A R T Í C U L O O R I G I N A L6. Eisen GM, Baron TH, Dominitz JA, Faigel DO, GoldsteinJL, Johanson JF, et al. Guideline for the management ofingested foreign bodies. Gastrointest Endosc. 2002Jun;55(7):802-6.7. Kerlin P, Jones D, Remedios M, Campbell C. Prevalence ofeosinophilic esophagitis in adults with food bolusobstruction of the esophagus. J Clin Gastroenterol. 2007Apr;41(4):356-61.8. Furuta GT, Liacouras CA, Collins MH, Gupta SK, JustinichC, Putnam PE, et al. Eosinophilic esophagitis in children anda d u l t s : a s y s t e m a t i c re v i e w a n d c o n s e n s u srecommendations for diagnosis and treatment.Gastroenterology. 2007 Oct;133(4):1342-63.9. Longstreth GF, Longstreth KJ, Yao JF. Esophageal foodimpaction: epidemiology and therapy. A retrospective,observational study. Gastrointest Endosc. 2001Feb;53(2):193-8.10. Larsson H, Bergquist H, Bove M. The incidence ofesophageal bolus impaction: is there a seasonal variation?Otolaryngol Head Neck Surg. 2011 Feb;144(2):186-90.11. Stack LB, Munter DW. Foreign bodies in thegastrointestinal tract. Emerg Med Clin North Am. 1996Aug;14(3):493-521.12. Kirchner GI, Zuber-Jerger I, Endlicher E, Gelbmann C, OttC, Ruemmele P, et al. Causes of bolus impaction in theesophagus. Surg Endosc. 2011 Apr 13.13. Wu WT, Chiu CT, Kuo CJ, Lin CJ, Chu YY, Tsou YK, et al.Endoscopic management of suspected esophageal foreignbody in adults. Dis Esophagus. 2011 Apr;24(3):131-7.14. Liacouras CA, Furuta GT, Hirano I, Atkins D, Attwood SE,Bonis PA, et al. Eosinophilic esophagitis: Updatedconsensus recommendations for children and adults. JAllergy Clin Immunol. 2011 Apr 6.15. Desai TK, Stecevic V, Chang CH, Goldstein NS,Badizadegan K, Furuta GT. Association of eosinophilicinflammation with esophageal food impaction in adults.Gastrointest Endosc. 2005 Jun;61(7):795-801.16. Prasad GA, Talley NJ, Romero Y, Arora AS, Kryzer LA,Smyrk TC, et al. Prevalence and predictive factors ofeosinophilic esophagitis in patients presenting withdysphagia: a prospective study. Am J Gastroenterol. 2007Dec;102(12):2627-32.17. Straumann A, Spichtin HP, Bucher KA, Heer P, Simon HU.Eosinophilic esophagitis: red on microscopy, white onendoscopy. Digestion. 2004;70(2):109-16.18. Lucendo AJ, Castillo P, Martin-Chavarri S, Carrion G,Pajares R, Pascual JM, et al. Manometric findings in adulteosinophilic oesophagitis: a study of 12 cases. Eur JGastroenterol Hepatol. 2007 May;19(5):417-24.19. Moawad FJ, Maydonovitch CL, Veerappan GR, BassettJT, Lake JM, Wong RK. Esophageal motor disorders in adultswith eosinophilic esophagitis. Dig Dis Sci. 2011May;56(5):1427-31.20. Katsinelos P, Kountouras J, Paroutoglou G, Zavos C,Mimidis K, Chatzimavroudis G. Endoscopic techniques andmanagement of foreign body ingestion and food bolusimpaction in the upper gastrointestinal tract: a retrospectiveanalysis of 139 cases. J Clin Gastroenterol. 2006Oct;40(9):784-9.21. Ricker J, McNear S, Cassidy T, Plott E, Arnold H, KendallB, et al. Routine screening for eosinophilic esophagitis inpatients presenting with dysphagia. Therap AdvGastroenterol. 2011 Jan;4(1):27-35.22. Ravi K, Talley NJ, Smyrk TC, Katzka DA, Kryzer L, RomeroY, et al. Low Grade Esophageal Eosinophilia in Adults: AnUnrecognized Part of the Spectrum of EosinophilicEsophagitis? Dig Dis Sci. 2011 Feb 6.23. Doyle LA, Odze RD. Eosinophilic Esophagitis WithoutAbundant Eosinophils? The Expanding Spectrum of aDisease That Is Difficult to Define. Dig Dis Sci. 2011 Apr 30.24. Nantes O, Jimenez FJ, Zozaya JM, Vila JJ. Increased riskof esophageal perforation in eosinophilic esophagitis.Endoscopy. 2009;41 Suppl 2:E177-8.25. Straumann A, Bussmann C, Zuber M, Vannini S, SimonHU, Schoepfer A. Eosinophilic esophagitis: analysis of foodimpaction and perforation in 251 adolescent and adultpatients. Clin Gastroenterol Hepatol. 2008 May;6(5):598-600.26. Lucendo AJ, Friginal-Ruiz AB, Rodriguez B. Boerhaave'ssyndrome as the primary manifestation of adult eosinophilicesophagitis. Two case reports and a review of the literature.Dis Esophagus. 2011 Feb;24(2):E11-5.Apuntes de Ciencia - Boletín Científico HGUCR31
C A S O C L Í N I C OHIMEN IMPERFORADO: COMPLICACIONESPREPUBERALES Y TRATAMIENTO.Ana Alpuente Torres; Ana González López;María Trinidad Alumbreros Andujar; Salvador Sedeño Rueda .PALABRAS CLAVE:Himen imperforado, piocolpos, tratamiento quirúrgico.Servicio de Ginecología y Obstetricia.Hospital General Universitario de Ciudad Real.C/Obispo Rafael Torija s/n.CP. 13005 Ciudad Real. España.Autor para correspondencia:Ana Alpuente Torres.C/Alvar Gómez 4, P2, 4ºA.13005 (Ciudad Real).e-mail: alpuentetorres@gmail.comRESUMEN:El himen imperforado es la malformación congénita que másfrecuentemente origina obstrucción a la salida de flujo en mujeres. Suincidencia se estima entre un 0.1% y un 0.05% según las series. A pesar de noser una malformación infrecuente es típicamente ignorada en el examen delrecién nacido, originando así problemas en la pubertad. Su importanciaradica en la posibilidad de originar un piocolpos y los problemas derivados deéste. Revisaremos un caso remitido a nuestro servicio y la literatura existenteal respecto.KEY WORDS: Imperforated hymen, pyocolpos, surgical treatment.ABSTRACT:The imperforate hymen is the most common obstructive lesions ofthe female genital tract. Its incidence is estimated between 0.1% and 0.05%depending on the series. Despite not being a rare malformation is typicallyignored in the examination of the neonate thus causing problems in puberty.In the possibility of causing a piocolpos and problems arising from it. Review acase referred to our department and the existing literature on the subject.INTRODUCCIÓN:El himen imperforado es la causa más común deobstrucción a la salida de flujo en mujeres, originandohematocolpos y masa abdominal. Su incidencia se estimaentre un 0.1% y un 0.05%. Generalmente debuta con lamenarquia originando un cuadro de dolor abdominal. Eldiagnóstico requiere una evaluación cuidadosa del aparatogenital y su tratamiento debe ser llevado a cabo porespecialistas en la materia.Apuntes de Ciencia - Boletín Científico HGUCR32