The cardio-oesophageal syndrome in childhood.

Perforation of the lower thoracic oesophagus following crush injury to the chest and abdomen.

We report a case of perforation of the lower thoracic oesophagus following a crush injury to the chest and upper abdomen. A laparotomy was performed for abdominal injuries, and appropriately placed drains resulted in complete resolution of the oesophageal leak, 21 days following the injury. This case report demonstrates that a conservative approach to lower thoracic oesophageal perforations can...

Transgastric drainage of the oesophagus: managing difficult oesophageal injuries.

We describe a technique for maintaining patency of the injured or repaired oesophagus while providing vacuum drainage of the oesophageal lumen. A small midline laparotomy is performed. A lubricated 36F soft chest drain (pull-through end) is introduced into the oesophagus using a percutaneous endoscopic gastrostomy (PEG) set, and pulled out through the stomach wall. The drain is brought out thro...

Aorto-oesophageal fistula with upper gastrointestinal tract intramural haematoma in an oesophageal cancer patient.

Sudden onset haematemesis occurred in a 52-year old male with oesophageal cancer. Computed tomography showed an aorto-oesophageal fistula with contrast extravasation from the aorta. Thoracic endovascular aortic repair with stent graft was done. The haematemesis stopped postoperatively, but follow-up images (Fig. 1) showed persistent contrast extravasation. The patient died of another episode of...

Oesophageal perforation for oesophageal stone.

Successful management of aorto-oesophageal fistula with dual oesophageal and aortic intervention.

Figure 1: The patient underwent an emergency oesophageal endoscopy after swallowing a fish bone. At oesophagoscopy, a fish bone situated 25 cm from the incisors was removed uneventfully. Seven days later, she developed retrosternal pain and haematemesis. She vomited 200 ml of bright red blood. Bilateral oesophageal perforations with local fester were found 25 cm away from the incisors in oesoph...

Oesophageal atresia, VACTERL association: Fanconi's anaemia related spectrum of anomalies.

Oesophageal atresia usually occurs without any genetic background. Three cases associated with Fanconi's anaemia are reported. One neonate had growth retardation and numerous malformations including oesophageal atresia and four other components of the VACTERL association. In the two others, oesophageal atresia was isolated. In patients with such malformations an early diagnosis of Fanconi's ana...