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2.
Ann Thorac Surg ; 90(1): 297-9, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20609805

ABSTRACT

A 70-year-old patient presented with melena, dyspnea, and generalized weakness. An endoscopy revealed a deep ulcer with a pulsatile clot in the intrathoracic gastric tube that had been previously constructed for esophageal replacement. Shortly thereafter, the patient died of exsanguination secondary to a fistula between the stomach and the right ventricle. This complication presents a unique but deadly cause of gastrointestinal bleeding that mandates swift diagnosis and immediate surgical correction.


Subject(s)
Esophageal Diseases/surgery , Esophagectomy/adverse effects , Gastric Fistula/etiology , Gastrointestinal Hemorrhage/etiology , Heart Diseases/etiology , Stomach/surgery , Aged , Anastomosis, Surgical/adverse effects , Esophagus/surgery , Fatal Outcome , Heart Ventricles , Humans , Male , Rupture/surgery
3.
Am Surg ; 73(4): 397-9, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17439037

ABSTRACT

Warthin's tumor is a benign lymphoepithelial neoplasm representing 10 per cent of all parotid gland tumors. Malignant transformation of a Warthin's tumor is an extremely rare event. We report a case of a patient with poorly differentiated carcinoma arising from a Warthin's tumor, as well as review the pathogenesis, histopathology, and surgical management of malignant Warthin's tumors.


Subject(s)
Adenolymphoma/pathology , Parotid Neoplasms/pathology , Adenolymphoma/diagnosis , Adenolymphoma/surgery , Diagnosis, Differential , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Parotid Neoplasms/diagnosis , Parotid Neoplasms/surgery
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