{"id":967,"date":"2026-08-01T00:03:55","date_gmt":"2026-08-01T00:03:55","guid":{"rendered":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/?p=967"},"modified":"2026-08-20T20:32:07","modified_gmt":"2026-08-20T20:32:07","slug":"boton-de-remache-una-causa-de-hemicolectomia-reporte-de-caso","status":"publish","type":"post","link":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/boton-de-remache-una-causa-de-hemicolectomia-reporte-de-caso\/","title":{"rendered":"Bot\u00f3n de Remache: \u00bfUna causa de Hemicolectom\u00eda? Reporte de Caso"},"content":{"rendered":"<p style=\"text-align: justify;\"><em><strong>Caso Cl\u00ednico<\/strong><\/em><\/p>\n<p>Rivet Button: A Cause of Hemicolectomy? Case Report<\/p>\n<p><span style=\"font-size: 10pt;\"> <strong>Farf\u00e1n-Romero Juan Carlos, et. al.<\/strong> <\/span><\/p>\n<p><span style=\"color: #ff0000;\"><strong>DOI:<\/strong><\/span> 10.53287\/wsom5228yg36a.005<\/p>\n<p style=\"text-align: right;\"><div class=\"\"><a href=\"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/wp-content\/uploads\/2026\/08\/CC-Farfan-Romero-Juan-Carlos.pdf\" target=\"_self\" class=\"emd_dl_grey\">Descargar PDF<\/a><\/div>        <style type=\"text\/css\">\r\n    .emd_dl_grey {\r\n        -moz-box-shadow:inset 0px 1px 0px 0px #ffffff;\r\n        -webkit-box-shadow:inset 0px 1px 0px 0px #ffffff;\r\n        box-shadow:inset 0px 1px 0px 0px #ffffff;\r\n        background:-webkit-gradient( linear, left top, left bottom, color-stop(0.05, #ededed), color-stop(1, #dfdfdf) );\r\n        background:-moz-linear-gradient( center top, #ededed 5%, #dfdfdf 100% );\r\n        filter:progid:DXImageTransform.Microsoft.gradient(startColorstr='#ededed', endColorstr='#dfdfdf');\r\n        background-color:#ededed;\r\n        -webkit-border-top-left-radius:0px;\r\n        -moz-border-radius-topleft:0px;\r\n        border-top-left-radius:0px;\r\n        -webkit-border-top-right-radius:0px;\r\n        -moz-border-radius-topright:0px;\r\n        border-top-right-radius:0px;\r\n        -webkit-border-bottom-right-radius:0px;\r\n        -moz-border-radius-bottomright:0px;\r\n        border-bottom-right-radius:0px;\r\n        -webkit-border-bottom-left-radius:0px;\r\n        -moz-border-radius-bottomleft:0px;\r\n        border-bottom-left-radius:0px;\r\n        text-indent:0;\r\n        border:1px solid #dcdcdc;\r\n        display:inline-block;\r\n        color:#777777 !important;\r\n        font-family:Georgia;\r\n        font-size:15px;\r\n        font-weight:bold;\r\n        font-style:normal;\r\n        height:41px;\r\n        line-height:41px;\r\n        width:153px;\r\n        text-decoration:none;\r\n        text-align:center;\r\n        text-shadow:1px 1px 0px #ffffff;\r\n    }\r\n    .emd_dl_grey:hover {\r\n        background:-webkit-gradient( linear, left top, left bottom, color-stop(0.05, #dfdfdf), color-stop(1, #ededed) );\r\n        background:-moz-linear-gradient( center top, #dfdfdf 5%, #ededed 100% );\r\n        filter:progid:DXImageTransform.Microsoft.gradient(startColorstr='#dfdfdf', endColorstr='#ededed');\r\n        background-color:#dfdfdf;\r\n    }.emd_dl_grey:active {\r\n        position:relative;\r\n        top:1px;\r\n    }\r\n    <\/style><\/p>\n<div style=\"margin: 25px 0; padding: 28px 32px; background-color: #f7f9fb; border: 1px solid #e1e6eb; border-left: 5px solid #00663a; border-radius: 8px; box-shadow: 0 2px 8px rgba(0,0,0,0.06);\">\n<div style=\"text-align: center; margin-bottom: 22px;\">\n<h3 style=\"margin: 0; color: #00663a; font-size: 20px; font-weight: bold;\">Bot\u00f3n de Remache: \u00bfUna causa de Hemicolectom\u00eda?<br \/>\nReporte de Caso<\/h3>\n<\/div>\n<div style=\"text-align: left; margin-bottom: 22px;\"><span style=\"display: inline-block; padding-bottom: 8px; border-bottom: 2px solid #00663a; color: #333; font-size: 16px; font-weight: bold;\"> RESUMEN<\/span><\/div>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Introducci\u00f3n: <\/em><\/strong>La perforaci\u00f3n intestinal por cuerpos extra\u00f1os es infrecuente, pero con alta mortalidad, afectando alrededor del 1% de los casos en cirug\u00eda de urgencias.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Objetivo: <\/em><\/strong>El presente reporte de caso documenta un caso infrecuente, diagn\u00f3stico y tratamiento, y concientizar sobre los riesgos de cuerpos extra\u00f1os met\u00e1licos.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Reporte de caso: <\/em><\/strong>Presentamos el caso de un paciente masculino de 50 a\u00f1os que ingiere de forma inadvertida un bot\u00f3n de remache, present\u00f3 dolor abdominal, n\u00e1useas, malestar general y emplastamiento en regi\u00f3n lumbar. Se realizan ex\u00e1menes complementarios, en radiograf\u00eda simple de abdomen se evidencia imagen radiopaca en ciego corroborada por tomograf\u00eda abdomino p\u00e9lvica contrastada, laboratorios con leucocitosis y Prote\u00edna C Reactiva (PCR) elevada, con el diagn\u00f3stico de peritonitis secundaria a perforaci\u00f3n intestinal se realiz\u00f3 laparotom\u00eda exploratoria donde se encontr\u00f3 peritonitis pericecal y retroperitoneal secundaria a perforaci\u00f3n de ciego por cuerpo extra\u00f1o romo, se realiz\u00f3 hemicolectom\u00eda, resecci\u00f3n de segmento comprometido de \u00edleon terminal y anastomosis ileotransversa con sutura manual en dos planos, tras 2 d\u00edas en la Unidad de Terapia Intensiva (UTI) el paciente pas\u00f3 a sala.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Conclusiones: <\/em><\/strong>La perforaci\u00f3n intestinal por ingesti\u00f3n de cuerpos extra\u00f1os es infrecuente puede llegar a tener alta mortalidad. En el presente caso, un broche de bot\u00f3n de acero inoxidable de geometr\u00eda roma provoc\u00f3 peritonitis y perforaci\u00f3n de ciego, colon ascendente y peritonitis secundaria. La tomograf\u00eda computarizada es el estudio de elecci\u00f3n para el diagn\u00f3stico.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Palabras Clave: <\/em><\/strong>Perforaci\u00f3n intestinal, peritonitis secundaria, bot\u00f3n de remache met\u00e1lico, cuerpo extra\u00f1o, perforaci\u00f3n cecal.<\/p>\n<div style=\"text-align: left; margin-bottom: 22px;\"><span style=\"display: inline-block; padding-bottom: 8px; border-bottom: 2px solid #00663a; color: #333; font-size: 16px; font-weight: bold;\"> ABSTRACT<\/span><\/div>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Introduction: <\/em><\/strong>Intestinal perforation by foreign bodies is infrequent, but with high mortality, affecting around 1% of cases in emergency surgery.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Objective: <\/em><\/strong>This case report documents an uncommon case, its diagnosis and treatment, and aims to raise awareness about the risks of metallic foreign bodies.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Case Report: <\/em><\/strong>We present the case of a 50-year-old male patient who inadvertently ingested a rivet button. He presented abdominal pain, nausea, malaise and swelling on lumbar region. Complementary examinations were performed. An abdominal radiograph revealed a radiopaque image in the cecum, which was corroborated by a contrast-enhanced abdominal and pelvic Computed Tomography scan. Laboratory tests showed leukocytosis and elevated C-reactive protein (CRP), with a diagnosis of peritonitis secondary to intestinal perforation an exploratory laparotomy was performed. Pericecal and retroperitoneal peritonitis secondary to cecal perforation by a blunt foreign body was found. An hemicolectomy, resection of the affected segment of the terminal ileum, and ileotransverse anastomosis with two-layer manual suturing were performed. After two days in the Intensive Care Unit (ICU), the patient was transferred to a ward.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Conclusions: <\/em><\/strong>Intestinal perforation due to foreign body ingestion is infrequent but can have a high mortality rate. In this case, a blunt stainless steel snap fastener caused peritonitis and perforation of the cecum, ascending colon, and secondary peritonitis. Computed tomography is the gold standard diagnostic study of choice.<\/p>\n<p style=\"text-align: justify; line-height: 1.8; margin-bottom: 18px; color: #333;\"><strong><em>Keywords: <\/em><\/strong>Intestinal perforation, secondary peritonitis, metal rivet button, foreign body, cecal perforation.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Caso Cl\u00ednico Rivet Button: A Cause of Hemicolectomy? Case Report Farf\u00e1n-Romero Juan Carlos, et. al. DOI: 10.53287\/wsom5228yg36a.005 Bot\u00f3n de Remache: \u00bfUna causa de Hemicolectom\u00eda? Reporte de Caso RESUMEN Introducci\u00f3n: La perforaci\u00f3n intestinal por cuerpos extra\u00f1os es infrecuente, pero con alta mortalidad, afectando alrededor del 1% de los casos en cirug\u00eda de urgencias. Objetivo: El presente [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":932,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"disable_featured_image":false,"footnotes":""},"categories":[6],"tags":[],"_links":{"self":[{"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/posts\/967"}],"collection":[{"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/comments?post=967"}],"version-history":[{"count":4,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/posts\/967\/revisions"}],"predecessor-version":[{"id":1041,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/posts\/967\/revisions\/1041"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/media\/932"}],"wp:attachment":[{"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/media?parent=967"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/categories?post=967"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/posgradofment.umsa.bo\/memoriadelposgrado\/index.php\/wp-json\/wp\/v2\/tags?post=967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}