RESUMEN
Although Crohn's disease is usually found in the ileum and colon, it can be located in the whole gastrointestinal tract from the oral cavity to the anus. The frequency of gastroduodenal Crohn's disease is rare and is reported to range between 0.5% and 4.0% in Crohn's disease. And when Crohn's disease does involve the upper gastrointestinal tract, there is nearly always concomitant disease in the small bowel and colon. Very rarely, isolated Crohn's disease of the stomach and duodenum may occur. Definite diagnosis requires histologic confirmation, however, endoscopic biopsies often fail to reveal granuloma. Thus, if absence of definite histologic findings, combining clinical, radiologic and endoscopic findings suggest this condition. We experienced a first case of Crohn's disease confined to stomach and reported with review of the literature.
Asunto(s)
Canal Anal , Biopsia , Colon , Enfermedad de Crohn , Diagnóstico , Duodeno , Tracto Gastrointestinal , Granuloma , Íleon , Boca , Estómago , Tracto Gastrointestinal SuperiorRESUMEN
Although today most injuries of face and head are the result of traffic accident, dog bites are a cause of facial injuries in children. In recent years, general guidelines have been established concerning the surgical treatment of facial dog bite injuries in children. Contrary to past beliefs, primary closure of selected bites produces the best outcome for patients without increasing the risk of infection. Special attention is attached to the functional and aesthetic outcome. The purpose of this article is to provide the oral and maxillofacial surgeon about management of facial dog bite injuries and guidelines for effective and rational treatment with review of a literature. We report a case of multiple facial dog bite injuries treated surgically by primary closure of the wound and secondary revision with rotation flap after excision of partial necrotic tissue.