RESUMO
We report a 11 years old female who presented fever and pain in the lower abdomen. An abdominal CAT sean showed the presence of an acute appendicitis and a mesenteric vein thrombosis. The patient was operated laparoscopically and received antimicrobials and anticoagulants, with a good evolution. It is important an early suspicion and aecurate treatment for this complication.
Se presenta el caso clínico de una paciente de 11 años de edad, que cursa un cuadro febril asociado a dolor abdominal hipogástrico. Se realizan estudios de laboratorio e imágenes y se diagnostica una apendicitis aguda asociada a una trombosis de la vena mesentérica superior. Se efectúa apendicectomía laparoscópica y se administra tratamiento antibiótico y anticoagulante, tras lo cual la paciente evoluciona en buenas condiciones. Es importante una sospecha precoz y un tratamiento adecuado para tratar esta complicación.
Assuntos
Humanos , Feminino , Criança , Apendicite/cirurgia , Apendicite/complicações , Veias Mesentéricas , Trombose/cirurgia , Trombose/complicações , Antibacterianos/uso terapêutico , Anticoagulantes/uso terapêutico , Apendicectomia/métodos , Apendicite/tratamento farmacológico , Laparoscopia/métodos , Trombose/tratamento farmacológicoRESUMO
Background: Management of intestinal intussusception in children has evolved from exclusively surgical treatments to nonoperative reduction under fluoroscopic monitoring. Aim: To report a 10 year experience in a University Hospital in the management of intestinal intussusception. Patients and methods: Seventy two patients, aged 2 to 72 months of age, with an uncomplicated intussusception, that were treated by barium or air enema, were studied. Results: The success rate was 73 percent with barium reductions, and 100 percent with air reductions. In 17 patients (24 percent), enema reduction was unsuccessful and were subjected to a surgical reduction. Conclusions: Nonsurgical reduction is safe and effective as the initial treatment of uncomplicated intussusception in children