OF the various gastric fistulae described in the literature those communicating with the bronchi appear to be among the rarest. Aird (1957) devotes only four lines to the subject while Milne and Thompson (1970) state that a careful search of medical literature failed to reveal any reference to the condition. This is somewhat misleading as the literature since 1960 contains seven case reports an...

experience recently. In our case, a 48-year-old man with acute myocardial infarction had a 7F Swan-Ganz catheter placed in the pulmonary artery. Intracardiac knotting was discovered and the catheter was withdrawn slightly leaving the tip in the pulmonary artery. The second day, pericarditis was detected and on the fourth, a small left pleural effusion appeared on roentgenogram. To exclude a pos...

Subsequently, she underwent chemotherapy. Six weeks later, she was admitted with a complaint of shortness of breath. She denied fever, chills, rigors, and excess sputum production. The patient was in obvious distress, with a respiration rate of 22 breaths per minute and the use of accessory muscles. She was afebrile. Her heart rate was 102 beats per minute and her blood pressure was 110/82 mm H...

SINCE the term bronchial fistula can, from the practical point of view, be applied to any abnormal connection between the inside of the intrathoracic respiratory system and the outside, it includes a very wide assortment of cases. Fistulae vary in their acuteness and duration from a few minutes up to thirty years or more (Huizinga and Smelt, 1950), and in their consequences from the rapidly fat...

INTRODUCTION Bouveret's syndrome is characterized by gastric outlet obstruction due to a gallstone in the duodenum, usually in association with a cholecystoduodenal fistula. CASE PRESENTATION We report the case of a 69-year-old Caucasian man who developed duodenal stump obstruction due to an impacted gallstone after having previously undergone Roux-en-Y gastrectomy. CONCLUSIONS Duodenal stu...

Pancreatic fistula after pancreaticoduodenectomy represents a critical trigger of potentially life-threatening complications and is also associated with markedly prolonged hospitalization. Many arguments have been proposed for the method to anastomosis the pancreatic stump with the gastrointestinal tract, such as invagination vs. duct-to-mucosa, Billroth I (Imanaga) vs. Billroth II (Whipple and...

BACKGROUND Different methods of pancreatic stump closure after distal pancreatectomy (DP) have been described to decrease the incidence of pancreatic fistula (PF) which still represents one of the most common complications in pancreatic surgery. We retrospectively compared the pancreato-jejunostomy technique with the hand-sewn closure of the pancreatic stump after DP, and analyzed clinical outc...

When dealing with gastric cancer with duodenal invasion, gastrectomy with distal resection of the duodenum is necessary to achieve negative distal margin. However, rupture of an ultralow duodenal stump necessitates advanced surgical skills and close postoperative observation. The present study reports a case of an early duodenal stump rupture after subtotal gastrectomy with resection of the who...

A group of 64 cases with histologically reported residual tumour on the bronchial margin after resection for bronchial carcinoma has been examined. Carcinoma in situ of the bronchial mucosa was described in nine cases, invasive carcinoma of the bronchial mucosa in 29, peribronchial malignancy in 18, and lymphatic permeation in eight. Survival with peribronchial malignancy and lymphatic permeati...

headings – Appendectomy. Appendicitis. Surgical procedures, operative. Randomized controlled trial. abstRact – Background Although acute appendicitis is one of the most common surgical diseases, the best treatment of the appendicular stump has not been defined. At laparotomy for appendectomy the stump is treated preferably by ligation and burial of the stump and, in laparoscopic surgery, by sim...