RESUMEN
Introducción. La ingestión de cuerpos extraños es muy común en niños pequeños. En la mayoría de las ocasiones no hay consecuencias; sin embargo, en caso de que el cuerpo extraño ingerido sea una batería de botón, el efecto puede ser inclusive la muerte. Caso clínico. Los autores relatan el caso de un paciente preescolarque sufrió fístula aortoesofágica fatal por quemadura del esófago por una batería de botón ingerida. Discusión. Una vez que se instala la fístula, se manifiesta como una hemorragia gastrointestinal y colapso vascular. Conclusiones. Esta complicación es frecuentemente mortal (AU)
Introduction. Foreign body ingestion is frequently encountered in young children. In the majority of cases it will not lead to an adverse outcome. However, in case of coin battery ingestion more serious adverse outcomes, including death, have been reported. Case report. The authors report a patient in whom fatal aortoesophageal fistula developed after impaction of a button battery. Discussion. Once of aortoesophageal fistula occurs, it presents with typical large-herald upper gastrointestinal bleeding and cardiovascular collapse. Conclusions. This complication is frequently a lethal event (AU)
Asunto(s)
Humanos , Masculino , Preescolar , Fístula Esofágica/etiología , Pilas Botón/efectos adversos , Rotura de la Aorta/etiología , Choque Hemorrágico/etiología , Migración de Cuerpo Extraño/complicacionesRESUMEN
INTRODUCTION: Foreign body ingestion is frequently encountered in young children. In the majority of cases it will not lead to an adverse outcome. However, in case of coin battery ingestion more serious adverse outcomes, including death, have been reported. CASE REPORT: The authors report a patient in whom fatal aortoesophageal fistula developed after impaction of a button battery. DISCUSSION: Once of aortoesophageal fistula occurs, it presents with typical large-herald upper gastrointestinal bleeding and cardiovascular collapse. CONCLUSIONS: This complication is frequently a lethal event.
Asunto(s)
Enfermedades de la Aorta/etiología , Fístula Esofágica/etiología , Esófago , Cuerpos Extraños/complicaciones , Fístula Vascular/etiología , Aorta Torácica , Preescolar , Resultado Fatal , Humanos , MasculinoRESUMEN
Indoor wounds in infants probably represent widest range of minor lesions. However, there are casualties as consequence of falls, burns and ingestion of foreign bodies. Intestinal rupture due to ingested magnetic device is a very unusual event. We report the case of a four-month old female patient with this complication is presented. During first laparotomy intestinal rupture and magnetic buttons of cellular telephone as causal agent was found. Three days after operation, she required a second look due to cecum rupture. Primary reparation was performed. In order to demonstrate a pathogenic hypothesis, the bottom was put in a porcine bowel segment surrounding for a metallic jail, resulting in bowel rupture. We concluded that the ingested magnetic devices can produce intestinal rupture.
Asunto(s)
Cuerpos Extraños/complicaciones , Íleon/lesiones , Ingestión de Alimentos , Femenino , Humanos , Lactante , Fenómenos Magnéticos , Rotura/etiologíaRESUMEN
INTRODUCTION: Congenital diaphragmatic hernia presents after the first hours of life in 5 to 25% of cases. Presenting symptoms may be quite non-specific, and gastrointestinal rather than respiratory in origin. Bochdalek hernia should be considered when an infant has respiratory distress, vomiting and abdominal pain. MATERIAL AND METHOD: Five-year retrospective study was made of children with congenital posterolateral (Bochdalek) hernia presenting more than 10 days after birth. The records are of 17 patients. The group was divided in two subgroups. The first, was made up of four patients who had digestive emergencies and complications such as colon and gastric perforation. One infant of this group had a left sided defect and inflammatory hepatic-pulmonary fusion. The second group was made up of 13 patients between 2 weeks and four years og age. Main complaints were vomiting, abdominal pain, and respiratory distress. Ten patients were female and 10 had a left-side defect. Herniated viscerae were small bowel, stomach, spleen, and colon. There were six deaths. CONCLUSIONS: Bochdalek hernia in children after the newborn period is a common entity. Frequent digestive and respiratory signs are present. Complications such as colon and gastric perforation are common.
Asunto(s)
Hernia Diafragmática/diagnóstico , Hernia Diafragmática/cirugía , Factores de Edad , Preescolar , Humanos , Lactante , Recién Nacido , Estudios RetrospectivosRESUMEN
Peutz-Jeghers syndrome is a autosomal dominant disorder characterized by hamartomatous polyposis of the gastrointestinal tract and mucocutaneous melanin pigmentation. This condition can occur and cause symptoms at any age, but intestinal obstruction due to intussusception is a frequent complication. Two cases of this syndrome associated to intussusception are reported. Both patients were girls, 2 and 8 years old respectively and underwent surgical treatment.