A 76-year old farmer ingested 100 g of chlorphenamidine (Galectron), a plant acaricle, for the purpose of suicide. Gastric lavage was performed and the patient survived. Methemoglobinemia was noted after emergency treatment and was still present at 20 hours after ingestion of the compound. The patient was lethargic for at least 50 hours. Moderate neutrophilic leukocytosis and kidney injury were...

A 65-year-old man who had received an esophagectomy 10 years earlier was admitted to our hospital for right chest pain. Preoperative examinations showed pneumopericardium, a retrosternal gastric tube, and an active gastric tube ulcer. We diagnosed gastropericardial fistula of the gastric tube ulcer. Emergency surgery included lavage and drainage of the pericardial cavity and plombage of the rec...

It is hard to handle and to treat a mentally ill tuberculosis patient. His tuberculosis governs the field of treatment often to the detriment of his mental condition. The impossibility to impose the rules of elementary hygiene on the mentally ill is chiefly responsible for the high incidence of tuberculosis among the patients of mental institutions. In 1950, the 231 institutions for mentally il...

BACKGROUND A biologically plausible link between gastro-oesophageal reflux (GOR), aspiration, and lung allograft dysfunction has been suggested, but there is no systematic evidence indicating the presence of gastric contents in the lung. We have tested the hypothesis that pepsin, as a marker of aspiration, is detectable in bronchoalveolar lavage (BAL) fluid of allograft recipients who had not r...

Gastric surgeries may predispose patients to the formation of gastric phytobezoars. Cola-lysis through nasogastric lavage, endosopic infusion and/or the oral intake of cola are recently introduced techniques for the dissolution of phytobezoars. However, their complications have rarely been reported. Herein, we report a 56-year-old woman, who had previously undergone partial gastrectomy, severe ...

Peritoneal metastasis, which often arises in patients with advanced gastric cancer, is well known as a miserable and ill-fated disease. Once peritoneal metastasis is formed, it is extremely difficult to defeat. We advocated EIPL (extensive intraoperative peritoneal lavage) as a useful and practical adjuvant surgical technique for those gastric cancer patients who are likely to suffer from perit...

Paraphenylenediamine (PPD) intoxication is a medical emergency with very poor prognosis in the absence of early and adequate treatment. Its pathophysiological mechanism now known results from destruction muscle cells by peroxidation phenomena leading to major rhabdomyolysis. The diagnosis essentially clinical, guided rapid history. As there no specific antidote, treatment mainly symptomatic aim...

partaken of a quantity of datura leaves, prepared in the form of curry, with rice, which he afterwards acknowledged to have voluntarily taken. On admission, he lay perfectly unconscious, with severe spasmodic muscular twitchings and stertorous breathing. Skin cool; pulse about 108?, feeble. Pupils dilated and insensible to the effects of light. The stomach pump was immediately introduced, but d...