RESUMEN
Chilaiditi's condition refers to the presence of a loop of small intestine or colon between the diaphragm and the hepatic rim, usually due to alterations in the attachment of the liver to the diaphragm. Chilaiditi syndrome is associated with abdominal pain as the most common clinical manifestation. Pneumoperitoneum should always be ruled out in the context of these patients. We presented the case of a male in his eighth decade of life who presented with data suggestive of drug-modified acute appendicitis, for which computed tomography of the abdomen identified acute appendicitis and Chilaiditi's condition. An open appendectomy was performed without complications and the condition resolved.
RESUMEN
Mesenteric lesions, including cysts, are rare abdominal tumours and in most cases non-neoplastic. They may have an asymptomatic course or present with pain, abdominal distension or intestinal obstruction. The suggested management is surgical resection of the lesions by laparotomy or minimally invasive surgery. We presented the case of a 48-year-old patient with progressive abdominal distension attributed to liver cirrhosis. Ultrasound and computed tomography of the abdomen showed evidence of a giant cyst of the mesentery with no evidence of tumor activity. We therefore decided to perform an exploratory laparotomy with cystectomy and omentectomy, follow-up and pathology report negative for malignancy.
RESUMEN
Amyand's hernia is described as the presence of the caecal appendix within the hernial sac of an incarcerated inguinal hernia. It was reported as an incidental finding in 1% of cases and with evidence of appendicitis in 0.1% of cases. The approach involves performing appendectomy and inguinal repair in the same surgical time, depending on the clinical scenario and the surgeon's decisions. We presented the case of a 76-year-old male patient with a diagnosis of Amyand's right inguinal hernia diagnosed during trans-operative right inguinal plasty.
RESUMEN
Intussusception is an unusual cause of intestinal occlusion in adults, accounting for 5% of cases, and is the result of an underlying pathology in 90% of cases, 60% of which are tumors. The pathogenesis describes the invagination of an intestinal segment into the lumen of an adjacent segment with subsequent alterations in irrigation, risk of necrosis and perforation. Surgical management is indicated in adult patients to restore intestinal transit and to exclude malignancy as the axis of the intussusception. We present the case of a 58-year-old female patient with enteric intussusception at ileum due to lipoma, who underwent bowel resection and manual end-to-end intestinal anastomosis in two planes.