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3.
Rev Esp Enferm Dig ; 87(7): 531-3, 1995 Jul.
Artículo en Español | MEDLINE | ID: mdl-7662421

RESUMEN

During blunt abdominal trauma the small bowel and/or its mesentery may be injured; if abdominal trauma occurs after compression by an incorrectly-applied seat belt, underlying viscera may be crushed between the vertebral and the seat belt; ischemia or infarction of the intestinal wall, and delayed fibrosis and stenosis may occur. We present a patient, operated on two months after blunt abdominal trauma, with small bowel obstruction secondary to post-traumatic intestinal fibrosis. Assuming that this condition is rarely suspected, a delayed diagnosis and treatment of these patients may occur.


Asunto(s)
Enfermedades del Íleon/etiología , Obstrucción Intestinal/etiología , Cinturones de Seguridad/efectos adversos , Traumatismos Abdominales/complicaciones , Traumatismos Abdominales/diagnóstico , Traumatismos Abdominales/cirugía , Accidentes de Tránsito , Adulto , Humanos , Enfermedades del Íleon/diagnóstico , Enfermedades del Íleon/cirugía , Obstrucción Intestinal/diagnóstico , Obstrucción Intestinal/cirugía , Masculino , Factores de Tiempo , Heridas no Penetrantes/complicaciones , Heridas no Penetrantes/diagnóstico , Heridas no Penetrantes/cirugía
5.
An Med Interna ; 12(2): 82-4, 1995 Feb.
Artículo en Español | MEDLINE | ID: mdl-7749016

RESUMEN

The finding of a cardiac tamponade (CT) as initial manifestation of lung cancer is rare, being its most frequent manifestations dyspnea, cough and edemas. The presence of alithiasic acute cholecystitis (AAC) as early manifestation of CT is extremely rare, despite this having being described related to other situations of low cardiac output. We present the case of a patient who underwent emergency surgery due to AAC as a form of presentation of CT, this being the initial manifestation of a pulmonary adenocarcinoma. The histopathological study of the liver and the vesicle were compatible with signs of short evolution venous stasis, and the diagnosis was established through pericardium biopsy and thoracic CAT.


Asunto(s)
Adenocarcinoma/complicaciones , Taponamiento Cardíaco/complicaciones , Colecistitis/diagnóstico , Neoplasias Pulmonares/complicaciones , Enfermedad Aguda , Adenocarcinoma/diagnóstico , Adulto , Biopsia , Taponamiento Cardíaco/diagnóstico , Taponamiento Cardíaco/etiología , Colecistitis/cirugía , Urgencias Médicas , Vesícula Biliar/patología , Humanos , Hígado/patología , Neoplasias Pulmonares/diagnóstico , Masculino , Pericardio/patología
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