RESUMO
No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Síndrome Pós-Colecistectomia/diagnóstico , Colecistectomia/efeitos adversos , Coledocolitíase/diagnóstico , Complicações Pós-Operatórias , Cálculos da Bexiga Urinária/cirurgiaRESUMO
No disponible
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Carcinoma Neuroendócrino/cirurgia , Neoplasias da Vesícula Biliar/cirurgia , Tomografia Computadorizada por Raios X , Tumor Misto Maligno/diagnóstico , Colecistite/diagnósticoRESUMO
No disponible
Assuntos
Humanos , Masculino , Idoso , Abscesso Hepático/etiologia , Tumores do Estroma Gastrointestinal/complicações , Melena/etiologiaRESUMO
Introducción. Aunque el dispositivo intrauterino es seguro para la mayoría de las mujeres, se ha descrito su asociación con absceso hepático y puede producir sepsis grave. Caso clínico. Presentamos el caso de una paciente portadora de dispositivo intrauterino que acudió a urgencias con abdomen agudo segundario a absceso hepático roto. La paciente requirió laparotomía exploradora para drenaje quirúrgico. Conclusión. El dispositivo intrauterino debe ser considerado como etiología en mujeres con infección intraabdominal (AU)
Background. Although intrauterine device is safe for the most women, its association with liver abscess has been reported and can produce fatal sepsis. Clinical case. We report a case of a patient wearing intrauterine device who arrived at the emergency department with acute abdomen due to ruptured liver abscess. The patient underwent exploratory laparotomy for surgical drainage. Conclusion. Intrauterine device can be considered the etiology in a woman with intraabdominal infection (AU)
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Abscesso Hepático/complicações , Abscesso Hepático/diagnóstico , Dispositivos Intrauterinos , Pneumoperitônio/complicações , Laparotomia/métodos , Laparotomia , Norepinefrina/uso terapêutico , Imipenem/uso terapêutico , Tobramicina/uso terapêutico , Metronidazol/uso terapêutico , Abscesso Hepático , Pneumoperitônio , Pneumoperitônio/diagnóstico , Dispositivos Intrauterinos/tendências , /métodos , Radiografia TorácicaRESUMO
Wernicke's encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation.
Assuntos
Úlcera Duodenal/cirurgia , Pancreaticoduodenectomia , Nutrição Parenteral Total , Úlcera Péptica Hemorrágica/cirurgia , Encefalopatia de Wernicke/etiologia , Adulto , Úlcera Duodenal/complicações , Humanos , Masculino , Úlcera Péptica Hemorrágica/complicações , Encefalopatia de Wernicke/diagnósticoRESUMO
La encefalopatía de Wernicke (EW) es un trastorno neurológico agudo resultado del déficit de tiamina. Presentamos la aparición de dicho cuadro en un enfermo joven que es sometido a una duodenopancreatectomía cefálica ante una úlcera duodenal sangrante refractaria a tratamiento endoscópico y quirúrgico previo, precisando de una nutrición parenteral total, sin suplementos de tiamina(AU)
Wernickes encephalopathy is an acute neurological disorder resulting from thiamine deficiency. We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to endoscopic and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation(AU)
Assuntos
Humanos , Masculino , Adulto , Encefalopatia de Wernicke/complicações , Encefalopatia de Wernicke/diagnóstico , Pancreaticoduodenectomia/efeitos adversos , Hemorragia Gastrointestinal/complicações , Nutrição Parenteral Total , Úlcera Péptica/complicações , Endoscopia do Sistema Digestório/métodos , Síncope/complicações , Epinefrina/uso terapêutico , Tiamina/uso terapêutico , Hemorragia Gastrointestinal/dietoterapia , Úlcera Péptica/fisiopatologia , Hemorragia Gastrointestinal , Úlcera Gástrica/cirurgia , Úlcera Péptica , Vagotomia Troncular/métodosRESUMO
BACKGROUND: Ingestion of foreign bodies represents a common feature in psychiatric patients and prisoners. Bezoar is a conglomeration of partially or undigested foreign material in the gastrointestinal tract. These are classified into several types according to the materials which they are composed of, the least frequent being metals. There are few cases reported in the literature. CLINICAL CASE: We report a case of a patient with a pathological history of mental disorder. The patient complained of abdominal pain 24 h prior, and there were no other symptoms. Physical examination revealed pain in the upper quadrant without peritoneal irritation. Laboratory tests were normal and plain x-ray of the abdomen showed several metallic foreign bodies, some sharp, >5 cm in length and with intestinal prolongation. Surgical intervention was performed several hours later: gastrotomy to remove the gastric bezoar that was composed of several screws, nails, scrap metal, lighters, clothespins, radio antennas and one coin. Four metallic foreign bodies were found in the small bowel after reviewing the abdominal cavity, so enterotomy was also performed to remove them. Postoperative course was uneventful. CONCLUSIONS: Surgical treatment must be considered in cases of multiple, large, sharp objects or complications. An exhaustive study of the case is essential to avoid delay in treatment and potential complications.
