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Crisis de tetania en adolescente
E. Barrera Segura, E. Cañadell Yetano, C. Parra Cotanda, M.C. Sánchez Garre, P. Glasmeyer, J. Quilis Esquerra
Servicio de Pediatría. Hospital de Terrassa. Barcelona. España
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Moreno Jiménez, B. Nieto Almeida, M. Gómez Serrano, F. Gómez Toranzo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Moreno Jiménez" ] 1 => array:2 [ "nombre" => "B." "apellidos" => "Nieto Almeida" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Gómez Serrano" ] 3 => array:2 [ "nombre" => "F." "apellidos" => "Gómez Toranzo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S169540330770348X?idApp=UINPBA00005H" "url" => "/16954033/0000006600000002/v2_201308271339/S169540330770348X/v2_201308271339/es/main.assets" ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Pósters</span>" "titulo" => "Crisis de tetania en adolescente" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "209" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "E. Barrera Segura, E. Cañadell Yetano, C. Parra Cotanda, M.C. Sánchez Garre, P. Glasmeyer, J. Quilis Esquerra" "autores" => array:6 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Barrera Segura" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Cañadell Yetano" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Parra Cotanda" ] 3 => array:2 [ "nombre" => "M.C." "apellidos" => "Sánchez Garre" ] 4 => array:2 [ "nombre" => "P." "apellidos" => "Glasmeyer" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Quilis Esquerra" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Pediatría. Hospital de Terrassa. Barcelona. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:1 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">Las crisis de tetania en la edad pediátrica son infrecuentes. Habitualmente se producen por hipocalcemia o alcalosis metabólica debida a hiperventilación espontánea en adolescentes. La alcalosis metabólica secundaria a la pérdida de jugo gástrico por obstrucción pilórica excepcionalmente provoca tetania.</p><p class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de una adolescente con crisis de tetania en el contexto de vómitos de larga evolución.</p> <span class="elsevierStyleSectionTitle">Caso clínico</span><p class="elsevierStyleSimplePara elsevierViewall">Adolescente que consulta por vómitos, abdominalgia e ingesta prácticamente nula desde hace 2 días, iniciando a su llegada un cuadro de tetania. Refiere episodios autolimitados de vómitos con dolor abdominal e ingesta escasa desde hace un año, pérdida de peso de 3 kg en los últimos 2 meses. A la exploración destaca cuadro de rigidez y espasmo en extremidades superiores e inferiores con sensorio conservado. Dolor abdominal en hipocondrio izquierdo. Equilibrio ácido base con pH de 7,6, CO2 de 28,6 mmHg, bicarbonato de 29,2 mmol/l, EB de 7,6 mmol/l. Ionograma con calcio de 11,1 mg/dl y cloro de 86,1 mmol/l. Se administran varias cargas de volumen resolviéndose el cuadro de tetania. Se ingresa por vómitos de larga evolución, se realiza ecografía y tomografía computarizada abdominal diagnosticándose de síndrome de la arteria mesentérica superior. Es intervenida quirúrgicamente, siendo la evolución posterior favorable.</p> <span class="elsevierStyleSectionTitle">Conclusión</span><p class="elsevierStyleSimplePara elsevierViewall">El síndrome de la arteria mesentérica superior se caracteriza por obstrucción de la tercera porción duodenal. Ocasionado por una pinza anatómica entre la arteria aorta y el nacimiento de la arteria mesentérica superior. Se presenta con una clínica de abdominalgia, vómitos y pérdida de peso de larga evolución que puede confundirse con un trastorno de la alimentación.</p>" ] ] ] "idiomaDefecto" => "es" "url" => "/16954033/0000006600000002/v2_201308271339/S1695403307703491/v2_201308271339/es/main.assets" "Apartado" => array:4 [ "identificador" => "14291" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Secciones de la A.E.P." "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/16954033/0000006600000002/v2_201308271339/S1695403307703491/v2_201308271339/es/main.pdf?idApp=UINPBA00005H&text.app=https://analesdepediatria.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403307703491?idApp=UINPBA00005H" ]
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