ABSTRACT
Intussusception is a rare condition in adults and represents 1% to 5% of the total cases of intestinal obstruction. Preoperative diagnosis occurs only in a few patients and most of the cases are diagnosed during surgery. A demonstrable etiology is found in 70% to 90% of cases in adult intussusceptions, and approximately 40% of them are caused by primary or secondary malignant tumors. We report the case of a 32 year old male patient with an ileocolic intussusception secondary to Hodgkin's lymphoma, as well as the surgical treatment, and outcome.
Subject(s)
Hodgkin Disease/complications , Ileal Diseases/etiology , Intussusception/etiology , Adult , Humans , MaleABSTRACT
Primary epiploic appendagitis is a very rare condition that results from acute inflammation of an epiploic appendix. Clinical presentation is non-specific, and many times can mimic acute abdomen. When the diagnosis of epiploic appendagitis is made, conservative treatment must be initiated to avoid unnecessary surgery. We report three cases of acute epiploic appendagitis which were diagnosed by imaging and were managed conservatively with good clinical outcome.
Subject(s)
Colitis , Acute Disease , Adult , Colitis/diagnosis , Colitis/therapy , Female , Humans , Male , Middle AgedABSTRACT
Gastric volvulus is an abnormal rotation of one portion of the stomach around itself that may lead to gastric obstruction or an impairment of the vascular supply to the stomach leading to strangulation. This may present acutely or with chronic intermittent symptoms. Acute gastric volvulus is an emergency situation in which there is a closed loop obstruction and vascular compromise that requires urgent treatment. In the chronic type, unspecific abdominal pain is common. Chronic gastric volvulus must be treated to avoid complications, but there is not a standard treatment for this condition. Minimally invasion techniques, either endoscopic or laparoscopic offer the best option for treatment reducing morbidity and mortality rates. We report two cases of chronic gastric volvulus treated laparoscopically in the elderly.
Subject(s)
Laparoscopy , Stomach Volvulus/surgery , Aged , Hernia, Hiatal/complications , Humans , Male , Middle Aged , Stomach Volvulus/complicationsABSTRACT
The incidence and severity of Clostridium difficile colitis has markedly increased in recent years. The spectrum of Clostridium difficile infection ranges from asymptomatic colonization to fulminant colitis requiring immediate surgery. Medical therapy failure and the presence of toxic megacolon dictate urgent surgical treatment with unfortunate high mortality rates (35% to 57%). We broach herein a case of toxic megacolon secondary to colitis due to Clostridium difficile infection in which early diagnosis and prompt surgical treatment led to a successful outcome.
Subject(s)
Clostridioides difficile , Enterocolitis, Pseudomembranous/complications , Megacolon, Toxic/etiology , Enterocolitis, Pseudomembranous/diagnosis , Female , Humans , Megacolon, Toxic/diagnosis , Middle AgedABSTRACT
Paraduodenal hernias are an unusual cause of small bowel obstruction. The clinical spectrum varies from episodes of partial, intermittent,small bowel obstruction, to those of acute, complete small bowel obstruction, with the potential risk of complications such as intestinal ischemia,perforation and abdominal sepsis. Reported here in is the case of a 53 year old man with complete small bowel obstruction secondary to a left paraduodenal hernia, in whom operative treatment consisted of reduction of the hernia content, small bowel decompression and closure of the hernia ring. The operation successfully resolved the acute event and has prevented recurrences during a 4 year follow-up.
Subject(s)
Duodenal Diseases/complications , Hernia/complications , Intestinal Obstruction/etiology , Humans , Male , Middle AgedABSTRACT
OBJECTIVE: To address the frequency, type of clinical presentation, treatment modalities and survival of gastric carcinoma in young Mexicans. PLACE: Hospital de Especialidades, Centro Medico Nacional Siglo XXI, IMSS, Mexico City. METHODS: A retrospective review of all charts of patients 35 years old or younger, with a diagnosis of gastric carcinoma treated at the department of surgery, from July 1986 to January 1990 was performed. Follow up was conducted at the surgery clinic until death or up to January 1998. RESULTS: Eleven patients under 35 years of age were identified, they represent 13.7% of 80 patients treated during that time period. Women were affected more frequently (1.7:1). Ten patients presented with advanced disease, and only one patient had Stage II. Five gastric resections were performed, one patient had a bypass only, three underwent surgical explorations and two were not operated. Ten had diffuse type lesions and only one intestinal adenocarcinoma. Median survival was 15.3 months and only one patient is alive and well. CONCLUSIONS: In our series, gastric carcinoma is frequent, it is diagnosed in advanced stages, and this is the reason for a very poor prognosis.
Subject(s)
Stomach Neoplasms/epidemiology , Adult , Female , Humans , Male , Mexico/epidemiology , Prognosis , Retrospective Studies , Stomach Neoplasms/surgery , Stomach Neoplasms/therapy , Survival Analysis , Treatment OutcomeABSTRACT
Sclerosing mesenteritis is a rare benign disorder of unknown etiology that often resembles a neoplasm. Numerous terms have been used in the past to describe this entity which has a variable clinical presentation and is characterized by thickening of the intestinal mesentery. Accurate information regarding the epidemiology, natural course and therapeutic response of the disease is sparse. Herein we present a review of the literature and a brief discussion of relevant concepts for the diagnosis and treatment of patients with sclerosing mesenteritis.
