In patients with dermatomyositis, chronic inflammation of the pharynx and esophagus results in coughing and difficulty in swallowing. These become important clinical symptoms, especially if they contribute to malnutrition or aspiration pneumonia. They can ultimately reduce the quality of life. In rare cases, if the symptoms worsen despite proper treatment, serious complications may arise, a rea...

BACKGROUND AND OBJECTIVES This study is a case report of a patient that was submitted to implant of enteric tube (ET) in the ICU, being evidenced false passage in proximal esophagus during endoscopic procedure, demonstrating tunnel for the submucosa. CASE REPORT A 77 years old woman, transferred to ICU, where ET was installed (due to difficulty of being carried through both nostrils) being co...

We present a case report regarding a 74-year-old male with iatrogenic esophageal perforation, after an attempt to remove a food bolus impaction at Lannier's triangle (proximal esophagus). The perforation was treated endoscopically (flexible EGD) by clip application in two sessions, with excellent outcome. Esophageal perforations occur rarely, usually following a medical procedure. The clinical ...

INTRODUCTION In spite of the progress in diagnosis and therapeutic options, esophageal perforation resulting in mediastinitis is a very serious condition with a high morbidity. AIM To evaluate the use of esophageal stents for the treatment of patients suffering from mediastinitis. MATERIAL AND METHODS Retrospective (2008-2012) analysis of a group of patients requiring surgical treatment. Th...

Herein, a case of intramural esophageal dissection is reported and the literature is reviewed. Intramural esophageal dissection is a rare but well described condition that is characterized by a laceration between the esophageal mucosa and submucosa but without perforation. A female patient aged 86 years was hospitalized with a diagnosis of abdominal aortic aneurysm. After placement of an aortic...

BACKGROUND Airway injury during general anesthesia is a significant source of morbidity for patients and a source of liability for anesthesiologists. To identify recurrent patterns of injury, the authors analyzed claims for airway injury in the American Society of Anesthesiologists (ASA) Closed Claims Project database. METHODS The ASA Closed Claims database is a standardized collection of cas...

Purpose. Anterior screw fixation has become a popular surgical treatment method for instable odontoid fractures. Screw loosening and migration are a rare, severe complication following anterior odontoid fixation, which can lead to esophagus perforation and requires revision operation. Methods. We report a case of screw loosening and migration after anterior odontoid fixation, which perforated t...

Rupture of the esophageal wall is most commonly iatrogenic. Boerhaave’s syndrome refers to spontaneous esophageal perforation that occurs because of retching or vomiting. Spontaneous perforation of the esophagus results from a sudden increase in intraesophageal pressure combined with relatively a negative intrathoracic pressure. We report a case of esophageal rupture in a young patient caused b...

The management of esophageal perforation has evolved. underlying principles drainage sepsis, adequate nutrition and repair, or defunctioning the esophagus remain. We are presenting a case Boerhaave syndrome, where we have successfully managed conservatively with endoscopic stenting. Endoscopic therapy VATS used increasing frequency in appropriately selected patients good results. Careful select...

Dentures are common accidentally ingested foreign bodies (FBs), especially in the aged population. It is usual for a FB to be swallowed in adults and lodge in the esophagus; however, it is unusual for a denture to remain in esophagus for a period of 9 months without any complication. We present, a 57-year-old deaf mute man swallowed his denture with the chief complaint of dysphagia and odynopha...