RESUMEN
The intussusception in adults is very rare. Symptoms are atypic and diagnosis is difficult. We present the case of an 85-year-old female admitted for vague intermittent diffuse abdominal pain since 3 months, with episode of diarrhoea. A mobile mass was palpable in the right iliac fossa. The barium transit demonstrated a filiform stenosis of the last segment of ileum in the caecum. Scanner showed a "target mass". An ileal intussusception on caecal tumour was suggested and confirmed by laparotomy. This entity is confronted with the literature reports. The aetiology, clinical presentation, diagnosis and treatment are discussed.
Asunto(s)
Válvula Ileocecal , Intususcepción/cirugía , Adenocarcinoma/complicaciones , Anciano , Anciano de 80 o más Años , Neoplasias del Ciego/complicaciones , Femenino , Humanos , Enfermedades del Íleon/diagnóstico por imagen , Enfermedades del Íleon/cirugía , Válvula Ileocecal/cirugía , Intususcepción/diagnóstico por imagen , Intususcepción/etiología , Tomografía Computarizada por Rayos XRESUMEN
Gallbladder volvulus is a rare disease which may affect the elderly. It mimics clinically an acute cholecystitis, but the ultrasound signs may provide an early diagnosis: a very large, anteriorly floating gallbladder, with very thickened, multi layered wall, could orientate the physician to this rare disease. We present one case of gallbladder volvulus with its radiological signs. The symptoms, the etiology and the radiological examinations are discussed.
Asunto(s)
Enfermedades de la Vesícula Biliar/diagnóstico por imagen , Enfermedades de la Vesícula Biliar/cirugía , Anciano , Anciano de 80 o más Años , Colecistectomía , Colecistitis/etiología , Colecistitis/cirugía , Conducto Cístico , Femenino , Humanos , Anomalía Torsional , UltrasonografíaRESUMEN
Isolated aneurysm of the iliac arteries is rare. It represents only 1.7% of the aneurysms of the aortic bifurcation involving the arteries (7, 13) and its rupture can be fatal. It is located deep in the pelvis and it is often difficult to detect clinically. The symptoms can mimic genitourinary, gastrointestinal or neurologic disorders. Prompt diagnosis by computerized tomography must be made in cases of emergency. Urgent aneurysmectomy is indicated in case of rupture. The average mortality rate is 50%.
Asunto(s)
Aneurisma Roto/diagnóstico por imagen , Arteria Ilíaca , Abdomen Agudo/etiología , Anciano , Aneurisma Roto/cirugía , Prótesis Vascular , Humanos , Masculino , Rotura Espontánea , Tomografía Computarizada por Rayos XRESUMEN
The authors report one case of solitary metastatic endometrial carcinoma of the spleen. Carcinomatous metastatic involvement of the spleen usually indicates widespread malignant disease. Solitary metastatic lesions in this organ are exceedingly rare and the literature reveals up today only three cases having a endometrial origin. The authors take this opportunity to make a review of the literature.
