A multistep approach for managing a complex esophageal perforation.

Background And Aims: Esophageal perforation in adults is associated with significant morbidity and mortality, with optimal treatment approaches remaining debated. Outcomes are linked to timely diagnosis and appropriate interventions. Common therapeutic options, such as esophageal clips, stents, and suturing, may be ineffective for large perforations.

Masquerading Guillain-Barré syndrome: uncommon, in-hospital presentation of Miller-Fisher syndrome shadowed by secondary diseases.

Presentation of severe pain syndromes prior to onset of motor weakness is an uncommon but documented finding in patients with Guillain-Barré syndrome (GBS). Sciatica in GBS is a difficult diagnosis when patients present with acute radiculopathy caused by herniated disc or spondylolysis. A middle-aged woman was admitted for severe low back pain, symptomatic hyponatraemia, vomiting and constipation.