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1.
Medicine (Baltimore) ; 100(3): e24391, 2021 Jan 22.
Artigo em Inglês | MEDLINE | ID: mdl-33546080

RESUMO

RATIONALE: Only a few cases of intraocular lens (IOL) opacification during phacoemulsification surgery have been reported in the literature; intraoperative emergency due to IOL surface foreign body is even rarer. PATIENT CONCERNS: A 76-year-old woman underwent uncomplicated cataract surgery in her right eye. A triangular transparent seemingly foreign body tightly attached to the posterior surface of the IOL was found during IOL implantation; the IOL surface foreign body prevented the patient from obtaining satisfactory visual acuity after surgery. DIAGNOSIS: IOL surface foreign body. INTERVENTIONS: After confirmation of the surface foreign body by swept-source optical coherence tomography (IOL Master 700), the surface foreign body was removed in a second surgery. After surgery, the IOL was still well centered. OUTCOMES: Fortunately, the patient achieved distinctly improved vision without any visual disturbances in her right eye. To identify the material of the foreign body, it was examined by Fourier-transform infrared spectroscopy (FTIR). LESSONS: This case suggests that surgeons should carefully observe IOLs before implantation. In addition, effective preoperative planning and skillful surgery can remove foreign bodies smoothly and improve patient vision.


Assuntos
Corpos Estranhos/cirurgia , Implante de Lente Intraocular/efeitos adversos , Facoemulsificação/métodos , Idoso , Feminino , Corpos Estranhos/etiologia , Humanos , Implante de Lente Intraocular/métodos , Lentes Intraoculares/efeitos adversos
2.
J Laryngol Otol ; 135(3): 276-279, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33632351

RESUMO

BACKGROUND: The occurrence of retained ear mould impression material is rare and can lead to complications. The current case report describes one such complication, where the silicone impression material used to take the impression of the ear canal flowed into the middle ear through the pre-existing tympanic membrane perforation. Five days later, the patient presented with worsened hearing and blood-tinged discharge from the ear. Ear microscopy revealed a greenish foreign body in the middle ear. CASE REPORT: The foreign body was removed by tympanotomy and the perforation repaired using a temporalis fascia graft. A hearing aid was prescribed after ensuring that the perforation had healed. CONCLUSION: It is essential that the audiologist perform a basic otological examination before prescribing a hearing aid and preparing an ear mould. A clinical approach algorithm for audiologists, for prior to taking an impression, is suggested.


Assuntos
Orelha Média/lesões , Corpos Estranhos/etiologia , Auxiliares de Audição/efeitos adversos , Perfuração da Membrana Timpânica/complicações , Idoso de 80 Anos ou mais , Feminino , Humanos , Silicones
3.
BMJ Case Rep ; 14(1)2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33462029

RESUMO

Dry socket or alveolar osteitis is one of the most common complication following tooth extraction. Patients usually reports of pain, which typically starts on third or fourth postoperative day and responds to simple irrigation and placement of zinc oxide eugenol (ZOE) pack, which provides an obtundent effect. The pack should be loosely kept in the extraction socket and should be changed periodically to allow healing. This report presents a case of retrieval of foreign body, which actually was a ZOE pack from maxillary sinus, 6 months after the patient underwent extraction of upper left maxillary first molar.


Assuntos
Alvéolo Seco/terapia , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/etiologia , Seio Maxilar , Extração Dentária/efeitos adversos , Adulto , Alvéolo Seco/etiologia , Corpos Estranhos/cirurgia , Humanos , Masculino , Dente Molar , Radiografia Panorâmica
4.
BMJ Case Rep ; 14(1)2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33462051

RESUMO

There is a wide range of hymenal variants which exist and usually become apparent to women during puberty. Our case describes a 16-year-old woman with a previously undiagnosed hymenal septum who presented with a retained tampon within the urinary bladder. This case report discusses a rare presentation of a hymenal variant and highlights the importance of understanding the difference in pelvic examinations in children and adolescents when compared with adults and awareness of the different hymenal variants.


Assuntos
Corpos Estranhos/diagnóstico , Corpos Estranhos/etiologia , Hímen/anormalidades , Produtos de Higiene Menstrual , Bexiga Urinária , Adolescente , Feminino , Corpos Estranhos/cirurgia , Humanos
5.
BMJ Case Rep ; 14(1)2021 Jan 18.
Artigo em Inglês | MEDLINE | ID: mdl-33462063

RESUMO

Swallowed partial dentures in elderly patients is an emergency situation that requires a swift response. Here, we report a case involving a patient with severe intellectual disability who swallowed his denture, which lodged at the oesophagus inlet. After failure of endoscopic removal, denture with clasp was removed using long forceps through intraoral approach under intravenous sedation. At the pharynx and oesophagus inlet level, removal of foreign body via intraoral approach should be preferentially considered over open surgery for faster patient recovery.


Assuntos
Prótese Parcial , Esôfago , Corpos Estranhos/diagnóstico , Corpos Estranhos/etiologia , Deficiência Intelectual/psicologia , Faringe , Corpos Estranhos/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade
6.
BMJ Case Rep ; 14(1)2021 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-33431447

RESUMO

A 30-year-old man walked into the emergency department after a suicide attempt by firing a nail from a pneumatic nail gun directed at his left temple. He was haemodynamically stable and neurologically intact, able to recall all events and moving all extremities with a Glascow Coma Scale of 15. CT of the brain showed a 6.3 cm nail in the right frontal region without major intracerebral vessel disruption. He was taken to the operating room for left temporal wound washout, debridement of gross contamination and closure with titanium cranial fixation plate. The foreign body was not accessible on initial surgical intervention and was left in place to define anatomy and plan for subsequent removal. Thin slice CT images were used to create 3D reconstructions to facilitate stereotactic navigation and foreign body removal via right craniotomy the following day. The patient tolerated the procedures well and recovered with full neurological function.


Assuntos
Hemorragia Cerebral Intraventricular/cirurgia , Craniotomia , Corpos Estranhos/cirurgia , Traumatismos Cranianos Penetrantes/cirurgia , Automutilação/cirurgia , Tentativa de Suicídio , Adulto , Encéfalo/diagnóstico por imagem , Encéfalo/cirurgia , Hemorragia Cerebral Intraventricular/diagnóstico , Hemorragia Cerebral Intraventricular/etiologia , Angiografia por Tomografia Computadorizada , Corpos Estranhos/etiologia , Traumatismos Cranianos Penetrantes/diagnóstico , Traumatismos Cranianos Penetrantes/etiologia , Humanos , Imageamento Tridimensional , Masculino , Automutilação/diagnóstico , Automutilação/etiologia , Crânio/diagnóstico por imagem , Crânio/lesões , Crânio/cirurgia
7.
Rev. cuba. oftalmol ; 33(3): e913, tab
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1139090

RESUMO

RESUMEN Objetivo: Determinar las características clínico-epidemiológicas del trauma ocular a globo abierto. Métodos: Se realizó un estudio descriptivo, observacional y transversal en pacientes con trauma ocular a globo abierto y afectación del segmento posterior en pacientes hospitalizados en el Servicio de Vítreo-Retina del Instituto Cubano de Oftalmología "Ramón Pando Ferrer" entre julio del año 2017 y julio de 2018. Resultados: El 68,18 por ciento de los pacientes fue menor de 50 años y el 88,64 por ciento fueron hombres. El trauma más común fue el penetrante (91,11 por ciento); el 68,89 por ciento de las lesiones ocurrió en zona 1, con predominio de las heridas menor o igual a 4 mm (75,56 por ciento). La circunstancia más común del trauma fue la laboral (50 por ciento). El mecanismo de producción predominante fue el martilleo sobre metal (71,11 por ciento); el 65,91 por ciento de los traumas ocurrieron en zona urbana; el 96,46 por ciento no usaba protección; el 57,77 por ciento tenía una agudeza visual inicial de cuenta dedo o mejor, y la presencia de cuerpo extraño intraocular ocupó el 77,78 por ciento. Conclusiones: En el trauma ocular a globo abierto predominan la edad por debajo de 50 años, el sexo masculino y los traumas penetrantes. La mayor parte se presenta de forma unilateral, durante las actividades laborales y sin protección ocular. Más de la mitad de los pacientes presentan agudeza visual inicial de cuenta dedos o mejor. Los signos oculares asociados más frecuentes son el cuerpo extraño intraocular y la catarata traumática(AU)


ABSTRACT Objective: Determine the clinical-epidemiological characteristics of open globe ocular trauma. Methods: A cross-sectional observational descriptive study was conducted of open globe ocular trauma and posterior segment damage in patients admitted to the Vitreous-Retina Service of Ramón Pando Ferrer Cuban Institute of Ophthalmology from July 2017 to July 2018. Results: Of the patients studied, 68.18 percent were under 50 years of age and 88.64 percent were men. Penetrating trauma was the most common type (91.11 percent); 68.89 percent of the lesions were found in zone 1, with a predominance of injuries smaller than or equal to 4 mm (75.56 percent). Most traumas occurred while at work (50 percent). The prevailing occupational activity being performed at the moment of the trauma was hammering on metal (71.11 percent); 65.91 percent of the traumas occurred in urban areas; 96.46 percent of the patients were not wearing the required protection equipment; 57.77 percent had an initial visual acuity of count fingers or better; and participation of foreign bodies accounted for 77.78 percent. Conclusions: In open globe ocular trauma a predominance is found of age under 50 years, male sex and penetrating traumas. Most are unilateral and occur while working without the required ocular protection. In more than half of the patients initial visual acuity is finger counting or better. The most common associated ocular signs are intraocular foreign body and traumatic cataract(AU)


Assuntos
Humanos , Masculino , Adulto , Acuidade Visual , Ferimentos Oculares Penetrantes/epidemiologia , Corpos Estranhos/etiologia , Epidemiologia Descritiva , Estudos Transversais , Proteção , Estudos Observacionais como Assunto
8.
Rev Esp Salud Publica ; 942020 Jul 30.
Artigo em Espanhol | MEDLINE | ID: mdl-32728017

RESUMO

OBJECTIVE: Foreign body (FB) ingestion distresses many families who consult the emergency department promptly. The objective of the study is to determine the epidemiological characteristics of children who consult due to suspected FB intake and its consequences. METHODS: Descriptive-observational study, carried out in a third-level maternal and child center. Emergency reports were selected from patients under 18 years of age with a diagnosis of discharge "Ingesta CE" (code 938 CIM-9-MC until May 2018; code T18.9XXA CIM-10-MC later) from 1/1/2017 until 12/31/2018. Miscoded and reconsultations within the same episode were excluded. Data was analysed with the statistics program SPSS 25.0. RESULTS: 458 cases were included; median age 3.8 years (p25-75: 1.9-6.6 years); 267 (58.3%) males. 78.9% consulted in the first 6 hours after intake. Accidental cause was reported in 98.9% of cases. In 96.7% a single FB was ingested. The most frequent types of object were metallic (46.7%), plastics (16.4%) and food bones/shells (12.9%). The 23.6% of FB involved were sharp/pointed. 49.1% of the patients presented symptoms. A complementary test was performed in 69.4%, especially radiographs (63.5%). Metal detector was used in 10%. 9.6% required endoscopy. 90.4% were discharged from the emergency department, with 12.1% of reconsultations. CONCLUSIONS: Consultations for FB ingestion are relatively frequent in the emergency department and, although most of them are discharged, many patients require complementary tests and a non-negligible number, endoscopy. The patient's profile is that of a preschooler who spontaneously goes to the emergency room due to an accidental ingestion of a blunt metallic object.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Corpos Estranhos/epidemiologia , Adolescente , Criança , Pré-Escolar , Ingestão de Alimentos , Emergências , Feminino , Corpos Estranhos/diagnóstico , Corpos Estranhos/etiologia , Humanos , Lactente , Recém-Nascido , Masculino , Estudos Retrospectivos , Espanha/epidemiologia
9.
J Laryngol Otol ; 134(7): 646-649, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32641170

RESUMO

BACKGROUND: Coronavirus disease 2019, a highly transmissible respiratory infection, has created a public health crisis of global magnitude. The mainstay of diagnostic testing for coronavirus disease 2019 is molecular polymerase chain reaction testing of a respiratory specimen, obtained with a viral swab. As the incidence of new cases of coronavirus disease 2019 increases exponentially, the use of viral swabs to collect nasopharyngeal specimens is anticipated to increase drastically. CASE REPORT: This paper draws attention to a complication of viral swab testing in the nasopharynx and describes the premature engagement of a viral swab breakpoint, resulting in impaction in the nasal cavity. CONCLUSION: This case highlights a possible design flaw of the viral swab when used to collect nasopharyngeal specimens, which then requires an aerosol-generating procedure in a high-risk patient to be performed. The paper outlines a safe technique of nasal foreign body removal in a suspected coronavirus disease 2019 patient and suggests alternative testing materials.


Assuntos
Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico , Corpos Estranhos/etiologia , Cavidade Nasal , Pneumonia Viral/diagnóstico , Manejo de Espécimes/efeitos adversos , Idoso , Betacoronavirus , Humanos , Masculino , Pandemias , Manejo de Espécimes/instrumentação
10.
Korean J Intern Med ; 35(5): 1027-1030, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32664710

RESUMO

Following the coronavirus disease 2019 outbreak in China, more than 10,765 patients tested positive for severe acute respiratory syndrome coronavirus 2 from February 18, 2020 to April 30, 2020 in South Korea. Performing emergency endoscopy is extremely challenging from the clinicians' viewpoint during the viral outbreak. There are no available guidelines for emergency endoscopy in tertiary hospitals during this pandemic. We set up an algorithm as a guide for emergency endoscopy in patients presenting to the emergency room with bleeding, foreign body, or impending cholangitis. From February 18, 2020 to April 30, 2020 of outbreak, 130 patients underwent emergency endoscopy in our center. Owing to the simple and streamlined algorithm for performing emergency endoscopy, no endoscopy-related infection to other patients or medical workers was reported in our center.


Assuntos
Algoritmos , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Serviço Hospitalar de Emergência , Endoscopia , Seleção de Pacientes , Pneumonia Viral/epidemiologia , Colangite/diagnóstico , Colangite/etiologia , Colangite/terapia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Corpos Estranhos/diagnóstico , Corpos Estranhos/etiologia , Corpos Estranhos/terapia , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/etiologia , Hemorragia Gastrointestinal/terapia , Humanos , Controle de Infecções/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , República da Coreia , Estudos Retrospectivos , Centros de Atenção Terciária
11.
J Card Surg ; 35(8): 2093-2096, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32652566

RESUMO

Balloon rupture is an uncommon complication during balloon-expandable transcatheter aortic valve replacement (TAVR). We describe a balloon rupture and tearing with intraventricular entrapment complicating transapical-TAVR, as well as our bailout retrieval of the failed device.


Assuntos
Estenose da Valva Aórtica/cirurgia , Valva Aórtica/cirurgia , Falha de Equipamento , Corpos Estranhos/cirurgia , Ventrículos do Coração/lesões , Ventrículos do Coração/cirurgia , Substituição da Valva Aórtica Transcateter/efeitos adversos , Substituição da Valva Aórtica Transcateter/instrumentação , Idoso de 80 Anos ou mais , Corpos Estranhos/etiologia , Humanos , Doença Iatrogênica
12.
Circ Cardiovasc Interv ; 13(6): e008962, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32527193

RESUMO

Complications of percutaneous coronary intervention (PCI) may have significant impact on patient survival and healthcare costs. PCI procedural complexity and patient risk are increasing, and operators must be prepared to recognize and treat complications, such as perforations, dissections, hemodynamic collapse, no-reflow, and entrapped equipment. Unfortunately, few resources exist to train operators in PCI complication management. Uncertainty regarding complication management could contribute to the undertreatment of patients with high-complexity coronary disease. We, therefore, coordinated the Learning From Complications: How to Be a Better Interventionalist courses to disseminate the collective experience of high-volume PCI operators with extensive experience in chronic total occlusion and high-risk PCI. From these conferences in 2018 and 2019, we developed algorithms that emphasize early recognition, effective treatment, and team-based care of PCI complications. We think that an algorithmic approach will result in a logical and systematic response to life-threatening complications. This construct may be useful for operators who plan to perform complex PCI procedures.


Assuntos
Algoritmos , Procedimentos Clínicos , Corpos Estranhos/terapia , Traumatismos Cardíacos/terapia , Isquemia Miocárdica/terapia , Fenômeno de não Refluxo/terapia , Intervenção Coronária Percutânea/efeitos adversos , Choque/terapia , Tomada de Decisão Clínica , Congressos como Assunto , Corpos Estranhos/etiologia , Corpos Estranhos/mortalidade , Traumatismos Cardíacos/etiologia , Traumatismos Cardíacos/mortalidade , Humanos , Isquemia Miocárdica/mortalidade , Fenômeno de não Refluxo/etiologia , Fenômeno de não Refluxo/mortalidade , Intervenção Coronária Percutânea/mortalidade , Medição de Risco , Fatores de Risco , Choque/etiologia , Choque/mortalidade , Resultado do Tratamento
13.
J Cardiothorac Surg ; 15(1): 101, 2020 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-32423421

RESUMO

BACKGROUND: Fractured catheter as a foreign body in situ is a rare complication after port catheter placement. We report a single center's experience on percutaneous transvenous retrieval of intravascular fractured port catheter and treatment techniques. METHODS: Patients undergoing percutaneous transvenous retrieval of intravascular fractured port catheter from Jan 2010 to Dec 2018 were retrospectively collected. A total of 10 patients (8 females and 2 males) were enrolled in this study. Procedures were performed within 1 day after diagnosis. Two methods of retrieval were considered, direct retrieval by gooseneck snare and guide wire as media to retrieve were used in the procedure. RESULTS: All the fractured catheters in 10 patients were successfully retrieval by 2 methods, direct retrieval by gooseneck snare(n = 6) and guide wire as media of retrieval(n = 4). The time interval between port catheter implantation and discovery of catheter fracture was 36.50 ± 42.99(ranged 1 to 146) days. The operation time was 24.10 ± 8.32(ranged 10 to 36) minutes. No immediate procedure related or 1 month follow-up complications occurred in all the 10 patients. CONCLUSION: Percutaneous transvenous retrieval of intravascular fractured port catheter is a simple and safe procedure, which maybe recommended as the first choice for patients with fractured port catheter in situ.


Assuntos
Cateteres de Demora/efeitos adversos , Remoção de Dispositivo/métodos , Corpos Estranhos/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Cateterismo/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Falha de Prótese , Estudos Retrospectivos , Resultado do Tratamento
14.
J Card Surg ; 35(7): 1660-1663, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32369866

RESUMO

Coronary angiography and percutaneous coronary intervention via radial access has been progressively performed over the last three decades and has become standard of care. Even though the radial approach, compared with femoral access, is safe and is also associated with less bleeding in patients with myocardial infarction, it may be problematic in some cases. Here, we describe an 80-year-old woman with brachial artery dissection due to a twisted diagnostic catheter during transradial coronary angiography, who subsequently underwent surgical retrieval of the catheter.


Assuntos
Arteriopatias Oclusivas/cirurgia , Artéria Braquial/cirurgia , Cateteres/efeitos adversos , Angiografia Coronária/efeitos adversos , Angiografia Coronária/instrumentação , Corpos Estranhos/etiologia , Corpos Estranhos/cirurgia , Artéria Radial , Stents , Idoso de 80 Anos ou mais , Arteriopatias Oclusivas/etiologia , Feminino , Humanos , Resultado do Tratamento
15.
JSLS ; 24(1)2020.
Artigo em Inglês | MEDLINE | ID: mdl-32161435

RESUMO

Background and Objectives: Foreign material in the biliary tree may serve as a nidus for stone formation and would usually present as choledocholithiasis with jaundice or cholangitis. Overall it is a rare occurrence, but there are many anecdotal reports of ingested matter or surgical material such as suture or clips causing biliary stones. Especially interesting are the cases in which there is migration of a metallic clip used in laparoscopic cholecystectomy. Cholecystectomy is such a common operation that although the phenomenon is rare, it is important because it is preventable, and as such a review of the topic seems worthwhile. Methods: The available literature was searched using the EMBASE and Ovid databases and reviewed. The various devices and sutures used to occlude the cystic duct in laparoscopic cholecystectomy are discussed with reference to their safety. Results and Conclusion: We found that the harmonic scalpel is a reasonable alternative with minimal complications but is however limited by cost. Electrosurgical vessel-sealing, ultrasonic shears, absorbable sutures such as endoloops (PDS), and polymer clips as well absorbable magnesium-calcium-zinc alloy clip are discussed.


Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Colecistectomia Laparoscópica/instrumentação , Coledocolitíase/etiologia , Corpos Estranhos/etiologia , Coledocolitíase/cirurgia , Corpos Estranhos/cirurgia , Humanos , Suturas
16.
Ethiop J Health Sci ; 30(1): 147-149, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32116444

RESUMO

Background: Gossypiboma (retained surgical sponge) is a rare medical event. It could cause a serious complication that can threaten patients' life. Its diagnosis is usually difficult because the clinical symptoms are nonspecific and the imaging findings are often inconclusive. Case Presentations: We present two cases, a 32 years old woman who passed a retained surgical sponge via rectum 5 months after cesarean section and a 30 years old lady presented with an acute abdomen that later found to have localized right lower quadrant abscess with a retained surgical sponge. Conclusion: The most important approach to reduce the incidence of gossypiboma is prevention. At the end of the surgery, a correct count is always the gold standard safeguard against it. Although errors are not to be completely avoided, continuous CPD and strict adherence to rules of the operating room will reduce its incidence to a minimum.


Assuntos
Cesárea/efeitos adversos , Corpos Estranhos/etiologia , Complicações Pós-Operatórias/etiologia , Abdome Agudo/etiologia , Adulto , Feminino , Corpos Estranhos/epidemiologia , Corpos Estranhos/prevenção & controle , Humanos , Incidência , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Gravidez
17.
Sci Rep ; 10(1): 4273, 2020 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-32144333

RESUMO

This single-center retrospective study aims to investigate the clinical features of esophageal foreign bodies (EFBs) and determine the influence of EFB shapes on management and prognosis. A total of 427 patients aged 13 to 95 years with suspected EFB ingestion were enrolled between January 2013 and June 2018, 183 of whom were male. EFBs were divided into six shapes: pin (n = 161), sheet (n = 97), trident (n = 51), spindle (n = 66), irregular (n = 46), and sphere (n = 6). Spindle-shaped EFBs correlated with a significantly higher rate of perforation and severe complications (P < 0.001 and P = 0.021, respectively) than any other EFB shape, while sheet-shaped EFBs were linked to less severe complications (P = 0.006). The number of pressure points was provided to stratify the risk of poor prognosis for each shape. EFBs with only two pressure points (pin and spindle EFBs) required more advanced management strategies and were correlated with a higher number of patients suffering esophageal perforation (27.11%) and severe complications (12.44%) when compared with other shapes (χ2 = 11.149 and P = 0.001; χ2 = 5.901 and P = 0.015, respectively). Spindle shape was an independent risk factor for poor prognosis, and contributed a more clinical risk than the pin shape. In conclusion, clinical features, management, perforation rate, and severe complications differed based on EFB shape. The EFBs with two pressure points, especially the spindle-shaped EFBs, were more dangerous compared with those with more pressure points.


Assuntos
Esôfago/patologia , Corpos Estranhos/diagnóstico , Adulto , Idoso , Gerenciamento Clínico , Perfuração Esofágica/etiologia , Esofagoscopia , Esôfago/diagnóstico por imagem , Feminino , Corpos Estranhos/complicações , Corpos Estranhos/etiologia , Corpos Estranhos/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Avaliação de Sintomas , Tomografia Computadorizada por Raios X
18.
Am J Otolaryngol ; 41(3): 102401, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32033802

RESUMO

OBJECTIVE: Examine literature for evidence of changes in button battery (BB) research over time including: amount and rate of literature output, levels of evidence, and the location of the research. METHODS: Literature review of all peer-reviewed button battery literature available online through Pubmed and Embase was performed. Inclusion criteria were applied to ensure relevance. Publications were grouped into 4 time periods. Various study characteristics were compared between groups. RESULTS: A total of 255 original research studies were reviewed. A significant increase in study number was found with a 664% increase comparing 2009-2018 and 1977-1988 (p < 0.001) and a 187% increase comparing 2009-2018 and all previous years. Average author number significantly increased over the study period (range: 2.8 to 4.4; p < 0.001). Case report or case series were consistently the most common type of study design (range: 56.5% to 84.0%). Level of evidence has remained at 4-5 for the majority of studies (range: 87% to 92.1%). First author specialty remained stable over time, with non-otolaryngologist surgeons being the most common authors, followed by pediatricians and otolaryngologists (28.8%, 18.9%, 18.5%, respectively). Location of research has diversified, with US publications falling from 50% to 29.5% of all studies when comparing 1977-1988 to 2009-2018 time periods. CONCLUSIONS: Button battery ingestion in the pediatric population has been an important topic of discussion among various medical specialties due to a rise in morbidity and mortality surrounding these ingestions. Despite the increase in number of studies and authors, the strength of these studies has remained largely unchanged.


Assuntos
Bases de Dados Bibliográficas , Ingestão de Alimentos , Fontes de Energia Elétrica/efeitos adversos , Corpos Estranhos/etiologia , Pediatria , Revisão da Pesquisa por Pares , Publicações/tendências , Criança , Pré-Escolar , Corpos Estranhos/mortalidade , Humanos , Lactente
19.
Interact Cardiovasc Thorac Surg ; 30(5): 785-787, 2020 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-31981354

RESUMO

Venous insufficiency of the lower limbs is one of the most common vascular disorders affecting millions of people worldwide. Endovascular techniques are considered by current guidelines as simple, safe and effective. Persistence or even migration of foreign bodies after varicose vein endovascular surgery is a rare and unfeared complication. Herein, we present the case of a 39-year-old woman who underwent endoluminal treatment of varicose veins >2 years ago and she was admitted to our department for late cardiovascular complication caused by catheter or guidewire rupture and the dissemination of its fragments in the inferior vena cava, right heart chambers, liver and pulmonary arteries. A systematic verification of the length and integrity of the devices should be performed at the end of every endovascular procedure.


Assuntos
Ablação por Cateter/efeitos adversos , Procedimentos Endovasculares/efeitos adversos , Corpos Estranhos/etiologia , Átrios do Coração , Varizes/cirurgia , Veia Cava Inferior , Adulto , Ablação por Cateter/instrumentação , Procedimentos Endovasculares/instrumentação , Feminino , Corpos Estranhos/diagnóstico , Corpos Estranhos/cirurgia , Humanos , Artéria Pulmonar , Fatores de Tempo , Resultado do Tratamento
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