G. Espinosa, V. Irigoyen, Mauricio Pontillo, Gustavo Rodríguez Temesio
Obliteration or foreign body retention after a surgical procedure is a real, current, and preventable problem that affects the safety of the surgical patient. We present the case of a 42-year-old patient, who underwent an emergency laparotomy cholecystectomy 3 years ago, who consulted for a pain-free, progressing growth-free one-year central-abdominal tumor with no changes in transits. It is intra-abdominal, rounded 10 cm in diameter. A tomographic study was requested to confirm the finding, and the exploration was decided by means of a laparotomy that confirmed the presence of a surgical pad.The patient evolves favorably. It is important to adopt a culture of prevention, through the perioperative surveillance of the materials and instruments used during the surgical act.Oblite can occur in any procedure and provoke medico-legal actions against the treating team.
{"title":"Seudotumor abdominal secundario a oblito quirúrgico","authors":"G. Espinosa, V. Irigoyen, Mauricio Pontillo, Gustavo Rodríguez Temesio","doi":"10.31837/cir.urug/4.2.8","DOIUrl":"https://doi.org/10.31837/cir.urug/4.2.8","url":null,"abstract":"Obliteration or foreign body retention after a surgical procedure is a real, current, and preventable problem that affects the safety of the surgical patient. \u0000We present the case of a 42-year-old patient, who underwent an emergency laparotomy cholecystectomy 3 years ago, who consulted for a pain-free, progressing growth-free one-year central-abdominal tumor with no changes in transits. It is intra-abdominal, rounded 10 cm in diameter. A tomographic study was requested to confirm the finding, and the exploration was decided by means of a laparotomy that confirmed the presence of a surgical pad.The patient evolves favorably. \u0000It is important to adopt a culture of prevention, through the perioperative surveillance of the materials and instruments used during the surgical act.Oblite can occur in any procedure and provoke medico-legal actions against the treating team.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41838671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ignacio Sastre, M. España, R. Ceballos, J. Siri, Mario Eduardo Francisco Bustos
The residual pleural space after lung resection associated with air leak is a frequent finding. It is reported that it can occur in up to 40% of patients in the first postoperative days. Treatment may require re-surgery or the use of less invasive procedures. In two patients, we performed cervical phrenic nerve block, pneumoperitoneum, and chemical pleurodesis by drainage tube.
{"title":"Manejo del espacio residual pleural post resección pulmonar: bloqueo del nervio frénico, neumoperitoneo y pleurodesis química 2 casos clínicos","authors":"Ignacio Sastre, M. España, R. Ceballos, J. Siri, Mario Eduardo Francisco Bustos","doi":"10.31837/CIR.URUG.4.2.4","DOIUrl":"https://doi.org/10.31837/CIR.URUG.4.2.4","url":null,"abstract":"The residual pleural space after lung resection associated with air leak is a frequent finding. It is reported that it can occur in up to 40% of patients in the first postoperative days. Treatment may require re-surgery or the use of less invasive procedures. In two patients, we performed cervical phrenic nerve block, pneumoperitoneum, and chemical pleurodesis by drainage tube.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47255696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
espanolEl sindrome de Bouveret es una causa rara de ileo biliar proximal con obstruccion del duodeno o de la salida gastrica. Es causada por la impactacion de calculos biliares ectopicos de gran tamano en el duodeno proximal y es una complicacion de la colelitiasis cronica con fistula colecistogastrica o colecistoenterica. Debido a su rareza, y sintomatologia inespecifica, en el diagnostico diferencial apenas se le considera como etiologia de la obstruccion de la salida gastrica. Los sintomas clinicos son totalmente vagos. La sintomatologia de presentacion mas comun es dolor abdominal epigastrico o en cuadrante superior derecho difuso, nauseas, vomitos, hematemesis y perdida de peso. Sin un diagnostico oportuno, puede asociarse con altas tasas de morbilidad y mortalidad, por lo que es importante hacer un diagnostico y tratamiento temprano. Los hallazgos de la tomografia computada son neumobilia, fistula colecistoduodenal y un calculo biliar en el duodeno o triada de Rigler, la cual es patognomonica. El objetivo primordial de la terapia es aliviar la obstruccion mediante la eliminacion del calculo. El tratamiento ideal es endoscopico y si fracasa se debe realizar la cirugia. Presentamos un caso de sindrome de Bouveret. EnglishBouveret's syndrome is a rare cause of proximal biliary ileus with obstruction of the duodenum or gastric outlet. It is caused by impaction of large ectopic gallstones in the proximal duodenum and is a complication of chronic cholelithiasis with cholecystogastric or cholecystoenteric fistula. Due to its rarity, and non-specific symptomatology, in the differential diagnosis, it is hardly considered as the etiology of the obstruction of the gastric outlet. Clinical symptoms are totally vague. The most common symptomatology is epigastric abdominal pain or diffuse upper right quadrant, nausea, vomiting, hematemesis and weight loss. Without a timely diagnosis, it can be associated with high morbidity and mortality rates, so it is important to make an early diagnosis and treatment. Findings of the computed tomography are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum or Rigler's triad, which is pathognomonic. The primary goal of therapy is to relieve the blockage by removing the gallstones. The ideal treatment is endoscopic and if it fails surgery should be performed. We present a case of Bouveret's syndrome.
Bouveret综合征是一种罕见的胆管近端回肠伴十二指肠或胃出口阻塞的原因。它是由十二指肠近端大异位胆囊嵌塞引起的，是慢性胆结石伴胆囊胃或胆囊肠瘘的并发症。由于其罕见和不明确的症状，在鉴别诊断中很少被认为是胃出口梗阻的病因。临床症状完全模糊。最常见的症状是上腹部或右上象限弥漫性腹痛、恶心、呕吐、出血和体重减轻。如果不及时诊断，它可能与高发病率和死亡率有关，因此早期诊断和治疗很重要。计算机断层扫描的结果是肺活动、胆囊十二指肠瘘和十二指肠或Rigler三联的胆囊结石，这是病态的。治疗的主要目的是通过消除微珠来缓解梗阻。理想的治疗方法是内窥镜，如果失败，就应该进行手术。我们提出了一个病例的布维莱综合征。= =地理= =根据美国人口普查，这个县的面积为，其中土地面积为，其中土地面积为。It is所造成的损害impaction of large ectopic gallstones in the肥大duodenum and is a complication of chronic cholelithiasis with cholecystogastric or cholecystoenteric瘘管。由于to its rarity, and non-specific symptomatology, in the诊断的,it is所审议的hardly as the etiology of the obstruction of the gastric outlet。临床症状完全模糊。最常见的症状是上腹部疼痛或弥漫右上象限、恶心、呕吐、出血和体重减轻。如果没有及时诊断，它可能与高发病率和死亡率有关，因此早期诊断和治疗是很重要的。阿片剂原料的computed tomography are pneumobilia cholecystoduodenal瘘管and a gallstone in the duodenum or Rigler ' s triad, which is pathognomonic。= =地理= =根据美国人口普查，这个县的面积为。理想的待遇是endoscopic and if it遭受surgery应当方面情况。这是一个布维莱特综合症的病例。
{"title":"Síndrome de Bouveret","authors":"Peter Gericke-Brumm, Eduardo Reyna Villasmil","doi":"10.31837/cir.urug.5.1.8","DOIUrl":"https://doi.org/10.31837/cir.urug.5.1.8","url":null,"abstract":"espanolEl sindrome de Bouveret es una causa rara de ileo biliar proximal con obstruccion del duodeno o de la salida gastrica. Es causada por la impactacion de calculos biliares ectopicos de gran tamano en el duodeno proximal y es una complicacion de la colelitiasis cronica con fistula colecistogastrica o colecistoenterica. Debido a su rareza, y sintomatologia inespecifica, en el diagnostico diferencial apenas se le considera como etiologia de la obstruccion de la salida gastrica. Los sintomas clinicos son totalmente vagos. La sintomatologia de presentacion mas comun es dolor abdominal epigastrico o en cuadrante superior derecho difuso, nauseas, vomitos, hematemesis y perdida de peso. Sin un diagnostico oportuno, puede asociarse con altas tasas de morbilidad y mortalidad, por lo que es importante hacer un diagnostico y tratamiento temprano. Los hallazgos de la tomografia computada son neumobilia, fistula colecistoduodenal y un calculo biliar en el duodeno o triada de Rigler, la cual es patognomonica. El objetivo primordial de la terapia es aliviar la obstruccion mediante la eliminacion del calculo. El tratamiento ideal es endoscopico y si fracasa se debe realizar la cirugia. Presentamos un caso de sindrome de Bouveret. EnglishBouveret's syndrome is a rare cause of proximal biliary ileus with obstruction of the duodenum or gastric outlet. It is caused by impaction of large ectopic gallstones in the proximal duodenum and is a complication of chronic cholelithiasis with cholecystogastric or cholecystoenteric fistula. Due to its rarity, and non-specific symptomatology, in the differential diagnosis, it is hardly considered as the etiology of the obstruction of the gastric outlet. Clinical symptoms are totally vague. The most common symptomatology is epigastric abdominal pain or diffuse upper right quadrant, nausea, vomiting, hematemesis and weight loss. Without a timely diagnosis, it can be associated with high morbidity and mortality rates, so it is important to make an early diagnosis and treatment. Findings of the computed tomography are pneumobilia, cholecystoduodenal fistula and a gallstone in the duodenum or Rigler's triad, which is pathognomonic. The primary goal of therapy is to relieve the blockage by removing the gallstones. The ideal treatment is endoscopic and if it fails surgery should be performed. We present a case of Bouveret's syndrome.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44908334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Neumomediastino espontáneo: ¿una patología benigna? análisis de 25 casos y revisión de la literatura","authors":"","doi":"10.31837/cir.urug/5.2.6","DOIUrl":"https://doi.org/10.31837/cir.urug/5.2.6","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47052271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Navarro-Martínez, Á. Pérez-Rubio, J. Tomás, Inmaculada Ortiz, Tarín, C. D. D. Pozo
Los tumores mesenquimales representan el 1% de los tumores gastrointestinales malignos primarios. La localización más frecuente es la gástrica y su tamaño medio es de pocos centímetros al diagnóstico. Presentamos el caso de un varón de 79 años que acude a urgencias por disnea brusca siendo diagnosticado de tromboembolismo pulmonar (TEP) y tratado con anticoagulantes. La tomografía mostró una masa compatible con tumor del estroma gastrointestinal de 18 centímetros dependiente de cara anterior gástrica. Durante el ingreso el paciente experimenta hipotensión y anemización repentina. Se repitió la tomografía evidenciándose aumento de tamaño secundario a hemorragia intratumoral, indicándose cirugía urgente.
{"title":"Cirugía urgente por rotura hemorrágica de un tumor del estroma gastrointestinal gigante","authors":"S. Navarro-Martínez, Á. Pérez-Rubio, J. Tomás, Inmaculada Ortiz, Tarín, C. D. D. Pozo","doi":"10.31837/4.1.7","DOIUrl":"https://doi.org/10.31837/4.1.7","url":null,"abstract":"Los tumores mesenquimales representan el 1% de los tumores gastrointestinales malignos primarios. La localización más frecuente es la gástrica y su tamaño medio es de pocos centímetros al diagnóstico. Presentamos el caso de un varón de 79 años que acude a urgencias por disnea brusca siendo diagnosticado de tromboembolismo pulmonar (TEP) y tratado con anticoagulantes. La tomografía mostró una masa compatible con tumor del estroma gastrointestinal de 18 centímetros dependiente de cara anterior gástrica. Durante el ingreso el paciente experimenta hipotensión y anemización repentina. Se repitió la tomografía evidenciándose aumento de tamaño secundario a hemorragia intratumoral, indicándose cirugía urgente.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46265707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pileflebitis por diverticulitis aguda complicada","authors":"M. C. A. Azorín Samper","doi":"10.31837/4.1.5","DOIUrl":"https://doi.org/10.31837/4.1.5","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44790633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The typical or modal arrangement of the bile duct occurs in approximately 60% of the population. Anatomical variants are usually observed at the intrahepatic level, with a frequency of up to 30%.
胆管的典型或模态排列发生在大约60%的人群中。解剖变异通常在肝内水平观察到，频率高达30%。
{"title":"Variante anatómica de la vía biliar extrahepática","authors":"Javier Chinelli, Gustavo Rodríguez","doi":"10.31837/cir.urug/4.1.6","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.6","url":null,"abstract":"The typical or modal arrangement of the bile duct occurs in approximately 60% of the population. Anatomical variants are usually observed at the intrahepatic level, with a frequency of up to 30%.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44546091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pileflebitis por diverticulitis aguda complicada","authors":"","doi":"10.31837/cir.urug/4.1.5","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.5","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48474092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cien años de la Sociedad de Cirugía del Uruguay","authors":"","doi":"10.31837/cir.urug/4.1.1","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.1","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45593828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ascaridiasis biliar, diagnóstico por colangiorresonancia.","authors":"","doi":"10.31837/cir.urug/4.1.4","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.4","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48964800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：