Cases reported "Digestive System Fistula"

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1/2. Cervical esophageal perforation with severe mediastinitis due to an impacted dental prosthesis.

    We herein report about a case of perforation of the cervical esophagus by an artificial denture, which had been swallowed by the patient after a horse-related-injury. Impactation of the foreign body at the level of the upper esophageal sphincter was followed by its penetration through the esophageal wall, causing severe infection of the cervical soft tissue, mediastinitis and sepsis. We discuss the well-known phenomena of prosthesis ingestion and frequently delayed diagnosis, as well as our treatment strategy of cervical esophageal perforation with placement of a T-tube into the cervical esophagus and mediastinal drainage.
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ranking = 1
keywords = perforation
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2/2. Duodeno-pleural fistula: a rare complication of peptic ulcer perforation.

    Duodenopleural fistula is a very uncommon complication of peptic ulcer perforation and usually follows empyema after a subdiaphragmatic abscess rupture. We present a rare case of duodenopleural fistula following subdiaphragmatic abscess, which resulted in thoracic empyema after gastric perforation.
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ranking = 25130.330572657
keywords = peptic ulcer perforation, ulcer perforation, peptic ulcer, perforation, ulcer
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