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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

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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 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.
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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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Esophageal Strictures-I: Introduction01:30

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Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
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The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
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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.
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Related Experiment Video

Updated: Sep 28, 2025

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Incarcerated Epigastric Hernia.

Snehasis Das1, Oseen Shaikh1, Naveen Kumar Gaur1

  • 1Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Cureus
|March 28, 2022
PubMed
Summary

An epigastric hernia, a ventral hernia type, rarely involves intra-abdominal organs. This case highlights successful surgical repair of an obstructed small bowel within an epigastric hernia.

Keywords:
epigastric herniaincarcerated herniaintestinal obstructionmeshplastyobstructed hernia

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Area of Science:

  • Abdominal Surgery
  • Gastroenterology
  • Surgical Pathology

Background:

  • Epigastric hernias are common ventral hernias, typically containing preperitoneal fat or omentum.
  • Herniation of intra-abdominal organs through the epigastric region is infrequent.
  • Incarceration within these rare organ-protruding epigastric hernias is seldom documented.

Observation:

  • A 56-year-old male presented with an irreducible epigastric swelling.
  • Clinical examination and imaging confirmed an epigastric hernia.
  • Intraoperative findings revealed small bowel herniation and obstruction within the epigastric defect.

Findings:

  • The herniated small bowel was viable despite obstruction.
  • Surgical intervention involved enlarging the constricting ring for reduction.
  • Anatomical repair with mesh reinforcement was performed.

Implications:

  • This case underscores the possibility of small bowel obstruction in epigastric hernias.
  • Prompt diagnosis and surgical management are crucial for favorable outcomes.
  • Mesh reinforcement ensures anatomical integrity and reduces recurrence risk.