OBJECTIVE Ingestion of foreign bodies in the pediatric population is common and in the majority of cases involves spontaneous passage through the esophagus; however, they can become lodged in spaces of anatomical narrowing. Sharp foreign bodies are of particular concern due to a higher chance of perforation and other complications. The goal of this case report is to describe the safe removal of...

Esophageal pneumatosis is a rare condition with diverse potential etiologies including traumatic, mechanical, ischemic, obstructive respiratory, autoimmune, immunodeficient, and infectious causes. Here, we present a case of esophageal pneumatosis in the setting of upper gastrointestinal and small bowel ileus, diagnosed on computed tomography (CT), with acute resolution after nasogastric tube de...

Secondary achalasia due to submucosal invasion of esophageal squamous cell carcinoma (SCC) is a very rare condition. Here, we report a case of secondary achalasia diagnosed after distal esophagectomy, initially mistaken as primary achalasia. A 51-year-old man presented with progressive dysphagia for 2 months and mild weight loss. A barium swallow study, endoscopy, and manometry showed typical f...

A 77-year-old man was admitted for abdominal pain. He had no anemia or abnormal physical findings. We diagnosed the patient with chololithic pancreatitis, and performed endoscopic retrograde cholangiopancreatography. We began to insert a side-viewing duodenoscope, but had difficulty passing it through the left pyriform sinus. When we switched to a forward-viewing duodenoscope, we found that mem...

Swallowed button batteries (BB) which remain lodged in the oesophagus are at risk of serious complications, particularly in young children. The authors report a 3-year-old child, who rapidly developed an oesophageal perforation, following the ingestion of a 20-mm lithium BB which was initially mistaken for a coin. A thoracotomy and T-tube management of the perforation led to a positive outcome....

using a small-caliber fiberscope (N-GIF) has been established as a safe procedure because it can prevent undesired pharyngeal reflux [1,2]. However, the risks and complications related to N-GIF remain unclear [1–5]. A 38-year-old man complaining of epigastralgia with a small amount of hematemesis was admitted to a private clinic and underwent emergency N-GIF (Olympus GIF-XP150N; Olympus, Tokyo,...

BACKGROUND Spontaneous rupture of the esophagus (Boerhaave's syndrome) is a rare, well-defined clinical syndrome caused by a longitudinal perforation of the esophagus. It is a life-threatening condition that necessitates rapid diagnosis and treatment. Patients typically present acutely with a history of vomiting followed by chest or abdominal pain. However, the diagnosis may be difficult or mis...

A 73-year-old man was admitted to the emergency clinic with a 7-day history of dysphagia after eating chicken. He had no significant medical history. On admission, he was tachypneic and tachycardic, but otherwise there were no significant findings on physical examination. His laboratory results showed a creatinine of 1.6mg/dL and white blood count of 22400/mm3 but other measurements werewithin ...

PURPOSE Traumatic esophageal perforations are infrequent. They represent a surgical dilemma for surgeons, especially if diagnosis is made late. Recently, it has been reported that mortality due to perforation of the esophagus has diminished independently of time of presentation. The experience with traumatic perforations of the esophagus is reviewed to determine morbidity-mortality and how it i...