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1.
Ciênc. rural (Online) ; 52(2): e20210108, 2022. graf, ilus, mapas
Article in English | LILACS, VETINDEX | ID: biblio-1286059

ABSTRACT

In ecological parks, the proximity to tourist activities facilitates the exploration of garbage by coatis, with possible serious consequences for the animals health . We described the contents of wild coatis feces from three ecological parks. After analyzing 62 samples, fragments of plants and animals were identified in all feces. In the feces of two parks, seeds were present between 36.4% and 48.6% of the samples. Arthropod fragments were identified in 100% of the samples from two parks, but only 87.3% in a third park. Scales, bones or bird feathers were present in some samples. Undigested material of industrial origin was detected in 34.3% to 54.5% of the samples, such as fragments of paper, string, plastic, aluminum, latex and glass. Results are in line with other studies on the diet of wild coatis, but the intake of foreign bodies, potentially harmful to health, is described for the first time. Clinical problems resulting from ingesting waste can be dental fractures, mucosal erosions, intestinal perforation, peritonitis, impaction, diarrhea, weight loss, intoxication and infections. Coatis in the three parks are at risk of health, and actions are needed to avoid clinical and potentially fatal problems. Four actions are recommended to avoid ingesting foreign bodies: increasing the environmental education of visitors; improving the storage of waste generated in parks; periodically monitor the health of coatis, in order to make interventions when possible; make a permanent program to study the ecology of species in the three parks.


Em parques ecológicos, a proximidade com atividades turísticas facilita a exploração do lixo por quatis (Nasua nasua), com possíveis consequências graves para saúde dos animais. Descrevemos o conteúdo de fezes de quatis selvagens de três parques ecológicos. Após análise de 62 amostras, fragmentos de plantas e animais foram identificados em todas as fezes. Nas fezes de dois parques, as sementes estiveram presentes entre 36,4% e 48,6% das amostras. Foram identificados fragmentos de artrópodes em 100% das amostras de dois parques, mas apenas 87,3% em um terceiro parque. Escamas, ossos ou penas de pássaros estavam presentes em algumas amostras. Detectou-se material não digerido de origem industrial em 34,3% a 54,5% das amostras, como fragmentos de papel, barbante, plástico, alumínio, látex e vidro. Os resultados estão de acordo com outros estudos sobre a dieta de quatis selvagens, mas a ingestão de corpos estranhos, potencialmente prejudicial à saúde, é descrito pela primeira vez. Os problemas clínicos decorrentes da ingestão de lixo podem ser fraturas dentais, erosões de mucosas, perfuração intestinal, peritonite, impactação, diarreia, emagrecimento, intoxicação e infecções. Os quatis nos três parques estão com a saúde em risco, sendo necessárias ações para evitar problemas clínicos e potencialmente fatais. Quatro ações são recomendadas para evitar a ingestão de corpos estranhos: aumentar a educação ambiental dos visitantes; melhorar o armazenamento dos resíduos gerados nos parques; monitorar periodicamente a saúde dos quatis, de forma a fazer intervenções quando possível; fazer um programa permanente de estudo da ecologia das espécies nos três parques.


Subject(s)
Animals , Waste Products/analysis , Procyonidae , Diet/veterinary , Eating , Feces , Foreign Bodies/veterinary , Brazil , Feeding Behavior , Parks, Recreational , Animals, Wild
3.
Rev. colomb. cir ; 37(1): 139-141, 20211217. fig
Article in Spanish | LILACS | ID: biblio-1357600

ABSTRACT

La apendicitis aguda es una de las patologías más comunes en el ámbito hospitalario. Las formas complicadas pueden ser causadas por objetos puntigudos, afilados, delgados o alargados, ingeridos de forma accidental, y representan una causa inusual con una prevalencia del 0,0005 %


Acute appendicitis is one of the most common pathologies in the hospital setting. The complicated forms can be caused by pointed, sharp, thin or elongated objects, accidentally ingested, and represent an unusual cause with a prevalence of 0.0005%.


Subject(s)
Humans , Appendicitis , Foreign Bodies , Laparoscopy , Abdomen, Acute , Intestinal Perforation
4.
Rev. cuba. anestesiol. reanim ; 20(3): e718, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1351987

ABSTRACT

La oxigenación apnéica consiste en la administración de flujos altos de oxígeno a través de algún dispositivo supraglótico mientras el paciente se mantiene en apnea. Se explica por qué el alveolo desnitrogenizado con una composición en su mayor parte de oxígeno, permite la difusión alveolo capilar y genera una presión subatmosférica capaz de arrastrar el flujo de oxigeno existente en el árbol traqueobronquial hasta el mismo alveolo, siempre y cuando no hubiera obstrucción mecánica de la vía aérea. El tiempo aumenta considerablemente hasta que la saturación de oxígeno disminuya, lo que se conoce como tiempo de apnea segura. Se presenta la experiencia de emplear esta técnica en un escolar de 5 años sin antecedentes patológicos, que ingirió un cuerpo extraño (semilla de girasol), la cual se localizaba en vía aérea bronquio principal derecho. Este se extrajo por fibrobroncoscopía bajo anestesia total intravenosa, priorizando la ventilación espontánea hasta localizarlo, y luego, debido a la dificultad que presentó su extracción, se empleó relajación muscular y apnea para optimizar las condiciones de la extracción. Durante este periodo, se empleó la técnica de oxigenación apnéica, la cual se mantuvo durante 12 min. La saturación pulsátil de oxigeno fue mayor al 92 por ciento, tiempo suficiente para culminar la extracción con éxito y sin complicaciones(AU)


Apneic oxygenation consists in the administration of high flows of oxygen through a supraglottic device while the patient remains in apnea. It is explained because the alveolus with low nitrogen concertation/accumulation, with a composition mostly of oxygen, allows capillary alveolus to diffuse, as well as it generates a subatmospheric pressure capable of dragging the oxygen flow existing in the tracheobronchial tree to the alveolus itself, as long as there is no mechanical airway obstruction. The time increases considerably until oxygen saturation decreases, which is known as the safe apnea time. The experience of using this technique is presented is it was used with a five-year-old boy with no pathological history and who swallowed a foreign body (sunflower seed), which was located in the airway, specifically the right main bronchus. The foreign body was extracted by fiberoptic bronchoscopy under total intravenous anesthesia, prioritizing spontaneous ventilation until it was located; and then, due to the difficulty for its extraction, muscle relaxation and apnea were used to optimize the extraction conditions. During this period, the apneic oxygenation technique was used and maintained for twelve minutes. Pulsatile oxygen saturation was greater than 92 percent, enough time to complete the extraction successfully and without complications(AU)


Subject(s)
Humans , Male , Child, Preschool , Ventilation , Bronchoscopy , Airway Obstruction , Foreign Bodies , Anesthesia, Intravenous , Muscle Relaxation
5.
Arq. Ciênc. Vet. Zool. UNIPAR (Online) ; 24(2, cont.): e2408, jul-dez. 2021. ilus, graf
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1352315

ABSTRACT

A inseminação artificial em tempo fixo (IATF) é uma biotécnica com inúmeras vantagens para a produção de bovinos. Para a realização da IATF, as fêmeas bovinas devem receber um protocolo farmacológico que induz a ovulação de forma sincronizada. Esse protocolo inicia com a inserção de um dispositivo impregnado com progesterona que deve permanecer no fundo vaginal da fêmea por tempo determinado. O presente relato tem por objetivo descrever a remoção de um implante impregnado com progesterona que foi encontrado na cavidade abdominal de uma novilha. Durante um atendimento reprodutivo de rotina em uma propriedade rural, uma novilha da raça Jersey, recém-adquirida, com histórico de ter sido submetida à IATF, foi avaliada para diagnóstico de gestação. No exame a novilha não estava gestante e apresentava um cisto folicular ovariano. A novilha foi submetida novamente à IATF em que foi inserido e removido um implante, com isso o cisto regrediu e ao inseminar a novilha não foi possível passar a cérvix com o aplicador. Vinte dias após a inseminação a novilha manifestou estro e ao ser avaliada para nova inseminação, foi identificado um implante solto na cavidade abdominal da novilha. Foi realizada uma laparotomia pelo flanco esquerdo e o implante foi removido. Após a recuperação da cirurgia a novilha foi inseminada e novamente e ficou gestante. Os protocolos de IATF devem ser realizados por profissionais capacitados para evitar problemas como a presente situação em que um implante foi encontrado na cavidade abdominal de uma novilha.(AU)


The fixed-time artificial insemination (FTAI) is a biotechnique with numerous advantages for cattle production. In order to perform the FTAI, the cows must receive a pharmacological protocol to induce ovulation in a synchronized way. This protocol begins with the insertion of a device impregnated with progesterone that must remain in the vaginal fundus of the cow for a specific period of time. This report aims at describing the removal of a progesterone impregnated implant that was found in the abdominal cavity of a heifer. During a routine reproductive service in a rural property, a recently acquired Jersey heifer, with history of having been submitted to FTAI, was evaluated for pregnancy diagnosis. At the exam, it was observed that the heifer was not pregnant and presented an ovarian follicular cyst. The heifer was then submitted to FTAI again, where an implant was inserted and removed. This made the cyst to recede, and upon subsequent insemination, the applicator was not able to pass the cervix. Twenty days after insemination, the heifer was in estrus and when it was evaluated for insemination, a loose implant was identified in the abdominal cavity of the heifer. A laparotomy was performed through the left flank and the implant was removed. After recovery from the surgery, the heifer was inseminated again and became pregnant. The FTAI protocols should only be carried out by trained professionals to avoid problems such as the one presented herein, where an implant was found in the abdominal cavity of a heifer.(AU)


La inseminación artificial a tiempo fijo (FTAI) es una biotécnica con numerosas ventajas para la producción de ganado. Para realizar FTAI, las hembras bovinas deben recibir un protocolo farmacológico que induzca la ovulación de forma sincronizada. Este protocolo comienza con la inserción de un dispositivo impregnado con progesterona que debe permanecer en el fondo vaginal de la hembra durante un tiempo específico. Este informe tiene como objetivo describir la extracción de un implante impregnado de progesterona que se encontró en la cavidad abdominal de una novilla. Durante la atención reproductiva de rutina en una propiedad rural, se evaluó el diagnóstico de preñez de una novilla de Jersey recién adquirida con antecedentes de someterse a FTAI. En el examen, la novilla no estaba embarazada y tenía un quiste folicular ovárico. La novilla fue nuevamente sometida a FTAI, en la cual se insertó y removió un implante, con esto el quiste retrocedió y al inseminar a la novilla no fue posible pasar el cérvix con el aplicador. Veinte días después de la inseminación, la vaquilla manifestó estro y cuando se evaluó para una nueva inseminación, se identificó un implante suelto en la cavidad abdominal de la vaquilla. Se realizó una laparotomía a través del flanco izquierdo y se extrajo el implante. Después de recuperarse de la cirugía, la novilla fue inseminada y nuevamente quedó embarazada. Los protocolos FTAI deben ser realizados por profesionales capacitados para evitar problemas como la situación actual donde se encontró un implante en la cavidad abdominal de una novilla.(AU)


Subject(s)
Animals , Cattle , Ovulation , Progesterone , Pregnancy, Animal , Insemination, Artificial , Cervix Uteri , Foreign Bodies , Estrus
6.
Rev. cuba. pediatr ; 93(3): e1510, 2021.
Article in Spanish | LILACS, CUMED | ID: biblio-1347545

ABSTRACT

La ingestión de un cuerpo extraño es un tipo de lesión no intencionada muy frecuente en la infancia, particularmente en lactantes mayores de 6 meses y preescolares. El propósito deseado con la publicación de esta guía es contar con herramientas actualizadas en el diagnóstico y tratamiento de esta afección que permitan sistematizar la conducta y mejorar la calidad de la asistencia médica. Dentro de los cuerpos extraños más frecuentes tenemos: monedas, imanes, baterías, juguetes pequeños, plásticos, joyas, botones, huesos e impactaciones alimentarias en los niños mayores. La sintomatología varía según la naturaleza del cuerpo extraño, el lugar donde se impacte, que casi siempre es en las estrecheces anatómicas o adquiridas del tubo digestivo o por la presencia de complicaciones. Para confirmar el diagnóstico son necesarios diferentes estudios imagenológicos y endoscópicos, estos últimos con un valor terapéutico. El tratamiento depende de factores como la edad, el tiempo de ingerido, la localización, la presencia de complicaciones, la naturaleza del cuerpo extraño, su número y el potencial lacerante, tóxico o corrosivo. En la mayoría de los casos los cuerpos extraños son expulsados de forma espontánea y tienen un pronóstico favorable, pero queda un grupo de pacientes donde es necesario un tratamiento quirúrgico. Después de realizar una búsqueda de revisiones sistemáticas de calidad y tomando en cuenta la experiencia del Servicio de Cirugía Pediátrica de Matanzas en el tratamiento de estos pacientes se elaboró esta guía que fue discutida y aprobada en el IV Simposio Nacional de Cirugía Pediátrica. La publicación de esta guía permitiría a los servicios de Cirugía Pediátrica emplearla como referencia y aplicarla en sus propias instituciones con el consecuente beneficio para los pacientes(AU)


Ingestion of a foreign body is a very common type of unintentional injury in childhood, particularly in infants older than 6 months and preschoolers. The desired purpose with the publication of this guideline is to have up-to-date tools in the diagnosis and treatment of this condition that allow to systematize the behavior and improve the quality of medical care. Within the most frequent foreign bodies we have: coins, magnets, batteries, small toys, plastics, jewelry, buttons, bones and food impactations in older children. Symptomatology varies depending on the nature of the foreign body, the place where it impacted, which is almost always in anatomical or acquired narrowness of the digestive tract, or by the presence of complications. To confirm the diagnosis, different imaging and endoscopic studies are necessary, the latter with a therapeutic value. Treatment depends on factors such as age, ingestion time, location, presence of complications, the nature of the foreign body, the amount and the lacerating, toxic or corrosive potential. In most cases foreign bodies are expelled spontaneously and have a favorable prognosis, but there is a group of patients left for whom surgical treatment is necessary. After conducting a search for quality systematic reviews and taking into account the experience of Matanzas province's Pediatric Surgery Service in the treatment of these patients, this guideline was created and it was discussed and approved at the IV National Symposium of Pediatric Surgery. The publication of this guideline would allow Pediatric Surgery services to use it as a reference and apply it in their own institutions with the consequent benefit for patients(AU)


Subject(s)
Humans , Infant , Child, Preschool , Diagnostic Imaging/methods , Practice Guideline , Gastrointestinal Tract/injuries , Foreign Bodies/therapy , Medical Care
7.
Medicentro (Villa Clara) ; 25(3): 513-521, 2021. graf
Article in Spanish | LILACS | ID: biblio-1340199

ABSTRACT

RESUMEN La ingestión de cuerpos extraños (en su mayoría espinas de pescado y huesos de pollo) durante la alimentación es frecuente. En gran parte de los casos ocurre accidentalmente, de manera inadvertida, habitualmente silente, en personas alcohólicas, con enfermedad mental o que usan prótesis dental. Generalmente pasan a través del tubo digestivo sin causar daño, y son expulsadas cerca de los siete días después de la ingestión. En cambio, en algunos pacientes puede ocasionar oclusión o perforación del tubo digestivo. Entre las zonas más afectadas están: la región ileocecal y la rectosigmoidea, por su angulación. Se presenta un paciente de 54 años de edad, bebedor habitual y fumador, con perforación del recto por espina de pescado, la cual fue ingerida de forma inadvertida días anteriores. Se le realizó una transversostomía para descompresión; posteriormente desarrolló una gangrena de Fornier en la región genital, y se le realizó una necrectomía y orquiectomía derecha.


ABSTRACT Foreign body ingestion (mostly fish bones and chicken bones) during feeding is common. In most cases, it occurs accidentally, inadvertently, usually silently, in people who are alcoholics, mentally ill, or who wear dental prostheses. They generally pass through the digestive tract without causing damage, and are expelled about seven days after ingestion. On the other hand, in some patients it can cause occlusion or perforation of the digestive tract. The ileocecal and rectosigmoid regions are the most affected areas, due to their angulation. We present a 54-year-old male patient, a habitual drinker and smoker, with a rectal perforation caused by a fish bone, which was inadvertently ingested days before. A decompressing transversostomy was performed; later he developed Fornier's gangrene in the genital region, and a necrosectomy and right orchiectomy were performed.


Subject(s)
Fournier Gangrene , Foreign Bodies , Intestinal Perforation
8.
Rev. urug. cardiol ; 36(2): e702, ago. 2021. fot.
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1290000

ABSTRACT

Un gossypiboma, oblitoma o textiloma se define como todo cuerpo extraño olvidado en el interior de un paciente durante una intervención quirúrgica. Representa una complicación posquirúrgica poco frecuente pero de consecuencias potencialmente graves. En general, se manifiesta con cuadros clínicos variables: una masa o pseudotumor, sangrados, fiebre, dolor, varios meses o años después de la cirugía original. También puede ser un hallazgo accidental. Describimos el caso clínico de una paciente con un gossypiboma vinculado a una cirugía cardíaca que se realizó 40 años antes al cuadro clínico actual, que se presenta con arritmia ventricular maligna.


A gossypiboma, oblitoma or textiloma is defined as a surgical object left in the interior of the body after surgery. It represents an uncommon but potentially life threatening post-surgery complication. Clinical manifestations are variable and depend on location, relations and size, from pseudo-tumoral masses, bleeding, fever, pain and other nonspecific presentations. The onset of symptoms is unpredictable, occurring from months or years after surgery. Patients may course asymptomatically and be diagnosed incidentally as an imaging finding. We describe a case of a patient with gossypiboma diagnosed 40 years after undergoing cardiac surgery, who presented with a malignant ventricular arrhythmia.


Um gossypiboma, oblitoma ou textiloma está definido como todo corpo estranho esquecido no interior de um paciente durante um procedimento cirúrgico, representando uma complicação pos cirúrgica pouco frequente, mas com consequências potencialmente graves. Geralmente, se manifesta com quadros clínicos variáveis: uma massa ou pseudotumor, sangramentos, febre, dor, varios meses ou anos após a cirurgia original ou ser um hachado acidental. Descrevemos o caso clínico de uma paciente com um gossypiboma vinculado a uma cirurgia cardíaca realizada 40 anos antes do quadro clínico atual, que se apresenta com arritmia ventricular maligna.


Subject(s)
Humans , Female , Middle Aged , Arrhythmias, Cardiac/etiology , Surgical Sponges , Foreign Bodies/diagnostic imaging , Postoperative Complications/surgery , Postoperative Complications/diagnostic imaging , Thoracic Surgery , Foreign Bodies/surgery
9.
Medisan ; 25(4)2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1340214

ABSTRACT

Se describe el caso clínico de un paciente de 36 años de edad, quien acudió a la consulta de Ortopedia y Traumatología del Hospital General Docente Dr. Juan Bruno Zayas Alfonso de Santiago de Cuba, con un alambrón oxidado, encarnado en la cara palmar de la muñeca derecha, con parestesias en la zona de inervación del nervio mediano. La radiografía reveló que dentro de las estructuras de la muñeca había 10 cm del alambrón, con la porción distal doblada en forma de gancho, por lo cual se le realizó intervención quirúrgica de urgencia. Se utilizó anestesia regional, sedación e isquemia y se extrajo el cuerpo extraño en sentido contrario a la curvatura que presentaba. Luego de pasar el efecto anestésico persistían las parestesias en el pulpejo del índice, que desaparecieron completamente a los 4 meses del accidente. Se incorporó a sus labores habituales a los 2 meses de operado.


The case report of a 36 years patient is described. He went to the Orthopedics and Traumatology Service of Dr. Juan Bruno Zayas Alfonso Teaching General Hospital in Santiago de Cuba, with a rusty big wire, ingrowing in the right wrist palmar face, with paresthesias in the innervation area of the median nerve. The x-ray revealed that inside the wrist structures there was 10 cm of the big wire, with the distal portion bent in hook form, reason why an emergency surgical intervention was carried out. Regional anesthesia, sedation and ischemia were used and the strange body was removed in sense contrary to the bend that presented. After the anesthetic effect eased the paresthesias of the index finger tip persisted that disappeared completely 4 months after the accident. He went back to his usual works 2 months after the operation.


Subject(s)
Paresthesia/therapy , Foreign Bodies , Median Nerve/injuries , Accidents, Occupational , Median Nerve/surgery
10.
Rev. cuba. cir ; 60(2): e1024, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1280223

ABSTRACT

Introducción: El divertículo de Meckel es la anomalía congénita más frecuente del tracto gastrointestinal. Por lo general, cursa asintomático, y su diagnóstico es transoperatorio. Cuando presenta síntomas se deben a sus complicaciones, de las cuales la perforación constituye solo el 0,5 por ciento. Objetivo: Describir las características clínico-quirúrgicas de la presentación de un paciente con divertículo de Meckel perforado por cuerpo extraño. Caso clínico: Paciente adulto de 46 años de sexo masculino, piel blanca, que acude con dolor generalizado en el abdomen que se trasladó a Fosa Ilíaca Derecha, con febrícula. Se interviene quirúrgicamente y se halla divertículo de Meckel perforado por cuerpo extraño. Conclusiones: El pronóstico de esta enfermedad depende de la evolución, diagnóstico precoz y tratamiento aplicado en las distintas complicaciones, así como de la decisión de realizar tratamiento quirúrgico en los hallazgos casuales(AU)


Introduction: Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract. It is generally asymptomatic, with an intraoperative diagnosis. When it presents symptoms, they are due to its complications, of which perforation accounts for only 0.5 percent. Objective: To describe the clinical-surgical characteristics of a patient who presented with a Meckel's diverticulum perforated by a foreign body. Clinical case: 46-year-old adult patient of the male sex and white skin, who presents with generalized pain in the abdomen that moved to the right iliac fossa and low-grade fever. The patient underwent surgery and a Meckel's diverticulum was found, perforated by a foreign body. Conclusions: The prognosis of this disease depends on the evolution, early diagnosis and applied treatment according to the different complications, as well as on the decision to perform surgical treatment in accidental findings(AU)


Subject(s)
Humans , Male , Middle Aged , Gastrointestinal Tract/abnormalities , Diverticulitis/surgery , Foreign Bodies/etiology , Meckel Diverticulum/complications , Early Diagnosis
11.
Rev. cuba. estomatol ; 58(2): e2826, 2021. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289408

ABSTRACT

Introducción: La etiología de la sinusitis maxilar comprende diferentes causas primarias y secundarias. Siempre es preciso descartar de inicio aquellas causas iatrogénicas consecuencia de intervenciones previas. Objetivo: Realizar una revisión de las diferentes causas de sinusitis maxilar, con énfasis en las causas raras iatrogénicas y en el protocolo de actuación. Presentación del caso: Paciente varón de 60 años que presenta episodios de sinusitis maxilar. Como antecedentes quirúrgicos se había realizado quistectomía maxilar, tratamiento de fístula oroantral secundaria y rehabilitación protésica posterior. Tras estudio radiológico inicial se halló una masa intrasinusal, compatible al tacto con material de impresión dental. Conclusiones: Es importante antes de cualquier rehabilitación protésica y de la toma de modelos confirmar la ausencia de fístula oroantral para evitar la intrusión de material extraño en el seno maxilar(AU)


Introduction: The etiology of maxillary sinusitis comprises a number of primary and secondary causes. It is always necessary to initially rule out iatrogenic causes resulting from previous interventions. Objective: Carry out a review of the different causes of maxillary sinusitis, with an emphasis on the rare iatrogenic causes and the clinical management protocols. Case presentation: A male 60-year-old patient who experiences episodes of maxillary sinusitis. Surgical antecedents include maxillary cystectomy, treatment for secondary oroantral fistula and posterior prosthetic rehabilitation. Initial radiological examination revealed an intrasinus mass compatible to the touch with dental impression material. Conclusions: Before any sort of prosthetic rehabilitation and the taking of models, it is important to confirm the absence of an oroantral fistula, to prevent the entrance of foreign material into the maxillary sinus(AU)


Subject(s)
Humans , Male , Middle Aged , Maxillary Sinusitis/etiology , Oroantral Fistula/therapy , Iatrogenic Disease/epidemiology , Radiography, Panoramic/methods , Foreign Bodies/diagnostic imaging
12.
Medisur ; 19(3): 524-529, 2021. graf
Article in Spanish | LILACS | ID: biblio-1287334

ABSTRACT

RESUMEN: La ingestión intencional de cuerpos extraños es frecuente entre prisioneros. Es un fenómeno asociado a un aumento de la morbimortalidad y los costos. Generalmente no requiere de intervención específica, aunque pueden aparecer complicaciones severas, que requieren, en ocasiones, tratamiento quirúrgico urgente. Se presenta un paciente masculino, de 24 años de edad, sin antecedentes relevantes, recluido en la prisión de máxima seguridad de la provincia Camagüey. Se introdujo por la boca un alambre de 40 cm de longitud, con un gancho en su punta. Presentó sialorrea y molestias retroesternales. Al examen físico se encontró normalidad de sus parámetros vitales, sin alteraciones en el examen del tórax, con abdomen doloroso a la palpación profunda del cuadrante inferior derecho. Se realizaron radiografías simples de tórax posteroanterior, lateral, y de abdomen simple, se encontraron un cuerpo extraño desde la boca hasta el tercio inferior del esófago torácico y otro cuerpo extraño ubicado en la pelvis, que refirió haber ingerido intencionalmente hace un año. Se realizó laparotomía urgente y extracción de ambos cuerpos extraños. El paciente evolucionó satisfactoriamente sin desarrollar complicaciones. La ingestión intencional de cuerpos extraños en la población penal es un problema de salud complejo. La prevención es uno de los pilares fundamentales de su tratamiento. Es importante un alto índice de sospecha sobre la ingestión de múltiples objetos, en este grupo de pacientes la cirugía es frecuentemente requerida.


ABSTRACT The conscious ingestion of foreign bodies is frequent among prisoners. It is a phenomenon associated with an increase in morbidity - mortality and costs. Generally, it does not require specific intervention, although severe complications may appear, which sometimes require urgent surgical treatment.to present the case of a prisoner with recurrent intentional ingestion of multiple foreign bodies, one of them not previously diagnosed. Case presentation: A 24-years-old male patient, with no relevant history, held in the Camagüey province maximum security prison. The wire was introduced through the mouth 40 cm long, with a hook at its tip. Referring to hypersalivation and retrosternal discomfort. The physical examination found normality of his vital parameters, without alterations in the chest examination, with a painful abdomen on deep palpation of the right lower quadrant. A posteroanterior and lateral chest X-ray was performed, finding a foreign body from the mouth to the lower third of the thoracic esophagus, an abdominal X-ray where another foreign body was located in the pelvis, which he reported having intentionally ingested a year ago. An urgent laparotomy was performed and both foreign bodies were removed. The patient evolves satisfactorily without developing complications. The intentional ingestion of foreign bodies in the prison population is a complex health problem. Prevention is one of the fundamental pillars of its treatment. A high index of suspicion on the ingestion of multiple objects is important; in this group of patients surgery is frequently required.


Subject(s)
Humans , Male , Adult , Prisoners/psychology , X-Rays , Costs and Cost Analysis , Foreign Bodies/complications , Physical Examination , Indicators of Morbidity and Mortality , Foreign Bodies/therapy
13.
Rev. colomb. anestesiol ; 49(2): e500, Apr.-June 2021. graf
Article in English | LILACS, COLNAL | ID: biblio-1251502

ABSTRACT

Abstract Introduction Foreign body aspiration (FBA) is a potentially fatal paediatric emergency. Our objective was to highlight the importance of a multidisciplinary approach to difficult/doubtful diagnosis. Case report 34-month-old girl referred for urgent rigid bronchoscopy after suspected metallic blade ingestion (found chewing on it). She had a previous recurrent history of wheezing. The physical examination revealed face/lip wounds, traces of powder on her teeth but no breathing difficulty. The plain X-Ray revealed radiopaque images of the upper pulmonary field and gastric chamber. In the absence of FBA clinical signs but considering a previous history of bronchial hyperresponsiveness, a direct digital radiographic study was performed. There were no images compatible with foreign bodies: the results were interpreted as artefacts and no bronchoscopy was performed. Conclusions A careful pre-anaesthetic evaluation, a high level of suspicion and excellent multidisciplinary communication led to the recognition of false radiologic findings. A conservative approach was followed and invasive procedures in a remote location, with high anaesthetic risk for the paediatric population were avoided.


Resumen Introducción La aspiración de cuerpo extraño (ACE) es una emergencia pediátrica potencialmente fatal. La intención del presente artículo es resaltar la importancia de un abordaje multidisciplinario en caso de un diagnóstico difícil/dudoso. Reporte de caso Se trata de una paciente de 4 meses de edad remitida para broncoscopia rígida de urgencia, luego de la sospecha de ingestión de una hojilla metálica (se encontró a la bebé mordiéndola). La paciente tenía antecedentes de sibilancia. Al examen físico se encontraron heridas en la cara y los labios, rastros de polvo en los dientes, pero no había dificultad respiratoria. El examen de rayos-x mostraba imágenes radio opacas en el cuadrante superior derecho del pulmón y en la cámara gástrica. En virtud de la ausencia de signos clínicos de ACE en una paciente con antecedentes de hiperresponsividad bronquial, se realizó un estudio radiográfico digital. No hubo imágenes compatibles con cuerpos extraños: los resultados se interpretaron como artefactos y no se realizó la broncoscopia. Conclusiones Un cuidadoso examen pre-anestesia, el alto grado de sospecha y una excelente comunicación multidisciplinaria, permitieron el reconocimiento de hallazgos radiológicos falsos. Se siguió un abordaje conservador, evitando así procedimientos invasivos en lugares remotos con alto grado de riesgo para la población pediátrica.


Subject(s)
Humans , Male , Infant , Respiration , Respiratory Sounds , Eating , Emergencies , Foreign Bodies , Wounds and Injuries , X-Rays , Bronchoscopy , Risk , Artifacts , Absenteeism , Lung , Mastication
14.
Rev. colomb. gastroenterol ; 36(supl.1): 67-71, abr. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1251550

ABSTRACT

Resumen Objetivos: Presentar el manejo laparoscópico en un caso de bezoar atípico y una revisión de la literatura. Materiales y métodos: Se presenta el caso de un paciente de sexo masculino de 67 años con síndrome pilórico debido a una obstrucción intestinal por cuerpo extraño. Resultados: Se encuentra como hallazgo endoscópico un bezoar atípico (bezoar de dinero) impactado en la región prepilórica sin posibilidad de resolución por este medio, por lo cual se considera el manejo laparoscópico. Discusión: Los bezoares se definen como cualquier objeto el cual tuvo una ingesta voluntaria o involuntaria, que se aloja en alguna parte del tracto gastrointestinal superior, con mayor frecuencia a nivel gástrico, y no se puede digerir por los mecanismos fisiológicos del cuerpo; además, se clasifican según su composición. Conclusiones: En pacientes con obstrucción intestinal alta debido a cuerpos extraños en los cuales el manejo endoscópico falla, el manejo quirúrgico mínimamente invasivo con cirugía laparoscópica es viable y eficaz.


Abstract Objectives: To describe the laparoscopic management of an atypical bezoar case and present a literature review. Materials and methods: This is the case of a 67-year-old male patient with pyloric stenosis due to intestinal obstruction by a foreign body. Results: The endoscopic finding was an atypical bezoar (Money bezoar) in the prepyloric region with no possible resolution by this route, so laparoscopic treatment was considered. Discussion: Bezoars are defined as any object that was voluntarily or involuntarily swollen and is obstructing some part of the upper gastrointestinal tract, usually the stomach, and cannot be digested using the physiological mechanisms of the body. They are categorized based on their composition. Conclusions: When endoscopic treatment fails to relieve upper gastrointestinal tract obstruction caused by foreign bodies, minimally invasive surgical treatment with laparoscopic surgery is a viable and efficient option.


Subject(s)
Humans , Male , Aged , Bezoars , Laparoscopy , Foreign Bodies , Intestinal Obstruction , Literature
15.
Rev. colomb. gastroenterol ; 36(1): 115-119, ene.-mar. 2021. graf
Article in Spanish | LILACS | ID: biblio-1251531

ABSTRACT

Resumen La ingesta de cuerpos extraños es una entidad clínica común en el servicio de gastroenterología; la mayoría de veces estos pasan a través del tracto digestivo de manera espontánea y, en algunos casos, pueden presentar complicaciones como obstrucción o perforación. Es importante realizar un diagnóstico temprano con el fin de definir una terapia conservadora o quirúrgica inmediata. Se presenta el caso de una paciente de 67 años de edad que ingresó al servicio de urgencias por dolor abdominal de 16 días de evolución; como había sospecha de tumor gástrico sobreinfectado, se solicitó una endoscopia digestiva alta para la toma de biopsias, pero de forma sorpresiva se extrajo una espina de pescado de 3,5 cm sin complicaciones; posteriormente, se realizó el manejo del absceso gástrico con antibióticos por 14 días, con un buen desenlace clínico.


Abstract Foreign body ingestion is a common reason for consultation to the Gastroenterology Service. Most of these bodies pass through the digestive tract spontaneously and, in some cases, may cause complications such as obstruction or perforation. Early diagnosis is crucial to establish immediate conservative or surgical therapy. The following is the case of a 67-year-old patient admitted to the Emergency Department due to abdominal pain of 16 days of evolution. Since an over-infected gastric tumor was suspected, an upper gastrointestinal endoscopy was requested for biopsy. Strikingly, a 3.5cm fish bone was removed without complications. Gastric abscess was treated subsequently with antibiotics for 14 days, obtaining a good clinical outcome.


Subject(s)
Humans , Female , Aged , Gastrointestinal Tract , Foreign Bodies , Endoscopy, Gastrointestinal , Eating , Research Report , Literature
16.
Rev. colomb. anestesiol ; 49(1): e302, Jan.-Mar. 2021. graf
Article in English | LILACS, COLNAL | ID: biblio-1149796

ABSTRACT

Acuphagia, the practice of inappropriate consumption of non-nutritive sharp metallic substances, is a rare form of pica and can lead to devastating consequences.1 Panel A demonstrates an ingested serrated knife in the right upper abdominal quadrant (Image 1). Panel B exhibits distended bowel loops, pneumatosis intestinalis and pneumoperitoneum on radiological imaging (Image 2).


La acuphagia, la práctica del consumo inadecuado de sustancias metálicas cortantes no nutritivas, es una forma rara de pica y puede tener consecuencias devastadoras. 1 El panel A muestra un cuchillo dentado ingerido en el cuadrante abdominal superior derecho ( Imagen 1). El panel B muestra asas intestinales distendidas, neumatosis intestinal y neumoperitoneo en las imágenes radiológicas ( Imagen 2 ).


Subject(s)
Humans , Radiography , Metallic Wastes , Radiology , Foreign Bodies/diagnostic imaging
17.
Rev. bras. ciênc. vet ; 28(1): 3-8, jan./mar. 2021. il.
Article in Portuguese | LILACS, VETINDEX | ID: biblio-1368217

ABSTRACT

A ingestão de corpos estranhos em aquários artificiais é uma ocorrência frequente observada na clínica cirúrgica de anfíbios criados como pets, o que inclui os axolotes (Ambystoma mexicanum). O presente relato descreve um caso de ingestão de sete corpos estranhos em um axolote macho, de cinco meses de idade, com histórico de abaulamento irregular e irredutível da superfície corpórea ventral, de consistência firme. Na anamnese foi informado que o animal habitava um aquário com substrato de cascalhos. Ao exame físico, o axolote apresentou bom estado geral e parâmetros vitais dentro da normalidade para a espécie. Os materiais deglutidos foram identificados em região gástrica por meio de exame radiográfico corpóreo total, e suas características condiziam com o substrato utilizado no aquário do paciente. Como protocolo anestésico, foi priorizada a imersão em Isofluorano e gás oxigênio, com o objetivo de atingir a via branquial e, ocasionalmente, transdérmica. A remoção cirúrgica foi feita através de celiotomia e gastrotomia em ambiente aquático com temperatura, pH e coleção bacteriana controlados, conforme literatura disponível e tendo em consideração a natureza, diâmetro e localização dos corpos estranhos. Após cinco e quinze dias do procedimento, acompanhou-se a cicatrização da ferida cirúrgica, sendo possível constatar bom restabelecimento da continuidade dos tecidos e bom estado geral do paciente.


The ingestion of foreign bodies in artificial aquariums is a frequent occurrence observed in the surgical clinic of amphibians raised as pets, which includes axolotls (Ambystoma mexicanum). The present report describes a case of ingestion of seven foreign bodies in a male axolotl, five months old, with a history of irregular and irreducible bulging of the ventral body surface, with firm consistency. In the anamnesis, it was reported that the animal inhabited an aquariums with gravel substrate. On physical examination, the axolotl showed good general condition and vital parameters within the normal range for the species. The swallowed materials were identified in the gastric region by means of total body radiographic examination, and their characteristics were consistent with the substrate used in the patient's aquarium. As anesthetic protocol, immersion in Isofluorane and oxygen gas was prioritized, in order to reach the branchial and, occasionally, transdermal route. Surgical removal was performed through celiotomy and gastrotomy in an aquatic environment with controlled temperature, pH and bacterial collection, according to available literature and taking into account the nature, diameter and location of foreign bodies. After five and fifteen days of the procedure, the healing of the surgical wound was monitored, showing a good restoration of tissue continuity and a good general condition of the patient.


Subject(s)
Animals , Surgery, Veterinary/methods , Ambystoma mexicanum/surgery , Amphibians/surgery , Anesthesia/veterinary , Salamandra/surgery , Wound Healing , Aquatic Environment/methods , Foreign Bodies/veterinary
18.
Rev. Ateneo Argent. Odontol ; 64(1): 8-12, 2021. ilus
Article in Spanish | LILACS | ID: biblio-1248117

ABSTRACT

Un cuerpo extraño es un objeto o una estructura que se incluye accidental o intencionalmente en la intimidad de los tejidos orgánicos de un individuo. Puede desencadenar importantes procesos inflamatorios/ infecciosos, dependiendo de su naturaleza, requiriendo en la mayoría de los casos su extracción quirúrgica, con el fin de evitar daños al paciente. Este trabajo tiene como objetivo informar un caso de cuerpo extraño (fragmento de amalgama) incluido iatrogénicamente en la exodoncia de un molar inferior derecho en un paciente que, después de 8 años, optó por hacerse un implante en el área y descubrió la inclusión de este material, siendo necesaria su extracción quirúrgica para la posterior colocación del implante dental en la región. Los autores destacan la necesidad de realizar una minuciosa inspección y toilette de la caja alveolar en el acto de la exodoncia, para evitar incluir cuerpos extraños en el sitio quirúrgico y evitar así, una nueva intervención en el área (AU)


Foreign body is an object or structure included accidentally or intentionally in the intimacy of the organic tissues of individuals. They can trigger important inflammatory / infectious processes, depending on its nature, requiring its surgical removal in most cases, to prevent damage to the patient. This study aimed to report a case of a foreign body (fragment of amalgam) iatrogenically included in extraction of a right lower molar in a patient who, after 8 years, opted to have an implant in the area and discovered the inclusion of this material, requiring its surgical removal for subsequent placement of a dental implant in the region. The authors highlight the need to perform a thorough inspection and toilet of the alveolar box in the act of extraction, to avoid including foreign bodies in the surgical site, avoiding further intervention in the area (AU)


Subject(s)
Humans , Female , Adult , Dental Amalgam/adverse effects , Foreign Bodies , Iatrogenic Disease , Schools, Dental , Tooth Extraction/adverse effects , Radiography, Panoramic , Intraoperative Complications , Mandible/diagnostic imaging , Molar/surgery
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