ABSTRACT
La esofagitis enfisematosa es una entidad extremadamente infrecuente sin prácticamente ningún caso descrito en la literatura. Presentamos el caso de una paciente con esofagitis y gastritis enfisematosa con afectación de toda la pared del esófago y el estómago al diagnóstico. Fue intervenida quirúrgicamente por perforación gástrica en dos ocasiones, realizándose cierre primario en ambas con evolución posterior favorable. Pese a la gran extensión de la esófago-gastritis enfisematosa al diagnóstico y la presencia de una perforación gástrica, es seguro realizar un manejo semejante a la gastritis enfisematosa siendo lo más conservadores posibles en caso de precisar cirugía
Emphysematous esophagitis is an extremely rare disease and there are very few previous reports in the literature. We report a case of emphysematous esophagitis and gastritis with complete affectation of the gastric and esophageal wall at diagnosis. Two surgical interventions were performed due to gastric perforation that was treated in both cases with primary closure. The post-operative recovery was satisfactory. Despite the large emphysematous esophago-gastritis affectation at diagnosis and the presence of gastric perforation, it is safe to perform the same management principles as with emphysematous gastritis. This should be as conservative as possible in case a surgical procedure is required
Subject(s)
Humans , Female , Middle Aged , Esophagitis/complications , Emphysema/complications , Stomach Rupture/complications , Gastritis/pathology , Tomography, X-Ray Computed/methods , Esophagitis/diagnostic imaging , Emphysema/diagnostic imaging , Stomach Rupture/diagnostic imaging , Laparoscopy/methodsABSTRACT
Emphysematous esophagitis is an extremely rare disease and there are very few previous reports in the literature. We report a case of emphysematous esophagitis and gastritis with complete affectation of the gastric and esophageal wall at diagnosis. Two surgical interventions were performed due to gastric perforation that was treated in both cases with primary closure. The post-operative recovery was satisfactory. Despite the large emphysematous esophago-gastritis affectation at diagnosis and the presence of gastric perforation, it is safe to perform the same management principles as with emphysematous gastritis. This should be as conservative as possible in case a surgical procedure is required.
Subject(s)
Emphysema/complications , Esophagitis/complications , Spontaneous Perforation/etiology , Stomach Diseases/etiology , Female , Humans , Middle Aged , Spontaneous Perforation/surgery , Stomach Diseases/surgeryABSTRACT
The presence of biliary gallstones and surgical clips in the abdominal cavity after a laparoscopic cholecystectomy can cause complications, which even though they are uncommon, can be serious. We carried out a review of the various complications, their incidence, related risk factors, ways to deal with them and recommendations to reduce morbidity associated with the presence of ectopic material (gallstones and surgical clips) in the peritoneum.
Subject(s)
Abdomen , Cholecystectomy, Laparoscopic , Foreign Bodies/complications , Gallstones/complications , Gallstones/surgery , Postoperative Complications/etiology , Surgical Instruments , Humans , Practice Guidelines as TopicABSTRACT
Los cálculos biliares y clips abandonados en la cavidad abdominal tras una colecistectomía laparoscópica pueden dar lugar a complicaciones que, aunque poco frecuentes, pueden ser graves. Realizamos una revisión de las distintas complicaciones, su incidencia, factores de riesgo relacionados, manejo y recomendaciones para reducir la morbilidad relacionada con material ectópico (cálculos o clips) en el peritoneo (AU)
The presence of biliary gallstones and surgical clips in the abdominal cavity after a laparoscopic cholecystectomy can cause complications, which even though they are uncommon, can be serious. We carried out a review of the various complications, their incidence, related risk factors, ways to deal with them and recommendations to reduce morbidity associated with the presence of ectopic material (gallstones and surgical clips) in the peritoneum (AU)
