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Esophageal Rupture

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61. 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

62. Imaging of the oesophagus: beyond cancer Full Text available with Trip Pro

Imaging of the oesophagus: beyond cancer Non-malignant oesophageal diseases are critical to recognize, but can be easily overlooked or misdiagnosed radiologically. In this paper, we cover the salient clinical features and imaging findings of non-malignant pathology of the oesophagus. We organize the many non-malignant diseases of the oesophagus into two major categories: luminal disorders and wall disorders. Luminal disorders include dilatation/narrowing (e.g. achalasia, scleroderma (...) , and stricture) and foreign body impaction. Wall disorders include wall thickening (e.g. oesophagitis, benign neoplasms, oesophageal varices, and intramural hematoma), wall thinning/outpouching (e.g. epiphrenic diverticulum, Zenker diverticulum, and Killian-Jamieson diverticulum), wall rupture (e.g. iatrogenic perforation, Boerhaave Syndrome, and Mallory-Weiss Syndrome), and fistula formation (e.g. pericardioesophageal fistula, tracheoesophageal fistula, and aortoesophageal fistula). It is the role

2017 Insights into imaging

63. 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

64. Aortic Rupture

Aortic Rupture Aortic 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 Aortic Rupture Aortic Rupture Aka: Aortic Rupture (...) Deviation of esophagus (or ) to the right Deviation of the the right to the right (as well as elevation) Loss of space between pulmonary artery and aorta Depression of left mainstem Widened paratracheal stripe Widened paraspinal interfaces Pleural or apical cap present Left ( ) Associated injuries of first or second rib V. Diagnostics (Gold standard) Expect <10% s positive if adequately ordered CT High VI. Management Emergent surgical intervention Images: Related links to external sites (from Bing

2018 FP Notebook

65. 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 (...) perforation may result in the communication of air between the esophagus and pericardium and the leakage of gastric contents into the chest and peritoneal cavity. The presence of air in the pericardial sac results in nonvisualization of the heart on ultrasound. Fluid in the chest and abdomen may be visualized in the posterior upper abdominal windows. Although these ultrasound findings alone are not entirely specific for esophageal perforation, when coupled with a high index of suspicion due to the patient

2012 American Journal of Emergency Medicine

66. Successful Surgical Treatment of a Spontaneous Rupture of the Esophagus Diagnosed Two Days after Onset Full Text available with Trip Pro

Successful Surgical Treatment of a Spontaneous Rupture of the Esophagus Diagnosed Two Days after Onset Esophageal perforation is a relatively uncommon disease with a high rate of mortality and morbidity. Delay in the diagnosis and treatment occurs in more than 50% of cases, leading to a mortality rate of 40-60%. Primary repair is generally considered the gold standard for patients who present within the first 24 h following perforation of the esophagus. In this paper, we present a case (...) of successful surgical treatment of spontaneous rupture of the esophagus that was diagnosed 2 days after onset. The patient was a 42-year-old man admitted to internal medicine with a diagnosis of pleuritis and complaining of chest and back pain. The next day, computed tomography revealed left-sided pleural effusion and mediastinal emphysema. An esophagogram revealed extravasation of the contrast medium from the lower left esophagus to the mediastinal cavity. These results confirmed a rupture

2012 Case reports in gastroenterology

67. 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

68. Long peptic strictures of the esophagus due to reflux esophagitis: a case report Full Text available with Trip Pro

Long peptic strictures of the esophagus due to reflux esophagitis: a case report Most of benign esophageal strictures caused by gastroesophageal reflux are short segments and can be treated by an endoscopic dilatation, but cases of long-segment stenosis requiring an esophagectomy are rare.A 62-year-old woman had undergone emergency surgery for a giant ovarian tumor rupture at another hospital. A duodenal perforation occurred after surgery but improved with conservative treatment. She had (...) undergone long-term nasogastric tube placement for 4 months because she was on a mechanical ventilator and did not receive proton pump inhibitors (PPIs). Thereafter, the patient experienced dysphagia. An esophagogastroduodenoscopy (EGD) revealed circumferential reflux esophagitis (grade D) and a stricture located 25 to 40 cm from the incisor teeth. She received medical treatment with fasting and PPIs. The second EGD revealed that the reflux esophagitis had improved somewhat, but that the esophageal

2016 Surgical Case Reports

69. 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

70. Rupture of the Oesophagus Full Text available with Trip Pro

Rupture of the Oesophagus 14901347 2004 02 15 2018 12 01 0040-6376 6 4 1951 Dec Thorax Thorax Rupture of the oesophagus. 389-96 SLESSER B V BV eng Journal Article England Thorax 0417353 0040-6376 OM Esophagus Rupture 5221:31856:132 ESOPHAGUS/rupture 1951 12 1 1951 12 1 0 1 1951 12 1 0 0 ppublish 14901347 PMC1018391 Lancet. 1951 Mar 24;1(6656):647-51 14814824 Surgery. 1951 Apr;29(4):527-31 14835146 Ann Surg. 1949 Dec;130(6):1066-73, illust 15408034 Br Med J. 1949 Feb 26;1(4599):348-50 18112413

1951 Thorax

71. Spontaneous Rupture of the Esophagus: Report of Two Cases: One with Recovery after Surgical Repair Full Text available with Trip Pro

Spontaneous Rupture of the Esophagus: Report of Two Cases: One with Recovery after Surgical Repair 15408034 2004 09 30 2018 12 01 0003-4932 130 6 1949 Dec Annals of surgery Ann. Surg. Spontaneous rupture of the esophagus; report of two cases; one with recovery after surgical repair. 1066-73, illust CLIFFTON E E EE eng Journal Article United States Ann Surg 0372354 0003-4932 OM Esophagus Humans Rupture, Spontaneous 5018:383ja:5 ESOPHAGUS 1949 12 1 1949 12 1 0 1 1949 12 1 0 0 ppublish 15408034

1949 Annals of Surgery

72. Rupture of Oesophagus during Childbirth Full Text available with Trip Pro

Rupture of Oesophagus during Childbirth 15405023 2004 09 30 2018 12 01 0007-1447 1 4650 1950 Feb 18 British medical journal Br Med J Rupture of oesophagus during childbirth. 417 KENNARD H W H HW eng Journal Article England Br Med J 0372673 0007-1447 OM Delivery, Obstetric Esophagus Female Humans Labor, Obstetric Parturition Pregnancy 5018:808h:6:9 ESOPHAGUS LABOR 1950 2 18 1950 2 18 0 1 1950 2 18 0 0 ppublish 15405023 PMC2036924

1950 British medical journal

73. Spontaneous Rupture of the Oesophagus Full Text available with Trip Pro

Spontaneous Rupture of the Oesophagus 14821479 2004 02 15 2018 12 01 0007-1447 1 4706 1951 Mar 17 British medical journal Br Med J Spontaneous rupture of the oesophagus. 568 GRIMSON T A TA eng Journal Article England Br Med J 0372673 0007-1447 OM Esophagus Humans Rupture, Spontaneous 5120:53590:319 ESOPHAGUS 1951 3 17 1951 3 17 0 1 1951 3 17 0 0 ppublish 14821479 PMC2068591 Br Med J. 1949 Feb 26;1(4599):348-50 18112413

1951 British medical journal

74. Spontaneous Rupture of the Esophagus Full Text available with Trip Pro

Spontaneous Rupture of the Esophagus 17859332 2007 09 17 2008 11 20 0003-4932 129 4 1949 Apr Annals of surgery Ann. Surg. Spontaneous Rupture of the Esophagus. 512-6 Beal J M JM eng Journal Article United States Ann Surg 0372354 0003-4932 1949 4 1 0 0 1949 4 1 0 1 1949 4 1 0 0 ppublish 17859332 PMC1514033

1949 Annals of Surgery

75. Spontaneous Rupture of the Oesophagus Treated by Operation Full Text available with Trip Pro

Spontaneous Rupture of the Oesophagus Treated by Operation 20788180 2011 04 04 2011 04 04 0007-1447 2 4848 1953 Dec 05 British medical journal Br Med J Spontaneous Rupture of the Oesophagus Treated by Operation. 1253 Davidson S G SG eng Journal Article England Br Med J 0372673 0007-1447 2010 8 27 6 0 1953 12 5 0 0 1953 12 5 0 1 ppublish 20788180 PMC2030212

1953 British medical journal

76. Hermann Boerhaave's (1) Atrocis, nec Descripti Prius, Morbi Historia (2) The First Translation of the Classic Case Report of Rupture of the Esophagus, with Annotations Full Text available with Trip Pro

Journal Article United States Bull Med Libr Assoc 0421037 0025-7338 OM Esophageal Diseases Esophagus Humans Rupture 5528:14878:213 ESOPHAGUS/rupture 1955 4 1 1955 4 1 0 1 1955 4 1 0 0 ppublish 14364044 PMC199852 (...) Hermann Boerhaave's (1) Atrocis, nec Descripti Prius, Morbi Historia (2) The First Translation of the Classic Case Report of Rupture of the Esophagus, with Annotations 14364044 2003 05 01 2018 12 01 0025-7338 43 2 1955 Apr Bulletin of the Medical Library Association Bull Med Libr Assoc Hermann Boerhaave's Atrocis, nec descripti prius, morbi historia, the first translation of the classic case report of rupture of the esophagus, with annotations. 217-40 DERBES V J VJ MITCHELL R E RE Jr eng

1955 Bulletin of the Medical Library Association

77. Spontaneous Rupture of Oesophagus Full Text available with Trip Pro

Spontaneous Rupture of Oesophagus 13209186 2003 05 01 2018 12 01 0007-1447 1 4904 1955 Jan 01 British medical journal Br Med J Spontaneous rupture of oesophagus. 25-6 BOULLE J R JR eng Journal Article England Br Med J 0372673 0007-1447 OM Esophageal Diseases Esophagus Rupture Rupture, Spontaneous 5527:20962:169 ESOPHAGUS/rupture 1955 1 1 1955 1 1 0 1 1955 1 1 0 0 ppublish 13209186 PMC2060715 Br J Surg. 1953 Jan;40(162):312-8 13019081 Arch Middx Hosp. 1953 Apr;3(2):93-9 13041419 Surg Clin North

1955 British medical journal

78. Spontaneous Rupture of Oesophagus Full Text available with Trip Pro

Spontaneous Rupture of Oesophagus 13209185 2003 05 01 2018 12 01 0007-1447 1 4904 1955 Jan 01 British medical journal Br Med J Spontaneous rupture of oesophagus; report of three successful cases treated surgically. 23-5 BORRIE J J eng Journal Article England Br Med J 0372673 0007-1447 OM Esophageal Diseases Esophagus Humans Rupture Rupture, Spontaneous 5527:20961:169 ESOPHAGUS/rupture 1955 1 1 1955 1 1 0 1 1955 1 1 0 0 ppublish 13209185 PMC2060746 Aust N Z J Surg. 1953 May;22(4):273-8 13051336

1955 British medical journal

79. Fatal Rupture of Retro-pharyngo-oesophageal Abscess Full Text available with Trip Pro

Fatal Rupture of Retro-pharyngo-oesophageal Abscess 13209171 2003 05 01 2018 12 01 0007-1447 2 4903 1954 Dec 25 British medical journal Br Med J Fatal rupture of retro-pharyngo-oesophageal abscess. 1530 McMATH W F WF PEREIRA A A eng Journal Article England Br Med J 0372673 0007-1447 OM Abscess Humans Pharynx Rupture 5527:20947:5:352 ABSCESS PHARYNX/abscess 1954 12 25 1954 12 25 0 1 1954 12 25 0 0 ppublish 13209171 PMC2080145

1954 British medical journal

80. Spontaneous Rupture of the Esophagus Full Text available with Trip Pro

Spontaneous Rupture of the Esophagus 13425310 2002 05 01 2018 12 01 0003-4932 145 6 1957 Jun Annals of surgery Ann. Surg. Spontaneous rupture of the esophagus. 1001-8; discussion, 1008-10 BUNCH G H GH Jr eng Journal Article United States Ann Surg 0372354 0003-4932 OM Esophageal Diseases Esophagus Humans Rupture Rupture, Spontaneous 5732:23451 ESOPHAGUS/rupture 1957 6 1 1957 6 1 0 1 1957 6 1 0 0 ppublish 13425310 PMC1465633 J Thorac Surg. 1952 Oct;24(4):369-88 13000927 J Am Med Assoc. 1953 Jun

1957 Annals of Surgery

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