scholarly journals Tracheoesophageal fistula with complex injury to the existing anomaly - Youngest neonate to survive: A case report

2021 ◽  
Vol 10 ◽  
pp. 17
Author(s):  
Namasivayam Selvarajan ◽  
Chandra Kumar Natarajan ◽  
Singaravelu Ramesh ◽  
Vanathi Vijayakumar ◽  
Saravana Balaji Muthukrishnan ◽  
...  
Keyword(s):  
Tracheoesophageal Fistula ◽  
Very Low Birth Weight ◽  
Fistulous Tract ◽  
Ventilatory Support ◽  
Abdominal Distension ◽  
Fogarty Catheter ◽  
Air Leak ◽  
Emergency Thoracotomy ◽  
Case Presentation ◽  
Complex Injury

Background: Complex injury to the esophagus, trachea, and tracheoesophageal fistula in a case of esophageal atresia is rarely reported that requires prompt identification and management. Case Presentation: A very-low-birth-weight preterm with a tracheoesophageal fistula on ventilatory support for respiratory distress syndrome was transferred to our hospital. The baby developed air-leak through the tracheoesophageal fistula into the stomach causing gross distension of the stomach and reduction in oxygen saturation. Repositioning and reintubation failed to reduce the abdominal distension and to improve the saturation. Subsequent intubation with large volume, low pressure cuffed tube, and replacement of Replogle tube resulted in pneumothorax and further deterioration requiring emergency thoracotomy. Complex tracheoesophageal injury to the esophagus, trachea, and fistulous tract was repaired. Conclusion: The baby survived the early repair of the tracheoesophageal fistula and the iatrogenic complex tracheoesophageal injury. Pre-operative tracheo-esophagoscopy with stenting of the fistula with Fogarty catheter helped to carry out a successful repair technically.

scholarly journals Gas-filled urachal abscess with a pinging sound in a heifer calf

2019 ◽  
Vol 64 (No. 8) ◽  
pp. 362-366 ◽  
Author(s):  
R Sato ◽  
K Yamada ◽  
Y Shinozuka ◽  
H Ochiai ◽  
K Onda
Keyword(s):  
Fistulous Tract ◽  
Failure To Thrive ◽  
Abdominal Distension ◽  
Intravenous Urography ◽  
University Hospital ◽  
Growth Depression ◽  
Poor Growth ◽  
History Of ◽  
Heifer Calf ◽  
Urachal Abscess

A 6-month-old crossbred of a Holstein and Japanese Black heifer calf weighing 95 kg presented with a history of intermittent abdominal distension and failure to thrive. The physical examination identified a pinging sound over the dorsal left flank. The abdominal radiography showed a huge gas-filled mass. The intravenous urography revealed no communication between the mass and the urinary bladder. Although the visual examination and palpation of the umbilicus did not reveal visible abnormalities, an umbilical disease was suspected because the animal exhibited poor growth, depression, and a hunched back posture. When the eschar adhering to the centre of the umbilicus was removed, the presence of a fistulous tract was revealed. The umbilical ultrasound examination revealed an intra-abdominal abscess and the fistulography demonstrated that the abscess communicated with the umbilicus. The abscess, compressing into the rumen, was observed by computed tomography. From these images, it was diagnosed as an umbilical cord remnant abscess and a definitive diagnosis of a urachal abscess was obtained by open abdominal surgery and the subsequent removal of the mass. The calf was discharged from the university hospital on day 14 after the operation. This case shows that a urachal abscess should be considered when a pinging sound is present, even if the animal exhibits no swelling or pain of the umbilicus.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

Control of Life-threatening Air Leak after Gastrostomy in an Infant with Respiratory Distress Syndrome and Tracheoesophageal Fistula

1985 ◽  
Vol 62 (5) ◽  
pp. 670-672 ◽  
Author(s):  
HELEN W. KARL ◽  
ALVIS PAGE ◽  
LUCILLE WILLIAMS ◽  
FRED J. SPIELMAN ◽  
CHARLES B. WATSON
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Tracheoesophageal Fistula ◽  
Distress Syndrome ◽  
Air Leak ◽  
Life Threatening

scholarly journals Maintenance with Trabectedin in the Treatment of Platinum-Sensitive Recurrent Ovarian Cancer

2019 ◽  
Vol 12 (2) ◽  
pp. 447-455 ◽  
Author(s):  
Eva María Guerra Alía ◽  
Cayetano Sempere Ortega ◽  
Alfonso Cortés Salgado ◽  
Concepción Sanchez Martínez ◽  
Julio Galindo Álvarez ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Pegylated Liposomal Doxorubicin ◽  
Abdominal Distension ◽  
Recurrent Ovarian Cancer ◽  
Response To Treatment ◽  
Case Presentation ◽  
Good Tolerance ◽  
Platinum Sensitive ◽  
Platinum Based Chemotherapy ◽  
Selection Of

Ovarian cancer is the seventh most common type of cancer and the fifth leading cause of cancer death among women worldwide. The current usual therapeutic approach in this disease includes optimal cytoreductive therapy followed by platinum-based adjuvant chemotherapy, along with neoadjuvant chemotherapy prior to surgery in selected cases. The platinum-free interval (PFI) continues to be the most useful tool to assist in the selection of the subsequent therapy and to predict response to treatment. The combination of trabectedin and pegylated liposomal doxorubicin (PLD) is useful in patients with partially platinum-sensitive recurrent ovarian cancer, in patients who have previously received two or more platinum-based chemotherapy regimens, in patients who have already experienced a platinum-induced hypersensitivity reaction and in patients who have previously failed to respond to a platinum-based treatment. Case Presentation: A 64-years-old postmenopausal woman with pain, abdominal distension, and an altered intestinal transit and with partially platinum-sensitive recurrent ovarian cancer, was successfully treated with a second line of trabectedin chemotherapy in combination with PLD, followed by trabectedin in monotherapy. This case proves the effectiveness of the combination of trabectedin and PLD and demonstrates how the administration of trabectedin, even in monotherapy, allows to maintain an adequate clinical response with good tolerance to the treatment during more than two years of drug administration.

Silicone Airway Stent for Treating Benign Tracheoesophageal Fistula

2005 ◽  
Vol 13 (2) ◽  
pp. 178-180 ◽  
Author(s):  
Yun-Hen Liu ◽  
Po-Jen Ko ◽  
Yi-Cheng Wu ◽  
Hui-Ping Liu ◽  
Ying-Huang Tsai
Keyword(s):  
Tracheoesophageal Fistula ◽  
Ventilatory Support ◽  
Airway Patency ◽  
Tracheal Stent ◽  
Airway Stent

We used a silicone tracheal stent successfully to seal a huge benign tracheoesophageal fistula and restore airway patency after treatment with double metallic stenting of the trachea and esophagus failed. The patient was weaned from the ventilator 16 days after the procedure and after 7 months of ventilatory support.

Characteristics of hypoxemic episodes in very low birth weight infants on ventilatory support

1997 ◽  
Vol 130 (4) ◽  
pp. 577-583 ◽  
Author(s):  
Mary Ann V.T. Dimaguila ◽  
Juliann M. Di Fiore ◽  
Richard J. Martin ◽  
Martha J. Miller
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Ventilatory Support ◽  
Low Birth Weight Infants

sRAGE Is Elevated in the Lungs of Premature Infants Receiving Mechanical Ventilation

2017 ◽  
Vol 34 (09) ◽  
pp. 911-917 ◽  
Author(s):  
Jennifer Bradley ◽  
Simon Karam ◽  
Henry Rozycki
Keyword(s):  
Mechanical Ventilation ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Ventilatory Support ◽  
Soluble Receptor ◽  
Cell Adherence ◽  
Advanced Glycation ◽  
Immunohistochemistry Analysis ◽  
Glycation End Products ◽  
Tracheal Aspirates

Background Soluble receptor for advanced glycation end-products (sRAGE), a soluble isoform of the RAGE receptor, is elevated in lungs from patients with acute conditions such as acute respiratory distress syndrome and bronchiolitis. This study investigated whether sRAGE is present in ventilated infants. Methods Tracheal aspirates from the first week or the fifth week of life were obtained from intubated very low birth weight subjects and analyzed by Western blot. Immunohistochemistry analysis for sRAGE was performed on paraffin-embedded lung autopsy slides from 19 other infants. Results The sRAGE band densities were similar among the seven infants who fully recovered, eight who developed bronchopulmonary dysplasia (BPD), and 5 who died (analysis of variance p = 0.797) but was higher at 4 weeks, p = 0.0324. There was minimal sRAGE staining in the autopsied lungs from previable infants (20–21 weeks) or from those who were not ventilated or had mild lung disease. In contrast, substantial staining was present in two of three with BPD, and those who received high ventilatory support. Conclusion sRAGE is present in ventilated infants. Levels are generally higher in those who receive prolonged or vigorous mechanical ventilation. Since sRAGE may have roles in inflammation and cell adherence, its role in the development of BPD may warrant study.

Outcome of primary repair in extremely and very low-birth-weight infants with esophageal atresia/distal tracheoesophageal fistula

2017 ◽  
Vol 52 (10) ◽  
pp. 1567-1570 ◽  
Author(s):  
Andreas Schmidt ◽  
Florian Obermayr ◽  
Justus Lieber ◽  
Christian Gille ◽  
Frank Fideler ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Esophageal Atresia ◽  
Tracheoesophageal Fistula ◽  
Very Low Birth Weight ◽  
Primary Repair ◽  
Low Birth Weight Infants
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