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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An institutional experience and review of literature.
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There were only two patients in whom diagnosis was established intraoperatively: Sadiya N, Ghosh M. He was receiving highly active antiretroviral therapy HAART based on tenofovir, emtricitabine and ritonavir-boosted lopinavir.
Dig Surg intususcepcion 20 A literature review was performed to gather recent information about their diagnosis and treatment. Histopathology of the surgical piece showed a serosa without relevant changes; adjacent to the intususcwpcion, an exophytic tumoral lesion of 6.
A computed tomography CT scan of the thorax, abdomen and pelvis was normal and a bone marrow biopsy was negative for intususcepciln neoplastic infiltration. Surgery is considered the treatment of choice, requiring leaving free surgical edges to prevent recurrences. Unusual cases of intussusception. 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.
Fourteen patients with these characteristics were found from an analysis ofclinical records. 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.
English and Spanish literature was reviewed. See authoritative translations of Intususcepcion in English with audio pronunciations.
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. It is pediatdia rare condition in adults that nitususcepcion occur anywhere in the gastrointestinal tract from the stomach to the rectum.
The type of operation varied according to location, lesion size, cause of lead point for invagination, and bowel viability.
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 intususccepcion, and fever, night sweats and weight loss 5 kg during. Laboratory findings and CT scan of the thorax, abdomen and pelvis were also normal.
Five right hemicolectomies, 3 small-bowel resections, 2 left hemicolectomies, and 1 ileocecal resection were performed. Buenos Intusuwcepcion, Argentina, 3 Ultrasonographic Unit.
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.
Ann Surg ; Am J Surg ; The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point. The optimal treatment of this neoplasm is yet to be established. Intussusception as clinical presentation of primary non-Hodgkin lymphoma of the colon in a HIV-patient.
Data related to demographic and clinical features, complementary explorations, presumptive diagnosis, treatment, follow-up, and complications were collected. Azar T, Berger DL. Present to your audience. Additionally, it may help to establish the stage of the neoplasm 9. 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.
Malignancies were the only cause of intussusceptions of the large bowel, as in the present case.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
Immunohistochemistry revealed that neoplastic cells were positive for CD20 Fig. Here we describe the case of a HIV positive patient who developed a colonic intussusception as clinical presentation of primary NHL. In the small bowel they are characterized as benign lesions such as hamartomas, lipomas, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc. 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.
Acta Gastroenterol Latinoam ; In those cases of colonic involvement, NHL should be considered as a probable diagnosis due to the high frequency of these tumors in the HIV population.
Conservative treatment was implemented for 4 patients and surgery for 10 7 in emergency. The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases. Am J Surg ; Constrain to simple back and forward steps. 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 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. Intussusceptions can be classified according to the anatomical location into entero-enteric, ileocecal, ileo-colic and colo-colonic 9. 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.
Currently, chemotherapy alone is the gold standard treatment and is complementary to surgery, as in our patient Diagnosis of intestinal intussusception was made and the patient underwent a laparotomy.