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Cuerpo extraño de espina de pescado causante de perforación rectal, uterina y vesical: un raro reporte de caso
Shiyu Luo1,2, Bo Gou1, Tengyu Zeng1
1Department of Ultrasound, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Frontiers in oncology
|January 30, 2026
Resumen
Se presenta un caso raro de una espina de pescado que causa hematuria indolora. Este cuerpo extraño perforó el recto, el útero y la vejiga, lo que resalta el potencial de complicaciones gastrointestinales graves.
Área de la Ciencia:
- Gastroenterología
- Urología
- Reportes de Casos Quirúrgicos
Sus antecedentes:
- Las espinas de pescado son cuerpos extraños gastrointestinales comunes.
- Si bien la mayoría pasa de forma natural, algunas se alojan y causan lesiones.
- La perforación visceral por cuerpos extraños es extremadamente rara.
Objetivo del estudio:
- Informar un caso inusual de perforación de la vejiga inducida por espinas de pescado.
- Destacar los desafíos diagnósticos y el enfoque multidisciplinario requerido.
- Enfatizar la rareza de una perforación tan extensa de órganos.
Principales métodos:
- Análisis de imagen multimodal para diagnóstico y localización.
- Terapia laparoscópica colaborativa para intervención quirúrgica.
- Examen histopatológico de los órganos perforados.
Principales resultados:
- Se identificó una espina de pescado como la causa de la perforación de la vejiga.
- La espina de pescado había perforado el recto, la serosa del istmo uterino y la vejiga.
- El tejido de granulación inflamatoria rodeaba el cuerpo extraño.
Conclusiones:
- La perforación por espina de pescado de múltiples órganos pélvicos es excepcionalmente rara.
- La hematuria indolora puede ser una presentación atípica de perforación por cuerpo extraño.
- La colaboración multidisciplinaria es esencial para diagnosticar y manejar casos tan complejos.
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