PATIENT Female, 82 FINAL DIAGNOSIS: Achalasia Symptoms: Nocturnal regurgtation • weight loss MEDICATION - Clinical Procedure: Esophageal stenting Specialty: Gastroenterology • Hepatology Objective: Unusual or unexpected effect of treatment. BACKGROUND Pneumatic dilatation is one of the most effective methods for treating achalasia. Esophageal perforation is the most serious complication aft...

Boerhaave syndrome (BS) is a spontaneous esophageal perforation and is a life-threating but uncommon disorder. This syndrome involves a transmural perforation and typically occurs after forceful emesis. The prognosis is dependent on rapid diagnosis and correct management. The classic presentation of BS consists of vomiting, subcutaneous emphysema, and lower thoracic pain. However, significant s...

background: with respect to physical relations in force and pressure, we hypothesized that the prevalence of traumatic tympanic membrane perforation in patients with a patulous eustachian tube is greater than normal, because in eustachian tube patency, the internal air pressure of the middle ear will not increase after compression, subsequent to trauma. therefore the force upon the tympanic mem...

aluminum foams are a novel branch of advanced materials with superior properties. sandwich structures with aluminum foam core are good energy absorbers. in this paper, mechanical properties and energy absorption of aluminum foam sandwich panels subjected to quasi-static perforation tests with conical-nosed indenter were investigated experimentally. for this purpose sandwich panels consisting of...

nasogastric tube (ng) insertion is a usual technique in any neonatal intensive care unit. this procedure is undertaken for the children who are in need of invasive care. sometimes, the insertion of nasogastric tube in infants with esophagus friable anatomy tissues may have some dangerous side effect, but such problems are not very common. esophageal perforation is a rare but known complication ...

BACKGROUND Perforation of the colon occurring during or shortly following colonoscopy or barium enema is a rare complication of collagenous colitis (CC). "Spontaneous" perforation in CC, in which no instigating factor is identified, is even less common, with only five cases reported to date. We report herein an additional case of spontaneous perforation in previously undiagnosed CC and review t...

Burkitt's lymphoma (BL) is rare, rapidly growing, and highly aggressive. Urgent commencement of chemotherapy is vital to prevent complications and promote a favourable prognosis. Any factor causing a delay in the initiation of chemotherapy will affect prognosis significantly. Intestinal perforation is a well-known complication with devastating consequences. It inevitably leads to a delay in the...

Sorafenib (Nexavar , BAY 43-9006) is a novel multikinase inhibitor that has been recently approved for the treatment of advanced hepatocellular carcinoma (HCC). The increased use of sorafenib has been accompanied by an increase in the number of reports on the adverse effects of this drug. Generally, the adverse effects of sorafenib are well tolerated, and the most common drugrelated toxicities ...