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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Related Experiment Video

Updated: Feb 23, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
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Bowel perforation presenting three months after suprapubic catheter insertion.

Thomas Stonier1, Nick Simson1, Elizabeth Wilson2

  • 1Department of Urology, Princess Alexandra Hospital NHS Trust, Harlow, UK.

BMJ Case Reports
|September 9, 2017
PubMed
Summary

A rare complication of suprapubic catheter (SPC) insertion, delayed bowel perforation, occurred three months post-procedure in an elderly male with prior abdominal surgeries. This case highlights the potential for delayed presentation of SPC-related intestinal injury.

Keywords:
catheterisation / catheter caregeneral surgeryurological surgery

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Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Complications

Background:

  • Suprapubic catheter (SPC) insertion is a common procedure for urinary drainage.
  • Previous abdominal surgeries are a known risk factor for complications during SPC placement.

Observation:

  • An 82-year-old male with a history of multiple laparotomies developed peritonitis three months after SPC insertion.
  • Imaging revealed the SPC had perforated the terminal ileum.

Findings:

  • The patient underwent bowel resection and recovered after a prolonged hospital stay.
  • Literature review confirmed the rarity of delayed bowel perforation following SPC insertion, especially with prior abdominal surgery.

Implications:

  • This case underscores the infrequent but serious risk of delayed intestinal injury after SPC insertion.
  • Healthcare providers should maintain a high index of suspicion for delayed complications, even months post-procedure, particularly in patients with surgical histories.