Subject(s)
Fistula/diagnostic imaging , Pancreatic Fistula/diagnostic imaging , Pleural Diseases/diagnostic imaging , Adult , Cholangiography , Humans , Male , Pancreatectomy , Pancreatic Ducts/diagnostic imaging , Pancreatic Fistula/complications , Pancreatic Fistula/radiotherapy , Pancreatitis/complications , Pancreatitis/diagnostic imaging , Pancreatitis/surgery , Pleural Diseases/complications , Pleural Diseases/radiotherapy , Pleural Effusion/complications , Pleural Effusion/diagnostic imaging , Pleural Effusion/pathologySubject(s)
Bezoars/drug therapy , Cellulase/therapeutic use , Gastrectomy , Aged , Bezoars/etiology , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
A case of esophageal perforation occurring in a 75-year-old man is presented. The clinical presentation was benign and the diagnosis of esophageal perforation was made incidental to an upper gastrointestinal barium examination. Conservative management consisting of nasogastric suctioning, antibiotics and antacids was effective in minimizing the clinical course. This represents a rare instance of a successful nonsurgical approach to esophageal perforation.
Subject(s)
Esophageal Perforation/therapy , Aged , Anti-Bacterial Agents/therapeutic use , Esophageal Perforation/complications , Esophageal Perforation/diagnostic imaging , Humans , Infusions, Parenteral , Male , Mediastinitis/drug therapy , Mediastinitis/etiology , Mediastinitis/therapy , Radiography , SuctionABSTRACT
A case report and review of the literature of benign gastric ulcer complicated by gastrocolic fistula are presented. Twenty-seven percent of patients were found to be receiving ulcerogenic medications. Only 15% of patients had previous histories of ulcer disease. Parameters most suggestive of a neoplastic process included palpable abdominal mass and unexplained anemia. Diagnosis is established by barium enema. Endoscopic biopsy and cytologic studies are useful in differentiating benign from malignant processes. Surgical management of benign ulcers complicated by fistula results in more than 90% survival.
