herein, we present the case of a 45-years-old woman with a foreign body (dental prosthesis) ingestion lodged in the esophagus(figure.1). the foreign body was extracted by rigid esophagoscopy after severe manipulation. in 24 hours, the patient became febrile with emphysema in the neck. laboratory data showed leukocytosis and ct scan revealed signs of esophageal perforation(figure.2). surgical ex...

A 79-year-old Saudi female with cecal perforation as a result of colonic malignant stricture is presented. This was treated by emergency subtotal colectomy and ileo-colic anastomosis with satisfactory result. This case reinforces the fact that patients above the age of forty with gastrointestinal symptoms require full work-up to rule out malignancy. Also it shows that abdominal ultrasound alone...

OBJECTIVE To clarify the usefulness of ultrasonography (US) as a diagnostic instrument for intraperitoneal free air (IPFA), which is thought to be useful in the fields of emergency medicine and traumatology. DESIGN Prospective observational study. SETTING Tertiary critical care and emergency center. PATIENTS A total of 484 patients with severe chest-abdominal-pelvic blunt trauma or, in th...

IMPORTANCE In the traditional model of acute appendicitis, time is the major driver of disease progression; luminal obstruction leads inexorably to perforation without timely intervention. This perceived association has long guided clinical behavior related to the timing of appendectomy. OBJECTIVE To evaluate whether there is an association between time and perforation after patients present ...

Background: our research discovered that cholesteatoma development was more prevalent in those who have a central perforation and persistent otitis media. Physical exams meticulous reviews of medical records were performed on 100 people had chronic media with perforation. A total four persons, or 4% cases, cholesteatoma. Therefore, it would appear are prone to develop cholesteatoma, necessitati...

PURPOSE A retrospective cohort study concerning the surgical closure of oroantral communications (OACs) was carried out to facilitate a comparison between treatment outcomes of conventional surgical treatment and new strategies for closure of OACs. Data were statistically analyzed to gather insight into possible predictor variables of recurrent OAC. PATIENTS AND METHODS A cohort of patients t...

An elderly hypertensive lady presented to us with acute coronary syndrome; an angiogram revealed total thrombotic occlusion of large left circumflex artery. After thrombosuction, there was proximal tight stenosis followed by an aneurysmal segment of the culprit vessel that was stented successfully. Subsequent post-dilatation at the site of aneurysm produced a large perforation, which was sealed...

Introduction: Typhoid enteric perforation is a communal acute emergency of abdomen in our hospital settings. Maximum patients Pakistan come from rural zones and have serious illness when presented the laten final stages. Objective: To govern importance an ileostomy cases late presentation with perforation. Study Design: A retrospective study. Place Duration: In surgical Department Islam Medical...

Early diagnosis followed by primary repair is the best treatment for spontaneous esophageal perforation. However, the appropriate management of esophageal leakage after surgical repair is still controversial. Recently, the successful adaptation of vacuum-assisted closure therapy, which is well established for the treatment of chronic surface wounds, has been demonstrated for esophageal perforat...