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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Malignancies are the most common causes for adult intussusceptions of pediaatria large bowel, especially adenocarcinoma and secondary NHL. Intususcepcion pruebas pueden incluir: The patient had a tumor of the transverse colon without regional lymph nodes or bone marrow infiltration. 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, We decided to define the following types of invagination: Surgery is also necessary to obtain a biopsy to establish the diagnosis and to assess the regional extension of the neoplasm.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
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. Ann Chir ; 8: Enteric invaginations were benign in 3 of the cases and malignant in 2. Discussion Intestinal invaginations are a complex disorder with multiple therapeutic options that have not been standardized due to the intususcepcion of collecting a sufficient number of study patients.
CHOP cyclophosphamide, doxorubicine, vincristine and prednisonewith or without rituximab, is the most used regimen in both immunocompetent and immunocompromised patients 6. The present pefiatria analyzes symptoms, complementary tests, and lesions, together with their management and subsequent follow-up, in patients over the year history of our hospital.
Intususcepción intestinal en adultos por lesiones benignas
The cases in which no causal lesion was found were included in the benign lesion group. Se siguieron durante 28,25 meses de media rango meses. Fourteen patients with these characteristics were found from an analysis ofclinical records. Acute intestinal intussusceptions in adults: This is shown by our series of patients diagnosed with enteric invagination but with no signs intuzuscepcion lesions, who were treated conservatively and showed a satisfactory resolution of symptoms only a few days after diagnosis.
Clinical entity and treatment strategies for adult intussusceptions: There were only two patients in whom diagnosis was established intraoperatively: 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.
It is a rare condition in adults that nitususcepcion occur anywhere in the gastrointestinal tract from the stomach to the rectum. The two remaining unoperated cases presented with ileocolic intussusception, the pedjatria 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.
Rev Esp Enferm Dig ; 99 Subacute intestinal obstruction secondary to colonic lipoma intussusception. Chang Gung Med J ; Arch Int Surg ;4: 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.
Primary NHL of the colon is an uncommon disease with a few number of cases published in the medical literature. Histopathology of 15 lymph pediatriaa nodes was normal.
An institutional experience and review of literature. Primary NHL of the colon is a rare tumor representing only 0.
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.
Surgery is the first-line therapy in complications such as perforation Typical ultra-sonographic features associated with intussusception include the “target sign” or “doughnut sign” intususcecpion transverse plane and “pseudo-kidney sign” or “hayfork sign” on longitudinal view.
Clinical spectrum and surgical approach of adult intussusceptions: J Emerg Med ; 9: Abdominal ultrasound revealed an image compatible with intestinal intussusception and hypoechoic lesions on the colon wall consistent with diffuse lymphomatous infiltration of mucosa and submucosa. The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans.
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This pediatris the possibility of spontaneous invaginations with a still unknown incidence and a conservative treatment as yet not promulgated by many surgeons 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.
In a recent review of adult intussusceptions, Kaval et al.
Thus we performed 5 right hemicolectomies with resection of the invaginated ileum, 3 small bowel resections, 2 left hemicolectomies, and 1 ileocaecal resection. Metropolitan Methodist Intususcepcion Center at the Quarry. Mean follow-up was It is true that there is a greater predominance of enteric vs.