21 results match your criteria: "Esophageal Perforation Rupture and Tears"
Septic shock revealing boerhaave's syndrome a case report.
Int J Surg Case Rep
April 2024
Department of Surgery A La Rabta Hospital, Tunis, Tunisia; Faculty of medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Article Synopsis
- Boerhaave's syndrome is a rare but serious condition characterized by the spontaneous rupture of the esophagus, often requiring early diagnosis for better patient outcomes.
- In a recent case, a 67-year-old woman with vomiting and hypertension developed septic shock, leading to the discovery of a 3-cm esophageal perforation; she ultimately died from multiorgan failure despite surgical attempts.
- Accurate diagnosis is challenging due to varied symptoms, but recognizing warning signs like thoracic pain and vomiting, as well as hydro-pneumothorax in imaging, is crucial for timely intervention to improve survival rates.
Manner of death determination in a case of gastric mucosal tears.
Leg Med (Tokyo)
February 2024
Department of Medicine, Legal Medicine, University of Udine, Udine, Italy.
Article Synopsis
- A case study details a 32-year-old woman found dead after using intravenous heroin, with significant gastric tears and bleeding noted at autopsy.
- The investigation revealed that the woman's drug and alcohol levels were not lethal, suggesting her death was due to acute exsanguination from unusual gastric lacerations.
Pathophysiology of Vomiting and Esophageal Perforation in Boerhaave's Syndrome.
Dig Dis Sci
November 2020
Department of General Surgical Science, Graduate School of Medicine, Gunma University, 3-39-22, Showa-machi, Maebashi, 371-8511, Japan.
Article Synopsis
- Boerhaave's syndrome is a serious condition where the esophagus ruptures, often triggered by intense vomiting, typically following excessive eating and drinking.
- A study reviewed 10 patients with this syndrome, all of whom experienced vomiting after consuming large amounts of food and alcohol, leading to esophageal perforation.
- The authors propose a mechanism involving abnormal contractions of the gastrointestinal tract causing the rupture and suggest redefining Boerhaave's syndrome as "post-emetic esophageal perforation" for better recognition and treatment.
Transition of a Mallory-Weiss syndrome to a Boerhaave syndrome confirmed by anamnestic, necroscopic, and autopsy data: A case report.
Medicine (Baltimore)
December 2018
Department of Legal and Forensic Medicine, University of Genova, Genova.
Rationale: Spontaneous esophageal rupture (Boerhaave syndrome) is a rare, though frequently fatal, event. It is generally caused by a sudden increase in pressure inside the esophagus. In some cases, full-thickness perforations of the esophagus may develop from previous lesions that initially involve only the esophageal mucosa (Mallory-Weiss syndrome) and which, following further triggering events, give rise to a transmural lesion.
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- A 53-year-old woman initially misdiagnosed with pulmonary thromboembolism actually suffered from a foreign body perforation in the esophagus, which went undetected for an extended period.
- After being treated for a presumed pulmonary abscess and undergoing a tube thoracostomy, she developed a severe infection called necrotizing fasciitis on her chest wall.
- Eventually, a 5-cm tear in her esophagus was discovered during surgery after a 19-day delay, but following repair, her condition improved over a two-year follow-up period.
Spontaneaous linear gastric tears in a cat.
J Small Anim Pract
September 2015
Department of Health, Animal Science and Food Safety Milan, Faculty of Veterinary Medicine, University of Milan, 20133 Milan, Italy.
Article Synopsis
- - An 11-year-old female cat was experiencing chronic vomiting, prompting a veterinary endoscopy that showed abnormal stomach lining and spontaneous linear gastric tears.
- - The diagnosis confirmed was atrophic gastritis caused by a Helicobacter pylori infection, which is treatable.
- - Remarkably, the linear tears encountered in the cat were similar to a rare human condition called Mallory-Weiss syndrome and represent the first documented case of such tears in animals.
Successful treatment of esophageal repair with omentum for the spontaneous rupture of the esophagus (Boerhaave's syndrome).
Hepatogastroenterology
May 2012
Department of Surgery II, Oita University, Oita, Japan.
Article Synopsis
- Spontaneous rupture of the esophagus, known as Boerhaave's syndrome, is a serious condition that typically requires surgical intervention for effective treatment.
- In a study involving 7 patients from December 2000 to August 2007, the average time from rupture to treatment was about 16.7 hours, with tears ranging from 3 to 10 cm in length.
- The surgical approach included the use of a pedicled omental flap to reinforce the repair, which was highlighted as a successful technique in the patients treated.
Selective approach in the treatment of esophageal perforations.
Scand J Gastroenterol
May 2004
Dept. of Surgery, University Hospital Groningen, Groningen, The Netherlands.
Background: Treatment of esophageal perforation remains controversial and recommendations vary from initially non-operative to aggressive surgical management. Several factors are responsible for this life-threatening event, which has led to more individualized treatment ensuring adequate pleuromediastinal drainage with sufficient irrigation. We analyzed our data, evaluating morbidity and mortality in this selective approach.
View Article and Find Full Text PDFThe spectrum of spontaneous and iatrogenic esophageal injury: perforations, Mallory-Weiss tears, and hematomas.
J Clin Gastroenterol
December 1999
Department of Internal Medicine, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA.
Article Synopsis
- Esophageal injuries like perforations, Mallory-Weiss tears, and hematomas can happen due to medical procedures or spontaneously, often linked to situations like vomiting.
- The rise of endoscopic procedures and esophageal surgery has made iatrogenic injuries the most frequent cause of these conditions.
- Prompt diagnosis and treatment are crucial to improve outcomes, as the article details the causes, symptoms, and strategies for managing these injuries.
Diagnosis and management of esophageal perforations.
Am Surg
February 1992
Louisiana State University, Shreveport.
Article Synopsis
- - Esophageal perforations present complex diagnostic and management challenges, with the majority occurring in the thoracic region (54%) and most injuries being iatrogenic (52%).
- - Contrast studies were more effective than endoscopy for diagnosing cervical perforations, while both diagnostic methods worked equally well for thoracic perforations.
- - Treatment outcomes vary significantly, with cervical perforations having a lower mortality rate (4.8%) compared to thoracic perforations (36%), especially when surgery occurs within 24 hours of symptom onset.
Spontaneous intramural rupture of the oesophagus.
Gut
August 1990
Department of Gastroenterology, Princess Alexandra Hospital, Queensland, Australia.
Article Synopsis
- - The study reports on seven patients with a rare type of oesophageal injury featuring long mucosal lacerations and haematoma formation, but no perforation, which were not linked to vomiting or other identifiable causes.
- - Upper gastrointestinal endoscopy was found to be safe and effective for diagnosing the cause of bleeding in six patients, while radiological contrast studies helped rule out perforation when symptoms like dysphagia appeared.
- - One patient had a specific condition that might have contributed to their injury, but for the others, the cause remains unclear; all patients responded well to conservative management.
Oesophageal ruptures and perforations--a review.
Med J Aust
March 1989
Royal Brisbane Hospital, Herston.
Oesophageal ruptures or tears carry a high mortality if they are not recognized and if therapy is delayed. This is so particularly for cases of spontaneous rupture of the oesophagus which carry a higher mortality and morbidity than do cases of iatrogenic injuries. With the widespread use of fibreoptic oesophagogastroscopy, which has been accompanied by the therapeutic manipulation of strictures and tumours, the number of iatrogenic perforations has increased substantially.
View Article and Find Full Text PDFOesophageal tears during pneumatic balloon dilatation for the treatment of achalasia.
Clin Radiol
January 1989
Department of Radiology, Llandough Hospital, Penarth, S. Glamorgan, UK.
Article Synopsis
- A review of 58 contrast studies of the esophagus was conducted after balloon dilation treatment for achalasia, checking for signs of perforation.
- Out of these, 49 studies (85%) were normal, while 9 (15%) showed abnormalities, with two cases of complete rupture and seven cases of incomplete tears or outpouchings.
- All patients with abnormal findings were treated conservatively, highlighting the importance of recognizing different radiological patterns to prevent unnecessary surgery.
Article Synopsis
- Belching and severe vomiting can cause various complications at the gastro-oesophageal junction, especially in cases of gastro-oesophageal prolapse.
- Common issues include incarceration of the prolapse, bleeding from the mucosa, and conditions like Mallory-Weiss syndrome and Boerhaave syndrome.
- The text discusses four cases of incomplete oesophageal rupture leading to mediastinal emphysema or pneumopericardium, suggesting that air can escape from a tear in the esophagus and advocating for conservative treatment.
The experience of a major general hospital, over the last two decades, with the management of 50 patients presenting post-emetic lesions of the gastroesophageal junction is reviewed. The results of this study clarify the persistent confusion between the Mallory-Weiss syndrome and the Boerhaave's syndrome. The high incidences of upper gastro-intestinal mucosal lesions and hiatal hernia associated with the Mallory-Weiss syndrome, ignored in many previous studies, are emphasized in this report.
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- Spontaneous linear tears in newborn infants' stomachs can be deadly, likely due to high pressure from vomiting that the immature mechanism struggles to handle.
- These perforations typically happen within the first week of life, resulting in high mortality rates and necessitating urgent surgical intervention.
- The study reviews three successfully managed cases over 15 years, discusses the esophageal motility of survivors, and shares findings from pressure tests on stomachs and esophagi to understand the causes behind these gastric issues.