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Una complicación poco común de la ingestión de puentes dentales: uropatía obstructiva dual y obstrucción intestinal -
Aymen Mabrouk1, Yassine Tlili1, Mohamed Hajri2
1Department of General Surgery A21, Charles Nicolle University Hospital, Faculty of Medicine of Tunis, Tunisia.
International journal of surgery case reports
|September 5, 2025
Resumen
La ingestión de un cuerpo extraño, como un puente dental, puede causar una obstrucción intestinal y urinaria grave, especialmente en pacientes con desviación urinaria de Bricker. El diagnóstico rápido y la intervención quirúrgica son cruciales para obtener resultados favorables en estos casos complejos.
Área de la Ciencia:
- Gastroenterología
- Urología
- Informes de casos quirúrgicos
Sus antecedentes:
- La ingestión de cuerpos extraños es un problema crítico, especialmente en pacientes ancianos y psiquiátricos, que a menudo conduce a una obstrucción intestinal.
- La ingestión de prótesis dentales plantea riesgos significativos, incluida una obstrucción y una perforación potencialmente mortales.
Objetivo del estudio:
- Para presentar un raro caso de doble obstrucción intestinal y urinaria causada por un puente dental en un paciente con desviación urinaria de Bricker.
- Explorar los desafíos diagnósticos y terapéuticos asociados con la ingestión de cuerpos extraños en pacientes con cirugía de desviación urinaria previa.
Principales métodos:
- Presentación del caso de un hombre de 52 años con trastorno bipolar y desviación urinaria de Bricker que presenta dolor abdominal, vómitos y anuria.
- El diagnóstico incluyó un examen físico, investigaciones de laboratorio y tomografía computarizada (TC) abdominal.
- El tratamiento incluyó laparotomía exploratoria para la obstrucción del intestino delgado y la descompresión del conducto de Bricker.
Principales resultados:
- Las imágenes de TC revelaron obstrucción del intestino delgado con compresión extrínseca del conducto de Bricker.
- La laparotomía exploratoria eliminó con éxito el puente dental ingerido y alivió la obstrucción.
- El paciente experimentó una recuperación postoperatoria sin incidentes.
Conclusiones:
- La ingestión de cuerpos extraños, como las prótesis dentales, presenta serios riesgos de complicaciones gastrointestinales y urinarias.
- La tomografía computarizada es la principal herramienta de diagnóstico para identificar tales obstrucciones.
- La intervención quirúrgica inmediata es esencial para el manejo de complicaciones graves en las poblaciones de pacientes en riesgo.
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