%0 Journal Article
%T Cuerpo extra o en ap¨¦ndice cecal: Reporte de un caso como rareza quir¨²rgica Body stranger in apendice cecal: Report of a case like surgical peculiarity
%A Carlos R Mar¨ªn M
%A Daysi Rodr¨ªguez S
%A Tibisay del C Rojas A
%J Revista del Instituto Nacional de Higiene Rafael Rangel
%D 2004
%I Instituto Nacional de Higiene Rafael Rangel
%X Los cuerpos extra os alojados en el tracto gastrointestinal, constituyen una rareza quir¨²rgica ya que con frecuencia logran progresar a trav¨¦s del mismo y ser expulsados al exterior en un 95% de los casos; quedando retenidos rara vez a nivel del p¨ªloro, ¨¢ngulo de Treitz, v¨¢lvula ileocecal y en menor frecuencia en el ap¨¦ndice (0,0005%). Reportamos el caso de un preescolar masculino de cinco a os de edad, quien ten¨ªa un alfiler en su ap¨¦ndice desde los dos a os de edad. A los 4 y 5 a os present¨® absceso hep¨¢tico pi¨®geno recurrente. Se decide extracci¨®n quir¨²rgica encontrando ap¨¦ndice adherido al peritoneo parietal posterior, por granuloma a cuerpo extra o; con alfiler intraluminal y cambios histol¨®gicos inflamatorios apendiculares. Los cuerpos extra os de bordes agudos pueden alojarse en el ap¨¦ndice y producir respuesta inflamatoria y perforarlo, u originar abscesos hep¨¢ticos secundarios. Se recomienda aun en pacientes asintom¨¢ticos la extracci¨®n quir¨²rgica temprana para evitar complicaciones mayores. The lodged strange bodies in gastrointestinal tract, constitute a surgical peculiarity since frequently they manage to progress through the same one and to be expelled to the outside in 95% of the cases being retained unfrecuently at level of pylorus, angle of Treitz, ileocecal valve and in smaller frequency in the appendix (0,0005%). We reported the case of a child preschool male, five years old, that had a pin in his appendix since two years of age. To the 4 and 5 years it presented/displayed recurrent pyogenic hepatic abscess. Surgical extraction is decided finding appendix adhered to the later parietal peritonea, by granuloma to strange body; with intraluminal pin and inflammatory histological changes in the appendix. The strange bodies of acute edges can lodge in the appendix and produce inflammatory answer and perforate it and to originate secondary hepatics abscesses. The early surgical extraction is even recommended in asymptomatic patients to avoid greater complications.
%K ap¨¦ndice
%K cuerpo extra o
%K extracci¨®n quir¨²rgica
%K appendix
%K strange body
%K surgical extraction
%U http://wwww.scielo.org.ve/scielo.php?script=sci_arttext&pid=S0798-04772004000200002