ABSTRACT
BACKGROUND: Mandibular distraction is an effective treatment for mandibular hypoplasia. Special care must be done while performing the corticotomies to prevent injuries to blood vessels or nerves nearby. A rare iatrogenic severe injury occurred while performing this operation. REPORT OF PATIENT: A 3 year-old girl was operated upon to correct mandibular hypoplasia. A rotating saw was used to perform corticotomies in the mandibular angle. In the right side occurred acute bleeding and in the saw there was a piece of a blood vessel that was 15 mm long and 2 mm in diameter with an open lumen. Exploration of the neck revealed that the most distal segment of the internal carotid artery was severed, with a thrombus in the proximal end. The distal segment retracted into the temporal bone without bleeding. The proximal artery was ligated. After recovery she moved well. A computed tomogram was normal and further condition improved clinically. CONCLUSION: This complication from the use of a rotary saw has not been documented previously and it must be prevented by using some protection behind the bone.
Subject(s)
Carotid Artery Injuries/etiology , Iatrogenic Disease , Mandible/surgery , Mandibular Advancement/adverse effects , Osteogenesis, Distraction/adverse effects , Carotid Artery Thrombosis/etiology , Carotid Artery, Internal , Child, Preschool , Female , Humans , Mandibular Advancement/instrumentation , Micrognathism/surgeryABSTRACT
El cistadenocarcinoma de páncreas es una neoplasia quística proliferativa que se incluye dentro de las neoplasias quísticas mucinosas y que afecta con más frecuencia a la mujeres. Estas neoplasias quísticas contiene epitelio columnar que secretan mucina. Informamos de una paciente en estado de puerperio mediato con presentación de abdomen agudo secundario a perforación de tumoración quística del páncreas. Las neoplasias quísticas mucinosas se presentan como cistadenocarcinomas malignos con franca invasión local o a distancia, o cistadenomas mucinosos benignos considerados por tener un potencial latente de degeneración maligna. El diagnóstico preoperatorio es esencial para establecer el tratamiento definitivo
Subject(s)
Humans , Female , Adult , Abdomen , Abdomen/anatomy & histology , Cystadenocarcinoma, Mucinous/diagnosis , Cystadenocarcinoma, Mucinous/surgery , Pancreas/pathology , Pancreas/surgery , Pancreatic Neoplasms/diagnosis , Pancreatic Neoplasms/surgeryABSTRACT
En el presente artículo se revisa extensamente la relación entre Frida kahlo y la cirugía. El accidente sufrido en su adolescencia y las sucesivas intervenciones quirúrgicas a que se vio sometida a lo largo de su vida indudablemente condicionaron, técnica e iconográficamente, su quehacer pictórico