Hypopharyngeal perforation: an unusual complication of transesophageal echocardiography.

Physicians frequently use transesophageal echocardiography (TEE) for clinical cardiology and during surgery. It is considered a safe procedure, and only a few cases of complications have been reported in the literature. We present the case of a 78-year-old man who experienced a perforation of the hypopharynx following TEE. The perforation went unrecognized for 10 days. Computed tomography identified a cervical abscess, which was drained. The patient recovered and was doing well at the 1-year follow-up. Hypopharyngeal perforation is a rare but potentially life-threatening complication. Surgeons should know and recognize its clinical signs to prevent its occurrence.

Vertebroplastia percutânea para fraturas tumorais. 15 anos de experîência de uma estrutura multidisciplinar e revisão de literatura / Percutaneous Verteboplasty for tumoral fractures. 15 years experience of a multidisciplinary support and review of the literature

O tratamento da dor do paciente oncológico necessita de um acesso multidisciplinar. Se considerarmos metastases ósseas, mielomamúltiplo e linfoma, os procedimentos percutâneos como a vertebroplastia podem gerar um alívio rápido da dor. Entretanto,a vertebroplastia percutânea deve ser colocada de maneira a não retardar o tratamento sistêmico ou outras modalidades detratamento. Neste artigo, descrevemos nossos 15 anos de experiência com a colaboração de uma equipe multidisciplinar, atravésde revisão da literatura e pontos especiais da vertebroplastia percutânea para fraturas tumorais da coluna vertebral...

The pain management in oncologic patients requires a multidisciplinary approach. Considering bone metastases, multiplemyeloma and lymphoma, percutaneous procedures like vertebroplasty can provide rapid pain relief. However, percutaneousvertebroplasty must be placed in order to not delay systemic therapy or other modalities of treatment. In this article, we describedour 15 years’ experience in collaborating with a multidisciplinary team, reviewing literature and special issues percutaneousvertebroplasty for spinal tumoral fractures...