RESUMO
Meckel's diverticulum is a persistent embryonic remnant occurring in 2% of the general population. As an "ileal appendix", it is usually clinically silent and only discovered at the time of complications: inflammation, hemorrhage, obstruction, tumor. The preoperative diagnosis is rarely made because of the non specific nature of the symptomatology and only about 10% of complicated cases are diagnosed at imaging. Complications from Meckel's diverticulum should always be considered in patients presenting with an acute abdomen, especially in young adults.
Assuntos
Divertículo Ileal/complicações , Divertículo Ileal/diagnóstico por imagem , Humanos , RadiografiaRESUMO
The Authors report a rare case of Meckel's diverticulum complicated by diverticulitis and a small bowel obstruction due to enteroliths, associated to a paracecal internal hernia. Computed tomography was useful for surgical planning.
Assuntos
Cálculos/diagnóstico , Doenças do Ceco/diagnóstico , Diverticulite/diagnóstico , Doenças do Íleo/etiologia , Obstrução Intestinal/etiologia , Imageamento por Ressonância Magnética , Divertículo Ileal/diagnóstico , Anastomose Cirúrgica , Cálculos/patologia , Cálculos/cirurgia , Doenças do Ceco/patologia , Doenças do Ceco/cirurgia , Ceco/patologia , Ceco/cirurgia , Diagnóstico Diferencial , Diverticulite/patologia , Diverticulite/cirurgia , Hérnia Ventral/diagnóstico , Hérnia Ventral/patologia , Hérnia Ventral/cirurgia , Humanos , Doenças do Íleo/diagnóstico , Doenças do Íleo/patologia , Doenças do Íleo/cirurgia , Íleo/patologia , Íleo/cirurgia , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgia , Masculino , Divertículo Ileal/patologia , Divertículo Ileal/cirurgia , Pessoa de Meia-IdadeRESUMO
Druillat, a parish in Bresse, welcomed a lot of abandoned infants who had been found a foster home by Lyons Hôtel-Dieu (hospital) during the second half of the eighteenth century. After specifying the annual volume of this incoming flow, the arrival of each infant at its foster home is considered. The notion of foster home covers in diversified family situations as far as the number of native children and infants are concerned. Through the comparison of deaths recorded locally and the Hôtel-Dieu register keeping lists of the infants' placements, the mortality of foster infants can be precise and compared to that of natives. The age at which they were put out to nurses and the host family standards of living, plays a fundamental role as far as the infant mortality risks are concerned.