RESUMEN
Malignant melanoma is cancer of the skin which commonly metastasises to the stomach. There have been no reported cases of emphysematous gastritis secondary to metastasis of malignant melanomas, to date. However, a 61-year-old woman with metastatic malignant melanoma of the left great toe presented to us with symptoms of severe left hypochondrium pain associated with high-grade fever, gross abdominal distension and recurrent vomiting. Two months earlier, metastasis was observed to have spread to the stomach and inguinal lymph nodes. At this stage, the patient opted for traditional medication instead of definitive surgery and chemotherapy. Radiological imaging revealed an emphysematous change to the stomach which was radiologically consistent with gastric malignant melanoma. Unfortunately, the patient succumbed to this rare condition.
Asunto(s)
Enfisema , Melanoma/patología , Neoplasias Cutáneas/patología , Neoplasias Gástricas , Estómago/patología , Diagnóstico Diferencial , Enfisema/diagnóstico , Enfisema/etiología , Resultado Fatal , Femenino , Gastritis/diagnóstico , Gastritis/etiología , Gastritis/fisiopatología , Humanos , Metástasis Linfática/patología , Persona de Mediana Edad , Estadificación de Neoplasias , Manejo de Atención al Paciente/métodos , Neoplasias Gástricas/complicaciones , Neoplasias Gástricas/fisiopatología , Neoplasias Gástricas/secundario , Tomografía Computarizada por Rayos X/métodosRESUMEN
El enfisema subcutáneo es una complicación poco frecuente en la práctica odontológica, que ha ido en aumento debido al uso de instrumentos con aire a presión. Muchos de los casos no son reconocidos o presentan un diagnóstico errado. La mayor parte de los pacientes con esta complicación presentan resolución espontánea, sin embargo algunos pueden evolucionar con complicaciones que ponen en peligro la vida. Aquí presentamos un caso de enfisema subcutáneo ocurrido durante un procedimiento restaurador de rutina. El diagnóstico diferencial y el manejo de esta condición son discutidos (AU)
Subcutaneous emphysema is a relatively rare complication of dental treatment, although increasingly due to he use of high pressure air instruments. Many cases go unrecognized or are misdiagnosed. Majority of patients with this complication resolve spontaneously, however some can advance to potentially life-threatening complications. A case of subcutaneous emphysema during restorative procedure is presented. The differential diagnosis and management of this condition is discussed (AU)
Asunto(s)
Femenino , Persona de Mediana Edad , Humanos , Enfisema Subcutáneo/diagnóstico , Enfisema Subcutáneo/terapia , Diagnóstico Diferencial , Enfisema/diagnóstico , Enfisema/terapia , Restauración Dental Permanente/métodos , Restauración Dental Permanente/tendencias , Ciprofloxacina/uso terapéutico , Presión del Aire , Cabeza , Cuello , Analgésicos/uso terapéutico , Riesgo , Factores de RiesgoRESUMEN
Three cases of emphysematous cholecystitis are presented. The role of hyperbaric oxygenation as excellent adjuvant therapy to urgent surgical as well as intensive conservative treatment is emphasized.
Asunto(s)
Colecistectomía , Colecistitis/cirugía , Infecciones por Clostridium/cirugía , Enfisema/cirugía , Oxigenoterapia Hiperbárica , Enfermedad Aguda , Anciano , Anciano de 80 o más Años , Colecistitis/diagnóstico , Colelitiasis/diagnóstico , Colelitiasis/cirugía , Infecciones por Clostridium/diagnóstico , Clostridium perfringens , Terapia Combinada , Enfisema/diagnóstico , Gangrena Gaseosa/diagnóstico , Gangrena Gaseosa/cirugía , Humanos , Masculino , Cuidados PosoperatoriosRESUMEN
A case of retroperitoneal air caused by rectal perforation during a double-contrast barium-enema examination is reported. In 9 similar reported cases, radiographic signs included perirectal, mediastinal, and cervical emphysema. Because of the frequent absence of clinical signs, radiographic recognition may be crucial for prompt management. Reported experience suggests that asymptomatic patients with these radiographic findings may be managed with hospitalization and close observation rather than immediate laparotomy.