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Fatal intestinal perforation secondary to fragmentation of a Celestin tube.
Dig Surg
December 2000
Department of Surgery, Southport District General Hospital, Southport, Merseyside, UK.
Background/aims: Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure.
Methods: A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following insertion of a Celestin tube for palliation.
Severe complications caused by dissolution of latex with consequent self-disintegration of esophageal plastic tubes.
Endoscopy
September 2000
I. Medical Dept., Christian-Albrechts-University, Kiel, Germany.
A case of decisive material degeneration of an esophageal Celestin tube is described: a 50-year-old man with adenocarcinoma of the distal esophagus received a Celestin tube for palliative endoscopic treatment and 8 months later presented with suddenly occurring complete dysphagia. Dissolution of the latex layer in the proximal as well as the distal part of the tube had caused self-disintegration of the Celestin tube and had liberated the monofilament nylon coil which completely obstructed the lumen of the tube. Endoscopic tube removal was only possible by careful attachment of a balloon catheter and peroral extraction after insufflation with contrast medium up to 5 atm.
View Article and Find Full Text PDF[When latex disintegrates, or a mechanical pyloric ulcer].
Ned Tijdschr Geneeskd
October 1990
Afd. Interne Oncologie. Dr. Daniel den Hoed Kliniek, Rotterdam.
Complications of Celestin oesophageal tube disintegration are discussed with reference to the case of a patient with a tube inserted because of extrinsic stenosis presenting with upper abdominal complaints.
View Article and Find Full Text PDFTwo cases of multiple intestinal perforation caused by the nylon from the core of disintegrating oesophageal Celestin tubes migrating down the alimentary tract are described. It is suggested that Celestin tubes should not be used in patients likely to survive for more than a few months.
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