Perforación gástrica y pancreática, con trombosis de vena porta por ingesta de cuerpo extraño
Caso clínico
Palabras clave:
CUERPOS EXTRAÑOS, PERFORACIÓN INTESTINAL, PERFORACIÓN DEL PÁNCREAS, TROMBOSIS, VENA PORTA
Resumen
La ingesta accidental de cuerpos extraños en una entidad frecuente en la urgencia, presentándose en general como dolor abdominal inespecífico. Presentamos caso que ingirió un escarbadientes de madera cuyo manejo inicial fue conservador. Su evolución fue tórpida, requiriendo cirugía de urgencia por perforación del estómago y páncreas.
Citas
Yahata S, Kamada M, Kenzaka T. Impacted wooden toothpick in the stomach. Clin Case Rep 2018; 6(12):2517-8. doi: 10.1002/ccr3.1903.
2) Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006; 30(3):372-7. doi: 10.1007/s00268-005-0490-2.
3) Williams TR, Okoli J. Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report. J Surg Case Rep 2021(11):rjab506. doi: 10.1093/jscr/rjab506.
4) Chen J, Wang C, Zhuo J, Wen X, Ling Q, Liu Z, et al. Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm: a case report and literature review. Medicine (Baltimore) 2019; 98(11):e14705. doi: 10.1097/MD.0000000000014705.
5) Enes Silva J, Pinelas S, Pacheco M, Patacho M, Almeida J. Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever. IDCases 2021; 24:e01159. doi: 10.1016/j.idcr.2021.e01159.
6) Garrido R, Verástegui T, Huanqui JC, Cardenas B. Abdomen agudo debido a perforación gástrica por cuerpo extraño de larga permanencia: reporte de caso. Rev Gastroenterol Perú 2012; 32(1):84-7.
7) Mulita F, Papadopoulos G, Tsochatzis S, Kehagias I. Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature. Pan Afr Med J 2020; 36:123. doi: 10.11604/pamj.2020.36.123.23948.
8) Mima K, Sugihara H, Kato R, Matsumoto C, Nomoto D, Shigaki H, et al. Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report. Surg Case Rep 2018; 4(1):149. doi: 10.1186/s40792-018-0559-4.
9) Steinbach C, Stockmann M, Jara M, Bednarsch J, Lock JF. Accidentally ingested toothpicks causing severe gastrointestinal injury: a practical guideline for diagnosis and therapy based on 136 case reports. World J Surg 2014; 38(2):371-7. doi: 10.1007/s00268-013-2307-z.
10) Shin D, Rahimi H, Haroon S, Merritt A, Vemula A, Noronha A, et al. Imaging of gastrointestinal tract perforation Radiol Clin North Am 2020; 58(1):19-44 doi: 101016/jrcl201908004.
11) Zhang L, Liu L, Shao J, Sun F, Zhao L Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: a case report Medicine (Baltimore) 2020; 99(40):e22534. doi: 101097/MD0000000000022534.
12) Kurin M, Jin-Dominguez F, Sclair S Penetrating toothpick in the portal vein resulting in refractory multifocal liver abscesses ACG Case Rep J 2021; 8(6):e00615. doi: 1014309/crj0000000000000615.
13) Nicolodi G, Trippia C, Caboclo MF, de Castro FG, Miller WP, de Lima RR, et al Intestinal perforation by an ingested foreign body Radiol Bras 2016; 49(5):295-9. doi: 101590/0100-398420150127.
14) Hu K, McGwin G Toothpick-related injuries in the United States from 2001 to 2017 Inter J Inj Contr Saf Promot 2021; 28(3):387-91. doi: 101080/1745730020211930059.
2) Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006; 30(3):372-7. doi: 10.1007/s00268-005-0490-2.
3) Williams TR, Okoli J. Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report. J Surg Case Rep 2021(11):rjab506. doi: 10.1093/jscr/rjab506.
4) Chen J, Wang C, Zhuo J, Wen X, Ling Q, Liu Z, et al. Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm: a case report and literature review. Medicine (Baltimore) 2019; 98(11):e14705. doi: 10.1097/MD.0000000000014705.
5) Enes Silva J, Pinelas S, Pacheco M, Patacho M, Almeida J. Gastric perforation by fish bone with hepatic abscess formation presenting as prolonged fever. IDCases 2021; 24:e01159. doi: 10.1016/j.idcr.2021.e01159.
6) Garrido R, Verástegui T, Huanqui JC, Cardenas B. Abdomen agudo debido a perforación gástrica por cuerpo extraño de larga permanencia: reporte de caso. Rev Gastroenterol Perú 2012; 32(1):84-7.
7) Mulita F, Papadopoulos G, Tsochatzis S, Kehagias I. Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature. Pan Afr Med J 2020; 36:123. doi: 10.11604/pamj.2020.36.123.23948.
8) Mima K, Sugihara H, Kato R, Matsumoto C, Nomoto D, Shigaki H, et al. Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report. Surg Case Rep 2018; 4(1):149. doi: 10.1186/s40792-018-0559-4.
9) Steinbach C, Stockmann M, Jara M, Bednarsch J, Lock JF. Accidentally ingested toothpicks causing severe gastrointestinal injury: a practical guideline for diagnosis and therapy based on 136 case reports. World J Surg 2014; 38(2):371-7. doi: 10.1007/s00268-013-2307-z.
10) Shin D, Rahimi H, Haroon S, Merritt A, Vemula A, Noronha A, et al. Imaging of gastrointestinal tract perforation Radiol Clin North Am 2020; 58(1):19-44 doi: 101016/jrcl201908004.
11) Zhang L, Liu L, Shao J, Sun F, Zhao L Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: a case report Medicine (Baltimore) 2020; 99(40):e22534. doi: 101097/MD0000000000022534.
12) Kurin M, Jin-Dominguez F, Sclair S Penetrating toothpick in the portal vein resulting in refractory multifocal liver abscesses ACG Case Rep J 2021; 8(6):e00615. doi: 1014309/crj0000000000000615.
13) Nicolodi G, Trippia C, Caboclo MF, de Castro FG, Miller WP, de Lima RR, et al Intestinal perforation by an ingested foreign body Radiol Bras 2016; 49(5):295-9. doi: 101590/0100-398420150127.
14) Hu K, McGwin G Toothpick-related injuries in the United States from 2001 to 2017 Inter J Inj Contr Saf Promot 2021; 28(3):387-91. doi: 101080/1745730020211930059.
Publicado
2023-05-31
Cómo citar
1.
Elicegui V, Tasende L, Pontillo M. Perforación gástrica y pancreática, con trombosis de vena porta por ingesta de cuerpo extraño. Rev. Méd. Urug. [Internet]. 31 de mayo de 2023 [citado 25 de abril de 2024];39(2):e701. Disponible en: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/1031
Sección
Casos Clínicos
