Fitobezoar associado à endometriose intestinal: uma rara causa de obstrução intestinal / Intestinal endemetriosis associated to phytobezoar: a rare of bowel obstruction
Rev. bras. colo-proctol
;
29(4): 501-504, out.-dez. 2009. ilus
Article
in Portuguese
| LILACS
| ID: lil-542677
RESUMO
A endometriose intestinal é uma patologia benigna que afeta preferencialmente a porção retossigmóidea, sendo pouco frequente a localização em íleo terminal. Trata-se de um caso de uma paciente de 29 anos que foi admitida com dor abdominal difusa, náuseas e vômitos. Na propedêutica da obstrução intestinal a tomografia computadorizada revelou massa heterogênea em topografia ileocecal. Submetida a laparotomia exploradora onde foi feita a remoção de fibras vegetais mal digeridas aglomeradas em íleo terminal e ressecção de segmento íleoceco cólico devido a presença de estenose na válvula ileocecal. O exame anátomo patológico revelou endometriose intestinal e fitobezoar. A paciente evoluiu bem com alta no terceiro dia de pós operatório.
ABSTRACT
Intestinal endometriosis is a benign pathology, it occurs most often on the rectosigmoid portion, and the finding isn`t very common on the terminal ileum. On this article the autors present a report from a 29 years old pacient, who had a difuse abdominal pain, nausea and vomiting. Computadorized tomography (CT) showed a heterogeneous mass on the ileocaecal area . An exploratory laparotomy was performed , badly metabolized vegetable fibers were removed from the terminal ileum, and a surgical removal of the ileocaecal - colic portion was done, since there was a stenosis on that area. The anatomical-pathologic study showed intestinal endometriosis and phytobezoar The patient had a good follow up and got out the hospital on the third day after surgery.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Bezoars
/
Endometriosis
/
Intestinal Obstruction
Type of study:
Etiology study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Language:
Portuguese
Journal:
Rev. bras. colo-proctol
Journal subject:
Gastroenterology
Year:
2009
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital das Clínicas Samuel Libanio/BR
/
UNIVÁS/BR
/
Universidade do Vale do Sapucaí/BR
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