RESUMO
No disponible
Assuntos
Humanos , Bezoares/tratamento farmacológico , Celulase/uso terapêutico , Pancreatina/uso terapêutico , Ácido Ursodesoxicólico/uso terapêutico , Bebidas Gaseificadas , Resultado do TratamentoRESUMO
Two cases of a chemical dissolution of gastric phytobezoars are presented. The novel approach of that management is the pharmacological mixture than completely made disappear the bezoars in patients fated to surgery removal.
Assuntos
Bezoares/tratamento farmacológico , Bebidas Gaseificadas , Celulase/uso terapêutico , Fármacos Gastrointestinais/uso terapêutico , Pancreatina/uso terapêutico , Gastropatias/tratamento farmacológico , Ácido Ursodesoxicólico/uso terapêutico , Quimioterapia Combinada , Humanos , Resultado do TratamentoAssuntos
Neoplasias Abdominais/complicações , Linfoma Difuso de Grandes Células B/complicações , Neoplasias Retroperitoneais/complicações , Incontinência Urinária/etiologia , Neoplasias Abdominais/diagnóstico , Idoso , Feminino , Humanos , Linfoma Difuso de Grandes Células B/diagnóstico , Neoplasias Retroperitoneais/diagnósticoRESUMO
A 72-year-old woman presented to the emergency department with recurrent vomiting without abdominal pain. On physical examination, the patient was afebrile and her abdomen was soft and nontender with a giant abdominal-wall hernia. Upper endoscopy showed a deep, 3-cm ulcer at the gastric angulus. Computed tomography (CT) of the abdomen showed gastric dilatation with gas in the wall and a large part of the digestive tract within the hernia sac. CT imaging also revealed gas throughout the portal venous system. The patient declined surgery. Management was conservative and included correction of fluid and electrolyte balance, and nasogastric drainage for gastric decompression with good response.
Assuntos
Embolia Aérea/etiologia , Gases , Úlcera Péptica/complicações , Sistema Porta , Gastropatias/etiologia , Idoso , Feminino , HumanosRESUMO
Presentamos el caso de una mujer de 72 años, que acudió aurgencias tras presentar vómitos de repetición, sin dolor abdominal.En la exploración presentaba una gran hernia abdominalsin datos de complicación, no dolorosa y afebril. Laendoscopia digestiva alta (EDA) mostró una úlcera profundade unos 3 cm de tamaño en la incisura angularis. En latomografía computarizada abdominal se apreció una dilatacióngástrica, con neumatosis de toda la pared y gas en elsistema venoso portal. La paciente rechazó el tratamientoquirúrgico de la hernia abdominal. Se realizó un tratamientoconservador con reposición de volumen y del balanceelectrolítico, y una descompresión gástrica con sonda nasogástrica,con buena respuesta por parte de la paciente
A 72-year-old woman presented to the emergency departmentwith recurrent vomiting without abdominal pain. Onphysical examination, the patient was afebrile and her abdomenwas soft and nontender with a giant abdominal-wallhernia. Upper endoscopy showed a deep, 3-cm ulcer at thegastric angulus. Computed tomography (CT) of the abdomenshowed gastric dilatation with gas in the wall and a largepart of the digestive tract within the hernia sac. CT imagingalso revealed gas throughout the portal venous system.The patient declined surgery. Management was conservativeand included correction of fluid and electrolyte balance, andnasogastric drainage for gastric decompression with goodresponse
