ABSTRACT
We report two clinical cases of intestinal invagination due to jejunal GAN tumors that were operated on because of an intestinal obstruction. Diagnostic methods, differential diagnosis and therapeutic approach were analysed.
Subject(s)
Intussusception/etiology , Jejunal Neoplasms/complications , Nervous System Neoplasms/complications , Adult , Autonomic Pathways , Diagnosis, Differential , Digestive System Surgical Procedures , Female , Humans , Intussusception/diagnosis , Intussusception/surgery , Jejunal Neoplasms/diagnosis , Jejunal Neoplasms/surgery , Male , Nervous System Neoplasms/diagnosis , Nervous System Neoplasms/surgery , Treatment OutcomeABSTRACT
Presentamos dos casos clínicos de invaginación intestinal secundaria a tumores GAN yeyunales que debutan con un episodio de obstrucción intestinal que requirió intervención quirúrgica. Se analizan los métodos diagnósticos, el diagnóstico diferencial y la actitud terapéutica. (AU)
Subject(s)
Adult , Male , Female , Humans , Digestive System Surgical Procedures , Autonomic Pathways , Treatment Outcome , Diagnosis, Differential , Intussusception , Nervous System Neoplasms , Jejunal NeoplasmsABSTRACT
Presentamos, dada su rareza, un nuevo caso de invaginación sigmoidoanal. Se trata de una mujer de 61 años que acudió a urgencias presentando el sigma invaginado a través del ano por un adenocarcinoma de sigma. Una vez diagnosticada mediante los hallazgos clínicos, exploración física y realización de enema opaco, fue tratada quirúrgicamente realizándose una laparotomía con desinvaginación y resección del rectosigma con colostomía ilíaca proximal y fístula mucosa distal. Se analizan los aspectos etiopatogénicos, diagnósticos y terapéuticos de la invaginación intestinal en el adulto y, en particular, de la invaginación sigmoidoanal (AU)
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Subject(s)
Aged , Female , Humans , Intussusception/diagnosis , Intussusception/etiology , Intussusception/therapy , Emergency MedicineABSTRACT
Emphysematous cholecystitis is the most severe acute cholecystitis with infection by gas-producing organism. The morbidity and mortality rate are 15%. We present a retrospective study of emphysematous cholecystitis seen in our department during three years (1992-1994). Inclusion criteria were made on the basis of a characteristic history, physical examination and radiology findings. Eight patients were studied. All were men, medium age 75 years (range: 45-88). None of them was diabetic. Clinical history was typical for the disease. Radiological examinations included abdominal X-ray (none of them was demonstrative), abdominal ultrasound (carry out in five patients and diagnosis in two) and computerised tomography scanning was necessary in the others three patients. Surgery was required since complication occurred in two patients. The mean duration until surgery was 5.21 day. Only three patients had any postoperative complication and nobody death. We concluded that the treatment of choice is cholecystectomia, except for high risk patient in whom puncheon and drainage is required.
Subject(s)
Cholecystitis , Emphysema , Aged , Aged, 80 and over , Cholecystitis/diagnosis , Cholecystitis/therapy , Emphysema/diagnosis , Emphysema/therapy , Humans , Male , Middle AgedABSTRACT
Patients with AIDS are particularly susceptible to tuberculosis infection with a high incidence of extrapulmonary disease and surgical complications. Authors describe a 38-year-old male infected with the human immunodeficiency virus who presented intestinal perforation due to mycobacterium tuberculosis. A resection of jejunum was performed with primary anastomosis. The postoperative course was further compromised by hepatic failure and the patient died 16 days after the initial surgery.
