NDLI: Mediastinite por perfuração esofágica após procedimento de dilatação endoscópica por estenose cáustica em paciente com paralisia cerebral: relato de caso

Content Provider	Semantic Scholar
Author	Filho, Horácio Cardoso Salles Felício, Phelipe Monteiro Domingues, Caíque Dos Santos Almeida, Ruy França De Pochini, Celso De Castro Gagliardi, Danilo
Copyright Year	2018
Abstract	A ingestao de substâncias caustica e frequente e mais observada em dois grupos etarios: na infância (normalmente ingestao acidental) e em adultos (tentativa de suicidio). Produtos causticos podem causar desde hiperemia ate necrose e perfuracao do esofago, dependendo da quantidade, forma e concentracao da substância ingerida somado ao tempo de contato do esofago com o produto. Casos de perfuracao esofagica chegando a causar mediastinite nao sao frequentes, mesmo em pacientes com deficit neurologico. Relatamos o caso de uma paciente de 15 anos com diagnostico previo de paralisia cerebral e dupla-lesao por ingesta acidental de caustico. Apresentou perfuracao esofagica em um procedimento de dilatacao endoscopica evoluindo com mediastinite. Realizada esofagectomia subtotal, esofagostomia cervical e jejunostomia dupla, evoluindo com quadro clinico de sepse.
Starting Page	43
Ending Page	46
Page Count	4
File Format	PDF HTM / HTML
Volume Number	56
Alternate Webpage(s)	http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCSP/article/download/278/290
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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