Aortoesophageal fistula in a child

Shasanka Shekhar Panda, Sandeep Agarwala, Sushil Kumar Kabra, Ruma Ray, Nidhi Sugandhi, Abdus Sami Bhat, Rakesh Lodha, Prashant Joshi, Akshay Kumar Bisoi, Arundeep Arora, Arun Kumar GuptaJournal of Indian Association of Pediatric Surgeons 2013 18(3):124-126Aortoesophageal fistulae (AEF) are rare and are associated with very high mortality. Foreign body ingestions remain the commonest cause of AEF seen in children. However in a clinical setting of tuberculosis and massive upper GI bleed, an AEF secondary to tuberculosis should be kept in mind. An early strong clinical suspicion with good quality imaging and endoscopic evaluation and timely aggressive surgical intervention helps offer the best possible management for this life threatening disorder. Our case is a 10-year-old boy who presented to the pediatric emergency with massive bouts of haemetemesis and was investigated and managed by multidisciplinary team effort in the emergency setting.
Source: Journal of Indian Association of Pediatric Surgeons - Category: Surgery Authors: Source Type: research

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CONCLUSION: Abdominal tuberculosis with wide spectrum of presentation, can still be managed with early diagnosis and treatment even in patients with sub acute intestinal obstruction. Weight gain or resolving symptoms were considered early markers of treatment response. Patients with stricture can become asymptomatic with medical treatment alone.RESUMO CONTEXTO: A tuberculose abdominal é um problema crescente no mundo em desenvolvimento. OBJETIVO: O objetivo do estudo foi descrever as apresentações clínicas, o padrão de resistência a fármacos e os desfechos de tratamento da tu...
Source: Arquivos de Gastroenterologia - Category: Gastroenterology Source Type: research
CONCLUSION: We successfully treated a patient with acute upper GI bleeding due to tuberculous esophagomediastinal fistula and mediastinal bronchial artery aneurysm using transcatheter coil embolization. PMID: 31114140 [PubMed - in process]
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
We report an uncommon cause of anemia in a post-renal transplant patient due to massive lower gastrointestinal (LGI) bleed. The index case had a normal upper and LGI endoscopy, but the 99technetium labeled red blood cell scan showed active bleeding from terminal ileum and caecum. Microscopic examination of the resected specimen revealed tubercular granuloma with acid-fast bacilli. Intestinal TB should be a differential diagnosis for massive LGI bleed in immunosuppressed patients in developing country.
Source: Indian Journal of Nephrology - Category: Urology & Nephrology Authors: Source Type: research
Publication date: Available online 21 June 2018Source: Egyptian Pediatric Association GazetteAuthor(s): Santosh Kumar Swain, Mahesh Chandra SahuAbstractTuberculosis is a chronic infectious disease of the human being caused by Mycobacterium tuberculosis. Tuberculosis is a major health problem in developing country in the world. Majority of the tubercular lesions confined to the lungs of the human body whereas isolated nasopharyngeal tuberculosis affect nasopharynx without involving lungs or any other organs of the body. Isolated nasopharyngeal tuberculosis is an extremely rare clinical entity in children. Most clinician do ...
Source: Egyptian Pediatric Association Gazette - Category: Pediatrics Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
Publication date: Available online 21 June 2018Source: Egyptian Pediatric Association GazetteAuthor(s): Santosh Kumar Swain, Mahesh Chandra SahuAbstractTuberculosis is a chronic infectious disease of the human being caused by Mycobacterium tuberculosis. Tuberculosis is a major health problem in developing country in the world. Majority of the tubercular lesions confined to the lungs of the human body whereas isolated nasopharyngeal tuberculosis affect nasopharynx without involving lungs or any other organs of the body. Isolated nasopharyngeal tuberculosis is an extremely rare clinical entity in children. Most clinician do ...
Source: Egyptian Pediatric Association Gazette - Category: Pediatrics Source Type: research
Publication date: Available online 21 June 2018 Source:Egyptian Pediatric Association Gazette Author(s): Santosh Kumar Swain, Mahesh Chandra Sahu Tuberculosis is a chronic infectious disease of the human being caused by Mycobacterium tuberculosis. Tuberculosis is a major health problem in developing country in the world. Majority of the tubercular lesions confined to the lungs of the human body whereas isolated nasopharyngeal tuberculosis affect nasopharynx without involving lungs or any other organs of the body. Isolated nasopharyngeal tuberculosis is an extremely rare clinical entity in children. Most clinician do not c...
Source: Egyptian Pediatric Association Gazette - Category: Pediatrics Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 005 Guest Post: Dr Branden Skarpiak – Global Health Fellow, Department of Emergency Medicine. UT Health San Antonio A 35 year old male presents to your emergency room for right upper quadrant pain that has gotten worse over the last 2-3 days. He also describes associated nausea, vomiting, and fevers. He denies other abdominal pain, or change in his bowel or bladder habits. His wife notes that he has started to “look more yellow...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine amebic amoeba amoebiasis amoebic dysentery amoebic liver abscess bloody diarrhoea e.dispar e.histolytica entamoeba histolytica Source Type: blogs
CONCLUSIONS: We observed a wide spectrum of pathologic lesions, including opportunistic infections, in endoscopic biopsies from our renal transplant patients. Cytomegalovirus colitis was the most common infection in the lower gastrointestinal tract, whereas giardiasis was the most common in the duodenum. PMID: 29534657 [PubMed - as supplied by publisher]
Source: Experimental and Clinical Transplantation : official journal of the Middle East Society for Organ Transplantation - Category: Transplant Surgery Authors: Tags: Exp Clin Transplant Source Type: research
Conclusions Thoracic complications were more common in OVS and GVS than in OV band ligation.
Source: Egyptian Journal of Chest Diseases and Tuberculosis - Category: Respiratory Medicine Source Type: research
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