Septal perforation from intranasal cocaine abuse is well recognised. We present a case of progressive septal as well as palatal perforation. Progression from septal perforation to palatal perforation occurred after cessation of intranasal cocaine abuse. This patient had a weakly positive cytoplasmic antineutrophilic cytoplasmic antibody (C-ANCA) but no histologic evidence of Wegener's Granuloma...

With the exception of accidental perforation during a laparoscopic cholecystectomy, an iatrogenic gallbladder perforation is quite rare. Several cases have been reported as a complication of interventional or endoscopic procedures. Although a case of gallbladder and stomach perforation during gastric endoscopic mucosal resection (EMR) has been reported, we encountered a case of gallbladder perf...

Spontaneous duodenal perforation in two patients with primary systemic amyloidosis associated with multiple myeloma is described. Bowel perforation is a rare and often fatal complication of amyloidosis, and duodenal perforation has not been previously described. Both patients survived the bowel perforation with conservative management. Bowel perforation should be suspected in patients with amyl...

Gall bladder perforation is a potentially life-threatening condition. Spontaneous perforation is infrequent and rarely seen in the absence of gallstones but gall bladder perforation is an occasional complication of typhoid fever. If such perforations are not treated in time, mortality rates are very high. We report a case of gall bladder perforation complicating typhoid fever following enteric ...

Bladder perforation during laparoscopy is a recognized, uncommon complication. We present two cases of bladder perforation during laparoscopic gynecologic operations that were detected by gaseous distention of the urinary bag. Bladder perforation occurred through laparoscopic division of adhesion. One bladder perforation was repaired laparoscopically, and the other case was repaired by laparoto...

INTRODUCTION Duodenal perforation, damage to common bile duct or ampulla of Vater complicates from 0.7% to 10% of endoscopic retrograde cholangiopancreatography (ERCP) procedures. This complication is associated with high risk of contracting fatal diseases and death. As the endoscopic and minimally invasive treatment methods develop and gain popularity, it becomes increasingly important to dete...

Colonic perforation may occur as a complication of diagnostic and therapeutic colonoscopy. The risk factors for perforation after colorectal endoscopic submucosal dissection (ESD) include an inexperienced endoscopist, a large tumor size, and submucosal fibrosis. The mechanisms of perforation include unintended endoscopic resection/dissection and severe thermal injury. Here, we report a case of ...

Esophageal perforation is a serious possible complication after anterior cervical discectomy and fusion (ACDF). It usually occurs during the first postoperative day. Esophageal perforation is a potentially life-threatening complication. A 63-year-old man who underwent ACDF 8 years prior visited our emergency room with recurrent aspiration pneumonia, fever, dysphagia and neck pain. Endoscopic st...

intrauterine device (iud), a conventional method of contraception is rarely associated with uterine perforation and extra uterine dislocation. a 29 years old woman complaining of vaginal bleeding was referred for pelvic mass identified in ultrasound. the mass was confirmed with ct scan. in laparatomy we found an iud in cul-de-sac and pelvic mass was apparently an organized hematoma. transmigrat...

introduction: spontaneous perforation of the nasal septum is an uncommon condition. nasal inhalation of substances such as cocaine has long been linked to this perforation. case report: this report describes the case of a 46-year-old woman who was addicted to methamphetamine and who presented with perforation of the nasal septum.this is the first reported case of nasal septal necrosis linked to...