Journal de chirurgie
-
Journal de chirurgie · Jun 1980
Case Reports[Rupture of the stomach after insertion of a Linton-Nachlas sound (author's transl)].
Rupture of the stomach occurred after insertion of a Linton-Nachlas sound in a 91-year-old patient. Possible mechanisms for the lesion were increased pressure from accumulation of blood in the stomach or the herniation of the balloon of the sound. Recovery was uneventful after intensive care therapy and suture of the wound. The possibility of such an accident should not discredit the use of hemostatic sounds.
-
The authors report 16 cases of cervical esophagus injuries. In two patients, they followed a closed injury to the neck, in six cases, wounds from firearms or other weapons. ⋯ Only one of the 8 patients operated upon within 12 hours following injury developed cervicomediastinal complications, while seven of the 8 cases operated upon after this period developed mediastinitis or a fistula. Radiological examination with an opaque medium and urgent operation combining drainage and suture are essential when injury to the esophagus is suspected, in order to obtain early diagnosis and good results.