ABSTRACT
A 61-year-old woman admitted for epigastric abdominal pain, three months of evolution, worsens after ingestion, associating abdominal distension and constipation. Physical examination: abdominal pain and distension in the mesogastric zone. Blood tests: slight increase in C-reactive protein; abdominal X-ray: the small bowel dilatation; computed tomography scan: small bowel obstruction due to intussusception. An exploratory laparotomy was performed, confirming a mechanical intestinal occlusion secondary to 5 centimeters jejunal intussusception (image 3); It was execute an intestinal resection with adequate margins and an anisoperistaltic mechanical side-to-side anastomosis. Correct postoperative evolution; hospital discharge on the sixth day. Pathology report: polypoid intussusception, 4.3x3.3 centimeters, superficial ulceration, edema, chronic inflammation; resection margins without alterations.
ABSTRACT
We present a case of congenital diaphragmatic hernia diagnosed in an adult. It is a kind of exceptional pathology outside the pediatric age with few cases reported in the literature. Its presentation is unusual, especially in the form of mechanical intestinal obstruction, requiring surgical treatment.
Subject(s)
Hernias, Diaphragmatic, Congenital/complications , Intestinal Obstruction/etiology , Adult , Digestive System Surgical Procedures , Hernias, Diaphragmatic, Congenital/diagnostic imaging , Humans , Intestinal Obstruction/diagnostic imaging , Intestinal Volvulus/diagnostic imaging , Intestinal Volvulus/surgery , Male , Radiography, Thoracic , Tomography, X-Ray ComputedABSTRACT
No disponible
Subject(s)
Humans , Male , Adult , Hernia, Diaphragmatic/complications , Hernia, Diaphragmatic , Intestinal Obstruction/complications , Intestinal Obstruction , Intestinal Volvulus/complications , Intestinal Volvulus , Radiography, Thoracic/instrumentation , Radiography, Thoracic/methods , Radiography, Thoracic , Tomography, Emission-Computed/instrumentation , Tomography, Emission-Computed/methods , Tomography, Emission-ComputedABSTRACT
No disponible