Acute necrotising pancreatitis secondary to a pancreatic foreign body

Most ingested foreign bodies are passed along the gastrointestinal tract without complications. Only 1% result in complications, with sharp objects, such as fish bones, being the most frequently involved. One of the potential complications is mucosal perforation, which can reach solid organs such as the liver or pancreas in up to 1% of cases. CT is considered the most effective imaging test for detection and to rule out the presence of complications. Early management is a determining factor in prognosis, with laparoscopic and laparotomy removal being considered, although in recent years endoscopic removal has been gaining in importance.

Eagle's syndrome as a cause of oropharyngeal dysphagia

Eagle's syndrome is a little known entity defined as the elongation of the stylohyoid process and/or calcification of the stylohyoid ligament. It is a rare pathology that due to its presentation and possible complications should be taken into consideration in the differential diagnosis of oropharyngeal dysphagia. We present the case of a patient with Eagle's syndrome as well as essential aspects in the diagnosis and treatment of this entity.

Large perforated gastric ulcer due to cocaine use

Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus.