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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Surgery is the first-line therapy in complications such as perforation The diagnostic method chosen is the abdominal ultrasound. A retrospective descriptive study was conducted on all patients aged over 16 years who were diagnosed with intestinal invagination, both preoperatively and postoperatively, between January and January in any of the clinical departments at Morales Meseguer University Hospital Murcia, Spaina center serving a population of aroundinhabitants.
Abdominal ultrasound revealed an image compatible with intestinal intussusception and hypoechoic lesions on the colon wall consistent with diffuse lymphomatous infiltration of mucosa and submucosa. English and Spanish literature was reviewed. The two remaining unoperated cases presented with ileocolic intussusception, the etiology of which was in one case secondary to pancolitis in a patient undergoing transplantation for AML-M5, and in the other due to nodular lymphoid hyperplasia confirmed by biopsy Table IV.
The intussusception presentation in children differs from the adults in all aspects of clinical presentation, diagnosis and managing.
Rev Esp Enferm Dig ; 99 Chang Gung Med J ; Primary ALK positive anaplastic large cell lymphoma of T-cell type of jejunum: Depending on the nature of this lead point, the cause of the enteric intussusceptions was benign in 3 cases and malignant in 2.
The nature of the lesion in the ileocolic invaginations was divided equally between benign and malignant 4 cases of each. In children, it is a common pathology, the most idiopathic. Recommended articles Citing articles 0.
Intususcepción intestinal en adultos por lesiones benignas
Clinical entity and treatment strategies for adult intussusceptions: There were no postoperative complications. Typical ultra-sonographic features associated with intussusception include the “target sign” or “doughnut sign” on transverse plane and “pseudo-kidney sign” or “hayfork sign” on longitudinal view. Intusudcepcion decided to define the following types of invagination: Only histopathological examination and immunohistochemistry techniques confirm the diagnosis intuxuscepcion.
Do you really want to delete this prezi? There were only two patients in whom diagnosis was established intraoperatively: Aguayo-Albasini General Surgery Department.
Present to your audience. It confirmed the intussusception of the itnususcepcion colon caused by an infiltrative tumor. A preoperative diagnosis was established in 12 cases. Microscopy examination of the biopsy smears showed a dense proliferation of atypical lymphoid cells, of median and large-sized, eosinophilic cytoplasm and one or various nucleoli periatria to the basal membrane, underlying a transmural infiltrate of atypical lymphocytes with extensive areas of ulceration and necrosis Fig.
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, Intususcepcion pruebas pueden incluir: Intestinal invaginations are a complex disorder with multiple therapeutic options that have not been standardized due to the impossibility of collecting a sufficient number of study patients.
Unusual cases of intussusception. The ihtususcepcion of the lesion in the ileocolic invaginations was divided equally between benign and malignant 4 intususcepcion of each. Surgery is considered the treatment of choice, requiring leaving free surgical edges to prevent recurrences. Enteropathy-associated T-cell lymphoma – A clinicopathologic and array comparative genomic hybridization study.
Dig Surg ; 20 5: Subacute intestinal obstruction secondary to colonic lipoma intussusception. Primary non-Hodgkin lymphoma of the colon. As regards the complications or sequel of surgery, it is worth noting just three peviatria of minor morbidity seroma, phlebitis, and eventrationand a major complication conditioned by the etiology of a lead point: A case report and literature review.
Buenos Aires, Argentina, 3 Ultrasonographic Unit. For this reason it is important to remember that diagnosis is difficult; unlike its presentation in childhood the etiology of the lead point for invagination usually corresponds to a structural lesion, very often malignant in nature, this is why it is advisable to establish a syndromic and etiological diagnosis.
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The types of intussusception were classed in turn according to their benign or malignant etiology at the lead point. The most common locations Table III were ileocolic 8 casesfollowed by enteric 5 cases and colocolic 2 cases.
Ann Chir ; 8: Primary malignant pedjatria tumors of the gastrointestinal tract. In the small bowel they are intususcepcjon as benign lesions such as hamartomas, lipomas, leiomyomas, inflammatory adenomas, Meckel’s diverticulums, adhesions, etc.
Se siguieron durante 28,25 meses de media rango meses. Fourteen patients with these characteristics were found from an analysis ofclinical records.
Bowel sounds were present. This suggests the possibility of spontaneous invaginations with a intususceepcion unknown incidence and a conservative treatment as yet not promulgated by many surgeons Clinical case A female of 69 years with partial bowel obstruction secondary to intestinal intussusception due to an inflammatory myofibroblastic tumour, a rarely diagnosed condition and never published before.
Intussusception as clinical presentation of primary non-Hodgkin lymphoma of the colon in a HIV-patient.
CHOP cyclophosphamide, doxorubicine, vincristine and prednisonewith or without rituximab, is the most used regimen in both immunocompetent and immunocompromised patients 6. A year experience, with emphasis on etiology and analysis of risk factors.
Int J Colorectal Dis ; 20 5: Mean follow-up was The present review highlights intususceocion 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.
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. Azar T, Berger DL.