RESUMO
La diverticulosis del intestino delgado es una entidad rara que afecta fundamentalmente al yeyuno; la localización en íleon distal es la menos frecuente. La complicación más frecuente de la diverticulosis son la inflamación y la perforación. Presentamos un caso de diverticulitis ileal con trombosis séptica (pileflebitis) de la vena mesentérica superior (VMS) diagnosticada por tomografía computarizada (TC), confirmado anatomopatológicamente. Revisamos la bibliografía referente a estas dos patologías (AU)
Assuntos
Masculino , Pessoa de Meia-Idade , Humanos , Perfuração Intestinal/complicações , Síndrome da Artéria Mesentérica Superior/etiologia , Diverticulite/complicações , Trombose Venosa/etiologia , Trombose Venosa/cirurgia , Trombose Venosa/diagnóstico , Síndrome da Artéria Mesentérica Superior/diagnóstico , Síndrome da Artéria Mesentérica Superior/cirurgia , Tomografia Computadorizada de Emissão/métodos , Doenças do Íleo/complicaçõesRESUMO
Acute mastoiditis is a serious complication of acute otitis media in children. Suppurative disease in the mastoid region occasionally spreads to the adjacent dura mater of the posterior and middle cranial fossae and the sigmoid sinus by means of thrombophlebitis, osseous erosion, or anatomic pathways, producing intracranial complications. Computed tomography (CT) should be performed early in the course of the disease to classify the mastoiditis as incipient or coalescent and to detect intracranial complications. On the basis of the clinical features and imaging findings, the disease is managed conservatively with intravenously administered antibiotics or treated with mastoidectomy and drainage plus antibiotic therapy. CT is therefore a decisive diagnostic tool in determining the type of therapy. In addition, magnetic resonance imaging is performed in patients with clinical symptoms or CT findings suggestive of intracranial complications because of its higher sensitivity for detection of extraaxial fluid collections and associated vascular problems.
