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Related Concept Videos

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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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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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
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Gastritis III: Clinical Manifestations and Management01:23

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

Gastroesophageal Reflux Disease II: Clinical Features and Management

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Esophageal Varices-I: Introduction01:24

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Gastric Rupture Secondary to a Heimlich Maneuver: A Case Report.

Nathaniel Kleytman1,2, Savni Satoskar1, Cesar Riera Gonzalez1

  • 1General Surgery, BronxCare Health System, Bronx, New York, USA.

Cureus
|September 9, 2024
PubMed
Summary

A rare case of gastric rupture occurred after a Heimlich maneuver. This isolated gastric perforation was successfully repaired using primary closure and omental patching.

Keywords:
blunt abdominal injuryblunt abdominal traumagastric burst injurygastric perforationgastric ruptureheimlich maneuverisolated gastric rupturelesser curvatureomental patchstomach perforation

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Area of Science:

  • Gastroenterology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Gastric rupture from blunt abdominal trauma is infrequent, occurring in less than 2% of cases.
  • Gastric perforation specifically caused by the Heimlich maneuver is exceptionally rare, with limited documented instances.

Observation:

  • This report details an unusual case of isolated gastric rupture following a successfully administered Heimlich maneuver.
  • Surgical exploration via laparotomy identified a significant perforation on the stomach's lesser curvature.

Findings:

  • The gastric perforation was effectively treated with primary closure.
  • The repair was further reinforced using an omental patch to ensure integrity.

Implications:

  • This case highlights a rare but serious complication of the Heimlich maneuver.
  • It underscores the importance of prompt surgical intervention for gastric injuries, even in unusual circumstances.