occurrence. These diagnoses are difficult and can be suspected on ultrasound by nonspecific findings including a small stomach and polyhydramnios. Fetal

2017 Journal of medical case reports

50. Surgical Management of Esophageal Epiphrenic Diverticula: A Transthoracic Approach Over Four Decades. Full Text available with Trip Pro

Surgical Management of Esophageal Epiphrenic Diverticula: A Transthoracic Approach Over Four Decades. Epiphrenic esophageal diverticula are infrequent. Although surgical treatment is generally recommended, technique varies widely and optimal management remains controversial. This study evaluated a single-institution experience for surgical treatment of epiphrenic diverticula.A retrospective review was made of medical records of 31 patients undergoing surgical treatment for epiphrenic (...) diverticula from 1974 to 2016.There were 17 men (55%); median age was 65 years. Dysphagia (87%) and regurgitation (71%) were the most common symptoms. Three patients (10%) presented acutely: 2 with ruptured diverticula and 1 with hematemesis. All patients underwent an open transthoracic approach. Diverticulectomy was performed in 28 patients (90%), myotomy in 28 (90%), and a concomitant antireflux procedure in 6 (19%). A total of 22 patients (71%) underwent diverticulectomy and myotomy, 4 (13%) underwent

2017 Annals of Thoracic Surgery

51. Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. Full Text available with Trip Pro

Fully covered self-expandable metal stents (SEMS), partially covered SEMS and self-expandable plastic stents for the treatment of benign esophageal ruptures and anastomotic leaks. Benign esophageal ruptures and anastomotic leaks are life-threatening conditions that are often treated surgically. Recently, placement of partially and fully covered metal or plastic stents has emerged as a minimally invasive treatment option. We aimed to determine the clinical effectiveness of covered stent (...) placement for the treatment of esophageal ruptures and anastomotic leaks with special emphasis on different stent designs.Consecutive patients who underwent placement of a fully covered self-expandable metal stent (FSEMS), a partially covered SEMS (PSEMS) or a self-expanding plastic stent (SEPS) for a benign esophageal rupture or anastomotic leak after upper gastrointestinal surgery in the period 2007-2010 were included. Data on patient demographics, type of lesion, stent placement and removal, clinical

2012 BMC Gastroenterology

52. Esophageal rupture diagnosed with bedside ultrasound. (Abstract)

Esophageal rupture diagnosed with bedside ultrasound. A 69-year-old man presented to the emergency department with hematemesis, hypotension, tachycardia, and hypothermia. The emergency physician performed a bedside ultrasound of the chest, heart, and abdomen. The heart was unable to be visualized in the parasternal, apical, or subxiphoid windows, and free fluid and particulate matter were visualized in the chest and abdomen. The inability to visualize the heart in the normal cardiac windows (...) suggested a diagnosis of pneumopericardium. Based upon the patient's presenting symptoms and ultrasound findings, an esophageal perforation was suspected. Esophageal perforation is a medical emergency. Deterioration and death due to sepsis can occur within hours of presentation [6]. Although there is a great deal of literature discussing the diagnosis of esophageal perforation by chest radiograph, computed tomography (CT), and esophagography, there are no articles on the role of ultrasound. Esophageal

2012 American Journal of Emergency Medicine

53. Esophageal Rupture Complicating Craniotomy—Symptom Complex and Proposed Surgical Treatment Full Text available with Trip Pro

Esophageal Rupture Complicating Craniotomy—Symptom Complex and Proposed Surgical Treatment 17859344 2007 09 17 2008 11 20 0003-4932 129 5 1949 May Annals of surgery Ann. Surg. Esophageal Rupture Complicating Craniotomy-Symptom Complex and Proposed Surgical Treatment. 619-28 Fincher E F EF Swanson H S HS eng Journal Article United States Ann Surg 0372354 0003-4932 1949 5 1 0 0 1949 5 1 0 1 1949 5 1 0 0 ppublish 17859344 PMC1514140

1949 Annals of Surgery

54. [Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. (Abstract)

[Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. 303817 1978 01 27 2006 11 15 0040-5957 32 3 1977 May-Jun Therapie Therapie [Efficacy of vasopressin in the treatment of gastrointestinal hemorrhage caused by the rupture of esophageal varices. Randomized study: preliminary results]. 283-6 Fourtanier G G Tournut R R Clanet J J Joncquiert F F Pascal J P JP fre Clinical Trial English Abstract (...) Journal Article Randomized Controlled Trial L'intérêt de la vasopressine dans le traitement des hémorragies digestives par rupture de varices oesophagiennes--étude randomisée--résultats préliminaires. France Therapie 0420544 0040-5957 11000-17-2 Vasopressins IM Drug Evaluation Esophageal and Gastric Varices complications Gastrointestinal Hemorrhage drug therapy Humans Vasopressins therapeutic use 1977 5 1 1977 5 1 0 1 1977 5 1 0 0 ppublish 303817

1978 Therapie Controlled trial quality: uncertain

55. The long-term benefits of nucleos(t)ide analogs on esophageal varices in compensated HBV cirrhotics with no or small esophageal varices: A 12-year prospective cohort study. (Abstract)

The long-term benefits of nucleos(t)ide analogs on esophageal varices in compensated HBV cirrhotics with no or small esophageal varices: A 12-year prospective cohort study. Esophageal varices (EV) are a marker of disease severity in compensated cirrhosis due to hepatitis B virus (HBV) which predicts also the risk of hepatocellular carcinoma (HCC), clinical decompensation and anticipated liver related death. The dynamics and prognostic significance of EV in patients under long-term HBV (...) . No bleedings from ruptured EV occurred, 12 patients died (9 HCC) and 15 were transplanted (13 HCC): the 12-year cumulative incidence of HCC and overall survival was 33% (95% CI: 24-42%) and 76% (95% CI: 67-83%), respectively.Long-term pharmacological suppression of HBV in HBeAg-seronegative patients with compensated cirrhosis leads to a significant regression of pre-existing EV accompanied by a negligible risk of developing de novo EV.Copyright © 2015 European Association for the Study of the Liver

2015 Journal of Hepatology

56. Esophageal Varices

varices , Bleeding oesophageal varices (disorder) , Esophageal varices ruptured , Oesophageal varices ruptured , Esophageal varices with bleeding , Oesophageal varices with bleeding , Bleeding oesophageal varices , Esophageal varices with hemorrhage , Oesophageal varices with haemorrhage , BOV - Bleeding esophageal varices , BOV - Bleeding oesophageal varices , Bleeding esophageal varices (disorder) , esophagus; hemorrhage, varix , esophagus; varix, hemorrhage , hemorrhage; esophagus, varix , varices (...) Esophageal Varices Esophageal Varices 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 Varices Esophageal Varices Aka

2018 FP Notebook

57. Esophageal Balloon Tamponade

for tube dislodgement Immediately cut tube to decompress VIII. Imaging Confirm tube placement with xray or Serial position checks are required to confirm gastric balloon remains in IX. Efficacy Successful for stabilization in >60% of cases X. Complications Inability to control bleeding (resulting in death) Respiratory obstruction Aspiration pneumonitis (if placed in non-intubated patient) Mucosal injuries (ulcerations of oral, esophageal or gastric mucosa) Tracheal rupture Duodenal rupture XI (...) Esophageal Balloon Tamponade Esophageal Balloon Tamponade 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 Balloon Tamponade

2018 FP Notebook

58. Diaphragmatic Hernia of the Stomach with Gastric Rupture in a Domestic Pig Full Text available with Trip Pro

Diaphragmatic Hernia of the Stomach with Gastric Rupture in a Domestic Pig A 5.5-mo-old castrated, male Red Duroc pig presented acutely with depression and abdominal pain 9 d after an altercation with another pig. A CT examination indicated right pneumothorax and herniation of the stomach into the thoracic cavity. Due to a poor prognosis, the pig was euthanized. A necropsy and gross examination revealed a tear of the diaphragmatic muscle in the region of the esophageal hiatus through which (...) the stomach was displaced into the right side of the thoracic cavity. In addition, the herniated stomach had a rupture of the stomach wall through which the gastric mucosa was everted and exposed into the right thoracic cavity. The right thoracic cavity had acute fibrinous pleuritis, and the right lung was collapsed. CT scans performed every 1 to 2 wk for 2 mo prior to the pig's death did not reveal any abnormalities in the diaphragm. Trauma was considered the most likely cause of the diaphragmatic tear

2016 Comparative medicine

59. Intragastric Rupture of a Splenic Artery Aneurysm Associated with a Pancreatic Cancer Full Text available with Trip Pro

Intragastric Rupture of a Splenic Artery Aneurysm Associated with a Pancreatic Cancer Acute upper digestive tract hemorrhage most often arises from gastric and esophageal vessels located in the mucosa or the submucosa. Rupture in the upper gastrointestinal tract is a classical but uncommon complication of arterial (mainly the abdominal aorta) aneurysms. Splenic artery aneurysm usually ruptures in the peritoneum, unless it is associated with a disease eroding the gastrointestinal wall. We (...) present and describe the management of the rare occurrence of an intragastric rupture of a splenic aneurysm associated with a pancreatic cancer.

2016 Journal of the Belgian Society of Radiology

60. Subcutaneous cervical emphysema and pneumomediastinum due to a diastatic rupture of the cecum Full Text available with Trip Pro

Subcutaneous cervical emphysema and pneumomediastinum due to a diastatic rupture of the cecum Pneumomediastinum usually occurs after esophageal or chest trauma. Subcutaneous cervical emphysema as a presentation of non-traumatic colonic perforation following colorectal cancer or diverticulitis, is very rare. We report a case of a patient with rectal cancer who developed a diastatic cecum retroperitoneal perforation with a secondary pneumomediastinum and cervical emphysema. The patient

2016 Il Giornale di chirurgia

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