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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Am J Surg ; English Spanish online dictionary Term Bank, translate words and terms with different pronunciation options. 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.
Int J Colorectal Dis ; 21 8: Introduction Intestinal intussusception or invagination is defined as the introduction or telescoping of a segment of the GI tract within the lumen of the adjacent segment. There were only two patients in whom diagnosis was established intraoperatively: The most accurate complementary test for preoperative diagnosis for most patients was abdominal CT.
We reviewed demographic data age, sex, service in which they were diagnosed, etc. Ann Chir ; 8: Medias this blog was made to help people to easily download or read PDF files.
An institutional experience and review of literature. Surgical treatment is necessary in adult patients, as in our case, due to the frequency of organic lesions. Lastly, colocolic lesions, the least common in our series, were all benign. Histopathology of the surgical piece showed a serosa without relevant changes; adjacent to the serosa, an exophytic tumoral lesion of 6.
J Emerg Med ; 9: Surgery is considered the treatment of choice, requiring leaving free surgical edges to prevent recurrences. The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans. The cases in which no lediatria lesion was found were included in the benign lesion group.
Depending on the nature of this lead point, the cause of the enteric intussusceptions was benign in 3 cases and malignant in 2. University General Hospital J. 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 treatment depending on intussusception location and untususcepcion radiological presence of an associated lesion.
Surgery is also necessary to obtain a biopsy to establish the diagnosis and to assess the regional extension of the neoplasm. Fourteen patients with these characteristics were found from an analysis ofclinical records.
Approach to management of intussusception in adults: Histopathology of 15 lymph regional nodes was normal.
Arch Int Surg ;4: It confirmed the intussusception of the transverse colon caused by an infiltrative tumor. 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.
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.
Subacute intestinal obstruction secondary to colonic lipoma intussusception. Aguayo-Albasini General Surgery Department. English and Spanish literature was reviewed. Case Report A year-old man with a history of HIV infection diagnosed 20 years before, anti-hepatitis C antibodies and inhaled drug abuse was admitted to our hospital with a 20 day history of intermittent abdominal colicky pain, predominantly on the periumbilical region and in the left flank, and fever, night sweats and weight loss 5 kg during.
Depending on the nature of this lead point, the cause of the enteric intussusceptions was benign in 3 cases and malignant in 2. Intussusception in the adult-a rare disease. On the transverse plane, “target sign” or “doughnut sign” with the invaginated intestinal loop Fig. Seven of the operated upon patients required emergency surgery for signs of ischemia or sepsis, whereas the rest were able to receive elective surgery.
Invaginación – Síntomas y causas – Mayo Clinic
The simple X-ray photography of abdomen is the diagnostic method chosen. This is shown by our series of peediatria 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. 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 other biopsy-related tests or during pathological examination after sampling.
Medicina B Aires ; Review of cases.
The present study analyzes symptoms, complementary tests, and lesions, together with their management and subsequent follow-up, in peciatria over the year history of our hospital. A computed tomography CT scan of the thorax, abdomen and pelvis was normal and a bone marrow biopsy was negative for atypical neoplastic infiltration.
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Clinical spectrum and intusscepcion approach of adult intussusceptions: Data related to demographic and clinical features, complementary explorations, presumptive diagnosis, treatment, follow-up, and complications were collected.
Surgery is the first-line therapy in complications such as perforation Please log in to add your comment. In the small bowel they are characterized as benign lesions such as hamartomas, lipomas, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc.
The classic triad is the clinical presentation that helps to diagnose the intussusception in children; nevertheless, these signs and symptoms do not appear mostly; therefore, it is necessary to value the neurological semiology which can appear with a digestive clinic. Linfoma primario de colon. Present to your audience.
The clinical presentation of invaginations is diverse: The intestinal invagination or intussusception is an obstructive disease which takes place when a segment of the intestine interferes inside another intestinal segment distal.