Introduction: Laryngotracheal trauma is rare in hospital care and has high morbidity and mortality. Methodology: A 48-year-old man, victim of a car-bycar car accident, was admitted to the emergency room, hemodynamically stable, on spontaneous ventilation, with progressive dysphonia and no laryngeal stridor. Through computed tomography, fracture of the thyroid cartilage in its notch with lateral dislocation was identified. Due to the benign evolution of the condition, a conservative approach was chosen. Results and discussions: There is still no universal algorithm for approaching laryngeal trauma, however all the cervical traumas require a high level of suspicion of laryngeal fracture so that early treatment occurs in order to improve the prognosis and reduce the risk of serious complications for the trauma victim. Conclusion: This report highlights the importance of adequate management and the implementation of a multidisciplinary approach in damage control and conservative treatment of laryngotracheal injury.
Bezoar é a impactação de material estranho no interior do trato digestivo, originado apartir da ingestão de diversas substâncias, incluindo cabelos ou pêlos, fibras vegetais eoutros. No presente estudo relata-se caso de um volumoso tricobezoar gástricoobservado em uma adolescente de 18 anos, com queixa de dor progressiva e tumoraçãopalpável, indolor, na região epigástrica, diagnosticado através da história clínica detricotilomania, tricofagia e alopecia e confirmada por tomografia computadorizada.Dada às proporções do bezoar, a paciente foi submetida à laparotomia exploratória –incisão mediana supraumbilical - com retirada de uma massa sólida de cabelos, a qualmoldava todo o estômago, desde o fundo até o piloro. Após revisão da câmara gástrica eausência de corpo estranho, foi optado pela passagem de sonda nasoenteral posicionadaposteriormente à incisão, sob visualização direta, com objetivo de realimentaçãoprecoce.
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