RESUMO
Report of a case of abdominal actinomycosis, including the cecoapendicular region, that clinically presented as lower digestive bleeding, and was diagnosed by the anatomopathological study of the surgical resection specimen, since the patient was operated with the preoperative diagnosis of vascular malformation. This type of presentation is uncommon in abdominal actinomycosis, and explains the presentation of this clinical case.
Assuntos
Actinomicose/complicações , Doenças do Ceco/complicações , Hemorragia Gastrointestinal/microbiologia , Doenças do Íleo/complicações , Doenças do Ceco/microbiologia , Humanos , Doenças do Íleo/microbiologia , Masculino , Pessoa de Meia-IdadeRESUMO
We present six cases of postoperative pancreatic fistulas treated with complete diet and total parenteral nutrition. Due to the slow closure of the fistula, we added somatostatin to treatment (doses specified in the report). Flow disappeared completely in all cases, and the fistula was successfully closed in 5 of the 6 cases. There were no side effects due to the medication. We emphasize that the results of somatostatin treatment were favorable, achieving early closure of the fistula and reducing the complications derived from it.