RESUMEN
The diverticulosis of jejunum ileum is an uncommon pathology, that is often revealed just from the complications which it presents. The clinical case reported by the Authors describes a woman who reached to admission for a serious condition of shock secondary to a jejunum bleeding diverticulosis and who underwent an intestinal resection. The patient was discharged home on IX p.o. day. From the review of literature results that the incidence of the diverticulosis of jejunum ileum consists of 0.1%-0.11% of all the gastrointestinal's diverticula and the predominance is for the female, especially in the middle age. The diverticulosis of jejunum ileum can be congenital or acquired; the first one came to the antimesenteric side of the intestines, the second one to the mesenteric side of the same. The diverticulosis is generally asymptomatic, but often produces many complications as the intestinal occlusion, secondary to a bridle, a volvulus, an invagination, also if the peritonitis caused by a diverticulosis's perforation represents the most frequent complication of them. Others rarest complications are the massive haemorrhage of diverticula, the stagnant loop syndrome, the malabsorption's syndrome due to lack of B12 vitamin and growth of bacteria within them, the diverticulitis caused by infection. The therapy of all complicated cases of jejunum ileum diverticula is necessarily the surgery only and exactly the intestinal resection.
Asunto(s)
Divertículo/complicaciones , Enfermedades del Íleon/complicaciones , Enfermedades del Yeyuno/complicaciones , Anciano , Divertículo/patología , Divertículo/cirugía , Urgencias Médicas , Femenino , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/patología , Hemorragia Gastrointestinal/cirugía , Humanos , Enfermedades del Íleon/patología , Enfermedades del Íleon/cirugía , Enfermedades del Yeyuno/patología , Enfermedades del Yeyuno/cirugía , Choque Hemorrágico/etiología , Choque Hemorrágico/patología , Choque Hemorrágico/cirugíaRESUMEN
The paper reports a case of retroperitoneal leiomyosarcoma; it appeared following the onset of left lumbocruralgia pain which was recacitrant to medical and physical therapy and was followed by loss of weight and endoabdominal swelling. The paper also discusses retroperitoneal tumors, paying particular attention to their diagnosis and surgical treatment.