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A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
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Reporte de un caso de textiloma causante de obstrucción del intestino delgado dos años después de apendicectomía
Svetlana Ciocarlan1, Raluca Belchita1, Dimitrios Tsironis2
1Department of General Surgery, St George's University Hospitals NHS Foundation Trust, London, GBR.
Cureus
|December 30, 2025
Resumen
La gasa quirúrgica retenida puede causar obstrucción intestinal de aparición tardía, que requiere cirugía de emergencia. La extirpación laparoscópica de cuerpos extraños retenidos es eficaz, lo que minimiza la estancia hospitalaria y el tiempo de recuperación.
Área de la Ciencia:
- Gastroenterología; Complicaciones Quirúrgicas; Cirugía Abdominal
Sus antecedentes:
- La gasa quirúrgica retenida es una complicación rara pero grave.; Puede provocar presentaciones tardías de obstrucción intestinal, incluso años después de la cirugía.; El diagnóstico y la intervención rápidos son cruciales para los resultados del paciente.
Objetivo del estudio:
- Informar un caso de obstrucción del intestino delgado de aparición tardía causada por gasa quirúrgica retenida.; Destacar la utilidad de la laparoscopia en el manejo de tales complicaciones por cuerpos extraños.; Enfatizar la importancia de considerar el material quirúrgico retenido en los diagnósticos diferenciales.
Principales métodos:
- Reporte de caso de un varón de 29 años que presenta síntomas de obstrucción del intestino delgado.; La imagenología diagnóstica reveló un cuerpo extraño radiopaco.; Se realizó laparoscopia diagnóstica de emergencia para diagnóstico y manejo.
Principales resultados:
- Una gasa retenida, encapsulada en un quiste, se identificó como la causa de la obstrucción del intestino delgado en asa cerrada.; La recuperación laparoscópica de cuerpos extraños fue exitosa sin necesidad de resección intestinal.; El paciente tuvo una recuperación posoperatoria favorable.
Conclusiones:
- La obstrucción intestinal de presentación tardía debido a gasa quirúrgica retenida requiere una alta sospecha clínica.; La cirugía laparoscópica ofrece un enfoque mínimamente invasivo para la extirpación de cuerpos extraños retenidos.; La concienciación y la preparación para las complicaciones quirúrgicas tardías son vitales para los proveedores de atención médica.
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