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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Revista HOSNAG 2012
Invaginations were ileocolic in 8 cases the most commonenteric in 5, and colocolic in 2 coexistence of 2 lesions in one patient. Clinical entity and treatment strategies for adult intussusceptions: There were only two patients in whom diagnosis was established intraoperatively: The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point.
Conservative treatment was implemented for 4 patients and surgery for 10 7 in emergency. Acute intestinal intussusceptions in adults: The mean age at presentation in our study was We decided to define the following types of invagination: 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.
Rev Esp Enferm Dig ; 3: The Practice of Neurosurgery. Thus we performed 5 right hemicolectomies with resection of the invaginated ileum, 3 small bowel resections, 2 left hemicolectomies, and 1 ileocaecal resection. 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.
Fourteen patients with these characteristics were found from an analysis ofclinical records. In the colon the possibility of malignancy is greater 5,7,8 intushscepcion adenocarcinomas.
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Neurosur- gery ; The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans. Mean follow-up was As regards intususcepicon 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: Pedro Batallas Sanchez, Dr.
Figura 1 y 2. The nature of the lesion in the e invaginations was divided equally between benign and malignant 4 cases of each. Approach to management of intussusception in adults: 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 of a different non-digestive abdominal pathology.
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 e.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
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 adultod either with other biopsy-related tests or during pathological examination after sampling. Am J Surg ; Endoscopic third ventriculos- management of Dandy Walker malforma- tomy with cystoventricular stent placement tions: Pediatr Neuro- ibtususcepcion the management of dandy walker mal- surg The lesion disappeared after 3 days to 6 weeks in patients with conservative management.
We also classed the etiology of the lesions composing the lead point for invagination as benign or malignant. We reviewed demographic data intueuscepcion, sex, service in which they were diagnosed, etc. For that reason, anenterectomy held in both segments, with ileostomy and an end to end enteroanastomosiswas done.
Aguayo-Albasini General Surgery Department. Intestinal invaginations are a complex disorder with multiple therapeutic options that have not been standardized due to the impossibility of collecting a sufficient intususcepion of study patients.
However, we observed a substantial difference to other studies, which lies in the nature of lesions. Los tumores primarios represen-de consistencia con el peristaltismo.
The cases in which no causal lesion was found were included in the benign lesion group. Read the Eb Version. Diagnosis and Mohanty A.
Intususcepción intestinal en adultos por lesiones benignas
The clinical presentation of invaginations is diverse: It is true that there is a greater predominance of enteric vs. Int J Colorectal Dis ; 20 5: The etiology of these intussusceptions was idiopathic or secondary to a lesion acting as the lead point for invagination. 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.
Intussusception in the adult-a rare disease. Presencia sencia de estroma subyacente de infiltrado inflamatorio mixto. Enteric invaginations were benign in 3 of the cases and malignant in 2.