Medicina
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Item Absceso Esofágico Secundario a Ingesta de Cuerpo Extraño en Paciente Adulto Mayor(2016-10-01) Silva Rodríguez, Luis Ramón; Vilaña Icaza, Juan Carlos Dr. Esp.The ingestion of foreign bodies is very common in everyday medical practice, constituting the second indication of emergency upper gastrointestinal endoscopy after gastrointestinal bleeding. In children is more frequent intake of inorganic foreign bodies and these round and blunt (coins, buttons, batteries, parts of toys), rather than sharp; however, in adults organic foreign bodies are the most common (poorly chewed food bowls, bones, fish bones). One of the complications of foreign body ingestion (Fishtail) can be INTRAMURAL esophageal abscess is a rare disorder characterized by a large laceration between mucosal and submucosal layer of the esophageal wall without drilling. They are also responsible for 7 to 14% of all esophageal perforations, which can lead to serious injuries such as neck deep abscesses, mediastinitis among others. This case is a female patient 75 years old with a history of diabetes mellitus type two. Refers back to the accidental ingestion of Fishbone, 48 hours, presents dysphagia and neck pain of moderate intensity, go to sub-health center where it is valued, and they decide to transfer to conducting imaging study. It is valued in emergency, irritable patient, algica, physical examination presence of clots level oropharynx is evident, further examination which report a high glycemia, leukocytes with deviation to the left, elementary and microscopic examination of urine, infection is performed. In cervical spine x-ray foreign body in esophagus projected level 6. cervical vertebra seen its entry into service of Internal Medicine is decided, by apparent box esophageal abscess, esophageal perforation and decompensation of their underlying disease and to complement other tests. reporting chest tomography us morphology of the esophagus is distended in almost all their passage predominantly performed above level - carinal, study suggests supplementing with upper endoscopy, the same as reported ESOPHAGEAL Abscess.Item Absceso Esofágico Secundario a Ingesta de Cuerpo Extraño en Paciente Adulto Mayor(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Silva Rodríguez, Luis Ramón; Vilaña Icaza, Juan Carlos Dr. Esp.The ingestion of foreign bodies is very common in everyday medical practice, constituting the second indication of emergency upper gastrointestinal endoscopy after gastrointestinal bleeding. In children is more frequent intake of inorganic foreign bodies and these round and blunt (coins, buttons, batteries, parts of toys), rather than sharp; however, in adults organic foreign bodies are the most common (poorly chewed food bowls, bones, fish bones). One of the complications of foreign body ingestion (Fishtail) can be INTRAMURAL esophageal abscess is a rare disorder characterized by a large laceration between mucosal and submucosal layer of the esophageal wall without drilling. They are also responsible for 7 to 14% of all esophageal perforations, which can lead to serious injuries such as neck deep abscesses, mediastinitis among others. This case is a female patient 75 years old with a history of diabetes mellitus type two. Refers back to the accidental ingestion of Fishbone, 48 hours, presents dysphagia and neck pain of moderate intensity, go to sub-health center where it is valued, and they decide to transfer to conducting imaging study. It is valued in emergency, irritable patient, algica, physical examination presence of clots level oropharynx is evident, further examination which report a high glycemia, leukocytes with deviation to the left, elementary and microscopic examination of urine, infection is performed. In cervical spine x-ray foreign body in esophagus projected level 6. cervical vertebra seen its entry into service of Internal Medicine is decided, by apparent box esophageal abscess, esophageal perforation and decompensation of their underlying disease and to complement other tests. reporting chest tomography us morphology of the esophagus is distended in almost all their passage predominantly performed above level - carinal, study suggests supplementing with upper endoscopy, the same as reported ESOPHAGEAL Abscess.