Subject(s)
Angioplasty, Balloon, Coronary , Coronary Aneurysm/diagnostic imaging , Postoperative Complications/diagnostic imaging , Angina, Unstable/complications , Chest Pain/etiology , Coronary Angiography , Coronary Stenosis/diagnostic imaging , Coronary Vessels/diagnostic imaging , Echocardiography , Humans , Image Processing, Computer-Assisted , Male , Middle Aged , Myocardial Revascularization , Postoperative Complications/diagnosis , Stents , Tomography, X-Ray ComputedSubject(s)
Diagnostic Errors , Hernia, Diaphragmatic/diagnosis , Hydropneumothorax/diagnosis , Abdominal Pain/etiology , Adult , Drainage , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic/surgery , Humans , Male , Radiography, Thoracic , Respiration Disorders/etiology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
Aluminum phosphide is a lethal systemic poison with 80%-90% mortality. Survivors have taken either a very small amount or the tablet had been exposed to air, rendering it less toxic, but often causing severe esophageal injuries. The presentation and treatment of 11 cases of esophageal injury due to aluminum phosphide are described. Ten patients had esophageal stricture, and 1 had tracheoesophageal fistula with stricture. Endoscopic bougie dilatation was sufficient in 7 patients, and surgical intervention was required in 4 who underwent definitive repair via gastric tube or feeding jejunostomy with a 2(nd) stage repair planned in 2. There was no mortality but significant morbidity. Mortality and morbidity might be prevented by withdrawing this pesticide from the market, making its sale difficult, or modifying the packaging.
Subject(s)
Aluminum Compounds/poisoning , Esophageal Stenosis/epidemiology , Esophagus/injuries , Pesticides/poisoning , Phosphines/poisoning , Tracheoesophageal Fistula/epidemiology , Adult , Endoscopy, Gastrointestinal , Esophageal Stenosis/chemically induced , Esophageal Stenosis/diagnosis , Esophagus/drug effects , Female , Follow-Up Studies , Humans , India/epidemiology , Male , Morbidity/trends , Retrospective Studies , Suicide, Attempted , Survival Rate/trends , Tablets , Tracheoesophageal Fistula/chemically induced , Tracheoesophageal Fistula/diagnosisABSTRACT
Gastropleural fistula is a rare condition. We report a case where fistula developed iatrogenically during repeated intercostal drainage tube insertions for empyema.
ABSTRACT
Hydatid cyst of the heart is an uncommon lesion. Reported is the case of a 24-year-old female patient admitted with a history of chest pain and hemoptysis, and a mass lesion in the right atrium. Investigations and intraoperative intervention revealed the mass to be a hydatid cyst located in the right atrium, along with hydatid cysts of the liver and both lungs. The right atrial mass was successfully removed under cardiopulmonary bypass.
Subject(s)
Echinococcosis/diagnosis , Echinococcosis/surgery , Heart Atria/parasitology , Heart Atria/surgery , Adult , Cardiopulmonary Bypass , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/diagnosis , Echinococcosis, Pulmonary/surgery , Female , HumansABSTRACT
We report a case of a congenital atraumatic lung hernia who underwent a successful operation.
Subject(s)
Hernia/congenital , Herniorrhaphy , Lung Diseases/surgery , Child , Female , Follow-Up Studies , Hernia/diagnostic imaging , Humans , India , Lung Diseases/diagnostic imaging , Radiography, Thoracic , Risk Assessment , Severity of Illness Index , Thoracotomy/methods , Treatment OutcomeABSTRACT
A rare case of esophagopleural fistula following spontaneous rupture of a traction diverticulum of the esophagus in a 25-year-old man was successfully treated by diverticulectomy.
