RESUMO
Endometriosis localized in the intestinal wall is not an infrequent finding. Diagnosis is difficult given the diverse symptomatology presented with unspecific abdominal pain being the most common. Implantation of endometrial tissue in the intestinal wall may involve the mucosa and present as rectorhagia, with colonscopic exploration providing diagnosis by biopsy of the affected area. In other cases this may only involve the intestinal wall producing very varied symptomatology. Presentation as a picture of colon obstruction is little reported. The main problem is its difficult differential diagnosis with neoplasm which, in most cases, leads to surgery. A case of colon obstruction provoked by implantation of endometrial tissue in the wall of the sigma which was surgically resolved is herein presented.
Assuntos
Doenças do Colo/diagnóstico , Endometriose/diagnóstico , Obstrução Intestinal/etiologia , Doenças do Colo/complicações , Doenças do Colo/cirurgia , Diagnóstico Diferencial , Endometriose/complicações , Endometriose/cirurgia , Feminino , Humanos , Obstrução Intestinal/cirurgia , Pessoa de Meia-IdadeAssuntos
Acrodermatite/etiologia , Nutrição Parenteral Total/efeitos adversos , Nutrição Parenteral/efeitos adversos , Zinco/deficiência , Colo/cirurgia , Feminino , Fístula/etiologia , Humanos , Íleo/cirurgia , Fístula Intestinal/etiologia , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Recidiva , Dermatopatias/etiologia , Deiscência da Ferida Operatória/etiologiaRESUMO
The usually observed modifications of the deep phlebogram in the entire pathological series are: transmedial displacement of the internal cerebral vein (more or less evident but always significant), straightening of the superior arch of the internal cerebral vein, an important ventricular dilatation in most cases. The most reliable parameters are: Fisher's bisecting line and two of the parameters proposed by the author's: Monro-Phleboaxial-Line and Monro-Glabella-Bregma-Angle.