Cases reported "Rupture"

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1/18. Esophagopericardial fistula attributed to a barogenic rupture of the esophagus. Report of a case and review of the literature.

    In this case we describe a fatal condition of esophagopericardial fistula secondary to barogenic rupture of the esophagus. The review of the literature disclosed only one fatal case (reported in 1968) of esophagopericardial fistula attributed to barogenic rupture of the esophagus. early diagnosis and adequate treatment including pericardiocentesis along with intermittent drainage of the pericardium, full-course antibiotic therapy and a timely, well-planned surgical intervention will substantially improve the prognosis in this type of pathology. patients similar to our case should be treated with either surgical bipolar esophageal exclusion (conservative disconnection) or esophagectomy combined with large drainage of the pericardial and mediastinal spaces. This case report reinforces the complexity of the diagnosis, and perhaps the need for clinical awareness and the inclusion of this entity in a differential diagnosis.
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2/18. Unusual complication of ingestion of a foreign body.

    foreign bodies of the upper aerodigestive tract are common problems dealt with by the otolaryngologist. Among all foreign bodies in the oesophagus, an open safety pin still presents a challenge for the ENT specialists because of its propensity to pierce the oesophagus and surrounding structures. We present an interesting case of a long-standing foreign body i.e. an open safety pin, which, after piercing the hypopharynx, caused fatal common carotid artery rupture.
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keywords = esophagus
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3/18. Successful management of concommitant blunt injury to the trachea, esophagus, and cervical spine in a 6-year-old girl.

    A 6-year-old girl sustained an unusual constellation of injuries after blunt trauma sustained in a motor vehicle accident. Transection of the trachea and esophagus were managed successfully by repair through a median sternotomy while the patient was on cardiopulmonary bypass. A cervical spinal injury was fixated with halo traction and a femur fracture with internal fixation.
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keywords = esophagus
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4/18. An unusual type of severe barotrauma owing to automobile tire biting in a child.

    The authors report a rare case of a barotraumatic pneumothorax and pneumomediastinum associated with esophageal perforation and orbital emphysema. A 4-year-old boy presented with sudden respiratory distress after blowout of a defective tire that he bit. Computed tomography scan showed right pneumothorax and bilateral orbital emphysema. A linear rupture has been detected in the cervical esophagus in esophagoscopy. Stamm gastrostomy and tube thoracostomy were performed, and broad-spectrum antibiotics have been introduced. Oral feeding started 23 days after blowout of tire, and the patient was discharged 50 days after injury.
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keywords = esophagus
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5/18. Boerhaave's syndrome in children: a case report and review of the literature.

    Boerhaave's syndrome or spontaneous rupture of the esophagus is a rupture of the esophagus after vomiting. It is rare in children, and to date, 26 children have been reported. We present the case of a 5-year-old boy who presented with dyspnea after vomiting and subcutaneous emphysema. The diagnosis was confirmed with esophagoscopy. The patient was successfully treated with a repair of the rupture and a fundoplication. We review the literature on Boerhaave's syndrome in children.
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keywords = esophagus
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6/18. Blast injury to the thoracic esophagus.

    Blast injury causing pneumatic disruption of the esophagus is a rare and potentially lethal injury. The mortality and morbidity rate are high unless the injury is promptly recognized and treated. Our experience with a midesophageal perforation resulting from a blast injury emphasizes the importance of awareness of this condition and of the chest radiograph in making an early diagnosis.
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keywords = esophagus
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7/18. Oesophageal rupture due to air-blast injury in children: case report and review of the literature.

    Perforation of the oesophagus is a surgical emergency that is usually lethal if untreated and commonly fatal if treatment is delayed. The most common type of trauma causing oesophageal perforation is a penetrating injury. Oesophageal ruptures due to external blunt or air-blast injuries are very rare. We report for the first time a case of oesophageal rupture related to air-blast injury to the chest and upper abdomen in a child.
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keywords = esophagus
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8/18. rupture of the distal thoracic esophagus following blunt trauma: case report.

    rupture of the distal thoracic esophagus is an unusual injury following blunt abdominal trauma. We recently encountered this injury in a patient following a relatively minor motor vehicle accident. An improperly positioned seatbelt was presumed contributory in this case. Prevention of further contamination and drainage of infection are primary objectives. Wide mediastinal drainage with repair, resection, or diversion are recommended, depending on the degree of mediastinitis present.
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ranking = 0.83333333333333
keywords = esophagus
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9/18. compressed air injury to the esophagus: case report.

    compressed air injuries to the esophagus are uncommon. They characteristically present with respiratory distress, subcutaneous and mediastinal emphysema, and may have a pneumothorax. The distal esophagus is always the site of rupture and requires prompt surgical repair to avoid serious morbidity and potential lethal complications.
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10/18. survival after rupture of the oesophagus and subsequent candidal endocarditis: use of new serological methods in management.

    The prognosis following both spontaneous rupture of the oesophagus (Boerhaave's syndrome) and candidal endocarditis is poor. Antifungal treatment for the latter has, in the past, been empirical. A patient who survived both these conditions is described, his case demonstrating some of the major risk factors for candidal endocarditis. Management of his antifungal treatment was guided by newly developed serological methods. Close liaison between microbiologist and clinician is essential for the management of this serious condition.
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keywords = esophagus
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