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  1 / 3336 MEDLINE  
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[PMID]:29480864
[Au] Autor:Khan S; Su S; Jiang K; Wang BM
[Ad] Dirección:Department of Gastroenterology and Hepatology, Tianjin Medical University General Hospital, Tianjin, PR China.
[Ti] Título:Retrograde gastroesophageal intussusception after peroral endoscopic myotomy in a patient with achalasia cardia: A case report.
[So] Fuente:Medicine (Baltimore);97(2):e9609, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:RATIONALE: Retrograde gastroesophageal intussusception (RGEI) is a relatively rare gastrointestinal (GI) disorder in which a portion of the stomach wall invaginates into the esophagus. More recently, peroral endoscopic myotomy (POEM) has emerged as an endoscopic alternative to surgical myotomy for achalasia, and, to the best of our knowledge, our case is the first RGEI after POEM to be reported. PATIENT CONCERNS: A 22-year-old male was presented with a history of vomiting, intractable retching and hematemesis for 3 days. He had a history of achalasia and underwent POEM 3 years ago caused by symptoms of severe dysphagia to solid and liquid. DIAGNOSES: Initially, the patient was diagnosed with a blood-filled esophagus, and the mid esophagus was occluded with a ball-like mass, however, the final diagnosis of RGEI was made by thoracotomy. INTERVENTIONS: A therapeutic strategy of conservative treatment and left transthoracic surgery were applied. OUTCOMES: The surgery and post operative course were uneventful, and he remained asymptomatic 1 year after operation. LESSONS: POEM is a reliable and minimally invasive endoscopic method for esophageal achalasia. Early recognition and severity of RGEI are essential to decrease the unwanted complications. Upper GI series, esophagogastroduodenoscopy and computed tomography scan are helpful for diagnostic purposes of RGEI. Conservative treatment, endoscopic intervention, and surgery are the mainstay of treatments for RGEI.
[Mh] Términos MeSH primario: Endoscopía Gastrointestinal
Acalasia del Esófago/cirugía
Intususcepción/etiología
Miotomía
Complicaciones Posoperatorias
Gastropatías/etiología
[Mh] Términos MeSH secundario: Tratamiento Conservador
Endoscopía Gastrointestinal/métodos
Acalasia del Esófago/diagnóstico por imagen
Acalasia del Esófago/patología
Unión Esofagogástrica
Seres Humanos
Intususcepción/diagnóstico por imagen
Intususcepción/patología
Intususcepción/terapia
Masculino
Miotomía/métodos
Complicaciones Posoperatorias/terapia
Gastropatías/diagnóstico por imagen
Gastropatías/patología
Gastropatías/terapia
Procedimientos Quirúrgicos Torácicos
Adulto Joven
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1803
[Cu] Fecha actualización por clase:180305
[Lr] Fecha última revisión:180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Fecha de ingreso para procesamiento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009609


  2 / 3336 MEDLINE  
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[PMID]:28468689
[Au] Autor:De Silva WSL; Gamlaksha DS; Jayasekara DP; Rajamanthri SD
[Ad] Dirección:Post Graduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka. supun85@gmail.com.
[Ti] Título:A splenic artery aneurysm presenting with multiple episodes of upper gastrointestinal bleeding: a case report.
[So] Fuente:J Med Case Rep;11(1):123, 2017 May 03.
[Is] ISSN:1752-1947
[Cp] País de publicación:England
[La] Idioma:eng
[Ab] Resumen:BACKGROUND: Splenic artery aneurysm is rare and its diagnosis is challenging due to the nonspecific nature of the clinical presentation. We report a case of a splenic artery aneurysm in which the patient presented with chronic dyspepsia and multiple episodes of minor intragastric bleeding. CASE PRESENTATION: A 60-year-old, previously healthy Sri Lankan man presented with four episodes of hematemesis and severe dyspeptic symptoms over a period of 6 months. The results of two initial upper gastrointestinal endoscopies and an abdominal ultrasound scan were unremarkable. A third upper gastrointestinal endoscopy detected a pulsatile bulge at the posterior wall of the gastric antrum. A contrast-enhanced computed tomogram of his abdomen detected a splenic artery aneurysm measuring 3 × 3 × 2.5 cm. While awaiting routine surgery, he developed a torrential upper gastrointestinal bleeding and shock, leading to emergency laparotomy. Splenectomy and en bloc resection of the aneurysm with the posterior stomach wall were performed. Histology revealed evidence for a true aneurysm without overt, acute, or chronic inflammation of the surrounding gastric mucosa. He became completely asymptomatic 2 weeks after the surgery. CONCLUSIONS: Splenic artery aneurysms can result in recurrent upper gastrointestinal bleeding. The possibility of impending catastrophic bleeding should be remembered when managing patients with splenic artery aneurysms after a minor bleeding. Negative endoscopy and ultrasonography should require contrast-enhanced computed tomography to look for the cause of recurrent upper gastrointestinal bleeding.
[Mh] Términos MeSH primario: Aneurisma Roto/complicaciones
Hemorragia Gastrointestinal/etiología
Arteria Esplénica
[Mh] Términos MeSH secundario: Abdomen/diagnóstico por imagen
Aneurisma Roto/diagnóstico por imagen
Aneurisma Roto/cirugía
Endoscopía Gastrointestinal
Seres Humanos
Masculino
Mediana Edad
Esplenectomía
Arteria Esplénica/diagnóstico por imagen
Arteria Esplénica/patología
Estómago/cirugía
Tomografía Computarizada por Rayos X
Resultado del Tratamiento
Ultrasonografía
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1803
[Cu] Fecha actualización por clase:180305
[Lr] Fecha última revisión:180305
[Sb] Subgrupo de revista:IM
[Da] Fecha de ingreso para procesamiento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1282-7


  3 / 3336 MEDLINE  
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[PMID]:29503356
[Au] Autor:Azakami K
[Ad] Dirección:Gastroenterology, Sankoukai Miyazaki Hospital.
[Ti] Título:[Eight cases of Percutaneous Endoscopic Gastrostomy (PEG) in patients taking oral anticoagulants].
[So] Fuente:Nihon Ronen Igakkai Zasshi;55(1):131-135, 2018.
[Is] ISSN:0300-9173
[Cp] País de publicación:Japan
[La] Idioma:jpn
[Ab] Resumen:Patients who undergo percutaneous endoscopic gastrostomy (PEG) placement are often on antiplatelet therapy. There is a potential risk of infarction if these medications are discontinued.The guidelines of the Japan Gastroenterological Endoscopy Society, classify PEG as an operation associated with a high risk of bleeding; however, it is known that surgery can be performed without interruption when patients are treated with low-dose aspirin alone. Nevertheless, we experienced the case of severe bleeding at the incision site, which was accompanied by massive hematemesis and hemorrhagic shock the night after PEG using the modified introducer method in an 87-year-old male patient. The patient was being treated with Bayer aspirin (100 mg/day, oral). The patient's platelet count, PT, and APTT were within the normal levels. Thus, we decided to investigate the pull method as the effective method for pressure hemostasis comparing with the modified introducer method, to reduce the risks associated with bleeding after surgery when patients are being treated with antiplatelet drugs.PEG was performed by the pull method on eight patients who were being treated with oral antiplatelet drugs (including four patients receiving dual antiplatelet therapy [DAPT]). All patients had previously suffered strokes, and they all presented with normal platelet counts, PT, and APTT values.Only slight bleeding was observed in one out of eight patients (bleeding had stopped by the following day using an alginate patch on the abdominal wall at the incision site, along with direct pressure using a stationary plate). None of the patients showed infection at the incision site.Although the study population was small, the present study showed that PEG using the pull method is safe while patients are being treated with oral antiplatelet drugs.
[Pt] Tipo de publicación:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mes de ingreso:1803
[Cu] Fecha actualización por clase:180305
[Lr] Fecha última revisión:180305
[St] Status:In-Process
[do] DOI:10.3143/geriatrics.55.131


  4 / 3336 MEDLINE  
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[PMID]:29390331
[Au] Autor:Tang Q; Zhou Z; Chen J; Di M; Ji J; Yuan W; Liu Z; Wu L; Zhang X; Li K; Shu X
[Ad] Dirección:Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
[Ti] Título:Correlation of metastasis characteristics with prognosis in gastric mixed adenoneuroendocrine carcinoma: Two case reports.
[So] Fuente:Medicine (Baltimore);96(50):e9189, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:RATIONALE: This article is aimed to retrospect the clinicopathological data of 2 cases of gastric MANENCs. MANEC is a rare biphasic tumor type that is coexistence of dual neuroendocrine and adenocarcinoma differentiation with each composing exceeding 30% volume. Gastric MANEC have just been reported anecdotally in the literature due to their rarity and heterogeneity. According to our study, these neoplasms have 3 different metastasis patterns: only adenocarcinomatous or neuroendocrine carcinoma and both of the 2 components. We first focus on the correlation of metastasis characteristics with prognosis in gastric MANEC, which may be potential implications for the choice of chemotherapy. PATIENT CONCERNS: The 2 cases of patient shared several symptoms: epigastric discomfort, weight loss, hematemesis, or melena. DIAGNOSIS: The 2 patients were diagnosis as MANEC based on the identification of histopathological analysis. In case 1, the poor differentiated adenocarcinoma accounted for 30%, the neuroendocrine part account for 70% and both of the 2 components metastasized to the lymph nodes, whereas in case 2, poorly differentiated adenocarcinoma accounted for 70%, the neuroendocrine part for 30% and only the glandular component invaded regional lymph nodes. INTERVENTIONS: The first patient underwent laparoscopic radical gastrectomy and underwent adjuvant chemotherapy, combination of cisplatin, and etoposide successfully. The second patient received radical gastronomy, and did not receive any chemotherapy due to general weakness. OUTCOMES: The first patient is alive with no evidence of recurrence, and the second patient died 6 months after the operation. LESSONS: The assessment of metastatic sites should be a routine pathological practice, which is crucial for clinical decision-making and the selection of management.
[Mh] Términos MeSH primario: Adenocarcinoma/patología
Carcinoma Neuroendocrino/patología
Metástasis de la Neoplasia/patología
Neoplasias Gástricas/patología
[Mh] Términos MeSH secundario: Adenocarcinoma/cirugía
Carcinoma Neuroendocrino/cirugía
Resultado Fatal
Seres Humanos
Masculino
Mediana Edad
Pronóstico
Neoplasias Gástricas/cirugía
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180301
[Lr] Fecha última revisión:180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Fecha de ingreso para procesamiento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009189


  5 / 3336 MEDLINE  
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[PMID]:29390289
[Au] Autor:Wei XQ; Song L; Zhang XS; Wang KY; Wu J
[Ad] Dirección:Interventional Therapy Department, The Second Hospital of Dalian Medical University, Dalian, China.
[Ti] Título:Endovascular stent graft repair of aortogastric fistula caused by peptic ulcer after esophagectomy: A case report.
[So] Fuente:Medicine (Baltimore);96(50):e8959, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:RATIONALE: Aortogastric fistula (AGF) is a rare but devastating clinical complication after esophagectomy. In a recent report, nearly all AGF patients died of massive hemorrhage or aspiration of massive hematemesis. Therefore, timely appropriate treatment of AGF remains a challenge.Herein, we report a case of AGF that resulted from peptic ulceration after esophagectomy and was successfully treated with endovascular stent graft placement. PATIENT CONCERNS: A 59-year-old man had undergone video-assisted thoracoscopic esophagectomy for squamous cell carcinoma and esophageal reconstruction using a gastric tube 14 months previously. He suddenly experienced massive hematemesis and unstable circulatory dynamics, Infusion was performed to treat critical hemorrhagic shock but was ineffective. We informed the patient and his family members of the situation, and once written informed consent to treatment was provided, we rushed him to the operating room. DIAGNOSES: Contrast medium permeated into the gastric cavity through a fistula between the abdominal aorta and gastric tube at the 11th thoracic level, Based on this, we made a diagnosis of AGF resulting from a peptic ulcer, and this diagnosis was further confirmed by high pressure angiography combined with computed tomography (CT) imaging. INTERVENTIONS: An endovascular stent graft was placed under the guidance of digital subtraction angiography and followed by antibiotic therapy to prevent infection and proton pump inhibitor therapy to inhibit gastric acid secretion. OUTCOMES: The patient recovered uneventfully after the procedure. Four months after surgery, the patient died of organ failure caused by retroperitoneal lymph node metastasis and multiple intrahepatic metastases, with no postoperative bleeding linked to the endovascular stent graft repair. LESSONS: Our case supports the notion that endovascular stent graft repair is a feasible alternative in treatment of AGF with several advantages in addition to surgical intervention, although more such cases should be collected and analyzed in the future to corroborate our observations.
[Mh] Términos MeSH primario: Enfermedades de la Aorta/terapia
Procedimientos Endovasculares
Esofagectomía
Fístula Gástrica/terapia
Úlcera Péptica/cirugía
Complicaciones Posoperatorias/terapia
Stents
Fístula Vascular/terapia
[Mh] Términos MeSH secundario: Enfermedades de la Aorta/diagnóstico por imagen
Prótesis Vascular
Implantación de Prótesis Vascular
Extravasación de Materiales Terapéuticos y Diagnósticos
Resultado Fatal
Fístula Gástrica/diagnóstico por imagen
Seres Humanos
Masculino
Mediana Edad
Complicaciones Posoperatorias/diagnóstico por imagen
Cirugía Torácica Asistida por Video
Tomografía Computarizada por Rayos X
Fístula Vascular/diagnóstico por imagen
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180301
[Lr] Fecha última revisión:180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Fecha de ingreso para procesamiento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008959


  6 / 3336 MEDLINE  
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[PMID]:29485007
[Au] Autor:Patel D; Patel MV; Rajput SL; Sharma K
[Ad] Dirección:Smt. N.H.L. Municipal Medical College, Ahmedabad, Gujarat. India.
[Ti] Título:Pinpoint Localized Odynophagia (PLO) as a Specific Symptom of Pill-induced Oesophagitis (PIO) in the Evaluation of Acute Retrosternal Chest Pain.
[So] Fuente:Curr Drug Saf;, 2018 Feb 26.
[Is] ISSN:2212-3911
[Cp] País de publicación:United Arab Emirates
[La] Idioma:eng
[Ab] Resumen:INTRODUCTION: 36 out of 100 cases of retrosternal chest pains are due to oesophageal pathologies and pill-induced oesophagitis(PIO) is one of them. PIO can present as retrosternal chest pain associated with various gastrointestinal (GI) symptoms and require a high index of suspicion. PIO is a clinical diagnosis; and oesophagogastroscopy is required for confirmation of the diagnosis, to find out complications of PIO and to rule out other oesophageal disorders. Our aims of the present study were to study clinical profile, risk factors and endoscopic features of PIO. MATERIALS AND METHODS: We have done a cross-sectional study of 1000 patients with acute retrosternal chest pain and all patients of suspected upper gastrointestinal system involvement were subjected to oesophagogastroscopy. Patients having a history of pill ingestion followed by retrosternal chest pain with GI symptoms of less than 10 days duration and having typical endoscopy findings like kissing ulcer, multiple small discrete ulcers or erosion of esophagus were diagnosed as PIO after excluding other oesophageal pathologies. RESULTS AND CONCLUSION: Among 1000 retrosternal chest pain patients, 450(45%) cardiovascular, 255(25.5%) respiratory, 248(24.85%) upper GI and 47(0.47%) had other system involvement. Among 248 GI patients, the frequency of symptoms was as follows: Pinpoint localized odynophagia (8.46%), non-localised odynophagia (12.09%), nausea (62.09%), vomiting (44.35%), dysphagia (3.62%), dyspepsia (13.70%) and hematemesis (0.8%). PLO, dysphagia, and hematemesis were significant symptoms of PIO (p<0.05). Endoscopic findings suggestive of PIO such as kissing ulcer, multiple small discrete ulcers, oesophageal erosions were observed in 91.30%, 47.83%, and 34.78% patients respectively. Involvement of the middle third of esophagus was present in 74.19% and the lower third in 25.81% patients. Most of the patients with PLO had kissing oesophageal ulcer seen on endoscopy (p-value =0.0002).
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180227
[Lr] Fecha última revisión:180227
[St] Status:Publisher
[do] DOI:10.2174/1574886313666180227111507


  7 / 3336 MEDLINE  
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[PMID]:29391314
[Au] Autor:Zhou HB
[Ad] Dirección:Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
[Ti] Título:A case of multiple myeloma initially presenting as hematemesis.
[So] Fuente:Turk J Gastroenterol;29(1):106-109, 2018 01.
[Is] ISSN:2148-5607
[Cp] País de publicación:Turkey
[La] Idioma:eng
[Ab] Resumen:A few cases of multiple myeloma with gastrointestinal bleeding have been reported, but hematemesis is rarely encountered as an initial symptom of multiple myeloma. Here we report a case of multiple myeloma with an initial symptom of hematemesis. Gastroscopy revealed ulceration in the angulus of the stomach. Colonoscopy revealed many ulcers in the ascending colon. A definite diagnosis of gastrointestinal amyloidosis was made using tissue biopsy. A definite diagnosis of multiple myeloma was made using bone marrow puncture. Hematemesis may be an initial symptom of multiple myeloma. A diagnosis of amyloidosis-induced hematemesis should be considered in patients with multiple myeloma.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180227
[Lr] Fecha última revisión:180227
[St] Status:In-Process
[do] DOI:10.5152/tjg.2018.17710


  8 / 3336 MEDLINE  
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[PMID]:29443759
[Au] Autor:Han P; Yang L; Huang XW; Zhu XQ; Chen L; Wang N; Li Z; Tian DA; Qin H
[Ad] Dirección:Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan.
[Ti] Título:A traumatic hepatic artery pseudoaneurysm and arterioportal fistula, with severe diarrhea as the first symptom: A case report and review of the literature.
[So] Fuente:Medicine (Baltimore);97(7):e9893, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicación:United States
[La] Idioma:eng
[Ab] Resumen:RATIONALE: Hepaticarterioportal fistula (APF) is a rare cause of portal hypertension and gastrointestinal hemorrhage, and presents as abnormal communication between the hepatic artery and portal vein. Percutaneous liver biopsy is a main iatrogenic cause of AFP. However, non-iatrogenic, abdominal, trauma-related APF is rarely reported. PATIENT CONCERNS: A 29-year-old man presenting with severe, watery diarrhea was transferred to our hospital, and his condition was suspected to be acute gastroenteritis because he ate expired food and suffered a penetrating abdominal stab wound 5 years ago. After admission, the patient suffered from hematemesis, hematochezia, ascites, anuria, and kidney failure, and he developed shock. DIAGNOSES: The patient was finally diagnosed as a traumatic hepatic artery pseudoaneurysm and APF. INTERVENTIONS: This patient was treated with emergency transarterial embolization using coils. Since a secondary feeding vessel was exposed after the first embolization of the main feeding artery, a less-selective embolization was performed again. OUTCOMES: During the 6-month follow-up period, the patient remained asymptomatic. LESSONS: A penetrating abdominal stab wound is a rare cause of hepatic APFs, and occasionally leads to portal hypertension, the medical history and physical examination are the most important cornerstones of clinical diagnosis. Interventional radiology is essential for the diagnosis and treatment of an APF.
[Mh] Términos MeSH primario: Traumatismos Abdominales/complicaciones
Aneurisma Falso
Fístula Arteriovenosa
Diarrea/diagnóstico
Embolización Terapéutica/métodos
Arteria Hepática/diagnóstico por imagen
Hipertensión Portal/diagnóstico
Vena Porta/diagnóstico por imagen
[Mh] Términos MeSH secundario: Adulto
Aneurisma Falso/diagnóstico
Aneurisma Falso/etiología
Aneurisma Falso/fisiopatología
Aneurisma Falso/terapia
Fístula Arteriovenosa/diagnóstico
Fístula Arteriovenosa/etiología
Fístula Arteriovenosa/fisiopatología
Fístula Arteriovenosa/terapia
Diagnóstico Diferencial
Diarrea/etiología
Seres Humanos
Hipertensión Portal/etiología
Masculino
Tomografía Computarizada por Rayos X/métodos
Resultado del Tratamiento
[Pt] Tipo de publicación:CASE REPORTS; JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180222
[Lr] Fecha última revisión:180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Fecha de ingreso para procesamiento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009893


  9 / 3336 MEDLINE  
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[PMID]:29468375
[Au] Autor:Henderson L; Nour S; Dagash H
[Ad] Dirección:Department of Pediatric Surgery, Leicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. Lucy.henderson@doctors.org.uk.
[Ti] Título:Heterotopic Pancreas: A Rare Cause of Gastrointestinal Bleeding in Children.
[So] Fuente:Dig Dis Sci;, 2018 Feb 22.
[Is] ISSN:1573-2568
[Cp] País de publicación:United States
[La] Idioma:eng
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180222
[Lr] Fecha última revisión:180222
[St] Status:Publisher
[do] DOI:10.1007/s10620-018-4981-z


  10 / 3336 MEDLINE  
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[PMID]:29455820
[Au] Autor:Soeda T; Sakashita M; Hamada T; Saito Y; Kitakado Y; Morioka N
[Ad] Dirección:Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan. Electronic address: soeda_takeshi@matsue.jrc.or.jp.
[Ti] Título:Ductus Aneurysm Ruptured Into the Esophagus With Massive Bleeding.
[So] Fuente:Ann Thorac Surg;105(3):e109-e111, 2018 Mar.
[Is] ISSN:1552-6259
[Cp] País de publicación:Netherlands
[La] Idioma:eng
[Ab] Resumen:We report a patient with life-threatening hematemesis caused by the rupture of a ductus aneurysm into the esophagus, which was successfully treated by coil embolism for the esophageal fistula through the aorta and subsequent thoracic endovascular aortic replacement. Second-stage therapy was performed surgically after proactive antibiotic treatment and in consideration of the patient's improved general condition. This included debridement with drainage, aortic encasement with remnant aneurysmal wall, omentopexy, and jejunostomy. The esophagus was preserved, and satisfactory healing and natural closure of the fistula were achieved. Although repeated aspirations were later required for pleural fluid, such inflammatory complications finally subsided.
[Pt] Tipo de publicación:JOURNAL ARTICLE
[Em] Mes de ingreso:1802
[Cu] Fecha actualización por clase:180219
[Lr] Fecha última revisión:180219
[St] Status:In-Data-Review



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