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Resultados del tratamiento quirúrgico de la perforación intestinal causada por ingestión de mondadientes: aportación de 3 casos / Results of surgical treatment of intestinal perforation caused by toothpick ingestion: contribution of 3 cases
Manterola, Carlos.
  • Manterola, Carlos; Universidad de La Frontera. Temuco. CL
Int. j. morphol ; 38(5): 1212-1216, oct. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1134427
RESUMEN
RESUMEN La ingestión de mondadientes (IM) constituye un evento poco frecuente (se han publicado alrededor de 157 casos a nivel mundial), pero puede causar perforaciones intestinales (PI), con peritonitis, sepsis e incluso muerte. Este hecho, determina la necesidad de intervenir quirúrgicamente a la mayoría de estos pacientes. El objetivo de este manuscrito fue informar resultados del tratamiento quirúrgico de 3 casos de PI por IM. Caso 1 hombre de 52 años, con perforación duodenal y de la vesícula biliar. Caso 2 Mujer de 54 años con perforación cecal. Caso 3 hombre de 72 años, con perforación de colon izquierdo y lesión esplénica. Todos fueron hospitalizados por dolor abdominal y fiebre. En dos casos el diagnóstico se verificó por tomografía y en uno por ecotomografía. Los tres casos fueron intervenidos quirúrgicamente a través de laparotomía. Intervenciones Caso 1 se realizó colecistectomía y sutura duodenal. Caso 2 se realizó hemicolectomía derecha e ileotransverso anastomosis. Caso 3 se realizó hemicolectomía izquierda y esplenectomía. En todos los casos se encontró el mondadientes. Todos los pacientes evolucionaron de forma satisfactoria, sin complicaciones postoperatorias. La IPD es una emergencia quirúrgica. Las PI son comunes y la peritonitis asociada es frecuente. El pronóstico depende de un diagnóstico precoz y un tratamiento oportuno.
ABSTRACT

SUMMARY:

Toothpick ingestion (TPI) is a rare event, but can cause intestinal perforation (IP), peritonitis, sepsis, and even death (approximately 157 cases have been published worldwide). This fact determines the need for surgical intervention in most of these patients. The aim of this manuscript was to report the results of the surgical treatment in 3 cases of IP by TPI. The report involves the following Case 1 A 52-year-old man, with duodenal and gallbladder perforation. Case 2 A 54-year-old woman with cecal perforation. Case 3 A 72-year-old man, with perforation of the left colon and splenic rupture. All were hospitalized for abdominal pain and fever. In two of the cases the diagnosis was verified by tomography and in one by ultrasound. All three patients underwent laparotomy. In the first case (1), cholecystectomy and duodenal suture were performed; in the second case (2) right hemicolectomy and ileo-transverse anastomosis were performed, and in the third case (3), Left hemicolectomy and splenectomy were performed. Toothpick was found in all cases. The patients in this report all evolved satisfactorily without postoperative complications. In conclusion, TPI is a surgical emergency. IP are common and the associated peritonitis is high. Prognosis depends on early diagnosis and timely treatment.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Foreign Bodies / Intestinal Perforation Type of study: Etiology study / Prognostic study / Screening study Limits: Aged / Female / Humans / Male Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de La Frontera/CL

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Full text: Available Index: LILACS (Americas) Main subject: Foreign Bodies / Intestinal Perforation Type of study: Etiology study / Prognostic study / Screening study Limits: Aged / Female / Humans / Male Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de La Frontera/CL