500 results match your criteria Esophageal Hematoma

Thoracic esophageal injury due to a neck stab wound: a case report.

Surg Case Rep 2021 May 20;7(1):126. Epub 2021 May 20.

Department of Digestive Surgery, Tsuchiura Kyodo General Hospital, 4-1-1 Otuno, Tsuchiura-shi, Ibaraki, Japan.

Background: Traumatic esophageal injury leads to severe complications such as mediastinitis, pyothorax, and tracheoesophageal fistula. Although prompt diagnosis and treatment are required, there are no established protocols to guide diagnosis or treatment. In particular, thoracic esophageal injury tends to be diagnosed later than cervical esophageal injury because it has few specific symptoms. Read More

View Article and Full-Text PDF

Esophageal Cancer Surgery in Dialyzed Patients: A Single Institution Case Series.

Ann Thorac Cardiovasc Surg 2021 Apr 27. Epub 2021 Apr 27.

Department of Gastroenterological Surgery, Toranomon Hospital, Tokyo, Japan.

We sought to evaluate the feasibility of esophageal carcinoma (EC) surgery in cases requiring dialysis. Among 250 consecutive patients undergoing surgical resection for EC, three on maintenance dialysis were identified. We retrospectively analyzed their clinical characteristics. Read More

View Article and Full-Text PDF

Spontaneous Intramural Esophageal Hematoma Secondary to Thrombolysis in the Setting of Pulmonary Embolism.

Vasc Endovascular Surg 2021 Jul 8;55(5):510-514. Epub 2021 Feb 8.

Cardiovascular Intervention Research Center, 158776Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Intramural hematoma of the esophagus (IHE) represents a rare condition on the spectrum of esophageal injuries. The most common symptoms are hematemesis, epigastric pain or retrosternal chest pains, odynophagia, and dysphagia. Early recognition of IHE is important as it may mimic other diseases such as myocardial infarction, pulmonary embolism, Mallory-Weiss tears, Boerhaave's syndrome, ruptured aortic aneurysms, and aortic dissection. Read More

View Article and Full-Text PDF

A study on safe forceps grip force for the intestinal tract using haptic technology.

Minim Invasive Ther Allied Technol 2021 Jan 19:1-7. Epub 2021 Jan 19.

Haptics Research Center, Keio University, Kanagawa, Japan.

Purpose: The present study used haptic technology to determine the safe forceps grip force for preventing organ damage when handling the intestinal tract.

Material And Methods: The small intestines of ten male beagle dogs (weighing 9.5-10 kg) were grasped with the entire forceps for one minute; the small intestines were then pulled out of the forceps and evaluated for damage. Read More

View Article and Full-Text PDF
January 2021

The Conundrum of Treating Portal Vein Thrombosis and Submucosal Esophageal Hematoma.

Cureus 2020 Dec 11;12(12):e12031. Epub 2020 Dec 11.

Internal Medicine, Joan C. Edwards School of Medicine - Marshall University, Huntington, USA.

Submucosal esophageal hematoma (SEH) is an uncommon clinical entity and a rare form of esophageal insult. Patients usually present with retrosternal chest pain and dysphagia, which often make the diagnosis of SEH difficult as it mimics common cardiovascular and pulmonary disorders. One of the common inciting factors includes the use of anticoagulants. Read More

View Article and Full-Text PDF
December 2020

Space-Occupying Lesions of the Retropharyngeal Space: An Anatomical Study With Application to Postoperative Retropharyngeal Hematomas.

Global Spine J 2021 Jun 13;11(5):704-708. Epub 2020 May 13.

Swedish Medical Center, Seattle, Washington, DC, USA.

Study Design: Cadaver study.

Objective: The retropharyngeal space's (RPS's) clinical relevance is apparent in anterior cervical spine surgery with respect to postoperative hematoma, which can cause life-threatening airway obstruction. This cadaver study aims to establish guidance toward a better understanding of the tolerance of the RPS to accommodate fluid accumulation. Read More

View Article and Full-Text PDF

Esophageal Hematoma Associated with the Bolus Ingestion of Hot Coffee.

Intern Med 2020 Nov 7;59(21):2701-2704. Epub 2020 Jul 7.

Department of Gastroenterology, Toranomon Hospital, Japan.

A 59-year-old woman presented with pharyngeal discomfort and dysphagia starting the previous day. Esophagogastroduodenoscopy revealed a longitudinal reddish area and hematoma mainly on the left wall of the esophagus. On the previous day, she had felt a piece of meat sticking in her throat while eating; she therefore rapidly gulped down some hot coffee to hasten the passage of the meat. Read More

View Article and Full-Text PDF
November 2020

Patient satisfaction with continuous epidural analgesia after major surgical procedures at a Swedish University hospital.

PLoS One 2020 2;15(7):e0235636. Epub 2020 Jul 2.

Department of Surgical Sciences, Unit for Anaesthesiology and Intensive Care, Uppsala University, Uppsala, Sweden.

Objective: The use of epidural analgesia after major surgery is a well-established analgesia method. Epidural analgesia for postoperative pain relief needs to be monitored regularly in order to evaluate patient satisfaction and avoid side effects. However, due to the new available regional techniques, the role of epidural analgesia is being questioned and data about patient satisfaction is lacking. Read More

View Article and Full-Text PDF
September 2020

Aortic injury caused by esophageal foreign body-case reports of 3 patients and literature review.

Medicine (Baltimore) 2020 Jun;99(26):e20849

Department of Thoracic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China.

Objectives: Ingestion of a foreign body can cause different degrees of damage to esophagus, and several complications are potentially life-threatening if not properly handled. The aortic injury caused by a perforating esophageal foreign body is rare but lethal. The optimal management still remains controversial. Read More

View Article and Full-Text PDF

Massive esophageal hemorrhage after a MitraClip procedure successfully treated by balloon compression.

Clin J Gastroenterol 2020 Oct 25;13(5):693-696. Epub 2020 Jun 25.

Department of Gastroenterology, Sendai Kousei Hospital, 4-15, Hirose-machi, Aoba-ku, Sendai, Miyagi, 980-0873, Japan.

MitraClip procedure is an effective treatment for mitral regurgitation, performed globally. During the MitraClip procedure, transesophageal echocardiography is an essential modality to perform the operation safely. Although a few transesophageal echocardiography-related complications, such as esophageal hematoma, have been reported, there are no reports on massive esophageal bleeding after the MitraClip procedure. Read More

View Article and Full-Text PDF
October 2020

Safety of Transesophageal Echocardiography to Guide Structural Cardiac Interventions.

J Am Coll Cardiol 2020 06;75(25):3164-3173

Department of Cardiology, Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada. Electronic address:

Background: Despite the widespread use of transesophageal echocardiography (TEE) to guide structural cardiac interventions, studies evaluating safety in this context are lacking.

Objectives: This study sought to determine the incidence, types of complications, and factors associated with esophageal or gastric lesions following TEE manipulation during structural cardiac interventions.

Methods: This was a prospective study including 50 patients undergoing structural cardiac interventions in which TEE played a central role in guiding the procedure (mitral and tricuspid valve repair, left atrial appendage closure, and paravalvular leak closure). Read More

View Article and Full-Text PDF

Importance of second-look endoscopy after per-oral endoscopic myotomy for safe postoperative management.

Dig Endosc 2021 Mar 2;33(3):364-372. Epub 2020 Sep 2.

Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan.

Objectives: Per-oral endoscopic myotomy (POEM) is a safe and effective treatment for achalasia and esophageal motility disorders. The role of second-look endoscopy (SE) on postoperative day 1 has not been examined. This study aimed to evaluate the findings and need of SE after POEM. Read More

View Article and Full-Text PDF

Undiagnosed aortoesophageal fistula causing intramural hematoma of the esophagus.

Radiol Case Rep 2020 Aug 1;15(8):1128-1132. Epub 2020 Jun 1.

Department of Radiology, West Virginia University School of Medicine, Suite 2244 Health Sciences South/PO Box 9235, Morgantown, WV 26506-9235, USA.

Aortoesophageal fistula (AEF) is a rare, but life-threatening cause of intramural hematoma of the esophagus (IHE). Typical clinical presentation of AEF includes midthoracic pain and sentinel hemorrhage followed by massive, often fatal, hematemesis, with the period between sentinel hemorrhage and massive hematemesis generally varying from hours to days. This is a case of a 61-year-old male who presented with chest pain after development of an aortoesophageal fistula and associated intramural hematoma of the esophagus. Read More

View Article and Full-Text PDF

Risk of esophageal thermal injury during catheter ablation for atrial fibrillation guided by different ablation index.

Pacing Clin Electrophysiol 2020 07 29;43(7):633-639. Epub 2020 May 29.

Department of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Background: During ablation for atrial fibrillation (AF), energy delivery toward the left atrial posterior wall may cause esophageal injury (EI). Ablation index (AI) was introduced to estimate ablation lesion size, however, the impact of AI technology on the risk of EI has not been explored.

Method: From March 2019 to December 2019, 60 patients with paroxysmal AF undergoing first-time ablation were prospectively enrolled. Read More

View Article and Full-Text PDF

[Clinical study of single-level cervical disc herniation treated by full-endoscopic decompression via anterior transcorporeal approach].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):543-549

Department of Spinal Surgery, Honghui Hospital Affiliated to Medical School of Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To investigate the clinical feasibility of full-endoscopic decompression for the treatment of single-level cervical disc herniation via anterior transcorporeal approach.

Methods: According to the inclusion and exclusion criteria, 21 patients with cervical disc herniation who received full-endoscopic decompression via anterior transcorporeal approach between September 2014 and March 2016 were retrospectively analyzed. There were 12 males and 9 females with an age ranged from 32 to 65 years, with an average of 48. Read More

View Article and Full-Text PDF

[A man with vomiting and retrosternal pain and dysphagia].

Ned Tijdschr Geneeskd 2020 04 20;164. Epub 2020 Apr 20.

Canisius Wilhelmina Ziekenhuis, afd. Maag-darm-leverziekten, Nijmegen.

A 67-year-old male presents with complaints of severe retrosternal pain, frequent vomiting and dysphagia. Endoscopy revealed a very large intramural oesophageal hematoma, obliterating the lumen. Additional CT-imaging showed peri-oesophageal air collections, indicative for oesophageal perforation (compatible with Boerhaave's syndrome). Read More

View Article and Full-Text PDF

Complications of anterior cervical spine surgery: a systematic review of the literature.

J Spine Surg 2020 Mar;6(1):302-322

Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.

The anterior approach to the cervical spine is commonly utilized for a variety of degenerative, traumatic, neoplastic, and infectious indications. While many potential complications overlap with those of the posterior approach, the distinct anatomy of the anterior neck also presents a unique set of hazards. We performed a systematic review of the literature to assess the etiology, presentation, natural history, and management of these complications. Read More

View Article and Full-Text PDF

Dissecting intramural hematoma of the esophagus: An unusual endoscopic finding.

Rev Gastroenterol Mex (Engl Ed) 2020 Apr - Jun;85(2):211-212. Epub 2020 Feb 27.

Centro de Enfermedades Digestivas, Hospital del Valle, San Pedro Sula, Honduras.

View Article and Full-Text PDF

Operative Results and Perioperative Morbidity After Intensified Neoadjuvant Chemotherapy with FLOT for Gastroesophageal Adenocarcinoma Impact of Intensified Neoadjuvant Treatment.

J Gastrointest Surg 2021 01 10;25(1):58-66. Epub 2020 Feb 10.

Department of Medical Oncology, Klinikum Grosshadern and Comprehensive Cancer Center, University of Munich, Marchionini Str. 15, 81377, Munich, Germany.

Background: Perioperative treatment is the standard of care in Western Europe for locally advanced gastric cancer (GC) and adenocarcinoma of the gastroesophageal junction (GEJ). Intensified neoadjuvant treatment within the NeoFLOT trial proved to be safe and effective. Yet, the influence of such intensification with 6 cycles of FLOT in the neoadjuvant setting has not been analyzed regarding its possible impact on perioperative results. Read More

View Article and Full-Text PDF
January 2021

Intramural Esophageal Dissection: A Rare Cause of Acute Chest Pain after Percutaneous Coronary Intervention.

J Tehran Heart Cent 2019 Jul;14(3):138-140

Cardiovascular Intervention Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Intramural esophageal dissection is a condition that typically presents with chest pains and may be associated with hematemesis, odynophagia, and hematemesis. The role of antiplatelet/anticoagulant agents in the development of intramural esophageal hematoma is controversial. The management of intramural esophageal dissection is generally conservative with low mortality and morbidity. Read More

View Article and Full-Text PDF

A rare cause of esophageal mucosal and submucosal lesions.

Rev Esp Enferm Dig 2020 Feb;112(2):158

Department of Gastroenterology, Shenzhen People's Hospital, China.

A 45-year-old male was admitted with palpitations, chest discomfort and a swallowing obstruction of one hour duration after chewing a betel nut. The symptoms appeared within five minutes. His physical examination was unremarkable other than tachycardia and the results of routine laboratory testing were within the normal limits. Read More

View Article and Full-Text PDF
February 2020

Hard to Swallow: A Mediastinal Hematoma Causing Esophageal Compression After Endobronchial Ultrasound-guided Transbronchial Needle Aspiration.

J Bronchology Interv Pulmonol 2020 Jan;27(1):e1-e3

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.

View Article and Full-Text PDF
January 2020

Endoscopic treatment of oesophageal injury after thyroidectomy - a case report.

Pol Przegl Chir 2019 Jun;91(6):50-52

Oddział Chirurgii Ogólnej i Onkologicznej, Szpital Specjalistyczny im. Floriana Ceynowy w Wejherowie.

The most common complications after thyroidectomy are postoperative neck hematoma, recurrent laryngeal nerve injury and hypoparathyroidism [1]. However, iatrogenic cervical esophageal perforation is a very rare repercussion of this procedure. In literature there are a few reported cases concerning this complication. Read More

View Article and Full-Text PDF

Acute chest pain and esophageal mucosal injury following an extreme yoga position Case report.

Ann Ital Chir 2019 Sep 30;8. Epub 2019 Sep 30.

A young lady complained of the sudden onset of intense chest pain, in consequence of an extreme hyperextension of the back in a yoga position. At endoscopy a large lesion of the esophageal epithelium was detected, involving the middle third of the anterior wall of the esophagus. Other symptoms reported by the patient were dysphagia and odynophagia, depicting the typical features of intramural hematoma, also known as intramural dissection or intramural perforation of the oesophagus. Read More

View Article and Full-Text PDF
September 2019

Intramural Esophageal Hematoma Secondary to Food Ingestion.

Cureus 2019 Sep 11;11(9):e5623. Epub 2019 Sep 11.

Gastroenterology, State University of New York Upstate Medical University, Syracuse, USA.

Intramural esophageal hematoma (IEH) is a rare cause of submucosal esophageal bleeding and it is on the spectrum of esophageal wall injury along with mucosal tears (Mallory-Weiss syndrome) and full thickness perforation (Boerhaave's syndrome). Its risk factors include coagulopathy, trauma (foreign body ingestion or esophageal instrumentation) or it can happen spontaneously. It presents with a triad of chest pain, dysphagia, and hematemesis; however, the triad is only present in 35% of patients. Read More

View Article and Full-Text PDF
September 2019

Esophageal Hematoma Mimicking a Large Esophageal Polyp: A Diagnostic Clue of Acquired Hemophilia A.

Mayo Clin Proc 2019 10;94(10):2142-2143

Department of Gastroenterology, Tokyo Shinagawa Hospital, Shinagawa, Japan.

View Article and Full-Text PDF
October 2019

A Review of Complication Rates for Anterior Cervical Diskectomy and Fusion (ACDF).

Nancy E Epstein

Surg Neurol Int 2019 7;10:100. Epub 2019 Jun 7.

Professor of Clinical Neurosurgery, School of Medicine, State University of New York at Stony Brook, New York, and Chief of Neurosurgical Spine and Education, NYU Winthrop Hospital, NYU Winthrop NeuroScience/Neurosurgery, Mineola, New York 11501, USA.

Background: There are multiple complications reported for anterior cervical diskectomy and fusion (ACDF), one of the most common cervical spine operations performed in the US (e.g. estimated at 137,000 ACDF/year). Read More

View Article and Full-Text PDF

[Observation of stand-alone MC+polyether-ether-ketone (PEEK) Cage in anterior cervical double-level fusion for more than 2 years follow-up].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Sep;33(9):1151-1155

Department of Orthopedics, Anqing Hospital Affiliated to Anhui Medical University, Anqing Anhui, 246003, P.R.China.

Objective: To investigate the effectiveness of stand-alone MC+polyether-ether-ketone (PEEK) Cage (single blade type) in anterior cervical double-level fusion for more than 2 years follow-up.

Methods: A clinical data of 30 patients who were treated with anterior cervical fusion surgery with stand-alone MC+PEEK Cage (single blade type) between January 2013 and December 2016 and followed up for more than 2 years, was retrospectively analyzed. There were 16 males and 14 females, aged from 34 to 72 years with an average of 52. Read More

View Article and Full-Text PDF
September 2019

Neonatal functional brain maturation in the context of perioperative critical care and pain management: A case report.

Heliyon 2019 Aug 23;5(8):e02350. Epub 2019 Aug 23.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, 300 Longwood Ave., Bader 3, Boston, MA.

Introduction: Remarkable plasticity during the first year of life imparts heighted vulnerability of the developing infant brain. Application of resting-state functional magnetic resonance imaging (rs-fMRI) in infants may contribute to our understanding of neuroplastic changes associated with therapeutic interventions and/or brain insults. In addition to showing clinically relevant incidental brain MRI findings, the objective of our pilot study was to test feasibility of rs-fMRI methods at this early age in the context of pediatric perioperative critical care. Read More

View Article and Full-Text PDF