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1.
Rev. méd. Maule ; 39(3): 34-39, dic. 2024. ilus
Article in Spanish | LILACS | ID: biblio-1586575

ABSTRACT

INTRODUCTION: Oblitoma, a foreign body forgotten in surgery, has been present since the beginning of surgery since no surgical intervention escapes the risk of this occurring, including the most experienced surgeon. CLINICAL CASE: A 54-year-old man underwent laparoscopic hiatal hernioplasty more than five years ago, and a control CT scan incidentally revealed a gash that required re-laparoscopy for extraction. DISCUSSION: The incidence of intrathoracic gossypibomas has decreased significantly with the advent of laparoscopy surgery. Hence, this report is important since if these are rare, this case confirms it. Despite the advances in biotechnology in surgical treatment, they continue to occur.


INTRODUCCIÓN: El oblitoma, cuerpo extraño olvidado en una cirugía, ha estado presente desde los inicios de la cirugía ya que ninguna intervención quirúrgica escapa al riesgo de que esto ocurra, incluyendo al cirujano más experimentado. CASO CLÍNICO: Hombre de 54 años que hace más de cinco años se realizó hernioplastia hiatal laparoscópica, pequisándose en TAC control, en forma incidental, un gazoma que requirió una relaparoscopía para su extracción. DISCUSIÓN: Con el advenimiento de la cirugía por laparoscopía su incidencia ha disminuido en forma importante. Los gossypibomas intratorácicos son extremadamente raros. De ahí la importancia de este reporte ya que a pesar de que estos suelen ser escasos, el caso que reportamos ratifica que a pesar de los grandes avances de la biotecnología del tratamiento quirúrgico estos siguen ocurriendo.


Subject(s)
Humans , Male , Middle Aged , Foreign Bodies/diagnosis , Foreign Bodies/pathology , Postoperative Complications , Textiles/adverse effects , Thorax/diagnostic imaging , Image Processing, Computer-Assisted , Tomography, X-Ray Computed , Imaging, Three-Dimensional , Foreign Bodies/surgery
2.
Rev. méd. Maule ; 39(2): 59-67, sept. 2024. ilus
Article in Spanish | LILACS | ID: biblio-1578232

ABSTRACT

INTRODUCTION: Rectal foreign body (RFB) poses a challenge for emergency surgeons in diagnosis. Clinical suspicion is essential, along with imaging support, which will allow the most effective removal treatment to be carried out depending on the case. OBJECTIVE: To describe the procedures for an anorectal pathology commonly present in emergency services. CLINICAL CASES: Two cases are reported of men who were admitted to the emergency room with a self-inserted RFB (carrot and screwdriver). Upon admission, they gave a confusing anamnesis, and images were taken to confirm their diagnosis. They required a laparotomy to assist in its transanal removal in the first case and a protective loop colostomy in the second. DISCUSSION: RFB consultation frequently occurs in male patients who have inserted objects for sexual self-stimulation. Because of the shame and desire to conceal these cases, these patients become "special" patients. Literature reviews and case studies on the subject in particular are scarce.


INTRODUCCIÓN: El cuerpo extraño rectal (CER) plantea al cirujano de urgencias un desafío en el diagnóstico, su sospecha clínica es fundamental junto con el apoyo de imágenes, lo que permitirá realizar el tratamiento de extracción más efectivo según sea el caso. OBJETIVO: Describir los procedimientos para una patología ano rectal presente comúnmente en los servicios de urgencia. CASOS CLÍNICOS: Se reportan dos casos de hombres que ingresaron a emergencias con un CER auto insertado (zanahoria y destornillador), entregando a su ingreso una confusa anamnesis, tomándose imágenes que certificaron su diagnóstico y que requirieron una laparotomía para ayudar en su extracción transanal en el primer caso y una colostomía de protección en asa en el segundo. DISCUSIÓN: La consulta por CER se presenta frecuentemente en pacientes hombres que han introducido objetos por autoestimulación sexual. Por la vergüenza y deseo de ocultamiento en estos casos, convierte a estos pacientes, en pacientes "especiales". Las revisiones bibliográficas y la casuística sobre el tema en particular son escasas.


Subject(s)
Humans , Male , Middle Aged , Aged , Rectum/surgery , Foreign Bodies/therapy , Image Processing, Computer-Assisted , Colostomy/methods , Radiography, Abdominal , Tomography, X-Ray Computed , Imaging, Three-Dimensional , Emergencies , Emergency Service, Hospital , Laparotomy/methods
3.
Article in Chinese | WPRIM | ID: wpr-1011107

ABSTRACT

Objective:To explore the feasibility of using self-made visual throat forceps to remove hypopharyngeal foreign bodies. Methods:The throat forceps were combined with the endoscope and connected to a monitor via a data cable resulting in a visual throat forceps apparatus. This device was utilized to examine and treat the hypopharyngeal foreign bodies. Results:Among 53 patients, foreign bodies were detected in 51,with 48 cases involving hypopharyngeal foreign bodies. All were successfully extracted using the visual throat forceps. Three cases, diagnosed as esophageal foreign bodies by electronic gastroscopy, were treated using the same method. Conclusion:Visual throat forceps can be used to examine the hypopharynx and remove foreign bodies. It has the advantages of simple operation, rapid operation, and high success rate of foreign body removal from the hypopharynx. It is worthy of clinical application.


Subject(s)
Humans , Hypopharynx/surgery , Pharynx/surgery , Endoscopes , Surgical Instruments , Foreign Bodies/diagnosis
4.
Article in English | WPRIM | ID: wpr-1031930

ABSTRACT

Objective@#This study aims to describe the clinicodemographic profile of patients with foreign bodies in the upper aerodigestive tract and their treatment outcomes.@*Methods@#Design: Retrospective review of records. Setting: Tertiary Government Training Hospital. Participants: Records of 304 patients diagnosed with aerodigestive foreign bodies @*Results@#Three hundred-four (304) patients were included. The median age was 5.26 years in the pediatric age group and 42.53 years in the adult age group, with a male-to female ratio = 1.97:1. Foreign bodies were ingested in 291 (96%) patients while aspiration occurred in 13 (4%). Overall, 211 (69%) of cases involved the pediatric population (<19 years) and 93 (31%) the adult population. The most common foreign bodies reported were coins (63.5%), food (18.1%), and dentures (11.5%). Most esophageal foreign bodies (244/291; 83%) were seen at the cricopharyngeal level in all age groups. The foreign body was removed successfully in 288/291 (98%) of ingestion cases. All 13 cases of foreign body aspiration were successfully removed by bronchoscopy. All patients were discharged improved.@*Conclusion@#Most upper aerodigestive tract foreign bodies involved the pediatric age group. Predisposing conditions were mainly due to accidental ingestion and aspiration while playing in the pediatric population and negligence in eating among adults. Almost all ingestion cases were successfully treated with esophagoscopy, while all aspirations were treated successfully with bronchoscopy. Most intraoperative and postoperative complications who were managed conservatively by observation, although some cases required referral to other surgical departments and were treated surgically. All patients were discharged improved.


Subject(s)
Foreign Bodies , Eating , Esophagoscopy , Bronchoscopy
5.
Article in Spanish | LILACS, CUMED | ID: biblio-1583787

ABSTRACT

La ictiosis es una enfermedad de origen genético que afecta principalmente la piel, posee varios tipos según el patrón de herencia. Produce alteraciones en los párpados (lagoftalmos, ectropión) y en la superficie corneal (queratitis, abscesos corneales) con alto riesgo de secuelas y pérdida visual Se presenta una paciente femenina de 59 años, con diagnóstico de ictiosis congénita quien acudió por presentar lagrimeo, sensación de cuerpo extraño en el ojo derecho, el cual es su ojo único. Al examen biomicroscópico se observó infiltrado corneal de mediana densidad de 8 mm de diámetro con perforación central de 3 mm de diámetro, cristalino expuesto, cámara anterior en atalamia. Se ingresó en el servicio de Córnea en el Instituto Cubano de Oftalmología, con diagnóstico de úlcera corneal perforada(AU)


Ichthyosis is a disease of genetic origin that mainly affects the skin and has several types depending on the inheritance pattern. It produces alterations in the eyelids (lagophthalmos, ectropion) and in the corneal surface (keratitis, corneal abscesses) with high risk of sequelae and visual loss. We present a 59-year-old female patient diagnosed with congenital ichthyosis who presented with lacrimation and foreign body sensation in the right eye, which is her only eye. Biomicroscopic examination showed a medium density corneal infiltrate of 8 mm in diameter with a central perforation of 3 mm in diameter, exposed crystalline lens, anterior chamber in atalamy. The patient was admitted to the Cornea Service of the Cuban Institute of Ophthalmology with a diagnosis of perforated corneal ulcer(AU)


Subject(s)
Humans , Female , Middle Aged , Corneal Ulcer , Foreign Bodies , Ichthyosis , Risk , Anterior Chamber
6.
Vet. zootec ; 31: 42-49, 2024.
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1552980

ABSTRACT

A Retículo Peritonite Traumática está diretamente ligada à ingestão de objetos metálicos perfuro cortantes, como pregos e pedaços de arame, que podem penetrar ou perfurar a parede do retículo. Embora a ocorrência de corpos estranhos de alumínio seja rara, outros elementos, como fios de pneus usados para fixar lonas em silagens e até cerdas de arame de escovas utilizadas em pequenos aeroportos, têm sido registrados como causas dessa afecção. A ingestão desses objetos pode resultar em lesões no retículo, desencadeando episódios de retículo peritonite traumática e suas sequelas, como pericardite traumática, inflamação do fígado, abscessos no baço e muito mais. Os sinais clínicos podem variar, mas incluem comportamento anormal, motilidade reduzida do rúmen, fezes mal digeridas, febre e sinais de dor. O diagnóstico baseia-se na avaliação dos sinais clínicos do animal, juntamente com exames complementares, como hemograma, bioquímico, ultrassom e radiografia. É importante considerar as alterações hematológicas, como leucocitose e hiperfibrinogenemia, como indicadores-chave desta afecção. O diagnóstico também envolve testes de dor ao corpo estranho. O tratamento pode ser conservativo ou cirúrgico. A abordagem conservativa envolve a administração de antibióticos, anti-inflamatórios e soluções intravenosas, além do tratamento de deficiências nutricionais subjacentes. A opção cirúrgica exige a remoção do corpo estranho do retículo, seguida de cuidados pós-operatórios.


Traumatic Reticulum Peritonitis this directly linked to the ingestion of sharp metallic objects, such as nails and pieces of wire, which can penetrate or pierce the wall of the reticulum. Although the occurrence of aluminum foreign bodies is rare, other elements, such as tire wires used to attach tarpaulins to silage and even wire bristles from brushes used in small airports, have been recorded as causes of this condition. Ingestion of these objects can result in damage to the reticulum, triggering episodes of traumatic reticulum peritonitis and its sequelae, such as traumatic pericarditis, liver inflammation, spleen abscesses and more. Clinical signs may vary but include abnormal behavior, reduced rumen motility, poorly digested feces, fever and signs of pain. The diagnosis is based on the evaluation of the animal's clinical signs, together with complementary tests, such as blood count, biochemistry, ultrasound and radiography. It is important to consider hematological changes, such as leukocytosis and hyperfibrinogenemia, as key indicators of this condition. Diagnosis also involves foreign body pain testing. Treatment can be conservative or surgical. The conservative approach involves administering antibiotics, anti-inflammatories and intravenous solutions, in addition to treating underlying nutritional deficiencies. The surgical option requires removal of the foreign body from the reticulum, followed by post-operative care.


La peritonitis traumática del retículo esto directamente ligada a la ingestión de objetos metálicos punzantes, como clavos y trozos de alambre, que pueden penetrar o perforar la pared del retículo. Aunque la aparición de cuerpos extraños de aluminio es rara, se han registrado como causas de esta afección otros elementos, como los alambres de neumáticos utilizados para fijar las lonas al ensilaje e incluso las cerdas de alambre de los cepillos utilizados en los aeropuertos pequeños. La ingestión de estos objetos puede provocar daños en el retículo, desencadenando episodios de peritonitis traumática del retículo y sus secuelas, como pericarditis traumática, inflamación del hígado, abscesos del bazo y más. Los signos clínicos pueden variar, pero incluyen comportamiento anormal, motilidad ruminal reducida, heces mal digeridas, fiebre y signos de dolor. El diagnóstico se basa en la evaluación de los signos clínicos del animal, junto con pruebas complementarias, como hemograma, bioquímica, ecografía y radiografía. Es importante considerar los cambios hematológicos, como la leucocitosis y la hiperfibrinogenemia, como indicadores clave de esta afección. El diagnóstico también implica la prueba del dolor por cuerpo extraño. El tratamiento puede ser conservador o quirúrgico. El enfoque conservador implica la administración de antibióticos, antiinflamatorios y soluciones intravenosas, además de tratar las deficiencias nutricionales subyacentes. La opción quirúrgica requiere la extracción del cuerpo extraño del retículo, seguida de cuidados postoperatorios.


Subject(s)
Animals , Cattle , Peritonitis/veterinary , Foreign Bodies/veterinary , Gastrointestinal Motility
7.
Rev. otorrinolaringol. cir. cabeza cuello ; 83(4): 377-382, dic. 2023. tab, graf
Article in Spanish | LILACS | ID: biblio-1560352

ABSTRACT

Introducción: El cuerpo extraño en vía aérea es una patología infrecuente en el área Otorrinolaringológica, siendo la primera causa de muerte accidental de la especialidad. La alta sospecha clínica es fundamental para lograr un diagnóstico precoz. El Hospital Clínico de la Universidad Católica es un centro de referencia a nivel nacional para el manejo de esta patología. Objetivo: Realizar una descripción epidemiológica de los pacientes con diagnóstico de cuerpo extraño en vía aérea sometidos a revisión de vía aérea de los pacientes atendidos en el Hospital Clínico de la Universidad Católica entre los años 2018-2021. Material y Método: Estudio retrospectivo y descriptivo. Se revisaron las fichas clínicas de pacientes con revisión de vía aérea realizada entre junio 2018 y julio 2021. Estudio cuenta con la aprobación del comité de ética de nuestro hospital. Resultados: Se incluyó un total de 13 pacientes con diagnóstico de cuerpo extraño en vía aérea. 62% de los pacientes fueron de sexo masculino. Rango de edad entre 0 y 11 años, mediana de edad de 1 año. El 100% de los pacientes presentó algún síntoma respiratorio y un 90% presentó síndrome de penetración. El cuerpo extraño se evidenció en el 30% de las radiografías. El 100% de las revisiones de vía aérea se hizo con ventilación espontánea. El 70% se localizó en los bronquios. No hubo mortalidad asociada al procedimiento. Conclusión: Las cifras encontradas en nuestro estudio fueron similares a las reportadas en las diferentes series a nivel internacional.


Introduction: Foreign body in the airway is a rare condition in the Otorhinolaryngology field, being the leading cause of accidental death in the specialty. High clinical suspicion is crucial for achieving an early diagnosis. The Hospital Clínico de la Universidad Católica is a national reference center for the management of this condition. Aim: To provide an epidemiological description of patients diagnosed with foreign bodies in the airway who underwent airway review at the Hospital Clínico de la Universidad Católica between the years 2018-2021. Materials and Method: A retrospective and descriptive study. Clinical records of patients who underwent airway review between June 2018 and July 2021 were reviewed. The study has received approval from our hospital's ethics committee. Results: A total of 13 patients with a diagnosis of foreign bodies in the airway were included. 62% of the patients were male. The age ranged from 0 to 11 years, with a median age of 1 year. 100% of the patients presented respiratory symptoms, and 90% presented with a penetration syndrome. The foreign body was evident in 30% of the X-rays. All airway reviews were conducted with spontaneous ventilation. 70% of the foreign bodies were located in the bronchi. There was no mortality associated with the procedure. Conclusion: The findings in our study were similar to those reported in various international series.


Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Respiratory Aspiration/diagnostic imaging , Foreign Bodies/diagnostic imaging , Bronchoscopy/methods , Epidemiology, Descriptive
8.
Rev. otorrinolaringol. cir. cabeza cuello ; 83(4): 390-392, dic. 2023. ilus
Article in Spanish | LILACS | ID: biblio-1560354

ABSTRACT

Los cuerpos extraños en la vía aérea son una urgencia muy común en la práctica de la otorrinolaringología. La mayoría suelen encontrarse en población pediátrica donde la gravedad es mayor. En adultos estos episodios suelen ser accidentales, siendo la exploración física fundamental para su diagnóstico. Exponemos aquí el caso de un varón qué presentó una espina de pescado en el área interaritenoidea.


Foreign bodies in the airway are a very common emergency in the practice of otorhinolaryngology, the majority of which are usually found in the pediatric population. In adults, these episodes are usually accidental, and physical examination is fundamental for its diagnosis. We report a case of fish bone impaction in the interarytenoid area.


Subject(s)
Humans , Male , Middle Aged , Laryngitis/diagnostic imaging , Foreign Bodies/surgery , Foreign Bodies/diagnostic imaging , Tomography, X-Ray Computed/methods , Glottis , Laryngoscopy/methods
9.
Rev. Asoc. Odontol. Argent ; 111(3): 1111211, sept.-dic. 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1554315

ABSTRACT

Objetivos: Identificar y determinar la prevalencia de cristales de colesterol (CRCo) en granulomas perirradiculares de origen endodóntico y el tipo de reacción que provocan en los tejidos circundantes. Material y métodos: Se estudiaron con microscopía óptica 75 preparados histológicos de archivo pertenecientes a lesiones perirradiculares humanas correspondientes a piezas dentarias que habían recibido un tratamiento endodóntico pre- vio y que, según los informes que acompañaban las muestras, habían sido obtenidas mediante una apicectomía. Del total, 68 muestras fueron diagnosticadas como granulomas, mientras que los 7 restantes se diagnosticaron como quistes inflamato- rios y fueron descartadas. Resultados: 39 granulomas pertenecían a pacientes de sexo femenino con presencia de CRCo en el 58,97% de los ca- sos. Los 29 granulomas restantes pertenecían al sexo mascu- lino y presentaron CRCo en un 41,37%. La mayor proporción de CRCo fue hallada en granulomas pertenecientes a pacien- tes mayores de 62 años. Los CRCo se observaron rodeados de macrófagos y células gigantes multinucleadas, provocando una reacción a cuerpo extraño. También se observaron células espumosas en áreas circundantes. Conclusiones: La presencia de CRCo en granulomas perirradiculares de origen endodóntico provoca una reacción a cuerpo extraño que puede interferir con el proceso de re- paración posendodóntico especialmente en pacientes de edad avanzada (AU)


Aim: Identify and determine the prevalence of cholester- ol crystals (CRCo) in periradicular granulomas of endodontic origin and the type of reaction they produce in the surround- ing tissues. Material and methods: 75 archival histological preparations were studied with optical microscopy. They be- longed to human periradicular lesions corresponding to teeth that had received a previous endodontic treatment and that, according to the reports accompanying the samples, had been obtained by an apicoectomy. Of the total, 68 samples were diagnosed as granulomas, while the remaining 7 were diag- nosed as inflammatory cysts and were discarded. Results: 39 granulomas corresponded to female patients in which the presence of CRCo was observed in 58.97% of the cases. The remaining 29 granulomas were from male patients and showed CRCo in 41.37% of the cases. The highest pro- portion of CRCo was found in patients over 62 years of age. The CRCo were surrounded by macrophages and multinucle- ated giant cells causing a foreign body reaction. Foam cells were also observed in the surrounding areas. Conclusions: The presence of CRCo in periradicular granulomas of endodontic origin could be a factor interfering with periapical healing after conventional endodontic thera- py, especially in elderly patients (AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Periapical Granuloma/pathology , Root Canal Therapy/adverse effects , Foreign Bodies/etiology , Apicoectomy/methods , Biopsy/methods , Histological Techniques/methods , Age Factors
10.
Prensa méd. argent ; Prensa méd. argent;109(1): 25-30, 20230000. fig
Article in Spanish | LILACS, BINACIS | ID: biblio-1427920

ABSTRACT

La ingesta de cuerpos extraños es una situación frecuente y cotidiana. La mayoría de las veces cursa con resolución espontánea, pero cuando el cuerpo extraño resulta ser un elemento punzante, suele producir perforación esofágica con el consiguiente riesgo de mediastinitis y/o sangrado. Se presenta un caso crítico derivado de diferentes centros asistenciales donde se logra mediante un manejo y tratamiento multidisciplinario, un resultado favorable


The intake of foreign bodies is a frequent and daily situation. Most of the time he has spontaneous resolution, but when the foreign body turns out to be a sharp element, it usually causes esophageal drilling with the consequent risk of mediastinitis and/or bleeding. A critical case derived from different care centers is presented where multidisciplinary management and treatment, achieves a favorable result


Subject(s)
Humans , Male , Adult , Patient Care Team , Esophageal Perforation/therapy , Foreign Bodies , Mediastinum/injuries
11.
Article in English | WPRIM | ID: wpr-982385

ABSTRACT

Chest pain is one of the most common complaints in the emergency department. Diseases of the heart, aorta, lungs, esophagus, stomach, mediastinum, pleura, and abdominal viscera can all cause chest discomfort (Gulati et al., 2021; Jiao et al., 2021; Lu et al., 2022). Clinicians in the emergency department are expected to immediately recognize life-threatening chest pain (Jiao et al., 2021). Delayed diagnosis further increases the risk of complications and mortality (Liu et al., 2021). In this case, we present an elderly Chinese female who had a history of myocardial infarction two years previously, with chest pain eventually found to be caused by ingestion of a duck bone.


Subject(s)
Humans , Female , Aged , Esophagus , Foreign Bodies/diagnosis , Chest Pain/complications , Emergency Service, Hospital , Heart
12.
Article in English | WPRIM | ID: wpr-982391

ABSTRACT

Foreign body reactions induced by macrophages often cause delay or failure of wound healing in the application of tissue engineering scaffolds. This study explores the application of nanosilver (NAg) to reduce foreign body reactions during scaffold transplantation. An NAg hybrid collagen-chitosan scaffold (NAg-CCS) was prepared using the freeze-drying method. The NAg-CCS was implanted on the back of rats to evaluate the effects on foreign body reactions. Skin tissue samples were collected for histological and immunological evaluation at variable intervals. Miniature pigs were used to assess the effects of NAg on skin wound healing. The wounds were photographed, and tissue samples were collected for molecular biological analysis at different time points post-transplantation. NAg-CCS has a porous structure and the results showed that it could release NAg constantly for two weeks. The NAg-CCS group rarely developed a foreign body reaction, while the blank-CCS group showed granulomas or necrosis in the subcutaneous grafting experiment. Both matrix metalloproteinase-1 (MMP-1) and tissue inhibitor of metalloproteinase-1 (TIMP-1) were reduced significantly in the NAg-CCS group. The NAg-CCS group had higher interleukin (IL)-10 and lower IL-6 than the blank CCS group. In the wound healing study, M1 macrophage activation and inflammatory-related proteins (inducible nitric oxide synthase (iNOS), IL-6, and interferon-‍γ (IFN-‍γ)) were inhibited by NAg. In contrast, M2 macrophage activation and proinflammatory proteins (arginase-1, major histocompatibility complex-II (MHC-II), and found in inflammatory zone-1 (FIZZ-1)) were promoted, and this was responsible for suppressing the foreign body responses and accelerating wound healing. In conclusion, dermal scaffolds containing NAg suppressed the foreign body reaction by regulating macrophages and the expression of inflammatory cytokines, thereby promoting wound healing.


Subject(s)
Animals , Rats , Swine , Interleukin-6 , Macrophage Activation , Tissue Inhibitor of Metalloproteinase-1 , Wound Healing , Foreign-Body Reaction , Foreign Bodies , Chitosan
13.
Article in Chinese | WPRIM | ID: wpr-986916

ABSTRACT

Objective: To analyze the clinical characteristics and complications of esophageal foreign bodies of button battery ingestion in children. Methods: A retrospective descriptive study included 83 children who were hospitalized in our hospital on account of button battery ingestion from January 2011 to December 2021. There were 50 males (60.2%) and 33 females (39.8%). The age ranged from 7.6 months to one month off 10 years, with a median age of 18 months. The data of patient demographics and time from ingestion to admission, location, symptoms, management, complications, and follow-up outcome were recorded. SPSS17.0 software was used for statistical analysis. Results: Seventy-two children (86.7%) were younger than 3 years old. The time from ingestion to admission ranged from 1 h to 2 months, with a median time of 8 h. Among the 63 children who were first diagnosed in our hospital, the most common clinical symptoms were nausea and vomiting (32 cases, 50.8%), dysphagia (31 cases, 49.2%), salivation (11 cases, 17.5%) and fever (10 cases, 15.9%). Seventy-three of 83 cases had complete preoperative diagnostic tests, and 55 cases (75.3%) were diagnosed by X-ray. In 56 cases (76.7%), the foreign badies were impacted in the upper third of esophagus. In 72 cases (86.7%), the foreign badies were removed by rigid esophagoscopy. 23 (27.7%) had serious complications, including tracheoesophageal fistula in 15 cases(TEF;65.2%), vocal cord paralysis (VCP;34.8%) in 8 cases, esophageal perforation in 3 cases (EP;13.0%), hemorrhage in 3 cases(13.0%), mediastinitis in 3 cases (13%), and periesophageal abscess in 1 case (4.3%). There were significant differences in the exposure time of foreign bodies and unwitnessed ingestion by guardians in the complications group (P<0.05). 2 cases died (2.4%)respectively due to arterial esophageal fistula bleeding and respiratory failure caused by stent displacement during the treatment of tracheoesophageal fistula. Conclusion: Accidental button battery ingestion can be life-threatening. and it mostly happens in children under 3 years old. Serious complications may happen cause of non-specific clinical manifestations and unwitnessed ingestions. Anterior and lateral chest X-ray is the first examination choice. Tracheoesophageal fistula is the most common serious complication.


Subject(s)
Male , Female , Child , Humans , Infant , Child, Preschool , Tracheoesophageal Fistula/etiology , Retrospective Studies , Foreign Bodies/diagnosis , Eating
14.
Neumol. pediátr. (En línea) ; 18(3): 67-70, 2023. ilus
Article in Spanish | LILACS | ID: biblio-1512539

ABSTRACT

Las enfermedades obstructivas de la vía aérea pediátrica son muy frecuentes debido a los fenómenos mecánicos que están involucrados. En los niños más pequeños, la marcada resistencia de las vías aéreas pequeñas, determinada por la falta de tejido elástico y una caja torácica aún no bien desarrollada; tanto su estructura como la musculatura, facilitarán que cuadros infecciosos, mecánicos (cuerpo extraño) y compresivos, determinen que los flujos de aire se vean limitados y con ello la ventilación alveolar. La respuesta fisiológica con aumento del trabajo respiratorio es limitada y por lo tanto la fatiga muscular determinará hipoventilación con las consecuencias de hipoxemia e hipercapnia.


Obstructive diseases of the pediatric airway are very frequent due to the mechanical phenomena that are involved. The marked resistance of the small airways, such as the lack of elastic tissue and a thoracic cage that is not yet well developed, both in its structure and in the musculature, will make it easier for infectious, mechanical (foreign body), compressive and other conditions to determine that the flows of air are limited and with it the alveolar ventilation. The physiological response with increased work of breathing is limited and therefore muscle fatigue will determine hypoventilation, with the consequences of hypoxemia and hypercapnia.


Subject(s)
Humans , Child , Lung Diseases, Obstructive/physiopathology , Asthma/physiopathology , Bronchiolitis/physiopathology , Respiratory Mechanics , Foreign Bodies/physiopathology , Hypoventilation
15.
Rev. otorrinolaringol. cir. cabeza cuello ; 83(3): 259-262, 2023. ilus
Article in Spanish | LILACS | ID: biblio-1522103

ABSTRACT

El pegamento basado en cianoacrilato posee una gran capacidad de adherencia a los tejidos, representando un problema cuando se encuentra en el oído externo debido a sus características anatómicas particulares. Se presenta un caso clínico de cuerpo extraño de cianoacrilato que ocluye el conducto auditivo externo y el tímpano, alterando la audición. Se describen los hallazgos y los intentos de extracción utilizando las alternativas terapéuticas descritas en la literatura, sin obtener resultados positivos, debiendo recurrir a la extracción quirúrgica. Además, se presentan detalles del procedimiento y los resultados. El paciente recupera la audición y la normalidad anatómica.


Cyanoacrylate-based glue has a great capacity for adhering to tissue, which is a problem when it is placed in the ear canal due to the anatomy of this structure. A clinical case of a cyanoacrylate foreign body occluding the external auditory canal and the tympanic membrane is presented. The therapeutics alternatives described in the literature used in the case failed, so, it was surgically removed by drilling the glue. Details of the procedure and results are presented. The patient recovers the hearing and anatomical normality.


Subject(s)
Humans , Adult , Cyanoacrylates/adverse effects , Ear Canal/surgery , Foreign Bodies/surgery , Foreign Bodies/etiology
16.
Rev. méd. Urug ; 39(2): e701, 2023.
Article in Spanish | LILACS, BNUY | ID: biblio-1508726

ABSTRACT

La ingesta accidental de cuerpos extraños en una entidad frecuente en la urgencia, presentándose en general como dolor abdominal inespecífico. Presentamos caso que ingirió un escarbadientes de madera cuyo manejo inicial fue conservador. Su evolución fue tórpida, requiriendo cirugía de urgencia por perforación del estómago y páncreas.


Accidental ingestion of foreign bodies is rather a frequent entity in the ER, presenting in general as non-specific abdominal pain. The study presents the case of a patient who ingested a wooden toothpick, the handling of which was conservative. Evolution was torpid, requiring emergency surgery given the perforation of the stomach and pancreas.


A ingestão acidental de corpos estranhos é uma entidade frequente no pronto-socorro, apresentando-se geralmente como dor abdominal inespecífica. Apresentamos um caso de ingestão de palito de madeira cujo manejo inicial foi conservador. Sua evolução foi complicada sendo necessário realizar uma cirurgia de emergência devido à perfuração do estômago e do pâncreas.


Subject(s)
Pancreas , Portal Vein , Stomach , Wounds and Injuries , Venous Thrombosis , Foreign Bodies
18.
Rev. argent. cir ; 114(4): 355-358, oct. 2022. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1422948

ABSTRACT

RESUMEN Los cuerpos extraños en el esófago son un problema frecuente en urgencias, debido la mayoría de las veces a ingestión accidental. Presentamos el caso de una paciente femenina de 50 años, sin antecedentes patológicos, que consulta por presentar la ingesta de prótesis dental mientras almorzaba, con posterior disfagia, odinofagia y dolor cervical. Se le realizan radiografías y tomografía computarizada (TC) donde se evidencia imagen radiopaca en esófago cervical. Se interconsulta con el Servicio de Gastroenterología, dada la imposibilidad de extracción de la prótesis por vía endoscópica. Se realiza luego cervicotomía lateral izquierda de emergencia, con esofagotomía, extracción del cuerpo extraño y cierre primario del esófago. La obstrucción del esófago por cuerpos extraños puede ocasionar muchas complicaciones. La consecuente demora en el tratamiento puede llevar a un marcado aumento de la mortalidad. Por eso, en este caso, se prioriza la cirugía ante un riesgo elevado de perforación y hemorragia.


ABSTRACT Esophageal foreign bodies are a common problem in the emergency department, usually due to accidental ingestion. We report the case of a 50-year-old otherwise healthy female patient who sought medical care due to dysphagia, odynophagia and cervical pain after swallowing a partial denture while having lunch. The patient underwent X-rays and a computed tomography (CT) scan which showed a radiopaque image in the upper esophagus. After a failed attempt to remove the denture through endoscopy, surgery was decided via a left lateral emergency cervicotomy with esophagotomy, foreign body removal and primary closure of the esophagus. Esophageal obstruction due to foreign bodies may cause many complications. Treatment delays may result in increased mortality. Thus, in this case we prioritized surgery due to high risk of perforation and bleeding.


Subject(s)
Humans , Female , Middle Aged , Esophagostomy , Esophagus , Foreign Bodies , Denture, Partial , Endoscopy
20.
Int. j. med. surg. sci. (Print) ; 9(3): 1-8, sept. 2022. ilus
Article in English | LILACS | ID: biblio-1518737

ABSTRACT

Impalement injuries are a complex and rare type of penetrating abdominal trauma that happens when an object such as a post or a pole penetrates a person injuring several organs, making it a life-threatening situation in which time and correct management play an important part in the survival of the patient. A 37-year-old man suffered abdominal impalement injury with a metal signal post, penetrating the left flank of the abdomen. On examination, there is a hypoventilated left hemithorax with intercostal retractions, increased heart rate, weak distal pulses, delayed capillary refill, and pale skin. A 1-meter-long metal post (approximately 7cm diameter) penetrates the left flank with the entry in the posterior lumbar region. Abdominal viscera, omentum, intestinal content, and ischemic loops of the small intestine are visible. An exploratory laparotomy was performed; left hemicolectomy, end colostomy and Hartmann procedure, resection of the affected jejunum, and end-to-end anastomosis were performed. On the ninth postoperative day, an abdominal tomography was performed due to the presence of fever peaks, which reported thrombosis of the left renal artery and emphysematous pyelonephritis, with the presence of a left pararenal collection. A simple left nephrectomy was performed. Postoperative surveillance was satisfactory during the following 5 days. The patient was discharged. An impaled injury is a complex lesion that needs special attention from the medical field for correct management. Although there is some literature about it, we encourage more research to be done about impalement injuries.


Las lesiones por empalamiento son un tipo de traumatismo abdominal penetrante complejo y raro de que se produce cuando un objeto, como un poste o una vara, penetra a una persona lesionando varios órganos, lo que la convierte en una situación potencialmente mortal en la que el tiempo y el manejo correcto juegan un papel importante en la supervivencia del paciente. Un hombre de 37 años sufrió una herida por empalamiento abdominal con un poste de señales de metal, penetrando el flanco izquierdo del abdomen. A la exploración física, hay un hemitórax izquierdo hipoventilado con retracciones intercostales, aumento de la frecuencia cardíaca, pulsos distales débiles, relleno capilar retrasado y piel pálida. Un poste metálico de 1 metro de largo (aproximadamente 7 cm de diámetro) penetra el flanco izquierdo con entrada en la región lumbar posterior. Son visibles las vísceras abdominales, el epiplón, el contenido intestinal y las asas isquémicas del intestino delgado. Se realizó una laparotomía exploradora; Se realizó hemicolectomía izquierda, colostomía terminal y procedimiento de Hartmann, resección del yeyuno afectado y anastomosis terminoterminal. Al noveno día postoperatorio se realiza tomografía abdominal por presencia de picos febriles, que reporta trombosis de arteria renal izquierda y pielonefritis enfisematosa, con presencia de colección pararrenal izquierda. Se realizó nefrectomía izquierda simple. La vigilancia postoperatoria fue satisfactoria durante los siguientes 5 días. El paciente fue dado de alta. Una lesión por empalamiento es una lesión compleja que necesita una atención especial desde el ámbito médico para su correcto manejo. Aunque existe cierta literatura al respecto, alentamos a que se realicen más investigaciones sobre estas lesiones.


Subject(s)
Humans , Male , Adult , Wounds, Penetrating/surgery , Foreign Bodies/surgery , Abdominal Injuries/surgery , Kidney/injuries
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