Celestin Blister with Obstruction

Abstract

5 Tay ECK, Chacha PB. Midline prolapse of a lumbar intervertebral disc with compression of the cauda equina. J Bone Joint Surg 1979;61B: 6 O'Laoire SA, Crockard HA, Thomas DG. Prognosis for sphincter recovery after operation for cauda equina compression owing to lumbar disc prolapse. BMJ

Severe Complications Caused by Dissolution of Latex with Consequent Self-Disintegration of Esophageal Plastic Tubes

“…Palliative endoscopic placement of esophageal plastic tubes is a well-established and inexpensive measure in patients with dysphagia owing to malignant esophageal strictures which, nevertheless, might cause a variety of well-known complications, such as tube obstruction by ingested food, mucosal prolapse or tumor growth, mucosal erosion and consecutive hemorrhage, tube migration and dislocation which might cause bowel obstruction, and esophageal reflux with aspiration and even pneumonia. In addition to these well-known complications, some rarely occurring complications caused by structural deterioration and material degeneration of the latex tubes have been reported, for example the formation of blisters and bubbles or internal hernia of the latex layer which causes mechanical obstruction of the tube [4,5]. Even more severe are complications based on material degeneration which result in complete dissolution of the latex with liberation of the nylon coil and consecutive structural disintegration and possibly partial migration of the plastic tube: a Medline-based review of the literature reveals 25 published case reports [6 -21] ( Table 1).…”