RESUMEN
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Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Fallo Hepático Agudo/complicaciones , Fallo Hepático/complicaciones , Fallo Hepático/cirugía , Fístula Biliar/cirugía , Fístula Biliar , Colangiocarcinoma/complicaciones , Colangiocarcinoma/cirugía , Colangiocarcinoma , Ascitis/complicaciones , AscitisRESUMEN
The main cause of morbimor-mortality after major liver surgery is the development of liver failure posthepatectomy(LFPH). Treatment must involve multiple options and will be aggressive from the beginning. We report a case of a patient with cholangiocarcinoma perihilar treated with surgery: right hepatectomy extended to sI + IVb with develop of LFPH and biliary fistula and being management successfully in a multidisciplinary way.
Asunto(s)
Fístula Biliar/cirugía , Hepatectomía/efectos adversos , Fallo Hepático/etiología , Fallo Hepático/terapia , Complicaciones Posoperatorias/terapia , Neoplasias de los Conductos Biliares/cirugía , Colangiocarcinoma/cirugía , Humanos , Neoplasias Hepáticas/cirugía , Regeneración Hepática , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
Esophageal ingestion of foreign bodies is a frequent urgency. It occurs more commonly in patients with psychiatric disorders, prisoners and extreme ages of the life. Early upper endoscopy is the method of choice for the treatment of symptomatic patients. Surgery is only considered when a complication is present or the extraction can not be done by the endoscopist. We report a case of a 34-year-old male who voluntarily ingested an uncommon foreign body. Surgical treatment was required because of impaction after endoscopic maneuvers and suspicion of esophageal perforation.