ABSTRACT
No abstract available.
Subject(s)
Humans , Male , Middle Aged , Endoscopy, Digestive System , Esophagitis, Peptic/diagnosis , Proton Pump Inhibitors/therapeutic use , Severity of Illness Index , Sucralfate/therapeutic useABSTRACT
The Sengstaken-Blakemore tube (SB tube) is used to control esophageal or gastric variceal bleeding in emergencies, and various complications have been reported following its use. Tracheoesophageal fistula (TEF) is an extremely rare complication after SB tube insertion. We herein present a case of an 80-year-old female patient who experienced TEF after repeated insertion of the SB tube to control recurrent gastric variceal hemorrhage.
Subject(s)
Aged, 80 and over , Female , Humans , Emergencies , Hemorrhage , Tracheoesophageal FistulaABSTRACT
Visceral artery pseudoaneurysms are uncommon. The splenic artery is the most commonly affected visceral artery. They usually develop secondary to chronic pancreatitis. Only 20 cases of giant pseudoaneurysms, defined as psedoaneurysms equal to, or greater than, 5 cm in sized, have been reported until now. Pseudoaneurysmal rupture can manifest as gastrointestinal bleeding. In this case, hemosuccus pancreaticus which means fistula to pancreatic duct, and hemorrhage in stomach, duodenum, or adjacent gastrointestinal track which result from fistula to gastrointestinal track are two main symptoms that develop. Both of them require immediate operation or transcatheter embolization. We herein describe the case of a giant splenic pseudoanerysmal rupture with gastric fistula in a patient who presented with hematemesis.
Subject(s)
Humans , Aneurysm, False , Arteries , Duodenum , Fistula , Gastric Fistula , Hematemesis , Hemorrhage , Pancreatic Ducts , Pancreatitis, Chronic , Rupture , Splenic Artery , Stomach , Track and FieldABSTRACT
Recent research reveal that the diagnosis of gastric extraluminal compressions mimicking subepithelial tumor is increasing in numbers as esophagogastroduodenoscopy becomes widespread. Endoscopic ultrasonography is a very useful tool for differentiating extraluminal compressions from subepithelial tumors. Gastric extraluminal compressions are due to compression by either normal adjacent organs or pathologic conditions. Pathologic conditions are mainly benign, but some requires operation according to its size. We report a case of a 24-year-old female, who underwent esophagogastroduodenoscopy and was misdiagnosed with gastric subepithelial tumor. Endoscopic ultrasonographic findings showed anechoic cyst outside the gastric wall, which revealed to be a splenic cyst.