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Oesophageal injury mimicking a tubular congenital oesophageal duplication-a diagnostic dilemma: a case report.
BJR Case Rep
September 2024
Department of Radiodiagnosis, Bharati Vidyapeeth (Deemed to be University), Pune, Maharashtra 411043, India.
Intramural oesophageal dissection (IED) is an uncommon condition in newborns marked by the separation of the mucosal and submucosal layers of the oesophageal wall, both transversely and longitudinally, which may or may not involve perforation. A neonate presented at 26 h of life with poor respiratory effort and lethargy. She was intubated and was put on mechanical ventilation.
View Article and Find Full Text PDFPharyngoesophageal Reconstruction with A Tubed Radial Forearm Free Flap: A Case Report.
World J Plast Surg
January 2024
Plastic and Reconstructive Surgery Department at Centro Medico Nacional 20 de Noviembre, Mexico City, Mexico.
Hypopharyngeal carcinoma is one of the most aggressive primary head and neck cancers, often managed through partial or total laryngopharyngectomy. Reconstruction after such surgeries remains a challenging procedure that often requires the use of free flaps. A 63-year-old male patient with in-situ squamous cell carcinoma of the left vocal cord treated with total pharyngolaryngectomy and primary reconstruction with a left radial forearm free flap, complicated by flap necrosis, which ended up in dismantling and gastrostomy.
View Article and Find Full Text PDFBackground: Mitochondrial diseases (MDs) are systemic disorders that can affect multiple organs. Renal manifestations, including renal tubular acidosis, are common because kidneys are particularly vulnerable to energy deprivation. Treatment of MDs is often complex and electrolyte replacement can be difficult especially in pediatric patients, because large and repeated amounts of oral supplements are needed but are not well tolerated.
View Article and Find Full Text PDFDedicated cautery-enhanced tubular self-expandable metal stent for endoscopic ultrasound-guided hepaticogastrostomy: feasibility study.
Endoscopy
November 2024
Gastroenterology, Institut Paoli-Calmettes, Marseille, France.
Background: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is an alternative for biliary drainage in patients with obstructive pancreaticobiliary pathology when endoscopic retrograde cholangiopancreatography (ERCP) is not feasible. Despite its effectiveness, EUS-HGS is associated with a significant risk of adverse events. This study aimed to evaluate the feasibility and safety of a newly designed dedicated cautery-enhanced tubular self-expandable metal stent (SEMS) for EUS-HGS.
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