We present a case of a young 16 year old patient that had an esophageal perforation in the context of eosinophilic esophagitis. The esophagus showed vertical lacerations and mucosal thickness on endoscopy, thus a biopsy was performed in the proximal section which resulted in profuse bleeding due to a deep mucosal tear. A subsequent computed tomography scan revealed a perforation. Due to the abs...

Intramural esophageal dissection (IED) is a rare clinical entity involving a mucosal injury and creation of a true and false lumen within the esophagus. We report on a case of IED caused by repeated vomiting due to a small bowel obstruction associated with a small amount of pneumomediastinum on CT. IED has traditionally been believed not to be associated with esophageal perforation. Our case ad...

Pharyngeal and upper esophagus substitution is an ordinary procedure in adults, performed mainly for oncologic purposes, but it is rarely done in children. The authors present a case report of a free jejunal graft pharyngo/esophageal reconstruction with microvascular anastomosis to the primitive carotid artery and the internal jugular vein in a a 10-year-old girl who had a loss of lower pharynx...

It is sometimes difficult to close a large perforation using endoclips and over-thescope clips, and surgery may be required [1]. We report a novel endoscopic technique for closure of a large perforation using the clip-and-snare method with the prelooping technique. A 76-year-old man with a metachronous esophageal cancer, which developed at a scar in the cervical esophagus that resulted from a p...

We report a case of a male, aged 84, with type 2 diabetes, arterial hypertension, ischemic cardiomyopathy and chronic renal disease. We placed a percutaneous endoscopic gastrostomy one year ago, and we did not notice any injuries in the esophagus. We performed an urgent gastroscopy because the patient had an episode of coffee-ground vomit. In the distal third of the esophagus the mucosa had a n...

Large iatrogenic gastrointestinal perforations (greater than 15–20mm) following therapeutic endoscopy remain a challenge despite growing expertise in endoscopic perforation closure techniques. Current treatment options include stenting [1,2] or clipping, including the use of an over-the-scope clipping device [3–5]. We present our experience using a combination of over-the-scope clipping and ste...

Foreign digestive bodies present unusual circumstances because they are associated with various degrees of local trauma and may lead to direct perforation or delayed local injury. Patients with foreign bodies should be evaluated upon admission for signs of impaction and perforation. While all objects impacted in the esophagus require urgent treatment, rectal foreign bodies are usually removable...

To the Editor: Fish bone is a kind of common ingested foreign body. In most cases, it may pass through the gastrointestinal tract or retain upper digestive tract such as the oral cavity, esophagus.[1] However, ascending colon perforation by huge fish body is rare, which can cause several complications.[2] There are only few case of colon perforation by foreign body in the literature.[3] Here, w...

Introduction Intraoperative complications of tracheostomy are well described in the literature. These include hemorrhage, perforation of the walls of the trachea and esophagus, recurrent laryngeal nerve injury, intraoperative fire, pneumothorax and pneumomediastinum, and tube displacement. We present an unusual complication encountered during a routine tracheostomy that resulted from severe tra...

AIM To identify the risk factors and clarify the subsequent clinical courses. METHODS This study retrospectively analyzed consecutive patients with esophageal squamous cell carcinoma (ESCC) treated using endoscopic submucosal dissection (ESD) between April 2008 and October 2012. We divided the ESCC lesions into perforation cases and non-perforation cases, and compared characteristics and endo...