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Endoscopic extraction of a submucosal esophageal foreign body piercing into the thoracic aorta:A case report

World Journal of Clinical Cases 2022年第8期10卷 2484-2490页

作者： Zhi-Cao Chen Gui-Quan Chen Xiao-Chun Chen Chang-Ye Zheng Wei-Dong Cao Gang-Hao Deng Department of Gastroenterology Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina Department of Radiology Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina Department of Cardiovascular Surgery Affiliated Dongguan HospitalSouthern Medical UniversityDongguan 523000Guangdong ProvinceChina

BACKGROUND Aorto-esophageal injury is a rare but life-threatening complication of esophageal foreign bodies,which typically requires open *** best way to treat patients with this condition remains *** date,few reports have described an aortic wall directly penetrated by a sharp foreign ***,we present a rare case of a fishbone completely embedded in the esophageal muscularis propria and directly piercing the aorta,which was successfully treated by endoscopy and thoracic endovascular aortic repair(TEVAR).CASE SUMMARY We report the case of a 71-year-old man with a 1-d history of retrosternal pain after eating *** abnormal findings were observed by the emergency *** tomography showed a fishbone that had completely pierced through the esophageal mucosa and into the *** patient refused to undergo surgery for personal reasons and was *** days after the onset of illness,he was readmitted to our *** examination showed a nodule with a smooth surface in the middle of the *** ultrasonography confirmed a fishbone under the *** performing TEVAR,we incised the esophageal mucosa under an endoscope and successfully removed the *** patient has remained in good condition for 1 *** Incising the esophageal wall under endoscope and extracting a foreign body after TEVAR may be a feasible option for cases such as ours.

关键词： Endoscopy esophageal foreign body esophageal perforation Aortic penetration Case report

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A Pregnant Woman Died of Sudden Cardiac Death:Should esophageal foreign body Be Considered an Inductive Factor?A Case Report and Literature Review

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Journal of Forensic Science and Medicine 2022年第4期8卷 186-189页

作者： Chang Cao Mingming Li Zhanzhan Liu Shiyong Fang Gang Chen Guang Chen Tongjun Ma Xuyang Zhu Xiang Xu School of Forensic Medicine Wannan Medical CollegeWuhuAnhui ProvinceChina Wannan Medical College Wuhu Zhiwei Pathology Diagnosis CenterWuhuAnhui ProvinceChina

Here,we report a case of acute attack of coronary heart disease(CHD).A 47‑year‑old pregnant woman with gestational hypertension developed sudden‑onset chest tightness,palpitations,dyspnea,and cyanosis of the face and lips after *** blood pressure was 180/110 mmHg and her blood oxygen saturation was 45%at that *** cardiopulmonary resuscitation,a weak heartbeat was restored,but oxygen saturation did not increase ***,she was transferred to the intensive care unit;however,she died after 21 days of *** findings revealed that a foreign body was embedded in the esophagus near the right piriform,and her heart weighed 392 g;histopathological examination revealed CHD,thrombosis in the lumen of the right coronary artery,cardiomyocyte hypertrophy,vascular hyaline degeneration in arterioles,neutrophils in the bronchiole and *** the tested samples yielded negative toxicological *** status and autopsy findings were not compatible with a diagnosis of peripartum *** patient’s sudden death was attributed to CHD,and esophageal foreign‑body impaction was considered to be concomitant *** findings might help in increasing the awareness between esophageal foreign‑body impaction and sudden cardiac death and they can also help in clarifying that understanding the primary cause of death is the key to resolving an iatrogenic medical tangle.

关键词： Advanced maternal age coronary heart disease esophageal foreign body forensic pathology sudden cardiac death

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Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging:A case report

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World Journal of Clinical Cases 2021年第23期9卷 6781-6788页

作者： Wei Pan Li-Jing Lin Ze-Wu Meng Xin-Ran Cai Yan-Ling Chen Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery Fujian Medical University Union HospitalFuzhou 350001Fujian ProvinceChina Fujian Medical University Cancer Center Fuzhou 350001Fujian ProvinceChina Department of Endocrinology Union HospitalFujian Institute of EndocrinologyFujian Medical University Union HospitalFuzhou 350001Fujian ProvinceChina

BACKGROUND foreign bodies stuck in the throat and esophagus can be discharged through the digestive ***-lodged foreign bodies can cause secondary injury or detrimental response,with hepatic abscess being one such,albeit rare,*** and discussion of the few case reports on such instances will help to improve the overall understanding of such conditions and aid in differential diagnosis to improve patient *** SUMMARY A 51-year-old female patient with pre-existing diabetes visited our hospital following a 15-d experience of chills and *** plain and enhanced magnetic resonance imaging and color Doppler ultrasound examination of the liver and gallbladder revealed a space-occupying lesion in the caudate lobe of the liver(7.8 cm×6.0 cm×5.0 cm).Initially,a malignant tumor was suspected,but differential diagnosis was unable to exclude the possibility of hepatic *** anti-infection therapy produced a less than ideal *** examination by hepatobiliary imaging with computed tomography suggested a foreign body present in the upper abdomen and hepatic abscess,and subsequent endoscopy revealed a sinus tract in the anterior wall of the duodenal ***,surgery was performed to remove the object(fishbone)and drain the *** a 2-wk uneventful recovery,the patient was *** final diagnosis was foreign body-induced hepatic abscess of the caudate *** Differential diagnosis is important for hepatic masses,and systematic examination and physician awareness can aid in diagnosing and curing such rare conditions.

关键词： esophageal foreign body Hepatic abscess Caudate lobe Cystadenocarcinoma Case report

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Neck and mediastinal hematoma caused by a foreign body in the esophagus with diagnostic difficulties:A case report

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World Journal of Clinical Cases 2022年第6期10卷 1961-1965页

作者： Li-Ping Wang Zhi-Ying Zhou Xiao-Ping Huang Yun-Juan Bai Hai-Xia Shi Di Sheng Department of Emergency and Trauma Center The International Medical CenterThe First Affiliated HospitalZhejiang University School of MedicineHangzhou 310003Zhejiang ProvinceChina

BACKGROUND esophageal foreign body(FB)is a common clinical ***,computed tomography(CT)scans are important in the diagnosis of FBs in the ***,we report a case of esophageal perforation and cervical hematoma,caused by a FB,whose uniqueness made rapid diagnosis *** SUMMARY A 42-year-old man was transferred to our hospital with esophageal perforation,which was accompanied by cervical and mediastinal *** scans only revealed a black shadow,approximately 2.5 cm in diameter,in the upper *** multidisciplinary discussion,he was quickly subjected to mediastinal hematoma resection,peripheral nerve compression release,esophageal FB removal and ***,we removed a small crab with a pointed tip from his *** This was an unusual case of occurrence of sharp polygonal esophageal FBs caused by a small *** diagnosis of this FB was difficult,mainly due to its translucent *** of sharp FBs,with cavities that sometimes only appear as black shadows on CT scans,can easily be mistaken for esophageal *** attention should be paid to such sharp polygonal FBs.

关键词： esophageal foreign body esophageal perforation Neck hematoma Case report

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Cap-assisted endoscopy for esophageal foreign bodies:A metaanalysis

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World Journal of Meta-Analysis 2023年第1期11卷 38-46页

作者： Zahid Ijaz Tarar Umer Farooq Matthew L Bechtold Yezaz A Ghouri Department of Internal Medicine University of MissouriColumbiaMO 65212United States Department of Medicine Loyola UniversityChicagoIL 60153United States Department of Medicine University of Missouri-ColumbiaColumbiaMO 65212United States Department of Internal Medicine Division of Gastroenterology and HepatologyUniversity of MissouriColumbiaMO 65212United States

BACKGROUND esophageal foreign bodies are common around the *** approaches,such as cap-assisted endoscopy,have been introduced as an alternative to conventional ***,we performed a meta-analysis ono cap-assisted endoscopy versus conventional endoscopy for removal of esophageal foreign *** To investigated the effectiveness of cap-assisted endoscopy with conventional *** An extensive literature search was performed(December 2021).For esophageal foreign body removal,cap-assisted endoscopy was compared to conventional endoscopy for procedure time,technical success of the procedure,time of foreign body retrieval,en bloc removal,and adverse event rate using odds ratio and mean *** Six studies met the inclusion criteria(n=1305).Higher odds of technical success(P=0.002)and en bloc removal(Pforeign body removal time(Pesophageal foreign bodies,the technique of cap-assisted endoscopy demonstrated increased en bloc removal and technical success with decreased time and adverse events as compared to conventional techniques.

关键词： esophageal foreign body Food bolus Endoscopy Snares Forceps Assisted devices Capassisted endoscopy

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Novel use of esophageal overtube and water flushes as a safety indicator and facilitator for the push technique in esophageal food impaction

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Discussion of Clinical Cases 2020年第1期7卷 8-11页

作者： Paul P Shao Jasleen K Grewal Adam M Custer VA Greater Los Angeles Healthcare System UCLA David Geffen School of MedicineUSA

esophageal food impaction requires urgent endoscopic intervention either by extraction or pushing into the *** to risks of perforation,controversy exists between when to extract verses when to push the food *** are no clear guidelines on when it is safe to push a food bolus;endoscopists rely on their subjective experiences and *** present a case with a novel use of an esophageal overtube and water flushes to determine the safety of pushing a food bolus and facilitate passage into the stomach.

关键词： esophageal food impaction esophageal foreign body EGD Dysphagia EGD push technique

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