Ingestion of foreign bodies is a relative common situation in the emergency department; however, ingestion of toothbrush is rarely reported in the literature. We present the case of a 27-year-old man with a previous diagnosis of obsessive-compulsive disorder, who presented to the emergency department 17 hours after an ingestion of a toothbrush. We performed an endoscopic removal using a polypectomy snare in the Gastroenterology Department under moderate sedation. No complications were reported in the procedure and the patient was discharged few hours later. Ingestion of toothbrush is rare in the literature and some authors described techniques using overtube and retractable snares and forceps. Endoscopic removal of a toothbrush under mod dure. However, if endoscopic removal fails, surgery should be performed.

Portal vein thrombosis (PVT) is a rare condition in the general population that develops serious complications if left untreated for long time. We present a case of a 29-year-old woman who developed PVT due to protein S deficiency versus neonatal funiculitis. Over time, the patient developed upper gastrointestinal bleeding due to esophageal varices and hypersplenism with splenic sequestration that caused minor bleeding episodes. Laparoscopic splenectomy and proximal splenorenal shunt with distal pancreatectomy due to aneurysmal dilatations of the splenic artery were successfully performed to avoid mayor progression of portal hypertension. Patient was discharged with indefinite anticoagulation and after surgery platelets raised 3 3 ectomy and proximal splenorenal shunt for portal hypertension due to portal vein ombosis is an adequate surgery procedure which should be applied in these medi...

Objetivo: La exposición a biomasa está asociada a enfermedades respiratorias incluyendo asma, enfermedad pulmonar obstructiva crónica (EPOC) y cáncer de pulmón. Se determinó la prevalencia de síntomas respiratorios y no respiratorios en usuarios de cocinas de biomasa y de gas licuado de petróleo (GLP) en Ayavirí–Yauyos, Lima, Perú. Material y métodos: Estudio transversal que incluyó a 167 pobladores. Ser mayor de 5 años y ser residente permanente en Ayavirí fueron criterios de inclusión. El combustible usado para cocinar fue clasificado en biomasa, GLP o ambos. Todos los participantes completaron una versión modificada del cuestionario estándar de salud general y respiratoria. Resultados: De los 167 participantes, 61 eran usuarios de cocinas de biomasa (36,5%), 21 usuarios de GLP (12,6%) y 85 de ambos tipos de cocinas (50,9%). Comparados con los usuarios de gas, aquél...

Los trastornos digestivos funcionales son alteraciones altamente prevalentes en la población mundial los cuales se presentan con una sintomatología muy variada y que puede afectar a un gran número de personas. Dentro de los trastornos digestivos funcionales se encuentra el síndrome de intestino irritable caracterizado por dolor abdominal crónico recurrente asociado a la defecación o cambios en los hábitos defecatorios (1-7). Muchos estudios han encontrado diversos factores asociados al síndrome de intestino irritable como el sexo femenino, la edad joven, trastornos psiquiátricos como ansiedad, depresión o estrés, infecciones gastrointestinales y otros factores no bien esclarecidos como la contaminación ambiental (8-17). La prevalencia varía en diferentes lugares del mundo con un valor promedio de 11.2% (8). Por el contrario, en nuestro medio se han publicado estudios con una...

Introduction: Irritable bowel syndrome (IBS) is a chronic functional bowel condition with an average world prevalence of 11.2%. Is associated with multiple factors as female sex, young age, stress, anxiety and depression which can have a negative impact on quality of life. IBS in Peru is not investigated at all specially in the Andean region. The objective of this study is to determine the prevalence and associated factors of IBS in an Andean community from Peru using the Rome IV criteria. Materials and methods: Cross-sectional study in a rural community dedicated to livestock and agriculture in Peru at 3,235 meters above sea level. Questionnaires provided by the Rome Foundation as the Rome IV – Diagnostic questionnaire for adults, Irritable Bowel Syndrome - Symptom Severity Scale and Bristol stool scale were used. Results: 130 residents met the inclusion criteria. 46.9% were male...

Drug induced liver injury (DILI) can be can be triggered by many medications including antituberculosis drugs. We present the case of a 37-year-old woman with a smear- positive pulmonary tuberculosis who started treatment with first-line antituberculosis drugs and 4 weeks later presented jaundice, somnolence and a morbilliform generalized rash with progressive neurologic deterioration which had a fatal outcome. Antituberculosis drugs can cause DILI in 2 to 28% of patients and drug reaction with eosinophilia and systemic symptoms (DRESS syndrome) in 1.2%. Acute liver failure (ALF) can occur in 35% of patients with DILI with an overall mortality of 9.7%. If the ALF is unresponsive to medical treatment, liver transplantation has shown promising results and can avoid progression of complications. DILI can be a serious medical condition in patients receiving antituberculosis drugs. If ALF dev...