scholarly journals Case report on Thoracoscopic Esophagectomy for long segment resistant oesophageal stricture in HIV infected patient

Author(s):  
Chirag Thakkar ◽  
Vismit Joshipira
2019 ◽  
Vol 98 (6) ◽  
pp. 256-259

Introduction: This case report describes bleeding from an iatrogenic thoracic aortic injury in minimally invasive thoracoscopic esophagectomy. Case report: A 53-year-old man underwent neoadjuvant radiochemotherapy for adenocarcinoma of the esophagus with positive lymph nodes. PET/CT showed only a partial response after neoadjuvant therapy. Minimally invasive thoracoscopic esophagectomy in the semi-prone position with selective intuba- tion of the left lung was performed. However, massive bleeding from the thoracic aorta during separation of the tumor resulted in conversion from minimally invasive to conventional right thoracotomy. The bleeding was caused by a five millimeter rupture of the thoracic aorta. The thoracic aortic rupture was treated by suture with a gore prosthesis in collaboration with a vascular surgeon. Esophagestomy was not completed due to hypovolemic shock. Hybrid transhiatal esophagectomy was performed on the seventh day after the primary operation. Definitive histological examination showed T3N3M0 adenocarcinoma. Conclusion: Esophagectomy for cancer of the esophagus is one of the most difficult operations in general surgery in which surgical bleeding from the surrounding structures cannot be excluded. Aortic hemorrhage is hemodynamically significant in all cases and requires urgent surgical treatment.


2018 ◽  
Vol 02 (01) ◽  
Author(s):  
Bhattacharjee B ◽  
Bhattacharya S ◽  
Ghosh M ◽  
Raj P ◽  
Sardar B ◽  
...  

2009 ◽  
Vol 3 (1) ◽  
pp. 138
Author(s):  
L.J. Grando ◽  
S.M. Fabro ◽  
M.I. Meurer ◽  
L.I. Ching ◽  
M.A. Domingues ◽  
...  

2010 ◽  
Vol 2010 ◽  
pp. 1-3
Author(s):  
Daichi Ishimaru ◽  
Takatoshi Ohno ◽  
Masato Maeda ◽  
Yutaka Nishimoto ◽  
Katsuji Shimizu

Treatment with a combination of chemotherapy and radiotherapy is known to be associated with oesophageal stricture in both children and adults with malignancies. However, oesophageal stricture resulting from chemotherapy alone is a rare complication, with few reports on it. We experienced a rare paediatric case of oesophageal stricture caused by chemotherapy for osteosarcoma of the left distal femur. After completion of the chemotherapy course, the patient showed dysphagia caused by the oesophageal stricture and underwent balloon dilatation for the oesophageal stricture. After balloon dilatation, he was able to ingest solid foods, and the oesophagus was normal without any strictures at the last follow-up (20 months after ballooning). Therefore, oesophageal stricture should be considered as a complication of treatment with chemotherapy alone in children with malignancies.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Khadiga Ahmed Ismail

Babesiosis is one of the protozoan zoonotic diseases its presentation rang from asymptomatic to severe clinical conditions, with severe hemolysis. Immune status of the host and the species of the parasite has impact on the clinical presentations of the infected patient our patient is presented here; the patient was admitted from a countryside with severe anemia and a deterioration in his general condition, he was admitted to intense care unit and received blood transfusion, in addition to antimicrobial treatment in form of azithromycin and Ceftriaxon, his condition improve and released from ICU on the second day and discharge from hospital after improvement on the seventh day.


2014 ◽  
Vol 4 (3) ◽  
pp. 65-69
Author(s):  
Simone Cristina Baylon ◽  
Marcos dos Santos Vieira de Barros ◽  
Celso Guilherme Christiano ◽  
Silvana Maria Lovisolo ◽  
Vladimir Mulele Pinto Santa Rosa

2004 ◽  
Vol 46 (3) ◽  
pp. 169-170 ◽  
Author(s):  
Maria Cristina S. Lourenço ◽  
Eliane Falavina M. dos Reis ◽  
Rogério Valls ◽  
Marise Dutra Asensi ◽  
Ernesto Hofer

We described a case of salmonellosis in a 33-year old HIV-infected patient. The patient presented oral and esophageal candidiasis, intense epigastric and retrosternal pain. During the physical examination he was hypochloraemic, acyanotic, hypohydrated, anicteric and afebrile. Admittance laboratorial tests indicated: red cells 3.6 millions/mm³; hemoglobin, 10.1 g/dL; leukocyte count, 3,000/mm³, with 1% of eosinophils, 14% of non-segmented and 53% of segmented neutrophils and 31% of lymphocytes. The blood culture was positive for Salmonella enterica subsp houtenae serogroup O:16. This is probably the first human report of bacteremia due to Salmonella enterica subsp houtenae in Brazil associated to HIV-infected patient.


Author(s):  
Hossein Khalili ◽  
Farzaneh Dastan ◽  
Seyed Ali Dehghan Manshadi

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