Trombosis de la arteria ileocecoapendiculocólica: presentación de casos
Gac méd espirit
; 14(1)ene.-abr. 2012. ilus
Article
in Spanish
| CUMED
| ID: cum-49584
Responsible library:
CU420.1
RESUMEN
Fundamento La trombosis aislada de la arteria ileocecoapendiculocólica es una entidad rara y en la mayoría de los casos mortal, es un diagnóstico desafiante y un reto para todo cirujano. Presentación de caso Se presenta el caso de un paciente de 69 años que comenzó con dolor abdominal periumbilical de aparición brusca, acompañado de náuseas y vómitos, interpretándose el cuadro en su área de salud como una enterocolitis. Es remitido al servicio de cirugía 24 horas después con signos de shock, se le realizó Rx de abdomen simple confirmándose niveles hidroaéreos centrales, se le realizó una laparotomía exploratoria; se observó necrosis total del segmento terminal del íleon, ciego y una pequeña parte del colon ascendente, se le realizó una hemicolectomía derecha. Conclusiones:
El paciente evolucionó favorablemente y sin complicaciones postoperatorias(AU)ABSTRACT
Background:
Isolated thrombosis of the ileocaecal appendicular cholic artery is a rare entity and in most cases fatal. It has a challenging diagnosis and poses a challenge for any surgeon. Case presentation Patient of 69 years who begins with a periumbilical abdominal pain of abrupt onset accompanied with nausea and vomiting, and has a diagnosis of enterocolitis in his health area. He was referred to the surgery department 24 hours later with signs of shock. He had a plain abdominal radiography which confirmed central air-fluid levels. He had an exploratory laparotomy. A total necrosis of the terminal segment of the ileum, cecum and a small part of the ascending colon was observed. He had a right hemicolectomy.Conclusions:
The patient improved and had no postoperative complications
Full text:
Available
Collection:
National databases
/
Cuba
Database:
CUMED
Main subject:
Mesenteric Vascular Occlusion
Type of study:
Controlled clinical trial
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Gac méd espirit
Year:
2012
Document type:
Article
Institution/Affiliation country:
Hospital General Universitario Camilo Cienfuegos/Cuba
/
Hospital General Universitario Camilo Cienfuegos/Cuba
/
Universidad de Ciencias Médicas Dr Faustino Pérez Hernández/Cuba