Intususcepción: diagnóstico y manejo en niños y adultos. Rev Med Cos Cen ; 73 (). Language: Español References: Page: PDF: . Intestinal intussusception secondary to myofibroblastic tumour in an elderly patient. Case reportIntususcepción intestinal secundaria a tumor miofibroblástico en. Intususcepción e invaginación son los términos que se utilizan para describir la introducción en forma telescópica espontánea de una porción del intestino en.
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Generally, this complication is associated with the obstruction to the passage of the intestinal content as well as the reduction of the vascular flow with intususscepcion and necrosis of the intestinal wall 1.
In the four patients diagnosed radiologically who did not undergo surgery half of the invaginations were enteric and resolved spontaneously, as shown by subsequent ultrasonography or CT follow-ups at 2 and 3 weeks ; furthermore, both were a casual finding one during complementary tests for a recently diagnosed Crohn’s disease, and one during the study of a different non-digestive abdominal pathology.
Intussusception in the adult-a rare disease. However, the tests that yielded diagnostic accuracy in order of frequency were: It confirmed the intussusception of the transverse colon caused by an infiltrative tumor.
In the other 5 cases, diagnosis was only suspected by CT pediatrja.
Intususcepción en el adulto: Revisión de 14 casos y su seguimiento
The present review highlights the analysis of patients in whom conservative management was chosen due to the absence of clinical manifestations and of a demonstrable lesion as lead point of invagination. Only histopathological examination and immunohistochemistry techniques confirm the diagnosis 8. Many reviews support invagination as an indication for surgery in adults due to the risk of intestinal ischemia and possible malignancy of the lead point of invagination. Five of these patients had previous abdominal surgery 2 appendectomies, 2 caesarean sections, and 1 low anterior resection for rectal cancer four years earlier, with normal follow-upsand one required a hematopoietic progenitor allotransplant for acute myeloid leukemia M5with normal follow-ups, six years prior to the diagnosis with intussusception.
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In this series, the median age was 35 years old, the majority of patients were males 11 cases and intussusception involved the small bowel in Int J Colorectal Dis ; 21 8: Surgery is the treatment of choice to resolve the intussusception and the obstruction in case of ileocecal or colonic involvement.
He was receiving intusuxcepcion active antiretroviral therapy HAART based on tenofovir, emtricitabine and ritonavir-boosted lopinavir. In a recent review of adult intussusceptions, Kaval et al. A case report and literature review.
Buenos Aires, Argentina, 3 Ultrasonographic Unit. Subacute intestinal obstruction secondary to colonic lipoma intussusception. Acute intestinal intussusceptions in adults: The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point.
However, we consider it important to take associated symptoms into account and on the basis of these conduct more accurate diagnostic studies to rule out a tumor origin if not done previously; moreover, the diameter and length of the invagination, together with the presence or absence of an associated lesion, and the type of invagination are predictors of spontaneous resolution 13, This is shown by our series of patients diagnosed with enteric invagination but with no signs of lesions, who were treated conservatively and showed a satisfactory resolution of symptoms only a few days after diagnosis.
Primary NHL of the colon is a rare disease and it comprises only 0. Int J Colorectal Dis ; 20 5: Rev Esp Enferm Dig ; 99 Subacute intestinal obstruction secondary to colonic lipoma intussusception. J Gastrointest Cancer ; The present review highlights intususceocion analysis of patients in whom conservative pediayria was chosen due to the absence of clinical manifestations and of a demonstrable lesion as lead point of invagination. There were only two patients in whom diagnosis was established intraoperatively: On the transverse plane, “target sign” or “doughnut sign” with the invaginated intestinal loop Fig.
Unusual cases of intussusception. The two remaining unoperated cases presented with ileocolic intussusception, the etiology of which was in one case secondary to pancolitis in pdiatria patient undergoing transplantation for AML-M5, and in the other due to nodular lymphoid hyperplasia confirmed by biopsy Table IV.
In consequence, our case filled the criteria of Dawson and Richard for the diagnosis of primary NHL of the colon Dig Surg ; 20 5: The most reliable diagnostic technique was computed tomography 8 diagnoses from 10 CT scans.
English and Spanish literature was reviewed. We conclude that invaginations are a disorder to bear in mind when primarily diagnosing an acute abdomen, and that in selected cases we favor a new treatment depending on intussusception location and untususcepcion radiological presence of an associated lesion.
Invaginación – Síntomas y causas – Mayo Clinic
The intussusception presentation in children differs from the adults in all aspects of clinical presentation, diagnosis and managing.
Although NHL can affect any region of the GI tract, oral cavity, stomach, small intestine and ileocecal region are the most commonly involved sites 5. An institutional experience and review of literature.
Mean follow-up was We conclude that invaginations are a disorder to bear in mind when primarily diagnosing an acute abdomen, and that in selected cases we favor a new treatment depending on intussusception location and the radiological presence of an associated lesion.
Clinical entity and treatment strategies for adult intussusceptions: In the ileocecal location, the valve acts as the initial point of the invagination Adult intussusception – 14 case reports and their outcomes.
Metropolitan Methodist Intususcepcion Center at the Quarry. Many reviews consider a intusuxcepcion prior to resection, which we rule out with any type of invagination due to a possible mobilization of a non-benign lesion and our doubts as to bowel viability if it required surgery for associated symptoms.
Approach to management of intussusception in adults: A preoperative diagnosis was established in 12 cases. The rest of the physical examination was unremarkable.
The etiology of these intussusceptions was idiopathic ppediatria secondary to a lesion acting as the lead point for invagination. However, the etiology is difficult to determine in a preoperative study, since edema or hemorrhagic intussusception may simulate a mass at this level 12which is why the etiological diagnosis will be established either with other biopsy-related tests or during pathological examination after sampling.
Thus we performed 5 right hemicolectomies with resection of the invaginated ileum, 3 small bowel resections, 2 left hemicolectomies, and 1 ileocaecal resection. In the colon the possibility of malignancy is greater 5,7,8 intususcepcion adenocarcinomas.
This complication is more frequent in the small bowel and can be due to different aetiologies, including inflammatory, infectious or neoplastic diseases. Surgery is also necessary to obtain a biopsy to establish the diagnosis and to assess the regional extension of the neoplasm.