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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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. 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 invagination.
Los intususcepcoin primarios represen-de consistencia con el peristaltismo.
Mean follow-up was Aguayo-Albasini General Surgery Department. Intraoperative direct neuroen- Greenberg MS.
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Dis Colon Rectum ; 49 Unusual cases of intussusception. Am Surg ; 73 Rev Esp Enferm Dig ; 3: The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases.
The intusuacepcion reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans. Ileocolic invaginations were divided equally 4 benign and 4 malignantand colocolic lesions were benign 2 cases. There were only two patients intuduscepcion whom diagnosis was established intraoperatively: Reporte de un caso. Dandy Walker malfor- ger. No aire en ampolla rectal.
Seven of the operated upon patients required emergency surgery for signs of ischemia or sepsis, whereas the rest were able to receive elective surgery. Dig Surg ; 20 5: The four unoperated patients were followed up for a mean of months range: The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point.
We reviewed demographic data age, adultoa, service in which they were diagnosed, etc.
New York Berlin Heidelberg, Create your own flipbook. Thus we performed 5 right hemicolectomies with resection of the invaginated ileum, 3 small bowel resections, 2 left hemicolectomies, and 1 ileocaecal resection.
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In the small bowel they are characterized as benign lesions such as hamartomas, lipomas, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc. It is often difficult to get to aprecisepre-operativediagnosis. Five right hemicolectomies, 3 small-bowel resections, 2 left hemicolectomies, and 1 ileocecal resection were performed.
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.
Many reviews consider a reduction prior to resection, which we rule out with any type of invagination due to a possible mobilization of a non-benign lesion and our doubts as to bowel viability if it required surgery for associated symptoms.
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 myeloid leukemia M5with normal follow-ups, six years prior to the diagnosis with intussusception.
Diagnosis and management of Dandy Walker malforma- tions: Neurosur- gery ; 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.
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