ABSTRACT
A staging classification is proposed by CT findings in 27 patients with acute abdomen, caused by inflammatory colonic non-parasitic pathology. Of the 17 patients with diverticular disease, 4 were stage A (edema/ischemia on thickness of the abdominal wall), 2 were stage B (partial intramural infarction on the abdominal wall) and 3 were stage C (abscess/peritonitis and obstruction/vascular strangulation). None of the patients in the series were stage D (ischemia/infarction of the colonic wall with dilatation). Of the 4 patients with ulcerative colitis, 3 were stage A and 1 in stage C. Of the 3 patients with Crohn's disease, 2 were stage A and 1 was in stage C. Classified as stage D were 1 pseudomembranous colitis, 1 volvulus and 1 idiopathic megacolon. Clinical severity was in parallel with CT stages that gave better information on the progression of the pathology. Staging by CT in acute abdomen caused by inflammatory colonic non-parasitic pathology could be useful in therapeutics.
Subject(s)
Abdomen, Acute/diagnostic imaging , Inflammatory Bowel Diseases/diagnostic imaging , Tomography, X-Ray Computed , Abdomen, Acute/pathology , Aged , Female , Humans , Inflammatory Bowel Diseases/pathology , Male , Middle Aged , Retrospective StudiesABSTRACT
Colostomy features in anal, rectum, and sigmoid pathology and surgery are here detailed. Problems for the patient and the physician, surgical indications, techniques, permanence, stoma clubs and complications, are outlined.
Subject(s)
Anal Canal/surgery , Colon, Sigmoid/surgery , Colostomy , Rectum/surgery , Colostomy/adverse effects , Colostomy/rehabilitation , Health Education , Humans , Physician-Patient RelationsABSTRACT
Se presenta la experiencia en 17 pacientes pediatricos estudiados en la practica privada, por medio de colon por enema con doble contraste encontrandolo de utilidad en el diagnostico de padecimientos congenitos poliposis unica y familiar multiple observando en la mayoria de los pacientes la asociacion de mas de un diagnostico. No se presentaron complicaciones atribuibles al procedimiento
Subject(s)
Infant , Child, Preschool , Child , Adolescent , Humans , Male , Female , Enema , Colonic Diseases , Barium SulfateABSTRACT
Se analizaron en forma retrospectiva 1000 pacientes proctologicos de la Unidad Mexicana de Colo-Proctologia, de ellos 14 (l.4%) fueron pacientes pediatricos (0 a 12 anos) que presentaron hemoproctorragia. La edad oscilo entre 5 meses y 11 anos, con 4 menores de l ano. De los 14 pacientes 8 eram del sexo masculino y 6 del sexo femenino. La sintomatologia mas frecuente ademas de la hemoproctorragia (14 casos), fue la constipacion (13 casos) y dolor durante la evacuacion (10 casos) el examen proctologico nos dio el diagnostico en 12 de los 14 casos. Los metodos auxiliares de diagnostico, tales como los estudios radiologicos (colon por enema a doble contraste), laboratorio (perfil coprologico) y estudio histopatologico, corroboran estos mismos. La enfermedad mas frecuente en nuestra serie fue la fisura y ulcera anal en 7 casos (50%). El manejo medico (dieta alta en residuos, laxantes de accion mecanica y banos de asiento) se llevo a cabo em 10 pacientes (71%). El tratamiento quirurgico se llevo a cabo en 9 casos.De los 14 casos, 11 fueron dados de alta por curacion; 2 pacientes se perdieron para control y otro fallecio (colon toxico amibiano)