2.Esophageal tubular duplication complicated with intraluminal hematoma: a case report.
Young Sun KIM ; Choong Ki PARK ; Yo Won CHOI ; Seok Chol JEON ; Heung Suk SEO ; Chang Kok HAHM
Journal of Korean Medical Science 2000;15(4):463-466
Esophageal tubular duplication is a rare congenital anomaly. We experienced a patient with esophageal tubular duplication who presented with a swallowing difficulty which was aggravated after a gastrofiberscopic examination. Preoperative diagnosis was intramural hematoma of the esophagus due to trauma caused by endoscopy. Surgical specimen revealed that hematoma was located within a duplicated lumen of the esophagus. The radiologic and endoscopic findings are discussed in correlation with its pathology.
Aged
;
Case Report
;
Deglutition Disorders/etiology+ACo-
;
Esophageal Diseases/etiology+ACo-
;
Esophagus/surgery
;
Esophagus/injuries
;
Esophagus/abnormalities+ACo-
;
Gastroscopy/adverse effects+ACo-
;
Hematoma/etiology+ACo-
;
Human
;
Male
3.Esophageal tubular duplication complicated with intraluminal hematoma: a case report.
Young Sun KIM ; Choong Ki PARK ; Yo Won CHOI ; Seok Chol JEON ; Heung Suk SEO ; Chang Kok HAHM
Journal of Korean Medical Science 2000;15(4):463-466
Esophageal tubular duplication is a rare congenital anomaly. We experienced a patient with esophageal tubular duplication who presented with a swallowing difficulty which was aggravated after a gastrofiberscopic examination. Preoperative diagnosis was intramural hematoma of the esophagus due to trauma caused by endoscopy. Surgical specimen revealed that hematoma was located within a duplicated lumen of the esophagus. The radiologic and endoscopic findings are discussed in correlation with its pathology.
Aged
;
Case Report
;
Deglutition Disorders/etiology+ACo-
;
Esophageal Diseases/etiology+ACo-
;
Esophagus/surgery
;
Esophagus/injuries
;
Esophagus/abnormalities+ACo-
;
Gastroscopy/adverse effects+ACo-
;
Hematoma/etiology+ACo-
;
Human
;
Male
4.Trachea, Esophagus, and Spinal Cord Injury Caused by Stab Wound: A case report.
Jong In KIM ; Sung Rae CHO ; Eok Sung PARK ; Hyungchul KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2010;43(6):808-811
Simultaneous occurrence of the trachea, esophagus, and spinal cord injuries due to stabbing is rare. The incidence is decreasing, but early diagnosis and surgical treatment is important because it can be life-threatening. We present one case of simultaneous trachea, esophagus, and spinal cord injury caused by self-stabbing complicated with paraplegia.
Early Diagnosis
;
Esophagus
;
Incidence
;
Paraplegia
;
Spinal Cord
;
Spinal Cord Injuries
;
Trachea
5.Treatment of a Nail in the Intestine after a Neck Injury from Accidental Firing of the Nail Gun: A case report.
Jin Sung YANG ; Hwa Kyun SHIN ; Jae Wook LEE ; Yong Soon WON ; Young Woo PARK
The Korean Journal of Thoracic and Cardiovascular Surgery 2008;41(5):675-678
A 42-year-old male was admitted because of an anterior neck injury due to accidental firing of a nail gun. On chest X-ray, the nail was stuck in the anterior neck, migrated to the chest, and then to the abdomen. Only the trachea was damaged, leaving no injury in the esophagus. The nail in the intestine was removed by colonoscopy. The patient showed complete recovery without complications after fasting and conservative treatment. We report this case with a literature review.
Abdomen
;
Adult
;
Colonoscopy
;
Esophagus
;
Fasting
;
Fires
;
Humans
;
Intestines
;
Male
;
Nails
;
Neck
;
Neck Injuries
;
Thorax
;
Trachea
6.Whole esophagus deep burns with a metal foreign body in the stomach: a case report.
Yan YANG ; Nengkan XIAO ; Hanqiu XIE ; Zhongming TANG
Journal of Southern Medical University 2014;34(4):582-583
Whole esophagus deep burn is an extremely rare upper gastrointestinal tract disease. We report a case of severe burns of involving extensive body skin, eyes, throat, and esophagus. Endoscopic examination revealed acute necrotizing esophagitis and detected a metal foreign body in the stomach. The patient underwent burn wound debridement with analgesia, anti-shock rehydration, anti-infection, and symptomatic treatments, which failed to improve the conditions. The patient died of respiratory and circulatory failure secondary to serious sepsis.
Burns
;
complications
;
Esophagus
;
injuries
;
Foreign Bodies
;
complications
;
Humans
;
Male
;
Middle Aged
;
Stomach
7.A Case of Shotgun Wound on Head and Neck.
Dae Won LEE ; Jong Kyu KIM ; Hyung Jin KIM ; Deug Rok CHOI
Korean Journal of Otolaryngology - Head and Neck Surgery 1997;40(11):1686-1690
Shotgun injury compared to gunshot injury has been reported to have tendency to make less severe damage due to its characteristic low velocity and fragmentation. Recently, we encountered with a patient who survived from shotgun injury. She shot herself for the purpose of suicide with a hunting gun. The multiple fragmented bullet particles were found on the nasal septum, inferior turbinate, near the sphenoid sinus, and especially in the esophagus. They were removed safely with nasal endoscope, C-arm, and esophagoscope. We report this case with review of literature.
Endoscopes
;
Esophagoscopes
;
Esophagus
;
Head*
;
Humans
;
Nasal Septum
;
Neck*
;
Sphenoid Sinus
;
Suicide
;
Turbinates
;
Wounds and Injuries*
8.Advances in the research of scar stricture after esophageal burn.
Chinese Journal of Burns 2013;29(5):459-462
Caustic esophageal burn is a common ailment in clinical practice. In some patients, scar stricture was formed in the late stage of injury, and it seriously undermined quality of life of the patients. We adopted various clinical interventions at an early stage in order to relieve and alleviate the formation and development of corrosive esophageal stricture as a result of chemical injury as well as to avoid invasive operations to make it more acceptable for the patients. This article summarized the progress in etiology, pathological changes, identification, early prevention, and surgical management of corrosive esophageal stricture.
Burns
;
complications
;
pathology
;
Constriction, Pathologic
;
etiology
;
pathology
;
Esophageal Stenosis
;
etiology
;
pathology
;
Esophagus
;
injuries
;
pathology
;
Humans
9.Painless esophagoscopy in extraction of foreign bodies in the esophagus.
Wentao ZOU ; Jiaxiang ZHANG ; Peixia SHI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(17):1341-1342
OBJECTIVE:
To evaluate the effects of intravenous anesthesia in painless esophagoscopy for extraction of foreign bodies in the esophagus.
METHOD:
Forty-two patients underwent painless esophagoscopy, and extracted the foreign bodies in the esophagus.
RESULT:
Thirty-two cases had their foreign bodies extracted smoothly and no serious complication occurred,the other 10 cases were mucosal injuries of esophagus with no obvious foreign body.
CONCLUSION
Intravenous sedation with propofol in extraction of foreign bodies in the esophagus can relieve the suffering and adverse reactions, and it is safe, quick, comfortable and effective for extraction of foreign bodies in the esophagus and is worthy to be applied in the clinic.
Anesthesia, Intravenous
;
methods
;
Anesthetics, Intravenous
;
Esophagoscopy
;
methods
;
Esophagus
;
injuries
;
Female
;
Foreign Bodies
;
therapy
;
Humans
;
Male
;
Propofol
10.Clinical Application of Compressed Spectral Array During Deep Hypothermia.
Byung Chul CHAN ; Sun Kook YOO ; Sun Ho KIM ; Jae Sung SONG ; Sung Jei PARK ; Jun Ho MOON ; Joung Taek KIM ; Young Lan KWAK ; Yong Woo HONG
The Korean Journal of Thoracic and Cardiovascular Surgery 1997;30(8):752-759
Profound hypothermia protects cerebral function during total circulatory arrest(TCA) in the surgical treatment of a variety of cardiac and aortic diseases. Despite its importance, there is no ideal technique to monitor the brain injury from ischemia. Since 1994, we have developed compressed spectral array(CSA) of electroencephalography(EEG) and monitored cerebral activity to reduce ischemic injury. The purposes of this study are to analyse the efficacy of CSA and to establish objective criteria to consistently identify the safe level of temperature and arrest time. We studied 6 patients with aortic dissection(AD, n=3) or aortic arch aneurysm(n=3, ruptured in 2). Body temperatures from rectum and esophagus and the EEG were monitored continuously during cooling and rewarming period. TCA with cerebral ischemia was performed in 3 patients and TCA with selective cerebral perfusion was performed in 3 patients. Total ischemic time was 30, 36 and 56 minutes respectively for TCA group and selective perfusion time was 41, 56 and 92 minutes respectively for selective perfusion group. The rectal temperatures for flat EEG were between 16.1 and 22.1 degrees C (mean:18.4+/-2.0); the esophageal temperatures between 12.7 and 16.4 degrees C(mean : 14.7+/-1.6). The temperatures at which EEG reappeared 5~15.4 degrees C for esophagus. There was no neurological deficit and no surgical mortality in this series. In summary, the electrical cerebral activity reappeared within 23 minutes at the temperature less than 16degrees C for rectum. It seemed that 15 degrees C of esophageal temperature was not safe for 30 minutes of TCA and continuous monitoring the EEG with CSA to identify the electrocerebral silence was useful.
Aorta, Thoracic
;
Aortic Diseases
;
Body Temperature
;
Brain Injuries
;
Brain Ischemia
;
Electroencephalography
;
Esophagus
;
Humans
;
Hypothermia*
;
Hypothermia, Induced
;
Ischemia
;
Mortality
;
Perfusion
;
Rectum
;
Rewarming