Assuntos
Doença de Crohn/tratamento farmacológico , Fármacos Gastrointestinais/uso terapêutico , Infliximab/uso terapêutico , Neoplasias Pulmonares/diagnóstico por imagem , Papiloma/diagnóstico por imagem , Infecções por Papillomavirus/diagnóstico , Idoso , Humanos , Neoplasias Pulmonares/virologia , Masculino , Papiloma/virologia , Tomografia Computadorizada por Raios XRESUMO
Migration of the appendix vermiformis into a femoral hernia is also known as De Garengeot's hernia. We report the case of an elderly patient who was diagnosed with an acute appendicitis within a strangulated femoral hernia sac. Emergency incision and abscess drainage was performed, followed by delayed laparoscopic appendectomy and herniorraphy. Both procedures were uneventful and the patient fully recovered. Although exceedingly rare, the surgeon needs to be aware of this entity to prevent a delay in diagnosis with potentially serious adverse events.
Assuntos
Apendicite/complicações , Hérnia Femoral/complicações , Idoso , Apendicectomia , Apendicite/diagnóstico , Apendicite/cirurgia , Feminino , Hérnia Femoral/diagnóstico , Hérnia Femoral/cirurgia , Herniorrafia , HumanosRESUMO
Gastrointestinal tract duplications are uncommon congenital abnormalities, that may occur anywhere along the alimentary tract. Most frequently they occur at the level of the small bowel tract and are symptomatic before the age of two. In our case we report the history of a 68-years old women with a colon duplication, especially a rectal duplication. This is very exceptional.
Assuntos
Colectomia/métodos , Doenças Retais/congênito , Reto/anormalidades , Idoso , Colonoscopia , Diagnóstico Diferencial , Feminino , Humanos , Doenças Retais/diagnóstico , Doenças Retais/cirurgia , Tomografia Computadorizada por Raios XRESUMO
Pneumatosis intestinalis is a rare condition in which gas is found in the bowel wall. It exists in a primary form or can be secondary to an underlying pathology. We present three cases of patients in whom pneumatosis intestinalis was caused by ischaemic bowel. In all three cases, the diagnosis was made using CT scan. A partial bowel resection with ileocolic anastomosis was performed in every case. All patients fully recovered after surgery.
Assuntos
Intestinos/irrigação sanguínea , Pneumatose Cistoide Intestinal/etiologia , Idoso , Idoso de 80 Anos ou mais , Ceco/irrigação sanguínea , Ceco/cirurgia , Colectomia , Colo/irrigação sanguínea , Feminino , Humanos , Íleo/irrigação sanguínea , Isquemia/complicaçõesRESUMO
The cocaine body packer syndrome is seen in drug traffickers swallowing hermetically packed cocaine. The condition can be diagnosed by serial abdominal roentgenograms. The double condom sign and the rosette form are two pathognomonic radiological signs. In the absence of complications, laxatives are administered and the patient is monitored for a prolonged period of time. In the event of a cocaine intoxication due to rupture of a package or in case of a gastrointestinal obstruction, an emergency surgical exploration should be carried out.
