scholarly journals Thoracic esophageal perforation by the use of Magill forceps in infant, success with non-operative treatment: case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Abdel-Kémal Bori Bata ◽  
Antoine Séraphin Gbénou ◽  
Joseph Akodjènou ◽  
Aboudou Raïmi Kpossou ◽  
Bruno Noukpozoukou ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Esophageal Perforation ◽  
Male Infant ◽  
Short Term ◽  
Severe Respiratory Distress ◽  
Case Presentation ◽  
Iatrogenic Perforation ◽  
Excellent Outcome ◽  
Magill Forceps ◽  
Cervical Esophageal Perforation

Abstract Background Esophageal perforation is a rare surgical pathology in children. Thoracic esophageal perforation is more severe than cervical esophageal perforation. Iatrogenic cause, mainly by endoscopy, is the most common in esophageal perforation. However, perforation induced by “Magill forceps” is exceptional. Case presentation A systematic physical examination revealed pyrexia severe respiratory distress and right-sided pleural effusion. We report the success of non-operative treatment applied to thoracic esophageal perforation due to Magill forceps in a 24-month-old male infant. The immediate and short-term outcomes were excellent. Conclusions Non-operative treatment is possible in iatrogenic perforation of thoracic esophageal in infants. This treatment delivers excellent outcome in carefully selected patients.

806 CERVICAL ESOPHAGEAL PERFORATION: MULTIMODAL APPROACH TO A RARE AND MORBID CONDITION

2021 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Chee Chuan Tang ◽  
Kelvin Voon ◽  
Nagalingam Premnath
Keyword(s):  
Esophageal Perforation ◽  
Treatment Options ◽  
High Morbidity ◽  
Contrast Study ◽  
Oral Contrast ◽  
Multimodal Approach ◽  
Early Management ◽  
Iatrogenic Perforation ◽  
Diagnosis And Management ◽  
Cervical Esophageal Perforation

Abstract   Cervical esophageal perforation (CEP) is an uncommon but serious surgical condition. It is associated with a high morbidity and mortality if not managed timely, partly due to its close proximity with vital structures in the neck and mediastinum. The common causes include trauma, foreign body ingestion and iatrogenic perforation. The diagnosis and management of CEP remain challenging despite advances in surgery. Methods We present a series of 3 cases of CEPs, with multimodal approach for the management. Results In this series of 3 cases of CEPs with different presentations, tailored management strategies resulted with successful outcomes. Post-procedure/operative oral contrast study revealed no contrast leakage. Conclusion The diagnosis and management of CEP remain challenging despite advances in surgery. Contrasted CT scan and endoscopy are the mainstay of investigations. The treatment options of CEP range from conservative management to endoscopic intervention to surgical repair often with drainage procedures due to its frequent association with collections in the neck, pleural or mediastinal cavity. Prompt detection and early management with multimodal intervention ensure a better outcome in these patients.

scholarly journals Aggressive Surgical Treatment in Late-Diagnosed Esophageal Perforation: A Report of 11 Cases

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Rahim Mahmodlou ◽  
Isa Abdirad ◽  
Mohammad Ghasemi-rad
Keyword(s):  
Esophageal Perforation ◽  
Surgical Repair ◽  
Delayed Diagnosis ◽  
Underlying Disease ◽  
Time Interval ◽  
Tertiary Referral Hospital ◽  
Case Presentation ◽  
Appropriate Treatment ◽  
Presentation Time ◽  
Cervical Esophageal Perforation

Introduction. Esophageal perforation is a relatively uncommon and lethal disease usually resulting from endoscopic procedures. Delay in the diagnosis and treatment occurs in more than 50% of cases, leading to a mortality rate of 40% to 60%, but this rate decreases is 10%–25% if treatment is carried out within 24 hours of perforation. Case Presentation. To analyze the characteristics, etiology, site of perforation, presentation, time interval till diagnosis, treatment and outcome of patients with esophageal perforation. Over a five-year period, from October 2004 through March 2009, 11 patients with esophageal perforation were referred to the division of thoracic surgery of a tertiary referral hospital. In eight patients, perforations were thoracic with delayed diagnosis for at least 48 hours. Two patients had cervical esophageal perforation, and one patient had early-diagnosed Boerhaave's syndrome. Eight patients are alive after followup for a period ranging from eight months to five years. In the remaining three patients, cancer was the underlying disease and the reason of death. Conclusion. No patient with esophageal perforation should be deprived from surgical repair due to delayed diagnosis. All, except preterminal patients, should undergo exploration after resuscitation, and appropriate treatment should be carried out depending on the findings during operation. Aggressive treatment is necessary in the case of established mediastinitis.

The use of glimepiride for the treatment of neonatal diabetes mellitus caused by a novel mutation of the ABCC8 gene

2020 ◽  
Vol 33 (12) ◽  
pp. 1605-1608
Author(s):  
Xiao Qin ◽  
Jingzi Zhong ◽  
Dan Lan
Keyword(s):  
Diabetes Mellitus ◽  
Novel Mutation ◽  
Male Infant ◽  
Neonatal Diabetes ◽  
Monogenic Diabetes ◽  
Neonatal Diabetes Mellitus ◽  
Rare Form ◽  
Case Presentation ◽  
Abcc8 Gene

AbstractObjectivesNeonatal diabetes mellitus (NDM) is a rare form of monogenic diabetes that is usually diagnosed in the first six months of life.Case presentationWe report on a male infant with neonatal diabetes who presented with diabetic ketoacidosis at two months and 16 days. A novel homozygous missense mutation (c.259T>G) was identified in the ABCC8 gene. In this case, insulin was replaced with glimepiride at a dosage of 0.49 mg/kg/day at five months, and this achieved metabolic control and satisfactory growth as observed at follow-up.ConclusionsThis report improves our understanding of the mutational spectrum of ABCC8, which is normally associated with NDM, and shows that the treatment regimen for this condition can be successfully switched from insulin therapy to the use of sulfonylurea.

Negative pressure wound therapy for cervical esophageal perforation with abscess

2015 ◽  
Vol 42 (3) ◽  
pp. 254-257 ◽  
Author(s):  
Byung-Woo Yoon ◽  
Keun-Ik Yi ◽  
Ji-Hun Kang ◽  
Soon Gu Kim ◽  
Wonjae Cha
Keyword(s):  
Negative Pressure ◽  
Esophageal Perforation ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Cervical Esophageal Perforation

scholarly journals Uncommon cause of respiratory failure due to a bezoar in the hypopharynx: a case report

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Seyed-Hasan Adeli ◽  
Malihe Sehat ◽  
Gholamreza Azarnia Samarin ◽  
Jamshid Vafaeimanesh ◽  
Sajjad Ahmadpour ◽  
...  
Keyword(s):  
Respiratory Symptoms ◽  
Outlet Obstruction ◽  
Diagnostic Procedures ◽  
Shortness Of Breath ◽  
Case Presentation ◽  
Chest Computed Tomography ◽  
Magill Forceps ◽  
Chief Complaints ◽  
Surgery Department ◽  
Pulmonary Ct

Abstract Background Trichotillomania and trichophagia cause trichobezoars, which are masses made of hair. The main presentation of this condition is abdominal pain. However, other complications include gastric outlet obstruction, nausea, vomiting, weight loss, malnutrition, hematemesis, diarrhea, and constipation. Case presentation A 57-year-old woman with trichotillomania was admitted to the Emergency Department with the chief complaints of dyspnea on exertion, shortness of breath, dysphagia, generalized weakness, and hoarseness. Spiral chest computed tomography (CT) scan did not reveal any parenchymal lesions Pulmonary CT angiography did not reveal pulmonary embolism. The patient was admitted to the Surgery Department for hand fasciotomy due to contrast leakage, and during laryngoscopy, a trichobezoar was detected that was removed with Magill forceps. Conclusions Rare cases of trichobezoars can be observed in humans with gastrointestinal and respiratory symptoms. Precise and timely diagnosis are key for the prevention of more invasive diagnostic procedures.

Maternal iodine excess: an uncommon cause of acquired neonatal hypothyroidism

2018 ◽  
Vol 31 (9) ◽  
pp. 1061-1064 ◽  
Author(s):  
Tyler Hamby ◽  
Nayana Kunnel ◽  
John S. Dallas ◽  
Don P. Wilson
Keyword(s):  
Newborn Screening ◽  
Growth And Development ◽  
Short Term ◽  
Neonatal Hypothyroidism ◽  
Case Presentation ◽  
Iodine Excess ◽  
Excessive Iodine ◽  
Possible Cause

AbstractBackgroundExcessive iodine exposure is an often overlooked cause of neonatal hypothyroidism.Case presentationWe present an infant with iodine-induced hypothyroidism, which was detected at age 15 days by newborn screening. The infant’s iodine excess resulted from maternal intake of seaweed soup both during and after pregnancy. Treatment included discontinuation of seaweed soup, temporary interruption of breastfeeding and short-term levothyroxine therapy. By age 4 months, the infant’s hypothyroidism had resolved, and her growth and development were normal.ConclusionsThis case illustrates the importance of considering excess dietary iodine as a possible cause of hypothyroidism in infants.

scholarly journals The largest reported intrathoracic lipoma: a case report and current perspectives review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Mohammed Aldahmashi ◽  
Abdalmotaleb Elmadawy ◽  
Mahmoud Mahdy ◽  
Mohamed Alaa
Keyword(s):  
Single Case ◽  
Tumor Resection ◽  
Pathological Examination ◽  
Complete Excision ◽  
Case Presentation ◽  
Medical Checkup ◽  
Excellent Outcome ◽  
The Right ◽  
Intrathoracic Mass

Abstract Background The huge size intrathoracic lipomas are very rare. Few cases have been reported worldwide. To our knowledge, this presented case is one of the few cases reported. Here we report a single case as very huge intrathoracic lipoma compressing the right lung and displacing the diaphragm and liver downward. It has been managed by right posterolateral thoracotomy and complete excision, with excellent outcome. Case presentation A 32-year-old male presented with a symptomatic right intrathoracic mass, which was confirmed to be a lipomatous tumor using computed tomography. A penduculated tumor originating from the mediastinal pleura was resected through the conventional right posterior thoracotomy. Pathological examination indicated a diagnosis of fibrolipoma. Conclusion The tumor was symptomatic and relatively huge when detected during a medical checkup. This enabled the successful tumor resection via conventional thoracotomy approach. Although intrathoracic lipomas are histologically benign, careful observation and follow-up are crucial due to the possibility of recurrence.

Endoscopic treatment of esophageal injury after thyroidectomy – a case report

2019 ◽  
Vol 91 (3) ◽  
pp. 1-5
Author(s):  
Dagmara Radziuk ◽  
Mieczysław Witzling
Keyword(s):  
Case Report ◽  
Nerve Injury ◽  
Esophageal Perforation ◽  
Endoscopic Treatment ◽  
Esophageal Injury ◽  
Recurrent Nerve ◽  
Cervical Esophageal Perforation ◽  
Recurrent Nerve Injury ◽  
Laryngeal Recurrent Nerve

The most common complications after thyroidectomy are postoperative neck hematoma, laryngeal recurrent nerve injury and hypoparathyroidism. [1] However, iatrogenic cervical esophageal perforation is a very rare repercussion of this procedure. In literature there are a few reported cases concerning that complication. We want to report a case of a patient with severe esophageal injury resulted from thyroidectomy.

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