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1.
BMJ Case Rep ; 14(1)2021 Jan 11.
Artigo em Inglês | MEDLINE | ID: mdl-33431448

RESUMO

Embolised needles causing injury to the right heart and cardiac tamponade has been reported before in intravenous drug users, but to our knowledge, this is the first reported case of a needle migrating via the pulmonary arterial system to cause perforation of the left ventricle. Appropriate utilisation of imaging modalities such as plain X-ray and point-of-care focused cardiac ultrasound can be vital and life-saving in the emergency setting, and the value of gated multidetector CT as a powerful tool for imaging moving structures is highlighted.


Assuntos
Migração de Corpo Estranho/diagnóstico , Traumatismos Cardíacos/diagnóstico , Ventrículos do Coração/lesões , Agulhas/efeitos adversos , Abuso de Substâncias por Via Intravenosa/complicações , Adulto , Ponte Cardiopulmonar , Ecocardiografia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/cirurgia , Traumatismos Cardíacos/etiologia , Traumatismos Cardíacos/cirurgia , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/cirurgia , Humanos , Pulmão/irrigação sanguínea , Pulmão/diagnóstico por imagem , Pulmão/cirurgia , Masculino , Pericardiocentese , Artéria Pulmonar/diagnóstico por imagem , Cirurgia Torácica Vídeoassistida , Resultado do Tratamento
2.
BMJ Case Rep ; 14(1)2021 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-33397649

RESUMO

Rectal erosions after ventral rectopexy (VR) is an uncommon but challenging adverse event and can be associated with partial migration of the mesh into the intestinal cavity. Re-do surgery is difficult and often provides colostomy and/or anterior rectal resections. However, no alternative solutions are described in the available literature. An 82-year-old woman presented to our hospital for rectal erosion and intraluminal migration of the mesh placed at a 1-year laparoscopic VR. We performed an innovative totally endoscopic approach, using thulium laser and two endoscopes, that led to a successful removal of the mesh. The described mini-invasive technique can be an effective alternative to surgery in tertiary referral centres.


Assuntos
Endoscopia , Migração de Corpo Estranho/cirurgia , Terapia a Laser , Prolapso Retal/cirurgia , Reto/lesões , Telas Cirúrgicas/efeitos adversos , Idoso de 80 Anos ou mais , Feminino , Migração de Corpo Estranho/complicações , Humanos , Túlio
3.
Acta Gastroenterol Belg ; 83(4): 663-665, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33321027

RESUMO

Covered oesophageal stents are often used to treat dysphagia in patients with inoperable oesophageal cancer. Stent migration is a well-known but usually benign complication. We report the case of a patient whose esophageal stent migrated into the distal ileum with perforation hereof. A laparoscopic stent extraction and intestinal repair was necessary to treat the perforation.


Assuntos
Transtornos de Deglutição , Neoplasias Esofágicas , Estenose Esofágica , Migração de Corpo Estranho , Perfuração Intestinal , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/diagnóstico por imagem , Humanos , Perfuração Intestinal/diagnóstico por imagem , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Stents/efeitos adversos
4.
BMJ Case Rep ; 13(12)2020 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-33370975

RESUMO

A 52-year-old man presented with lower urinary tract symptoms and intermittent haematuria for the last 6 months. He had undergone totally extraperitoneal right inguinal hernia repair a decade ago. The ultrasonography and an X-ray of the pelvis suggested a large radio-opaque shadow in the bladder. However, CT revealed an encrusted intravesical extension of the migrated mesh along the right anterolateral wall. The entire intravesical part of the migrated mesh with encrustations was successfully retrieved by endourological approach using holmium laser. The patient symptomatically improved and at follow-up, cystoscopy showed a complete re-epithelisation of the bladder mucosa. The intravesical extension of migrated mesh is a rare but challenging complication following mesh hernioplasty and can be successfully managed with a complete endoscopic approach.


Assuntos
Remoção de Dispositivo/métodos , Migração de Corpo Estranho/cirurgia , Herniorrafia/efeitos adversos , Lasers de Estado Sólido/uso terapêutico , Falha de Prótese , Telas Cirúrgicas/efeitos adversos , Cistoscopia , Remoção de Dispositivo/instrumentação , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/diagnóstico , Hematúria/diagnóstico , Hematúria/etiologia , Hematúria/cirurgia , Hérnia Inguinal/cirurgia , Herniorrafia/instrumentação , Humanos , Sintomas do Trato Urinário Inferior/diagnóstico , Sintomas do Trato Urinário Inferior/etiologia , Sintomas do Trato Urinário Inferior/cirurgia , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Ultrassonografia , Bexiga Urinária/diagnóstico por imagem , Bexiga Urinária/cirurgia
5.
J Card Surg ; 35(10): 2844-2846, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32678970

RESUMO

BACKGROUND: An intracardiac foreign body causing recurrent fungemia is a rare clinical situation. Clinicians should be that aware of rare sources of sepsis despite a thorough history and examination. RESULTS: The authors describe a 63 year-old man, with unremarkable past medical history, who presented with a fever for 2 weeks. Blood cultures persistently grew Candida albicans and Streptococcus constellatus. Echocardiogram assessment showed a suspected vegetation over the tricuspid valve. Surgical exploration with median sternotomy and cardiopulmonary bypass revealed a tooth-pick impacted within the right atrium surrounded by vegetation. The authors postulate accidental ingestion of the foreign body and translocation into the right atrium via the esophagus and thoracic cavity. CONCLUSION: Surgical removal of symptomatic intracardiac foreign bodies is highly recommended.


Assuntos
Candidíase/etiologia , Corpos Estranhos/cirurgia , Migração de Corpo Estranho/cirurgia , Fungemia/etiologia , Candida albicans , Ponte Cardiopulmonar , Corpos Estranhos/complicações , Corpos Estranhos/patologia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/patologia , Átrios do Coração/patologia , Átrios do Coração/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Raras , Recidiva , Esternotomia/métodos , Resultado do Tratamento , Valva Tricúspide
7.
Ann Thorac Surg ; 110(4): e311-e313, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32240643

RESUMO

Inferior vena cava filter placement for venous thromboembolism has increased by 25-fold in the past two decades. Timely retrieval of these filters is often not executed, resulting in long-term complications. We report a case of 44-year-old male patient who underwent inferior vena cava filter placement for chronic venous thromboembolism after presenting with hemoptysis. The results of chest computed tomographic angiography were negative for active bleeding, but imaging revealed multiple fragments of fractured filter in the infrarenal inferior vena cava and one fragment extravascular in left lower lobe of the lung causing massive hemoptysis. Endovascular technique was unsuccessful in retrieving the extravascular fragment; hence, he underwent left lower lobe wedge resection with no further episodes of hemoptysis postoperatively.


Assuntos
Brônquios , Migração de Corpo Estranho/complicações , Hemoptise/etiologia , Falha de Prótese/efeitos adversos , Embolia Pulmonar/etiologia , Filtros de Veia Cava , Adulto , Migração de Corpo Estranho/etiologia , Humanos , Masculino , Embolia Pulmonar/complicações , Índice de Gravidade de Doença , Tromboembolia Venosa
8.
Ann Thorac Surg ; 110(3): e153-e155, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32142816

RESUMO

Inferior vena cava filters are used for patients with pulmonary embolism or those with risk of embolization. Here we present a case of a 38-year-old man who underwent placement of an inferior vena cava filter because of deep vein thrombosis. The operating arm fractured and embolized to the posteromedial papillary muscle of mitral valve and the posterior inferior wall of the left ventricle through right atrium and atrioventricular septum, leading to large symptomatic mitral and tricuspid insufficiency and pericardial tamponade. Here we report a rare case where the filter migrated to the left ventricle and destroyed the mitral valve.


Assuntos
Migração de Corpo Estranho/diagnóstico , Ventrículos do Coração , Insuficiência da Valva Mitral/etiologia , Valva Mitral/lesões , Insuficiência da Valva Tricúspide/etiologia , Filtros de Veia Cava/efeitos adversos , Adulto , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/etiologia , Tamponamento Cardíaco/cirurgia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/cirurgia , Humanos , Masculino , Insuficiência da Valva Mitral/diagnóstico , Insuficiência da Valva Mitral/cirurgia , Embolia Pulmonar/etiologia , Embolia Pulmonar/prevenção & controle , Insuficiência da Valva Tricúspide/diagnóstico , Insuficiência da Valva Tricúspide/cirurgia , Veia Cava Inferior , Trombose Venosa/complicações
9.
World Neurosurg ; 137: 183-186, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32035204

RESUMO

BACKGROUND: An 11-year-old girl had undergone posterior spinal fusion surgery for scoliosis. The surgery was complicated by intraoperative bleeding, and hemostasis was achieved by topically applying gelatin sponges. CASE DESCRIPTION: She developed acute pulmonary embolism and cardiac arrest during the surgery, which was confirmed by transesophageal echocardiography. CONCLUSIONS: Autopsy shortly after revealed that her death was associated with unintended intravascular entry of gelatin sponge fragments, resulting in an embolic event and secondary cardiopulmonary collapse.


Assuntos
Perda Sanguínea Cirúrgica , Migração de Corpo Estranho/complicações , Esponja de Gelatina Absorvível/efeitos adversos , Hemostáticos/efeitos adversos , Complicações Intraoperatórias/etiologia , Embolia Pulmonar/etiologia , Escoliose/cirurgia , Fusão Vertebral , Criança , Ecocardiografia Transesofagiana , Evolução Fatal , Feminino , Migração de Corpo Estranho/patologia , Hemostasia Cirúrgica , Humanos , Complicações Intraoperatórias/diagnóstico por imagem , Complicações Intraoperatórias/patologia , Embolia Pulmonar/diagnóstico por imagem , Embolia Pulmonar/patologia
10.
BMJ Case Rep ; 13(1)2020 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-31969400

RESUMO

A 54-year-old female patient complained of right upper quadrant abdominal pain 11 years following a laparoscopic cholecystectomy. A CT scan demonstrated a collection in the surgical bed and a surgical clip in the proximal bile duct. Cholangitis developed a few days later. Another CT showed that the surgical clip migrated to the distal common bile duct. The clip was removed by endoscopic retrograde cholangiography and the cholangitis was resolved.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Colangite/etiologia , Colangite/cirurgia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/cirurgia , Instrumentos Cirúrgicos/efeitos adversos , Colangite/diagnóstico por imagem , Feminino , Migração de Corpo Estranho/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
12.
Am J Case Rep ; 20: 1841-1844, 2019 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-31815928

RESUMO

BACKGROUND The emergency treatment of a retained foreign body within the urethra and bladder is an uncommon clinical scenario within adult urology. Beyond the medical field, the placement of an object/s into the urethra is known as 'urethral sounding' and encompasses a sexual practice performed to heighten arousal and pleasure. The medical literature highlights the morbidity associated with this practice, most commonly when the sounding device can no longer be retrieved by the participant. CASE REPORT A case report involving an 18-year-old male requiring endoscopic retrieval of 60 magnetic metal beads intended for the purpose of urethral sounding. The management was uncomplicated and the patient suffered no long-term complications at follow-up. A brief review of the literature reveals 9 reports since 2013 of magnetic beads retained within the bladder following this autoerotic practice in adults. CONCLUSIONS The insertion of multiple small magnetic beads into the urethra is an inadvisable method for use in the practice of urethral sounding due to the lack of non-operative management options. This is due to the high risk of the magnetic beads forming a magnetized cluster once the chain enters the bladder. All cases assessed report successful management with both minimally invasive and open approaches.


Assuntos
Migração de Corpo Estranho/complicações , Comportamento Sexual , Uretra/lesões , Bexiga Urinária/lesões , Adolescente , Migração de Corpo Estranho/diagnóstico por imagem , Homossexualidade Masculina , Humanos , Magnetismo/instrumentação , Masculino , Radiografia , Uretra/diagnóstico por imagem , Bexiga Urinária/diagnóstico por imagem
13.
J Med Case Rep ; 13(1): 369, 2019 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-31837708

RESUMO

BACKGROUND: A small percentage of patients with foreign body ingestion develop complications, which have a variety of clinical presentations. Less than 1% of cases require surgical intervention. We present a patient with an abdominal wall abscess resulting from a fish bone that pierced the cecum. The patient was treated laparoscopically. CASE PRESENTATION: A 55-year-old Japanese man presented to our hospital with a complaint of right lower abdominal pain. A physical examination revealed tenderness, swelling, and redness at the right iliac fossa. Computed tomography showed a low-density area with rim enhancement in his right internal oblique muscle and a hyperdense 20 mm-long pointed object in the wall of the adjacent cecum. Based on the findings we suspected an abdominal wall abscess resulting from a migrating ingested fish bone. He was administered antibiotics as conservative treatment, and the abscess was not seen on subsequent computed tomography. Two months after the initial treatment, he presented with the same symptoms, and a computed tomography scan showed the foreign body in the same location as before with the same low-density area. We diagnosed the low-density area as recurrence of the abdominal wall abscess. He underwent laparoscopic surgery to remove the foreign body. His appendix, and part of his cecum and the parietal peritoneum that included the foreign body, were resected. He had an uneventful postoperative course, and at 1 year after the surgery, the abdominal wall abscess had not recurred. CONCLUSIONS: An abdominal wall abscess developed in association with the migration of an ingested fish bone. We suggest that a laparoscopic surgical resection of the portion of the bowel that includes the foreign body is a useful option for selected cases.


Assuntos
Abscesso Abdominal/patologia , Antibacterianos/uso terapêutico , Osso e Ossos , Corpos Estranhos , Migração de Corpo Estranho/patologia , Perfuração Intestinal/patologia , Abscesso Abdominal/diagnóstico por imagem , Abscesso Abdominal/terapia , Dor Abdominal , Animais , Ingestão de Alimentos , Peixes , Migração de Corpo Estranho/complicações , Humanos , Perfuração Intestinal/diagnóstico por imagem , Laparoscopia , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X
15.
Medicine (Baltimore) ; 98(48): e18153, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31770257

RESUMO

RATIONALE: Migration of endoclips and stitches into the duodenum after laparoscopic hepatectomy is incredibly rare with a poorly understood mechanism. PATIENT CONCERNS: A 56-year-old woman who underwent laparoscopic left hepatectomy and cholecystectomy in August 2016 was admitted to our hospital with nausea and vomiting in December 2017. DIAGNOSES: Abdominal computed tomography (CT) scan showed high density shades in duodenal ampulla. Esophagogastroduodenoscopy showed deformation of the duodenal ampulla into two lumens; hem-o-lock clips and stitches were detected in the upper lumen. Contrast enhanced CT scan revealed gastric cancer with liver metastasis (GCLM). INTERVENTIONS: The hem-o-lock clips and stitches were present in the wall of the duodenum; therefore, no attempt was made to remove them. High quality liquid diet, partial parenteral nutrition, and chemotherapy were administered to the patient. OUTCOMES: In September 2018, the patient died of hepatic failure caused by GCLM. LESSONS: This rare complication of the migration of endoclips and stitches into the duodenum after laparoscopic hepatectomy can cause epigastric pain and duodenal obstruction. The complication could be potentially avoided using absorbable endoclips and stitches or by performing of ultrasonic dissection by a skilled operator.


Assuntos
Colecistectomia Laparoscópica/efeitos adversos , Obstrução Duodenal , Migração de Corpo Estranho , Hepatectomia/efeitos adversos , Complicações Pós-Operatórias , Instrumentos Cirúrgicos/efeitos adversos , Colecistectomia Laparoscópica/métodos , Tratamento Conservador/métodos , Obstrução Duodenal/diagnóstico por imagem , Obstrução Duodenal/etiologia , Obstrução Duodenal/fisiopatologia , Obstrução Duodenal/terapia , Endoscopia do Sistema Digestório/métodos , Feminino , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/diagnóstico , Migração de Corpo Estranho/fisiopatologia , Hepatectomia/métodos , Humanos , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Administração dos Cuidados ao Paciente/métodos , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/fisiopatologia , Neoplasias Gástricas/complicações , Neoplasias Gástricas/patologia , Neoplasias Gástricas/terapia , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
16.
BMC Gastroenterol ; 19(1): 177, 2019 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-31699035

RESUMO

BACKGROUND: Choledocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies. CASE PRESENTATION: We reported a case of choledocholithiasis caused by fishbone from choledochoduodenal anastomosis regurgitation. Moreover, we showed up all the instances of choledocholithiasis caused by foreign bodies published until June 2018 and wrote the world's first literature review of foreign bodies in the bile duct of 144 cases. The findings from this case suggest that the migration of fishbone can cause various consequences, one of these, as we reported here, is as a core of gallstone and a cause of choledocholithiasis. CONCLUSION: The literature review declared the choledocholithiasis caused by foreign bodies prefer the wrinkly and mainly comes from three parts: postoperative complications, foreign body ingestion, and post-war complications such as bullet injury and shrapnel wound. The Jonckheere-Terpstra test indicated the ERCP was currently the treatment of choice. It is a very singular case of choledocholithiasis caused by fishbone, and the present review is the first one concerning choledocholithiasis caused by foreign bodies all over the world.


Assuntos
Coledocolitíase , Ducto Colédoco , Corpos Estranhos , Migração de Corpo Estranho , Laparoscopia/métodos , Idoso , Coledocolitíase/sangue , Coledocolitíase/diagnóstico , Coledocolitíase/etiologia , Coledocolitíase/cirurgia , Coledocostomia/efeitos adversos , Coledocostomia/métodos , Ducto Colédoco/diagnóstico por imagem , Ducto Colédoco/cirurgia , Feminino , Corpos Estranhos/diagnóstico por imagem , Corpos Estranhos/etiologia , Migração de Corpo Estranho/complicações , Migração de Corpo Estranho/cirurgia , Gastrectomia/efeitos adversos , Gastrectomia/métodos , Humanos , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento , Ultrassonografia/métodos
20.
J Emerg Med ; 57(3): e95-e97, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31378443

RESUMO

Gastrointestinal complications secondary to fish bone ingestion are rare, however important to recognize in timely manner to prevent morbidity and mortality. Diagnosis is often challenging in setting of non-specific and variable symptoms and lack of history of fish bone ingestion. Diagnostic imaging particularly computed tomography is crucial for diagnosis. However, emphasis should be given on identifying underlying cause of abdominal complications because fish bone is often missed unless specifically looked for. Identification of fish bone is essential for extraction of the inciting nidus. Emergency physician should be aware of this entity to identify it and triage the patients in timely manner. We describe here cases of sub-capsular liver abscess and acute cholecystitis caused by fish bone ingestion. The fish bone as a cause of these complication was initially missed in emergency.


Assuntos
Osso e Ossos , Colecistite Aguda/etiologia , Migração de Corpo Estranho/complicações , Abscesso Hepático/etiologia , Idoso , Diagnóstico Diferencial , Humanos , Masculino , Alimentos Marinhos
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