Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

  • Sandra Viviana Parra Vargas Clínica Universitaria Colombia
  • Leidy Johanna Paipilla Sierra Clínica Universitaria Colombia
  • Luz Margarita Huertas Q Clínica Universitaria Colombia
  • Diego Mauricio Aponte Martín Fundación Sanitas
Palabras clave: Cuerpos extraños, palillo de dientes, perforación duodenal

Resumen

Los cuerpos extraños  (CE) constituyen una de las urgencias mas frecuentes en   gastroenterología.  Aunque la mayoría de estos pasan de forma espontanea,  en algunos casos pueden causar perforaciones.  Presentamos el caso de  un paciente masculino de 32 años quien consultó de forma ambulatoria por un cuadro de dolor abdominal de 4 meses de evolución. Dentro de los estudios solicitados se realizó una endoscopia de vías digestivas altas  cuyo principal hallazgo fue la presencia de un cuerpo extraño (palillo de dientes) enclavado en el duodeno, que fue extraído sin complicaciones.

Biografía del autor/a

Sandra Viviana Parra Vargas, Clínica Universitaria Colombia
Especialista en Cirugía General, Residente Gastroenterología  Fundación Universitaria Sanitas, Bogotá, Colombia. Durante la realización del trabajo se encontró haciendo residencia en Gastroenterología en la Clínica Universitaria Colombia
Leidy Johanna Paipilla Sierra, Clínica Universitaria Colombia
Especialista en Cirugía General, Residente Gastroenterología  Fundación Universitaria Sanitas, Bogotá, Colombia. Durante la realización del trabajo se encontró haciendo residencia en Gastroenterología en la Clínica Universitaria Colombia
Luz Margarita Huertas Q, Clínica Universitaria Colombia
Cirujana general y Gastroenteróloga
Diego Mauricio Aponte Martín, Fundación Sanitas
Especialista Medicina Interna-Gastroenterología. Coordinador Académico de Postgrado  Gastroenterología Fundación Sanitas. Bogotá, Colombia. Durante la realización del proyecto  trabajó  como Gastroenterólogo y coordinador académico de postgrado de gastroenterología en la Clínica Universitaria Colombia

Citas

Steinbach C, Stockmann M, Jara M, Bednarsch J, Lock JF. Accidentally ingested toothpicks causing severe gastrointestinal injury: a practical guideline for diagnosis and therapy based on 136 case reports. World J Surg 2014 3;38(2):371–7.

Mark D, Ferris K, Martel G, Mulholland K. Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion. BMJ Case Rep. 2013 Jan 2015 Oct 3];2013.

Chong L-W. Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: A case report and literature review. World J Gastroenterol. 2014 Apr 7 [cited 2015 Oc t 3];20(13):3703. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi? rtid=3974541&tool=pmcentrez&rendertype=abstract

Zouros E, Oikonomou D, Theoharis G, Bantias C, Papadimitropoulos K. Perforation of the Cecum by a Toothpick: Report of a Case and Review of the Literature. J Emerg Med [Internet]. 2014 Dec [cited 2015 Oct 18];47(6):e133–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25300206

Robert B, Bartoli E, Fumery M, Eoche M, Chivot C, Demasure F, et al. Duodenal perforation due to toothpick perforation, an uncommon cause of chronic abdominal pain. Endoscopy [Internet]. 2012 Jan [cited 2015 Oct 3];44 Suppl 2:E27–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22396261

Tenner S, Wong RC, Carr-Locke D, Davis SK, Farraye FA. Toothpick ingestion as a cause of acute and chronic duodenal inflammation. Am J Gastroenterol [Internet]. 1996 Sep [cited 2015 Oct 3];91(9):1860–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8792719

Cuerpos extra-os en tracto gastrointestinal en ni-os [Internet]. [cited 2016 Jan 24]. Available from: http://www.scielo.org.co/pdf/rcg/v23n3/v23n3a07.pdf

Santos SA, Alberto SCF, Cruz E, Pires E, Figueira T, Coimbra E, et al. Hepatic abscess induced by foreign body: case report and literature review. World J Gastroenterol [Internet]. 2007 Mar 7 [cited 2016 Jan 25];13(9):1466–70. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4146938&tool=pmcentrez&rendertype=abstract

Ricci S, Massoni F, Schiffino L, Pelosi M, Salesi M. Foreign bodies ingestion: What responsibility? J Forensic Leg Med [Internet]. 2014 Mar [cited 2015 Oct 3];23:5–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24661696

Li SF, Ender K. Toothpick injury mimicking renal colic: case report and systematic review. J Emerg Med [Internet]. 2002 Jul [cited 2015 Dec 12];23(1):35–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12217469

König PS, Kronenberg F, Joannidis M, Dietl P, Lhotta K. Recurrent abdominal pain caused by a toothpick in a CAPD patient. Adv Perit Dial [Internet]. 1991 Jan [cited 2016 Jan 24];7:96. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1680466

O'Dea MJ, Malek RS. Foreign body in bladder and perivesicular inflammation masquerading as pelvic lipomatosis. J Urol [Internet]. 1976 Nov [cited 2016 Jan 24];116(5):669–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/789923

Alagiri M, Rabinovitch HH. Toothpick migration into bladder presents as abdominal pain and hematuria. Urology [Internet]. 1998 Dec [cited 2016 Jan 24];52(6):1130–1. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9836569

Schwartz JT, Graham DY. Toothpick perforation of the intestines. Ann Surg [Internet]. 1977 Jan [cited 2015 Dec 12];185(1):64–6. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1396248&tool=pmcentrez&rendertype=abstract

Plavcan WG, McWilliams WA. Toothpick obstruction of the ureter. J Urol [Internet]. 1988 Jan [cited 2016 Jan 24];139(1):114–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3275793

Justiniani FR, Wigoda L, Ortega RS. Duodenocaval fistula due to toothpick perforation. JAMA [Internet]. 1974 Feb 18 [cited 2016 Jan 25];227(7):788–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4405846

Dicicco BS, Heit HA, Peterson JE, Harshaw WG, Cooper JN. Massive bleeding due to arterial-enteric fistula from an ingested toothpick. J Clin Gastroenterol [Internet]. 1985 Aug [cited 2016 Jan 25];7(4):292–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/3876367

Fry D, Flint LM, Richardson JD. Aorticoduodenal fistula secondary to a toothpick. J Ky Med Assoc [Internet]. 1978 Sep [cited 2016 Jan 25];76(9):441. Available from: http://www.ncbi.nlm.nih.gov/pubmed/308975

Anderson MA, Newmeyer WL, Kilgore ES. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg [Internet]. 1982 Jul [cited 2016 Jan 24];144(1):63–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7091533

Lee JH, Kim HC, Yang DM, Kim SW, Jin W, Park SJ, et al. What is the role of plain radiography in patients with foreign bodies in the gastrointestinal tract? Clin Imaging [Internet]. Jan [cited 2015 Dec 23];36(5):447–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22920344

Coulier B, Tancredi M-H, Ramboux A. Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies. Eur Radiol [Internet]. 2004 Oct [cited 2015 Dec 12];14(10):1918–25. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15378256

Lee TH, Lee S-H, Park JH, Park DH, Park J-Y, Park S-H, et al. Endoscopic management of duodenal perforation secondary to ingestion of an uncommon foreign body. Gastrointest Endosc [Internet]. 2008 Apr [cited 2015 Oct 3];67(4):729–31; discussion 731. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18279871

Publicado
2017-07-19
Sección
Reporte de Casos