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Seudotumor abdominal secundario a oblito quirúrgico
Pub Date : 2020-07-07 DOI: 10.31837/cir.urug/4.2.8
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.
手术后的阻塞或异物滞留是一个真实的、当前的、可预防的问题,它会影响手术患者的安全。我们报告一名42岁的患者,3年前接受了紧急剖腹胆囊切除术,他咨询了一个无痛,进展无生长的一年中央腹部肿瘤,没有改变转运。腹腔内,圆形,直径10厘米。要求进行断层扫描研究以确认发现,并通过剖腹探查确定手术垫的存在。病人进展良好。通过围手术期对手术过程中使用的材料和器械进行监测,建立预防文化是很重要的。在任何程序中都可能发生闭塞,并引发针对治疗团队的医疗法律诉讼。
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引用次数: 0
Manejo del espacio residual pleural post resección pulmonar: bloqueo del nervio frénico, neumoperitoneo y pleurodesis química 2 casos clínicos 肺切除后胸膜残余间隙的处理:膈神经阻滞、气腹和化学胸膜固定术2例临床病例
Pub Date : 2020-07-07 DOI: 10.31837/CIR.URUG.4.2.4
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.
肺切除术后残留胸膜间隙伴漏气是一种常见的发现。据报道,高达40%的患者可在术后第一天发生这种情况。治疗可能需要再次手术或使用侵入性较小的程序。其中2例患者行颈膈神经阻滞、气腹和化学胸膜穿刺术。
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引用次数: 0
Síndrome de Bouveret Bouveret的sindrome
Pub Date : 2020-06-25 DOI: 10.31837/cir.urug.5.1.8
Peter Gericke-Brumm, Eduardo Reyna Villasmil
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。
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引用次数: 0
Neumomediastino espontáneo: ¿una patología benigna? análisis de 25 casos y revisión de la literatura 自发性纵隔气肿:良性病理?25例分析及文献复习
Pub Date : 2020-05-12 DOI: 10.31837/cir.urug/5.2.6
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引用次数: 0
Cirugía urgente por rotura hemorrágica de un tumor del estroma gastrointestinal gigante 巨大胃肠道间质瘤出血性破裂的急诊手术
Pub Date : 2020-04-24 DOI: 10.31837/4.1.7
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.
间充质肿瘤占原发性胃肠道恶性肿瘤的1%。最常见的部位是胃,诊断时平均大小为几厘米。本研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果,该研究的目的是评估一项研究的结果。ct扫描显示胃肠道间质瘤大小为18厘米,依赖于胃前面。住院期间,患者出现低血压和突然贫血。在一项研究中,我们评估了两名女性,一名男性,一名女性和一名男性。
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引用次数: 0
Pileflebitis por diverticulitis aguda complicada 并发急性憩室炎的毛囊炎
Pub Date : 2020-04-24 DOI: 10.31837/4.1.5
M. C. A. Azorín Samper
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引用次数: 0
Variante anatómica de la vía biliar extrahepática 肝外胆道的解剖变异
Pub Date : 2020-04-23 DOI: 10.31837/cir.urug/4.1.6
Javier Chinelli, Gustavo Rodríguez
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%。
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引用次数: 0
Pileflebitis por diverticulitis aguda complicada 伴有急性憩室炎的肾盂炎
Pub Date : 2020-04-23 DOI: 10.31837/cir.urug/4.1.5
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引用次数: 0
Cien años de la Sociedad de Cirugía del Uruguay 乌拉圭外科学会百年纪念
Pub Date : 2020-04-23 DOI: 10.31837/cir.urug/4.1.1
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引用次数: 0
Ascaridiasis biliar, diagnóstico por colangiorresonancia. 胆道蛔虫病,胆管共振诊断。
Pub Date : 2020-04-23 DOI: 10.31837/cir.urug/4.1.4
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引用次数: 0
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