Subject(s)
Humans , Female , Aged , Actinomycosis , Esophageal Neoplasms , Inpatients , Physical Examination , Esophageal Mucosa/injuries , Endoscopy, Digestive System , Rare Diseases , GastroenterologySubject(s)
Actinomycosis , Neoplasms , Humans , Actinomycosis/diagnosis , Esophagus , Diagnosis, DifferentialABSTRACT
La enfermedad hidatídica ósea es una entidad infrecuente que representa el 0,5-2,5% de todas las hidatidosis. Las vértebras son los huesos más comúnmente afectados (50%) seguidos de la pelvis (25%) y de los huesos largos (15-25%). Las manifestaciones clínicas aparecen cuando existe una gran destrucción ósea o complicaciones, por lo que el diagnóstico se realiza generalmente en estadios tardíos mediante técnicas de imagen y en ocasiones de manera intraoperatoria. El tratamiento en los casos operables es la extirpación quirúrgica pudiendo asociar tratamiento medico con albendazol. Presentamos el caso de un paciente con hidatidosis ósea, localizada en la pelvis, en ausencia de afectación de otros órganos. El paciente presenta como única manifestación clínica una tumoración inguinal derecha y es intervenido quirúrgicamente ante la sospecha de una hernia inguinal complicada con el hallazgo intraoperatorio de hidatidosis pélvica
Osseous hydatid disease is an infrequent entity that represents 0.5-2.5% of all hydatidoses. The vertebrae are the most commonly affected bones (50%), followed by the pelvis (25%) and the long bones (15-25%). The clinical manifestations appear when there is large scale osseous destruction or complications, which is why the diagnosis is generally made in late stages through imaging techniques and on occasion in an intra-operational form. Treatment in operable cases is by surgical extirpation, which can be associated with medical treatment with albendazol. We present the case of a patient with osseous hydatidosis, localised in the pelvis, with an absence of other affected organs. The only clinical manifestation presented by the patient was an inguinal tumour on the right side. The patient received a clinical intervention facing the suspicion of an inguinal hernia, complicated by the intra-operational discovery of pelvic hydatidosis
Subject(s)
Male , Aged , Humans , Echinococcosis/diagnosis , Echinococcus/pathogenicity , Groin/parasitology , Bone Diseases, Infectious/parasitology , Echinococcosis/drug therapyABSTRACT
Osseous hydatid disease is an infrequent entity that represents 0.5-2.5% of all hydatidoses. The vertebrae are the most commonly affected bones (50%), followed by the pelvis (25%) and the long bones (15-25%). The clinical manifestations appear when there is large scale osseous destruction or complications, which is why the diagnosis is generally made in late stages through imaging techniques and on occasion in an intra-operational form. Treatment in operable cases is by surgical extirpation, which can be associated with medical treatment with albendazol. We present the case of a patient with osseous hydatidosis, localised in the pelvis, with an absence of other affected organs. The only clinical manifestation presented by the patient was an inguinal tumour on the right side. The patient received a clinical intervention facing the suspicion of an inguinal hernia, complicated by the intra-operational discovery of pelvic hydatidosis.
Subject(s)
Bone Diseases , Echinococcosis , Echinococcus granulosus , Pubic Bone , Administration, Oral , Aged , Albendazole/administration & dosage , Albendazole/therapeutic use , Animals , Anticestodal Agents/administration & dosage , Anticestodal Agents/therapeutic use , Bone Diseases/diagnosis , Bone Diseases/diagnostic imaging , Bone Diseases/drug therapy , Bone Diseases/surgery , Diagnosis, Differential , Echinococcosis/diagnosis , Echinococcosis/diagnostic imaging , Echinococcosis/drug therapy , Echinococcosis/surgery , Hernia, Inguinal/diagnosis , Humans , Male , Radiography, Abdominal , Tomography, X-Ray ComputedABSTRACT
Small bowel intussusception is an unusual pathology in the adult. Most commonly, it is secondary to intestinal wall organic disorders. A complete small bowel obstruction is the most frequent clinical presentation, which requires emergency surgery in many cases. The preoperative diagnosis is infrequent. The best treatment is surgical resection.
Subject(s)
Intestinal Obstruction/etiology , Intussusception/complications , Jejunal Neoplasms/complications , Lipoma/complications , Female , Humans , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/surgery , Intussusception/diagnostic imaging , Intussusception/surgery , Jejunal Neoplasms/diagnostic imaging , Jejunal Neoplasms/surgery , Jejunum/diagnostic imaging , Jejunum/pathology , Jejunum/surgery , Laparotomy , Lipoma/diagnostic imaging , Lipoma/surgery , Middle Aged , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
La invaginación intestinal es una patología excepcionalen el adulto, generalmente secundaria a procesosorgánicos de la pared intestinal.La presentación clínica más frecuente es la obstrucciónintestinal mecánica completa que lleva en unnúmero elevado de casos a la intervención quirúrgicaurgente, por lo que el diagnóstico preoperatorio deesta patología es infrecuente.El tratamiento de elección es la resección quirúrgica
Small bowel intussuspeption is an unusualpathology in the adult. Most commonly, it is secondaryto intestinal wall organic disorders.A complete small bowel obstruction is the mostfrequent clinical presentation, which requiresemergency surgery in many cases. The preoperativediagnosis is infrequent.The best treatment is surgical resection
Subject(s)
Female , Humans , Intestinal Obstruction/etiology , Intussusception/complications , Lipoma/complications , Jejunal Neoplasms/complications , Intestinal Obstruction , Intestinal Obstruction/surgery , Intussusception , Intussusception/surgery , Jejunum/pathology , Jejunum , Jejunum/surgery , Laparotomy , Lipoma , Lipoma/surgery , Tomography, X-Ray Computed , Treatment Outcome , Jejunal Neoplasms , Jejunal Neoplasms/surgeryABSTRACT
El hemangioma cavernoso de intestino delgado es un tumor vascular, benigno e infrecuente, sin predilección en cuanto al sexo y más frecuente a partir de la tercera década. Su manifestación clínica más común es la anemia crónica secundaria al sangrado del hemangioma gastrointestinal, seguida de la obstrucción y perforación intestinal. El diagnóstico preoperatorio es difícil y el tratamiento de elección es la resección quirúrgica. (AU)
Subject(s)
Aged , Female , Humans , Hemangioma, Cavernous/pathology , Jejunal Neoplasms/pathology , Gastrointestinal Hemorrhage/etiology , Intestinal Obstruction/etiologyABSTRACT
Cavernous haemangioma of the small bowel is a vascular, benign and infrequent tumour, similar in both sexes and more typical from the third decade onwards. Its most common clinical manifestation is a chronic anaemia secondary to intestinal bleeding, other causes are intestinal obstruction and perforation. Preoperational diagnosis is difficult and the treatment of choice is surgical resection.
