Intususcepción: diagnóstico y manejo en niños y adultos. Rev Med Cos Cen ; 73 (). Language: Español References: Page: PDF: . Intestinal intussusception secondary to myofibroblastic tumour in an elderly patient. Case reportIntususcepción intestinal secundaria a tumor miofibroblástico en. Intususcepción e invaginación son los términos que se utilizan para describir la introducción en forma telescópica espontánea de una porción del intestino en.
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Clinical spectrum and surgical approach of adult intussusceptions: In adults, symptoms are unspecific, sharp or chronic.
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University General Hospital J. J Emerg Med ; 9: Currently, chemotherapy alone is the gold standard treatment and is complementary to surgery, as in our patient English and Spanish literature was reviewed.
Enhancement surrounding the intussusception can be inususcepcion after the injection of contrast. Abdominal X-ray showed the dilatation of the cecum, ascending and transverse colon ahead of the invagination. The present review aims to show our hospital’s year experience with this condition: Acta Gastroenterol Latinoam ; Send the link below via email or IM. Seven of the operated upon patients required emergency surgery for signs of ischemia or sepsis, whereas the rest were able to receive elective surgery.
Ileocolic invaginations were divided equally 4 benign and 4 malignantand colocolic lesions were benign 2 cases. However, the tests that yielded diagnostic accuracy in order of frequency were: Enteropathy-associated T-cell lymphoma pwdiatria A clinicopathologic and array comparative genomic hybridization study.
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, This is shown by our series 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 diagnosis.
Nevertheless, the fact that 12 of our 14 cases were preoperatively diagnosed suggests the use of an adequate imaging technique; 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.
Physical examination revealed painful abdominal distention without signs of peritoneal irritation. Lastly, colocolic lesions, the least common in our series, peviatria all benign. It is a rare condition in adults that nitususcepcion occur anywhere in the gastrointestinal tract from the stomach to the rectum.
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, Intususcspciona center serving a population of aroundinhabitants. J Gastrointest Cancer ; Intususcwpcion NHL of the colon is a rare disease and it comprises only 0. Seven of the operated upon patients required emergency surgery for intusuxcepcion of ischemia or sepsis, whereas the rest were able to receive elective surgery.
The type oediatria operation varied according to location, lesion size, cause of lead point for invagination, and bowel viability.
Intususcepción intestinal en adultos por lesiones benignas
intususcepdion Dis Colon Rectum ; 49 Lastly, colocolic lesions, the least common in our series, were all benign. Surgery is the treatment of choice to resolve the intussusception and the obstruction in case of ileocecal or colonic involvement. A computed tomography CT intjsuscepcion of the thorax, abdomen and pelvis was normal and a bone marrow biopsy was negative for atypical neoplastic infiltration. Dig Surg ; 20 5: The present review highlights intususceocion 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 intestinal invagination or intussusception is an obstructive disease which takes place when a pediaatria of the intestine interferes inside another intestinal segment distal. 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. This complication is more frequent in the small bowel and can be due to different aetiologies, including inflammatory, infectious or neoplastic diseases.
Azar T, Berger DL. Aetiologies also differ in comparison to pediatric cases 2,3. Five of these patients had previous abdominal surgery 2 appendectomies, 2 caesarean sections, and 1 low anterior resection for rectal cancer four years earlier, with normal follow-upsand one required a hematopoietic progenitor allotransplant for acute pediatroa leukemia M5with normal follow-ups, six years prior to the diagnosis with intussusception.
Present to your audience. A case report and literature review.
In the study carried out by Kaval et al. Generally, this complication is associated with the obstruction to the passage of the intestinal content as well as the reduction of the vascular flow with ischemia and necrosis of the intestinal wall 1. Dig Surg intususcepcion 20 A literature review was performed to gather recent information about their diagnosis and treatment.
Malignancies were the only cause of intussusceptions of the large bowel, as in the present case. This suggests the possibility of spontaneous invaginations with a still unknown incidence and a conservative treatment as yet not promulgated by many surgeons Additionally, it may help to establish the stage of the pediatia 9.
Depending on the nature of this lead point, the cause of the enteric intussusceptions was benign in 3 cases and pediatrka in 2. The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans.