RESUMO
A 25-year-old woman ingested a quarter. Three days later, lower abdominal pain, fever, chills, and physical findings compatible with pelvic inflammatory disease developed. Radiographic examination showed the coin in the middle pelvis. Persistent abdominal complaints, abnormal physical examination, and failure of the coin to progress through the gastrointestinal tract despite conservative management led to surgical intervention. Exploration revealed an inflammatory process in the posterior uterine culde-sac with multiple omental, small bowel, and uterine adhesions due to perforation of a Meckel's diverticulum. Excision of the Meckel's diverticulum was done, and the patient recovered satisfactorily.
Assuntos
Corpos Estranhos/complicações , Doenças do Íleo/etiologia , Íleo , Perfuração Intestinal/etiologia , Divertículo Ileal/patologia , Adulto , Feminino , Humanos , Doenças do Íleo/patologia , Enteropatias/etiologia , Perfuração Intestinal/patologia , Omento/patologia , Doença Inflamatória Pélvica/etiologia , Aderências Teciduais/etiologiaRESUMO
On the basis of these in vitro and in vivo studies, Shur-Strips are recommended for wound closure. These tapes have a non-woven microporous structure with an adhesive that aggressively bonds to underlying skin. The level of adhesion of Shur-Strips to the skin can be enhanced by adhesive adjuncts. Shur-Strips are strong enough to resist breakage during clinical use and elongate sufficiently to prevent blister formation. The microporous structure of Shur-Strips permits rapid air transmission even when wet.
