ABSTRACT
Los adenomas vellosos colorrectales son tumores frecuentes que normalmente provocan una escasa sintomatología. Presentamos por su rareza 2 casos clínicos, en los cuales debido al gran tamaño tumoral se produjeron graves alteraciones hidroelectrolíticas, originando el denominado síndrome de McKittrick-Wheelock. Se revisan someramente los posibles mecanismos etiopatogénicos. Asimismo, se hace hincapié en el tratamiento con indometacina como paso previo a la intervención quirúrgica (AU)
Subject(s)
Adenoma, Villous/etiology , Adenoma, Villous/therapy , Adenoma, Villous/surgery , Indomethacin/therapeutic use , Diarrhea/etiologyABSTRACT
Splenic abscess and retroperitoneal abscess are uncommon, although severe diseases, with a high mortality rate that has been attributed to delayed diagnosis, due to the unspecificity of clinical symptoms. We report two patients with a splenic and a retroperitoneal abscess, respectively, in both cases as an onset of colon cancer. The two patients complained of abdominal pain and fever as onset symptoms. Abdominal ultrasonography was normal in the case of retroperitoneal abscess and abnormal in the case of splenic abscess. CT Scan was diagnostic in both cases. In the patient with splenic abscess. CT Scan established a further diagnostic suspect of colon cancer, which was confirmed by colonoscopy. In the patient with retroperitoneal abscess, diagnosis of colon carcinoma was made during the surgical act. In spite of an adequate, combined medical and surgical therapy, both patients died within a short time after surgery.
Subject(s)
Abdominal Abscess/etiology , Adenocarcinoma/diagnosis , Colonic Neoplasms/diagnosis , Splenic Diseases/etiology , Abdominal Abscess/diagnosis , Abdominal Abscess/diagnostic imaging , Adenocarcinoma/complications , Colonic Neoplasms/complications , Female , Humans , Male , Middle Aged , Retroperitoneal Space , Splenic Diseases/diagnosis , Splenic Diseases/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
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