Fatal intestinal perforation secondary to fragmentation of a Celestin tube
| Autor: | James D. Evans, Michael R. Zeiderman, Christopher Halloran, Paul Mansour |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Esophageal Neoplasms Peritonitis Bolus (medicine) Esophagus Fatal Outcome Oesophageal intubation Intestine Small Medicine Humans In patient Celestin tube business.industry Palliative Care Gastroenterology Oesophageal carcinoma Middle Aged medicine.disease Dysphagia Surgery Intestinal Perforation Esophageal Stenosis Equipment Failure Female medicine.symptom business Complication Intubation |
| Zdroj: | Digestive surgery. 17(4) |
| ISSN: | 0253-4886 |
| Popis: | Background/Aims: Oesophageal intubation remains one of the principal methods of palliation for an obstructing oesophageal carcinoma. We present a case which illustrates a rare but fatal complication of this procedure. Methods: A 60-year-old female with oesophageal cancer presented with total dysphagia 9 months following insertion of a Celestin tube for palliation. Oesophagoscopy revealed a bolus obstruction which was successfully cleared. Two days later she developed generalised peritonitis and subsequently died. Results: A post-mortem examination demonstrated fragmentation and displacement of the distal part of the Celestin tube resulting in perforation of the small bowel. Conclusion: Celestin tube disintegration is a risk associated with long-term use, and routine replacement is indicated in patients with a prolonged survival to avoid this complication. |
| Databáze: | OpenAIRE |
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