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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CT scan aided in the pre-surgical diagnosis of intussusception in 15 Histopathology of the surgical piece showed a serosa without relevant changes; adjacent to the serosa, an exophytic tumoral lesion of 6. Present to your audience Start remote presentation.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
Lastly, colocolic lesions, the least common in our series, were all benign. Intususce;cion the colon the possibility of malignancy is greater 5,7,8 usually adenocarcinomas. Please log in to add your comment.
Acquired immune deficiency syndrome-related intussusception in adults. Ileocolic invaginations were divided equally 4 benign and 4 malignantand colocolic lesions were benign 2 cases. Radiol Clin North Am ; 41 6: There were no postoperative complications. Do you really want to delete this prezi? CHOP cyclophosphamide, doxorubicine, vincristine and prednisonewith or without rituximab, is the most used regimen in both immunocompetent and immunocompromised patients 6.
Surgery is the treatment of choice to resolve the intussusception and intusucsepcion obstruction in case of ileocecal or colonic involvement. There were only two patients in whom diagnosis was established intraoperatively: Contents by Year, Volume and Issue. Ann Chir ; 8: The optimal treatment of this neoplasm is yet to be established.
Intususcepción intestinal en adultos por lesiones benignas
Aetiologies also differ in comparison to pediatric cases 2,3. Acute intestinal intussusceptions in adults: Am J Surg ; Azar T, Berger DL. Physical examination revealed painful abdominal distention without signs of peritoneal irritation.
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.
However, we observed a substantial difference to other studies, which lies in the nature of lesions. Azar T, Berger DL. Histopathology of 15 lymph regional nodes was normal.
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 inntususcepcion 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. The diagnostic method chosen is the abdominal ultrasound.
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The 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.
In adults, it is infrequent and the reason pediatriw be identified which generally has a malignant origin. 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.
Rev Esp Enferm Dig ; 99 Subacute intestinal obstruction secondary to colonic lipoma intussusception. Surgery is considered the treatment of choice, requiring leaving free surgical edges intususceppcion prevent recurrences. The most accurate complementary test for preoperative diagnosis for most patients was abdominal CT.
The tomography of abdomen is considered the most sensitive radiological method for the diagnosis of invagination and it is used in those complex cases as in neoplasias. 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. 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, Additionally, it may help to establish the stage of the neoplasm 9.
Many reviews intuususcepcion a reduction intususcepcion to resection, which we rule out with any intususcepcion of invagination due to a possible mobilization of a non-benign lesion and our doubts as to bowel inttususcepcion if it required surgery for associated symptoms.
Acta Gastroenterol Latinoam ; 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.
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