Dolor torácico secundario a perforación esofágica por cuerpo extraño en un niño
Contenido principal del artículo
Keywords
reacción a cuerpo extraño, perforación del esófago, dolor torácico, niño, pediatría
Resumen
La ingestión de cuerpos extraños ocurre con frecuencia en niños y puede provocar complicaciones graves. En este artículo se presenta el caso de una niña de 2 años que ingirió un cuerpo extraño (CE) que se alojó en esófago y desarrolló una lesión intraluminal con aspecto de masa. Se presentó con dolor torácico. Los estudios realizados no revelaron el cuerpo extraño. Fue intervenida quirúrgicamente con resección de la masa y anastomosis secundaria. Patología reportó un CE de 2 cm largo, plano, redondo, plástico e inerte, con importante reacción inflamatoria.
Citas
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4. Kramer R, Lerner D, Lin T, Manfrendi M, Shah M, Stephen T, Gibbons T, Pall H, Sahn B, McOmber M, Zacur G, Friedlander J, Quiros A, Fishman D, Mamula P. Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee. JPGN. 2015; 60(4): 562-574.
5. Kodituwakku R, Palmer S, Paul SP. Management of foreign body ingestions in children: button batteries and magnets. Br J Nurs. 2017;26(8):456-461. doi:10.12968/bjon.2017.26.8.456
6. Lešková J, Štichhauer R, Preis J, Šafus A, Koudelka J. Foreign body ingestion in children. Cizí tělesa v GIT u dětí. Rozhl Chir. 2019;98(9):370-374. doi:10.33699/PIS.2019.98.9.370-374
7. Katsinelos P, Kountouras J, Paroutoglou G, Zavos C, Mimidis K, Chatzimavroudis G. Endoscopic Techniques and Management of Foreign Body Ingestion and Food Bolus Impaction in the Upper Gastrointestinal Tract: A Retrospective Analysis of 139 Cases. J Clin Gastroenterol. 2006; 40(9):784-789
8. Erbil B, Karaca M, Aslander M, Ibrahimov Z, Kunt M, Akpinar E, Ozmen M. Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol. 2013; 19(38):6447-6452.
9. Woolley S, Smith D. History of possible foreign body ingestion in children: don`t forget the rarities. Eur J Emerg Med. 2005; 12(6):312-316.
10. Louie J, Alpern E, Windreich R. Witnessed and Unwitnessed Esophageal Foreign Bodies in Children. Pediatr Emer Care. 2005; 21(9):582-582.
11. Hong K, Kim Y, Kim J, Chun S, Kim H, Cho J. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol. 2015; 21(26): 8125-8131.
12. Khorana J, Tantivit Y, Phiuphong C, Pattapong S, Siripan S. Foreign Body Ingestion in Pediatrics: Distribution, Management and Complications. Medicina (Kaunas). 2019;55(10):686. Published 2019 Oct 14. doi:10.3390/medicina55100686
13. Nakashabendi I, Maldonado M, Brady P. Chest Pain: overlooked manifestation of unsuspected esophageal foreign body. South Med J. 2001; 94(3):333-335.
14. Lee R, Mittal R. Heartburn and esophageal pain. GI Motility online. 2006. doi:10.1038/gimo75.http://www.nature.com/gimo/contents/pt1/full/gimo75.html
15. Wei Y, Chen L, Wang Y, Yu D, Peng J, Xu J. Proposed management protocol for ingested esophageal foreign body and aortoesophageal fistula: a single-center experience. Int J Clin Exp Med. 2015;8(1):607-615.
16. Dangman B, Griscom T. Pediatric case of the day. Radiographics. 1991;11(1):156-158.
17. Tsalis K, Blouhos K, Kapetanos D, Kontakiotis T, Lazaridis C. Conservative management for an esophageal perforation in a patient with delayed diagnosis: a case report. Cases Journal. 2009;2(164):1-6