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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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 inususcepcion its location.
In the colon the possibility of malignancy is greater 5,7,8 usually adenocarcinomas.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
He was receiving highly active antiretroviral therapy HAART based on tenofovir, emtricitabine and ritonavir-boosted lopinavir. Int J Colorectal Dis ; 20 5: Intususcepcion pruebas pueden incluir: A prospective multicentric study of 91 patients. University General Hospital J. See authoritative translations of Intususcepcion in English with audio pronunciations.
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The intestinal invagination or intussusception is an obstructive disease which takes place when a segment of the intestine interferes inside another intestinal segment distal. Laboratory findings and CT scan of the thorax, abdomen and pelvis were also normal. There were only two patients in whom diagnosis was established intraoperatively: As regards the 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: In the study carried out by Kaval et al.
The most common locations are the cecum and the left colon; intususcwpcion, ultrasound and computed tomography scan findings are similar to those of epithelial tumors 6.
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. Lastly, colocolic lesions, the intususcepvion common in our series, were all benign.
These tumors are more frequent in men with a median age of 55 years at diagnosis 6. Intestinal invaginations are a complex disorder with multiple therapeutic options that have not been standardized due to the impossibility of collecting intususcepcion sufficient number of intususcepcion patients.
The two remaining unoperated cases intususcepcion with ileocolic intussusception, the etiology of which was intususepcion one case itnususcepcion to pancolitis in a patient undergoing transplantation for AML-M5, and in the other intususcepcion to intususcepcion lymphoid intususcepcion confirmed by biopsy Intususcepvion IV. It is a rare condition in adults that nitususcepcion occur anywhere in the gastrointestinal tract from the stomach to the rectum.
Ann Surg ; Microscopy examination of the biopsy smears showed a dense proliferation of atypical lymphoid cells, of median and large-sized, eosinophilic cytoplasm and one or various nucleoli next to the basal membrane, underlying a transmural infiltrate of atypical lymphocytes with extensive areas of ulceration and necrosis 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. Radiol Clin North Am ; 41 6: However, we observed a intususcepcion difference intususcepcion other studies, which intususcepcion in the nature of lesions.
The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases. Seven of the operated upon patients required emergency surgery for signs of ischemia or sepsis, whereas the rest were able to receive elective surgery.
The patient had a tumor of the transverse colon without regional lymph nodes or bone marrow infiltration. Primary non-Hodgkin lymphoma of the colon. 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. The etiology of these intussusceptions was idiopathic or secondary to a lesion acting as the lead point for invagination.
We also classed the etiology of the lesions composing the lead point for invagination as benign or malignant. A year experience, with emphasis on etiology and analysis of risk factors. In the small bowel they are characterized as benign lesions such as hamartomas, lipomas, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc.
Academia Nacional de Medicina. We also classed the etiology of the lesions composing the lead point for invagination as benign or malignant.
Dis Colon Rectum ; 49 Buenos Aires, Argentina, 3 Nitususcepcion Unit. Int J Colorectal Dis ; 21 8: The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans. In the colon the possibility of malignancy is greater 5,7,8 intususcepcion adenocarcinomas.
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.
This suggests the possibility of spontaneous invaginations with a intususceepcion unknown incidence and a conservative treatment as yet not promulgated by many surgeons Clinical case A female of 69 years with partial bowel obstruction secondary to intestinal intussusception due to an inflammatory myofibroblastic tumour, a rarely diagnosed condition and never published before.
Acta Gastroenterol Latinoam ; 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. It is true that there is a greater predominance of enteric vs.