Esophageal food impaction

Food impaction in the esophagus is one of the emergency conditions that only gastroenterologists and emergency room doctors know about. The overall concept is simple: Soon-to-be patient eats a large quantity of food (most commonly meat), which gets stuck in the esophagus somewhere and then causes a blockage and prevents further swallowing. Patient experiences chest pain,  … Read more

An unusual case of duodenal perforation

Case: A 79-year-old man with a distant history of pulmonary embolism (PE) was admitted to the hospital with several days of vague right-sided lower abdominal pain.  There was no history of gastrointestinal bleeding, and the pain did not worsen with eating.  On physical exam, there was moderate right lower quadrant abdominal tenderness without rebound or  … Read more