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1.
Rev. argent. cir ; 113(4): 482-486, dic. 2021. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1356959

ABSTRACT

RESUMEN Los quistes hepáticos simples (QHS) son las lesiones hepáticas más frecuentes. Cursan habitualmente asintomáticas, aunque cuando alcanzan gran tamaño pueden causar síntomas. El objetivo del presente artículo es presentar una complicación excepcional de los QHS. Presentamos a una mujer de 61 años con historia de QHS múltiples que acude a Urgencias por dolor abdominal brusco sin antecedente traumático. Ante la sospecha de rotura quística espontánea, se realiza tomografía computarizada (TC) abdominal que confirma el diagnóstico. Se decide tratamiento conservador con buena evolución. Tras el episodio agudo es intervenida quirúrgicamente realizándose destechamiento de los quistes. a rotura de los QHS es una complicación excepcional que habitualmente cursa con dolor abdominal. Debido a su baja frecuencia no existe un tratamiento estándar. Se acepta que el tratamiento conservador es una buena opción en pacientes sin signos de peritonitis, mientras que la cirugía urgente está indicada en pacientes con abdomen agudo.


ABSTRACT Simple liver cysts (SLC) are the most common liver tumors. They are usually asymptomatic but large cysts may produce symptoms. The aim of this article is to report a rare complication of SLC. We report the case of a 61-year-old woman with a history of multiple SLCs who sought medical care due to sudden abdominal pain not associated with trauma. A probable diagnosis of spontaneous rupture was made, and the patient underwent computed tomography (CT) scan of the abdomen which confirmed the suspicion. Conservative treatment was decided, with favorable outcome. After the acute episode the patient underwent surgery and the cysts were unroofed. Rupture of SLC is a rare complication that usually presents with abdominal pain. There is no standard of care due to the low incidence of this complication. The conservative approach is a good option in patients without signs of peritonitis, while emergency surgery is indicated in patients with acute abdomen.


Subject(s)
Humans , Female , Middle Aged , Rupture, Spontaneous , Cysts/diagnostic imaging , Conservative Treatment , Abdomen, Acute/surgery , Liver , Women , Wounds and Injuries , Cysts , Diagnosis , Abdomen , Abdomen, Acute
2.
Rev. argent. cir ; 113(4): 467-470, dic. 2021. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1356956

ABSTRACT

RESUMEN La hidatidosis cervical es una enfermedad poco frecuente aun en áreas endémicas. Suele presentarse como una lesión quística indolora de lenta evolución. Se presenta un caso clínico de una paciente femenina de 19 años con una lesión quística en el compartimento cervical central, inicialmente interpretada como un quiste tirogloso. El diagnóstico debe ser sospechado ante epidemiología compatible, el método de imágenes de elección es la ecografía. En localizaciones extrahepáticas los métodos serológicos tienen baja sensibilidad. El tratamiento de elección es la cirugía, realizando tratamiento perioperatorio con albendazol. Debe manipularse el quiste con cuidado para evitar su rotura y el derrame de contenido líquido, por riesgo de reacción anafiláctica, recurrencia e hidatidosis múltiple. En pacientes con alto riesgo quirúrgico puede optarse por realizar tratamiento médico con albendazol.


ABSTRACT Cervical echinococcosis is a rare disease, even in endemic areas. The lesions usually present as painless slow-growing cystic lesion. We report the case of a 19-year-old female patient with a cystic lesion in the central cervical region that was initially interpreted as a thyroglossal duct cyst. The diagnosis should be suspected when the epidemiology is consistent, and ultrasound is the imaging method of choice. The sensitivity of serologic tests is low in extrahepatic locations. Surgery is the treatment of choice and the administration of albendalzole before surgery is indicated. The cyst must be handled with care to avoid rupture and leakage of cyst contents, which can cause anaphylaxis, recurrence and multiple echinococcosis. In patients with high surgical risk, medical treatment alone may be the option.


Subject(s)
Humans , Female , Adult , Thyroglossal Cyst , Cysts/diagnostic imaging , Echinococcosis/diagnostic imaging , Serologic Tests , Albendazole , Disease , Sensitivity and Specificity , Diagnosis , Echinococcosis , Anaphylaxis
4.
Rev. argent. radiol ; 85(1): 11-20, ene. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1155708

ABSTRACT

Resumen La presencia de lesiones quísticas de etiología oncológica en el encéfalo es cada vez más frecuente. El rol del especialista en imágenes es describir sus características, morfología y comportamiento con el contraste endovenoso, para llegar a realizar un diagnóstico presuntivo y enumerar sus diagnósticos diferenciales, y así orientar al médico tratante. Haremos una revisión de las lesiones quísticas de etiología oncológica de presentación frecuente en el encéfalo.


Abstract The presence of an oncologic cystic formation in the brain is frequent. The imaging specialist's role is to describe its features, morphology, and image enhancement characteristics with endovenous contrast, to make a presumptive diagnosis, and enumerated differential diagnoses and thus orientate the practitioner. We will analyze the most common expansive cystic formations.


Subject(s)
Brain Neoplasms/diagnostic imaging , Cysts/diagnostic imaging , Brain/pathology , Brain/diagnostic imaging , Magnetic Resonance Spectroscopy , Tomography, X-Ray Computed , Neurocytoma , Hemangioblastoma , Ependymoma
5.
CoDAS ; 33(3): e20200095, 2021. tab, graf
Article in English | LILACS | ID: biblio-1249625

ABSTRACT

ABSTRACT Purpose To evaluate and compare the parameters of Digital kymography obtained through the High-speed Videolaryngoscopy of women without laryngeal disorders, of women with vocal fold nodules and of women with vocal cysts. Methods A cross-sectional observational study in which 60 women aged 18 years and 45 years were selected. Three study groups were formed: 20 women without laryngeal disorder forming the control group (Group 1), 20 women with diagnosis of vocal fold nodules forming Group 2 and 20 women with diagnosis of vocal cysts forming Group 3. Subsequently the participants were evaluated by High-speed Videolaryngoscopy for analysis and comparison of laryngeal images using Digital kymography. The laryngeal parameters processed by the program KIPS® were: minimum, maximum and mean opening; dominant amplitude of the left and right vocal folds; dominant frequency of the right and left vocal folds; and close. Results The analysis of Digital kymography suggests that the presence of the vocal fold nodules and the vocal cysts tend to restrict more to the maximum and minimum opening of the vocal fold and the dominant amplitude of the opening variation in the middle region of the glottis. Conclusion Digital kymography parameters were similar in the presence of vocal fold nodules and vocal cysts lesions.


RESUMO Objetivo Avaliar e comparar os parâmetros da videoquimografia digital obtidos pela videolaringoscopia de alta velocidade de mulheres sem alterações laríngeas, de mulheres com nódulos de prega vocal e de mulheres com cistos vocais. Método Estudo observacional transversal, no qual foram selecionadas 60 mulheres com idade entre 18 e 45 anos. Três grupos foram formados: 20 mulheres sem alterações laríngeas formando o grupo controle (Grupo 1), 20 mulheres com diagnóstico de nódulos nas pregas vocais formando o Grupo 2 e 20 mulheres com diagnóstico de cistos vocais formando o Grupo 3. Posteriormente, os participantes foram avaliados por Videolaringoscopia de alta velocidade para análise e comparação de imagens da laringe usando videoquimografia digital. Os parâmetros videoquimográficos avaliados pelo programa KIPS® foram: aberturas mínima, máxima e média; amplitudes da prega vocal direita e esquerda; frequências da abertura da prega vocal direita e esquerda; e fechamento. Resultados A análise da videoquimografia digital sugere que a presença dos nódulos e dos cistos de pregas vocais tendem a restringir a abertura máxima e média da prega vocal e a amplitude dominante da variação de abertura na região média da glote. Conclusão Os parâmetros da videoquimografia digital foram semelhantes na presença de nódulos nas pregas vocais e lesões de cistos vocais.


Subject(s)
Humans , Female , Adolescent , Phonation , Cysts/diagnostic imaging , Vibration , Video Recording , Vocal Cords/diagnostic imaging , Cross-Sectional Studies , Kymography
6.
Rev. cuba. med ; 59(3): e492, tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1139062

ABSTRACT

La poliquistosis hepática aislada del adulto es una enfermedad congénita autosómica dominante de los conductos biliares intrahepáticos, con una aparición muy rara. Es más frecuente en el sexo femenino, y los quistes adquieren su máxima expresión a partir de la quinta década de la vida. A pesar de los hallazgos físicos y radiológicos a veces impresionantes, solo en una minoría de los pacientes la enfermedad progresa a lo largo de los años hacia una enfermedad hepática avanzada o desarrolla complicaciones como resultado de hepatomegalia masiva. Se presenta el caso de un paciente masculino que ingresa con el diagnóstico de infarto agudo de miocardio, asintomático desde el punto de vista abdominal y que se le diagnostica la enfermedad poliquística hepática(AU)


Isolated adult polycystic liver disease is rare autosomal dominant congenital disease of the intrahepatic bile ducts. It is more frequent in women, and the cysts acquire their maximum expression from the fifth decade of life. Despite the sometimes impressive physical and radiological findings, in only a minority of patients, the disease progresses over the years to advanced liver disease or develops complications as a result of massive hepatomegaly. We report here the case of a male patient who is admitted with the diagnosis of acute myocardial infarction, asymptomatic from the abdominal point of view and he was diagnosed with polycystic liver disease(AU)


Subject(s)
Humans , Male , Female , Tomography, X-Ray Computed/methods , Ultrasonography/methods , Cysts/diagnostic imaging , Liver Diseases/diagnostic imaging
7.
Rev. otorrinolaringol. cir. cabeza cuello ; 80(2): 178-183, jun. 2020. graf
Article in Spanish | LILACS | ID: biblio-1115833

ABSTRACT

Los quistes nasolabiales son lesiones quísticas poco frecuentes, que se presentan como ocupación de la fosa canina, el ala nasal o el vestíbulo nasal. Usualmente son asintomáticas, pero pueden infectarse. El diagnóstico se realiza con el examen físico y exámenes imagenológicos, como la tomografía computarizada y/o resonancia magnética. El tratamiento consiste en la extirpación quirúrgica completa por abordaje sublabial, o por marsupialización endoscópica transnasal. Se describen dos casos, uno de ellos es una paciente de sexo femenino que presenta deformidad nasal producto del crecimiento progresivo de un quiste nasolabial unilateral, y otro de un paciente de sexo masculino que presenta una celulitis facial severa, con una tomografía computarizada que muestra quistes nasolabiales bilaterales. Los quistes nasolabiales deben ser considerados como parte del diagnóstico diferencial en otorrinolaringología en cuadros de deformidad nasal y aumento de volumen facial.


Nasolabial cysts are a rare developmental cyst, presenting as a fullness of canine fossa, nasal ala or vestibule of the nose. They are usually asymptomatic but may become infected. The diagnostic approach includes physical examination and imaging studies such as computed tomography and/or magnetic resonance imaging. Treatment is complete surgical excision by sublabial approach, or transnasal endoscopic marsupialization. Here we describe two cases, one female presenting as nasal deformity due to progressive growth of unilateral nasolabial cyst, and a healthy young male presenting severe facial cellulitis, with a computed tomography showing bilateral nasolabial cysts. Nasolabial cyst should be incorporated in the differential diagnosis of nose deformities and facial swelling in otorhinolaryngology.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Nose Diseases/surgery , Nose Diseases/diagnostic imaging , Cysts/surgery , Cysts/diagnostic imaging , Tomography, X-Ray Computed , Endoscopy/methods , Nasolabial Fold
8.
Rev. cir. (Impr.) ; 72(2): 155-159, abr. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1092908

ABSTRACT

Resumen Objetivo Reportar el caso clínico de un quiste de duplicación gástrica en un paciente adulto. Materiales y Método Paciente de sexo masculino de 70 años con una tumoración quística supramesocólica, con síntomas digestivos inespecíficos. La imagenología solicitada no determinó la etiología ni origen de la misma planteándose múltiples diagnósticos diferenciales. Se realizó una laparotomía exploradora. Resultados La laparotomía confirmó el origen gástrico de la tumoración. Se realizó la resección completa de la misma con resección gástrica en forma de gastrectomía atípica. El estudio anatomopatológico de la pieza confirmó un quiste de duplicación gástrica. Discusión Los quistes de duplicación gástrica son una enfermedad congénita rara, se diagnostican principalmente en la etapa neonatal, siendo raro en el adulto. La mayoría son lesiones únicas, no comunicantes, asintomáticas y de difícil diagnóstico preoperatorio siendo habitual el diagnostico definitivo en el intraoperatorio y con el estudio histológico de la pieza. Conclusión El quiste de duplicación gástrica debe tenerse en cuenta en los diagnósticos diferenciales de toda lesión quística supramesocólica. Son lesiones potencialmente malignas siendo la resección completa la que brinda el diagnóstico y tratamiento definitivo.


Aim To report the clinical case of a gastric duplication cyst in an adult patient. Materials and Method 70 year old male patient with a symptomatic supramesocolic cystic lesion. Preoperative imagenology was not able to determine the exact origin or etiology. Several differential diagnosis were made and finally an exploratory laparotomy was performed. Results The laparotomy determined the gastric origin and a complete resection including gastric wall was done. The anatomopathological study confirmed it was a gastric duplication cyst. Discussion Gastric duplication cysts are a rare congenital disease, diagnosed mainly in the neonatal stage, with rare presentation in the adult stage. Most of these lesions are unique, non-communicating, usually asymptomatic and difficult to diagnose preoperatively, with definitive diagnosis being common in intraoperative and histological study of the piece. Conclusion The gastric duplication cyst must be taken into account in the differential diagnosis of any supramesocolic cystic lesion. They are potentially malignant lesions, and complete resection provides the definitive diagnosis and treatment.


Subject(s)
Humans , Male , Aged , Stomach/abnormalities , Cysts/diagnostic imaging , Digestive System Abnormalities/diagnostic imaging , Magnetic Resonance Imaging , Ultrasonography , Cysts/congenital
10.
Clinics ; 75: e1489, 2020. tab, graf
Article in English | LILACS | ID: biblio-1089586

ABSTRACT

OBJECTIVES: Histopathology is the 'gold standard' for diagnosing renal cell carcinoma but is limited by sample size. Contrast-enhanced ultrasound can differentiate malignant and benign lesions, but the Chinese guidelines on the management of renal cell carcinoma do not include this method. The purpose of this study was to compare the diagnostic parameters of contrast-enhanced ultrasound against those of contrast-enhanced computed tomography for detecting kidney lesions, with histopathology considered the reference standard. METHODS: Patients with suspected kidney lesions from prior grayscale ultrasonography and computed tomography were included in the analysis (n=191). The contrast-enhanced ultrasound, contrast-enhanced computed tomography, and histopathology data were collected and analyzed. A solid, enhanced mass was considered a malignant lesion, and an unenhanced mass or cyst was considered a benign lesion. The Bosniak criteria were used to characterize the lesions. RESULTS: Contrast-enhanced ultrasound and contrast-enhanced computed tomography both detected that 151 patients had malignant tumors and 40 patients had benign tumors. No significant differences in the tumors and their subtypes were reported between contrast-enhanced ultrasound and histopathology (p=0.804). Chromophobe renal cell carcinoma was detected through contrast-enhanced computed tomography (n=1), but no such finding was reported by contrast-enhanced ultrasound. A total of 35 cases of papillary renal cell carcinoma were reported through contrast-enhanced ultrasound while 32 were reported through histopathology. CONCLUSIONS: Contrast-enhanced ultrasound might be safe and as accurate as histopathology in diagnosing kidney lesions, especially renal cell carcinoma. Additionally, this study provides additional information over histopathology and has an excellent safety profile. Level of evidence: III.


Subject(s)
Humans , Male , Female , Carcinoma, Renal Cell/diagnostic imaging , Tomography, X-Ray Computed/methods , Ultrasonography/methods , Contrast Media/pharmacology , Cysts/diagnostic imaging , Kidney Neoplasms/diagnostic imaging , Carcinoma, Renal Cell/metabolism , Sensitivity and Specificity , Kidney Neoplasms/metabolism
11.
Rev. méd. Chile ; 147(9): 1206-1209, set. 2019. graf
Article in Spanish | LILACS | ID: biblio-1058665

ABSTRACT

Adventitial cystic disease of the popliteal artery is a rare condition of uncertain etiology, which presents as intermittent claudication of the lower extremity in middle-age patients. We report a 44-year-old man presenting with intermittent claudication of his left leg. MR angiography showed cystic parietal lesions that caused compression with partial occlusion of the left popliteal artery. Surgical resection of the affected segment was performed, with venous graft interposition. The histopathological analysis of the surgical specimen was consistent with cystic adventitial disease.


Subject(s)
Humans , Male , Adult , Middle Aged , Cysts/complications , Cysts/diagnostic imaging , Intermittent Claudication/etiology , Popliteal Artery/diagnostic imaging , Angiography , Leg
14.
Rev. cuba. obstet. ginecol ; 45(1): 60-65, ene.-mar. 2019. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1093623

ABSTRACT

Los quistes renales simples son poco frecuentes en recién nacidos, niños y adolescentes. Suelen ser únicos, y ocasionalmente múltiples. No existen evidencias de riesgo familiar. El objetivo de la presentación fue resaltar la importancia del diagnóstico precoz de malformaciones congénitas y/o defectos estructurales del feto, por ultrasonografía, en la atención primaria de salud. Presentamos las imágenes ecográficas de un caso de afectación fetal por un quiste renal simple a las 36 semanas, sin otros hallazgos ultrasonográficos. Previo asesoramiento genético y dado la avanzada edad gestacional y el buen pronòstico con que cursan estos casos además de no tener otro defecto genético asociado, la pareja decidió la continuación del embarazo. El caso fue confirmado por ecografía posnatal(AU)


Simple renal cysts are rare in newborns, children and adolescents. They tend to be unique, and occasionally multiple. There is no evidence of family risk. The objective of the presentation was to highlight the importance of early diagnosis of congenital malformations and / or structural defects of the fetus, by ultrasonography, in primary health care. We present the echography of a case of fetal involvement by a simple renal cyst at 36 weeks, with no other ultrasonography findings. The parents decided to continue the pregnancy previous genetic counseling, given the advanced gestational age and good prognosis with these cases, and considering there is no other genetic defect associated. The case was confirmed by postnatal ultrasound(AU)


Subject(s)
Humans , Female , Pregnancy , Adult , Primary Health Care , Cysts/diagnostic imaging , Fetal Diseases/genetics , Early Diagnosis , Genetic Counseling
15.
Rev. argent. radiol ; 83(1): 12-22, mar. 2019. ilus, tab
Article in Spanish | LILACS | ID: biblio-1041874

ABSTRACT

La presentación de una imagen de apariencia quística durante el estudio del encéfalo constituye un hallazgo incidental cada vez más frecuente, pudiendo encontrarse en el espacio extra o intraaxial. Las mismas pueden ser de naturaleza congénita o adquirida, benigna o maligna, ocupantes de espacio con desplazamiento de la línea media o simplemente presentarse sin efecto compresivo alguno. De localización supra o infratentorial, esas imágenes constituyen un desafío diagnóstico, siendo imprescindible su reconocimiento para no solicitar estudios o tratamientos innecesarios. Valoraremos las imágenes de apariencia quística más frecuentes empleando tomografía computada o imágenes de resonancia magnética.


Presence of a cystic formation in brain examination is frequently an incidental finding. They can be intra or extra-axial in location, congenital or acquired, benign or malignant with or without mass effect. Intracranial cysts can be a diagnostic challenge and we should know them to avoid unnecessary exams or treatment. We will analyze the most common cystic formations seen in computed tomography and magnetic resonance.


Subject(s)
Brain/diagnostic imaging , Magnetic Resonance Spectroscopy/methods , Tomography, X-Ray Computed/methods , Cysts/diagnostic imaging , Dermoid Cyst/diagnostic imaging , Encephalocele/diagnostic imaging , Ependyma/abnormalities
16.
Rev. méd. Chile ; 146(10): 1102-1111, dic. 2018. tab, graf
Article in Spanish | LILACS | ID: biblio-978745

ABSTRACT

Background:: Pulmonary cystic nodules are a relatively frequent finding in chest computed tomography (CT). There is a possible association between this finding and lung cancer. Aim: To report eight patients with malignant lung cystic lesions. Material and Methods: Retrospective analysis of images in a CT database from 2007 to 2015, looking for cystic lesions of the lung with wall thickening, whose pathological diagnosis was lung cancer. Results: We identified eight patients with cystic nodules aged 44 to 77 years, of which five were women. Six were active and two former smokers. The pathological diagnosis was adenocarcinoma in seven cases and squamous cell in one. The mean diameter of the cystic lesions was 11.5 mm. The mean diagnostic delay time was 871 days (range 0-1592). The main finding was a gradual thickening of the nodule walls. Conclusions: The presentation of lung cancer as cystic nodules is uncommon. In this series, the change in morphology due to a thickening of the walls with or without a diameter increase, was the clue for the diagnosis.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Carcinoma, Squamous Cell/pathology , Adenocarcinoma/pathology , Cysts/pathology , Lung Neoplasms/pathology , Biopsy , Carcinoma, Squamous Cell/diagnostic imaging , Adenocarcinoma/diagnostic imaging , Smoking/adverse effects , Retrospective Studies , Cysts/diagnostic imaging , Tumor Burden , Positron Emission Tomography Computed Tomography , Lung Neoplasms/diagnostic imaging
17.
Int. braz. j. urol ; 44(4): 826-830, July-Aug. 2018. graf
Article in English | LILACS | ID: biblio-954088

ABSTRACT

ABSTRACT Prostatic utricle cyst is a rare congenital anomaly. Symptomatic cysts require treatment. Surgical excision is the treatment of choice, but is challenging due to close proximity to vas deferens, ejaculatory ducts, bladder, prostate, rectum and pelvic nerves. Complications include rectal injury, ureteral injury, impotence, infertility and faecal incontinence. We here report a rare complication in which bladder was accidentally removed during laparoscopic excision of prostatic utricle cyst. To best of our knowledge such a complication has never been reported previously. We also describe the possible cause of this accident and suggest ways to prevent this disastrous complication.


Subject(s)
Humans , Male , Prostatic Diseases/surgery , Urinary Bladder/surgery , Cystectomy , Laparoscopy/adverse effects , Cysts/surgery , Intraoperative Complications/etiology , Prostatic Diseases/diagnostic imaging , Urinary Bladder/diagnostic imaging , Magnetic Resonance Imaging , Tomography, X-Ray Computed , Cysts/diagnostic imaging , Intraoperative Complications/diagnostic imaging
18.
Rev. argent. cir ; 110(2): 111-113, jun. 2018. ilus
Article in Spanish | LILACS | ID: biblio-957905

ABSTRACT

Entre las complicaciones alejadas de las hernioplastias inguino-crurales, el pseudoquiste hemorrágico crónico, no ha sido referido en nuestro país. Se describen los métodos complementarios de imagenología para el diagnóstico y se destaca la resección quirúrgica como el tratamiento definitivo. Se concluye que esta complicación al igual que la inguinodinia y la recidiva herniaria influyen en el grado de satisfacción posoperatoria.


Among the long term complications of hernioplasty, chronic hemorrhagic pseudocyst has not been reported so far in our country. Complementary imaging methods for diagnosis are described and surgical resection is highlighted as the definitive treatment. It is concluded that this complication as well as inguinodynia and hernia recurrence influence the degree of postoperative satisfaction.


Subject(s)
Humans , Female , Aged , Cysts/surgery , Herniorrhaphy/adverse effects , Pelvis/diagnostic imaging , Tomography, X-Ray Computed , Ultrasonography, Doppler , Cysts/diagnostic imaging , Hemorrhage/complications
20.
Arch. argent. pediatr ; 115(4): e233-e236, ago. 2017. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-887353

ABSTRACT

Las duplicaciones intestinales quísticas son anomalías congénitas infrecuentes, con incidencia de 1:4500 autopsias y etiopatogenia incierta. Son estructuras quísticas, tubulares o diverticulares revestidas de mucosa gastrointestinal con pared de músculo liso, adheridas al tracto gastrointestinal, pero no suelen comunicar con la luz intestinal. Los quistes de duplicación gástrica representan el 7-9% de los quistes de duplicación intestinal. Pueden diagnosticarse intraútero mediante ecografía y la resonancia magnética fetal permite caracterizar el quiste y descartar patologías concomitantes. La ecografía posnatal revela una imagen quística de "doble pared". Los neonatos suelen permanecer asintomáticos, pero pueden presentar desde síntomas gastrointestinales inespecíficos hasta síntomas de obstrucción por efecto masa, torsión o infección. En pacientes asintomáticos, se aconseja el seguimiento clínico y estudios de imagen periódicos. El tratamiento es la resección quirúrgica electiva, de manera preferente, con técnicas mínimamente invasivas. Se presenta un caso con sospecha prenatal de quiste de duplicación enteral.


Intestinal cystic duplications are rare congenital anomalies, with an estimated incidence of approximately 1:4500 autopsies. The etiopathogenesis is uncertain. These duplications are cystic, tubular or diverticular structures lined with gastrointestinal mucosa. They share a common smooth muscle wall with the gastrointestinal tract but usually their lumens do not communicate with each other. Gastric duplication cysts represent 7-9% of the gastrointestinal tract duplication. They can be diagnosed prenatally by fetal ultrasound; magnetic resonance imaging characterizes the cyst and excludes other malformations. Postnatal ultrasound shows a characteristic double walled cyst. Newborns are usually asymptomatic, although nonspecific gastrointestinal symptoms, intestinal obstruction due to mass effect, volvulus or infection are described. In asymptomatic patients, clinical follow-up and periodic image controls are recommended. Elective surgical resection is the treatment of choice, using minimally invasive technique whenever possible. A case of prenatally suspected intestinal cystic duplication is presented.


Subject(s)
Humans , Male , Infant, Newborn , Prenatal Diagnosis , Cysts/congenital , Cysts/diagnostic imaging , Intestines/abnormalities , Intestines/diagnostic imaging
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