Cirugia del Uruguay最新文献

{"title":"Seudotumor abdominal secundario a oblito quirúrgico","authors":"G. Espinosa, V. Irigoyen, Mauricio Pontillo, Gustavo Rodríguez Temesio","doi":"10.31837/cir.urug/4.2.8","DOIUrl":"https://doi.org/10.31837/cir.urug/4.2.8","url":null,"abstract":"Obliteration or foreign body retention after a surgical procedure is a real, current, and preventable problem that affects the safety of the surgical patient. \u0000We 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. \u0000It 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.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41838671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo del espacio residual pleural post resección pulmonar: bloqueo del nervio frénico, neumoperitoneo y pleurodesis química 2 casos clínicos","authors":"Ignacio Sastre, M. España, R. Ceballos, J. Siri, Mario Eduardo Francisco Bustos","doi":"10.31837/CIR.URUG.4.2.4","DOIUrl":"https://doi.org/10.31837/CIR.URUG.4.2.4","url":null,"abstract":"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.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47255696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Síndrome de Bouveret","authors":"Peter Gericke-Brumm, Eduardo Reyna Villasmil","doi":"10.31837/cir.urug.5.1.8","DOIUrl":"https://doi.org/10.31837/cir.urug.5.1.8","url":null,"abstract":"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.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44908334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neumomediastino espontáneo: ¿una patología benigna? análisis de 25 casos y revisión de la literatura","authors":"","doi":"10.31837/cir.urug/5.2.6","DOIUrl":"https://doi.org/10.31837/cir.urug/5.2.6","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47052271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cirugía urgente por rotura hemorrágica de un tumor del estroma gastrointestinal gigante","authors":"S. Navarro-Martínez, Á. Pérez-Rubio, J. Tomás, Inmaculada Ortiz, Tarín, C. D. D. Pozo","doi":"10.31837/4.1.7","DOIUrl":"https://doi.org/10.31837/4.1.7","url":null,"abstract":"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.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46265707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pileflebitis por diverticulitis aguda complicada","authors":"M. C. A. Azorín Samper","doi":"10.31837/4.1.5","DOIUrl":"https://doi.org/10.31837/4.1.5","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44790633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variante anatómica de la vía biliar extrahepática","authors":"Javier Chinelli, Gustavo Rodríguez","doi":"10.31837/cir.urug/4.1.6","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.6","url":null,"abstract":"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%.","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44546091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pileflebitis por diverticulitis aguda complicada","authors":"","doi":"10.31837/cir.urug/4.1.5","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.5","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48474092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cien años de la Sociedad de Cirugía del Uruguay","authors":"","doi":"10.31837/cir.urug/4.1.1","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.1","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45593828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ascaridiasis biliar, diagnóstico por colangiorresonancia.","authors":"","doi":"10.31837/cir.urug/4.1.4","DOIUrl":"https://doi.org/10.31837/cir.urug/4.1.4","url":null,"abstract":"","PeriodicalId":34734,"journal":{"name":"Cirugia del Uruguay","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48964800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}