La demostración por TCMD de la intususcepción en el adulto. Anales de Radiología México ; 8 (3). Language: Español References: Page: Abstract. CASTRO MEDINA, Carlos Alberto; JIMENEZ, Héctor Conrado and CARDONA M, Sandra Marcela. Clinical case presentation: Diagnosis and treatment. Abstract. BERMUDEZ, Charles Elleri; DOMINGUEZ, Luis Carlos; BUITRAGO, Diego and GOMEZ, David. Intususcepción intestinal en adultos por lesiones.
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Pediatr Neuro- surg The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases. Acta Neurochir Wien ; berg Graphics Inc, Revista Colombiana de Gas-del intestino delgado.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
New York Ijtususcepcion Heidelberg, However, the etiology is difficult to determine in a preoperative study, since edema or hemorrhagic intussusception may simulate a mass at this level 12which is why the etiological diagnosis will be established either with fn biopsy-related tests or during pathological examination after sampling. We also classed the etiology of the lesions composing the lead point for invagination as benign or malignant. The nature of the lesion in the ileocolic invaginations was divided equally between benign and malignant 4 cases of each.
Dandy Walker malfor- ger. Am J Surg ; Dis Colon Rectum ; 50 However, we consider it important to take associated symptoms into account and on the basis of these conduct more accurate diagnostic studies to rule out a tumor origin if not done previously; moreover, the diameter and length of the invagination, together with the presence or absence of an associated lesion, and the type of invagination are predictors of spontaneous resolution 13, Discussion Intestinal invaginations are a complex disorder with multiple therapeutic options that have not been standardized due to the impossibility of collecting a sufficient number of study patients.
Ann Chir ; 8: You can publish your book online for free in a few minutes! Ann Surg ; Rev Esp Enferm Dig ; 3: University General Hospital J.
Intususcepclon treatment was implemented for 4 patients and surgery for 10 7 in emergency. The present review highlights the analysis of patients in whom conservative management was chosen due to the absence of clinical manifestations and of a demonstrable lesion as lead point of invagination.
The most accurate complementary test for preoperative diagnosis for most patients was abdominal CT. Read the Text Version. We conclude that aduptos are a disorder to bear in mind when primarily diagnosing an acute abdomen, and that in selected cases we favor a new treatment depending on intussusception location and the radiological presence of an associated lesion.
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The clinical presentation of invaginations is diverse: CT 8 from 10 cases were diagnosed correctlyabdominal ultrasonography 6 preoperative diagnoses of the 12 who received itopaque enema 2 diagnoses of the 4 tests performedcolonoscopy 2 diagnoses from 5 testsdouble balloon enteroscopy a single case and a single correct diagnosisand intestinal transit with no diagnosis.
The four unoperated patients were followed up for a mean of months range: Figura 1 y 2. Fourteen patients with these characteristics were found from an analysis ofclinical records. Intraoperative direct neuroen- Greenberg MS. As regards the intuauscepcion or sequel of surgery, it is worth noting just three cases of minor morbidity seroma, phlebitis, and eventrationand a major adulgos conditioned by the etiology of a lead point: The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans.
Tumores primarios de in- testino delgado.
Revista HOSNAG 2012
A retrospective descriptive study was conducted on all patients aged over 16 years who were diagnosed with intestinal invagination, both preoperatively and postoperatively, between January and January in any of the clinical departments at Morales Meseguer University Hospital Murcia, Spaina center serving a population of aroundinhabitants.
The patient was discharged in goodmedical and surgicalconditions after 15 days. Unusual cases of intussusception.
Se siguieron durante 28,25 meses de media rango meses.
Addultos two remaining unoperated cases presented with ileocolic intussusception, the etiology of which was in one case secondary to pancolitis in a patient undergoing transplantation for AML-M5, and in the other due to nodular lymphoid hyperplasia confirmed by biopsy Table Aduptos. Rx de abdomen de 2 posiciones.
Data related to demographic and clinical features, complementary explorations, presumptive diagnosis, treatment, follow-up, and complications were collected. Many reviews support invagination as an indication for surgery in adults due to the risk of intestinal ischemia and possible malignancy of the lead point of invagination. Imagen proporciona por Dr. For intususcepciln reason it is important to remember that diagnosis is difficult; unlike its presentation in childhood the etiology of the lead point for invagination usually corresponds to a structural lesion, very often malignant in nature, this is why it is advisable to establish a syndromic and etiological diagnosis.
The lesion disappeared after 3 days to 6 weeks in patients with conservative management. In the four patients diagnosed radiologically who did not undergo surgery half of the invaginations were enteric and resolved spontaneously, as shown by subsequent ultrasonography or CT follow-ups at 2 and 3 weeks ; furthermore, both were a casual finding one during complementary tests for a recently diagnosed Crohn’s disease, and one during the study untususcepcion a different non-digestive abdominal pathology.
However, we observed a substantial difference to other studies, which lies in the nature of lesions. Enteric invaginations were benign in 3 of the cases and malignant in 2. Pediatr Neuro- in the management of dandy walker mal- surg Subacute intestinal obstruction secondary to colonic lipoma intussusception.
This suggests the possibility of spontaneous invaginations with a still unknown incidence and a conservative treatment as yet not promulgated by many surgeons