RESUMEN
Most ingested foreign bodies are passed along the gastrointestinal tract without complications. Only 1% result in complications, with sharp objects, such as fish bones, being the most frequently involved. One of the potential complications is mucosal perforation, which can reach solid organs such as the liver or pancreas in up to 1% of cases. CT is considered the most effective imaging test for detection and to rule out the presence of complications. Early management is a determining factor in prognosis, with laparoscopic and laparotomy removal being considered, although in recent years endoscopic removal has been gaining in importance.
Asunto(s)
Humanos , Femenino , Anciano , Osificación Heterotópica/complicaciones , Osificación Heterotópica/diagnóstico por imagen , Trastornos de Deglución/diagnóstico , Trastornos de Deglución/etiología , Tomografía Computarizada por Rayos X , Endoscopía del Sistema Digestivo , Manometría , SíndromeRESUMEN
Eagle's syndrome is a little known entity defined as the elongation of the stylohyoid process and/or calcification of the stylohyoid ligament. It is a rare pathology that due to its presentation and possible complications should be taken into consideration in the differential diagnosis of oropharyngeal dysphagia. We present the case of a patient with Eagle's syndrome as well as essential aspects in the diagnosis and treatment of this entity.
Asunto(s)
Calcinosis , Trastornos de Deglución , Osificación Heterotópica , Humanos , Trastornos de Deglución/complicaciones , Osificación Heterotópica/complicaciones , Osificación Heterotópica/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagenRESUMEN
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus. (AU)
Asunto(s)
Humanos , Cocaína , Úlcera Duodenal/complicaciones , Úlcera Péptica/inducido químicamente , Úlcera Péptica/diagnóstico por imagen , Úlcera Péptica/cirugía , Píloro , PacientesAsunto(s)
Humanos , Femenino , Persona de Mediana Edad , Candidiasis/complicaciones , Candidiasis/tratamiento farmacológico , Trastornos de Deglución/complicaciones , Enfermedades del Esófago/complicaciones , Enfermedades del Esófago/diagnóstico por imagen , Enfermedades del Esófago/tratamiento farmacológico , Esofagitis/complicaciones , Esofagitis/tratamiento farmacológico , Fluconazol/uso terapéutico , PacientesRESUMEN
Juxtapyloric perforation is one of the most common digestive tract complications associated with cocaine use. We present the case of an habitual user of cocaine who goes to the Emergency Department due to epigastric pain due and intolerance of days of evolution. An endoscopic finding of a large antral ulcer with an ischemic appearance; in which it is not possible to show pylorus.
Asunto(s)
Trastornos Relacionados con Cocaína , Cocaína , Úlcera Duodenal , Úlcera Péptica Perforada , Úlcera Gástrica , Trastornos Relacionados con Cocaína/complicaciones , Úlcera Duodenal/complicaciones , Humanos , Úlcera Péptica Perforada/inducido químicamente , Úlcera Péptica Perforada/diagnóstico por imagen , Úlcera Péptica Perforada/cirugía , Píloro , Úlcera Gástrica/inducido químicamente , Úlcera Gástrica/complicacionesRESUMEN
We present the case of a 53-year-old smoker woman without any relevant medical history who was attended as an outpatient due to several-month persistent odynophagia. An upper gastrointestinal endoscopy was performed, showing white cotton-like plaques throughout the esophagus, suggestive of candidiasis. An esophageal brushing plus biopsy sampling were done, empirically prescribing oral fluconazole for 21 days. A viral serology was also requested, with negative results. Clinical improvement was present until the suspension of antifungal treatment, with an odynophagia relapse afterwards. Cultures were positive for C.albicans sensitive to fluconazole.