STUDY OBJECTIVES To review the etiology and pathophysiology of pneumomediastinum in severe blunt trauma, with a special interest in one of its possible origins, the Macklin effect. The Macklin effect relates to a three-step pathophysiologic process: blunt traumatic alveolar ruptures, air dissection along bronchovascular sheaths, and spreading of this blunt pulmonary interstitial emphysema into ...

BackgroundChildren born with esophageal atresia (EA) face comorbidities and complications often requiring surgery anesthesia. We aimed to assess all procedures performed under general anesthesia during their first 12 years of life.MethodsWe a retrospective cohort study about subsequent surgeries in children type C EA between January 2007 December 2017, follow-up March 2019.ResultsOf 102 eligibl...

introduction: foreign body ingestion is common among children and more common in boys and in children under the age of 3. it can present with a wide variety of symptoms like dysphagia and drooling or symptoms related to the upper aerodigestive tract.   case report: a 20-month-old male presented with refractory croup and poor feeding since 2 weeks. bronchoscopy and esophagoscopy was performed du...

Since its description over 250 years ago, diagnosis of esophageal perforation remains challenging, its management controversial, and its mortality high. This rare, devastating, mostly iatrogenic, condition can quickly lead to severe complications and death due to an overwhelming inflammatory response to gastric contents in the mediastinum. Diagnosis is made with the help of esophagograms and al...

Aortoesophageal fistula is a rare and lethal disorder that may result from primary diseases of aorta or esophagus, aortic bypass graft, ingestion of foreign body, trauma, surgical procedure or instrumentation. Tuberculous fistula is extremely rare. We present a 27-yr-old female patient with aortoesophageal fistula associated with tuberculous mediastinitis. The patient experienced massive hemate...

Castleman's disease (CD) is an uncommon benign lymphoproliferative disorder of unknown etiology. A rare case of cervical CD diagnosed at lymph node dissection for esophageal carcinoma is reported. An esophageal tumor was identified in a 67-year-old man during a follow-up examination after surgery for oral carcinoma. Esophagoscopy revealed a type 1 tumor in the cervical esophagus. Histology of e...

in this case report, we described a 74-year-old female patient with major complaint of respiratory problemsdyspnea after meal. chest x-ray of the patient revealed a  gianttype iv hiatal hernia. preoperative evaluations of the patient included esophagoscopy, esophageal manometry, barium swallow, and ct-scan. repair of the hernia was performed using a dual mesh on the diaphragm and partial anteri...