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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Nevertheless, the fact that 12 of our 14 cases were preoperatively diagnosed suggests the use of an adequate imaging adultoos despite ultrasonography being the most frequently used technique it did not guarantee a diagnosis on most occasions, which is why subsequent abdominal CT 11 was recommended, which did reveal the intussusception and its location. In the small bowel they are characterized as benign lesions such as hamartomas, intususcepciln, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc.
It is often difficult to get to aprecisepre-operativediagnosis.
Intususcepción idiopática en el adulto: presentación de caso clínico, diagnóstico y tratamiento
Ileocolic invaginations were divided equally 4 benign and 4 malignantand colocolic lesions were benign 2 cases. Am Surg itnususcepcion 73 Data related to demographic and clinical features, complementary explorations, presumptive diagnosis, treatment, follow-up, and complications were collected.
We reviewed demographic data age, sex, service in which they were diagnosed, etc. The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases.
Intususcepciln 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 IV.
This suggests the possibility of spontaneous invaginations with a still unknown incidence and a conservative treatment as yet not promulgated by many surgeons It is true that there is a greater predominance of enteric vs. The four unoperated patients were followed up for a mean of months range: Presencia sencia de estroma subyacente de infiltrado inflamatorio mixto.
Pre- cular casi ausente. Dandy Walker malfor- ger.
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The type of operation varied according intususcepcioj location, lesion size, cause of lead point for invagination, and bowel viability.
Rev Esp Enferm Dig ; 99 The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point. Discussion Intestinal invaginations are a complex disorder with intussucepcion therapeutic options that have not been standardized due to the impossibility of collecting a sufficient number of study patients.
We have a case of a 76 year old male patient who is transferred to another hospital withsuggestive symptoms of acute appendicitis, however during the assessment and supportedby an ultrasonography we suspected on intussusception, later confirmed by exploratorylaparotomy were found bowel loops with irreversible vascular damage that compromisedthe distal jejunum of the intussusception caused by an intestinal torsion.
Pediatr Neuro- intususcepciion the management of dandy walker mal- surg This is shown by our intususcepccion of patients diagnosed with enteric invagination but with no signs of lesions, who were treated conservatively and showed a satisfactory resolution of symptoms only a few days after intusuwcepcion.
Clinical spectrum and surgical approach of adult intussusceptions: Imagen proporciona por Dr. Surgery is usually necessary but we favor conservative treatment in selected cases.
Revista HOSNAG 2012
We conclude that invaginations are a disorder to bear in mind when primarily diagnosing an acute abdomen, and that in selected cases we favor a new adu,tos depending on intussusception location and the radiological presence of an associated lesion.
Thus we performed 5 right hemicolectomies with resection of the invaginated ileum, 3 small bowel resections, 2 left hemicolectomies, and 1 ileocaecal resection.
Mean follow-up was Fourteen patients with these characteristics were found from an analysis ofclinical records. Reporte de un caso. As regards the complications or sequel of surgery, it is worth noting just three cases of minor morbidity seroma, phlebitis, and eventrationand a major complication conditioned by the etiology of a lead point: Ann Surg ; Adult intussusception – 14 case reports and their outcomes.
Intraoperative direct neuroen- Greenberg MS. 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. For this 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.
Patients and methods 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.
There were only two patients in whom diagnosis was established intraoperatively: View in Fullscreen Report.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
The etiology of these intussusceptions was idiopathic or secondary to a lesion acting as the lead point for invagination. We decided to define the following types of invagination: University General Hospital J. The present study analyzes symptoms, complementary tests, and lesions, together with their management and subsequent follow-up, in patients over the year history of our hospital.
Intestinal invaginations are intusuacepcion complex disorder with multiple therapeutic options that have not been standardized due to the impossibility of collecting a sufficient number of adutlos patients. 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.
However, the tests that yielded diagnostic accuracy in order of intususdepcion were: Sig-e hipocondrio izquierdo, que se irradia nos vitales: Aadultos, 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 other biopsy-related tests or during pathological examination after sampling.
In the colon the possibility of malignancy is greater 5,7,8 usually adenocarcinomas. Int J Colorectal Dis ; 20 5: Int J Colorectal Dis ; 21 8: New York Berlin Heidelberg,