Medicina

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Subject: search.filters.subject.OBSTRUCCIÓN

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    Obstrucción intestinal total secundaria a intususcepción por adenocarcinoma de ciego en paciente adulto, a propósito de un caso
    (Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Medicina, 2022-11) Jaramillo Núñez, Steven Alejandro; Cadena, Juan Carlos Dr. Esp.
    Introduction: Colon adenocarcinoma is one of the most prevalent malignant tumors around the world. Intussusception occurs when a segment of the intestine moves towards an adjacent segment, which can cause intestinal obstruction and even ischemia. Although it is easy to treat, its diagnosis represents a challenge, especially when it occurs in adulthood, since most of the cases are diagnosed in pediatric age. The final treatment will be surgical intervention, whether open or laparoscopic, both being according to the surgeon's choice, but certain benefits can be determined from the latter, such as accelerated healing, shorter hospital stay, and reduced risk of incisional hernia. Objective: To describe a clinical case and carry out its respective analysis based on the bibliography found about colon adenocarcinoma that produces intussusception. Materials and methods: Descriptive study and clinical case presentation. Results: Clinical case of a 64-year-old female patient with no relevant history who presented abdominal pain for approximately 2 years, which was exacerbated in the days before going to the health home. Due to his clinical history and physical examination and imaging tests, a surgical intervention was performed for intestinal obstruction, with the finding of an intestinal invagination secondary to an adenocarcinoma of the cecum. Conclusions: The rapid and adequate management of an intestinal obstruction is necessary to reduce morbidity and mortality, in this case, the incidental finding of intestinal intussusception was correctly resolved by the surgeon, which favored the satisfactory evolution of the patient.
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    Coledocolitiasis en adolescente de 14 años de edad.
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-11-01) Villafuerte Jaramillo, Silvana Cristina; Bracero Tobar, Wellington Ivar Dr.
    By clinical problems present a case of a male patient of 14 years old, Hispanic, unmarried, Catholic, student, born and living in Ambato, without personal and surgical medical history. Presents five days of abdominal pain, unexplained, colicky, located in epigastric and right upper quadrant, high intensity, accompanied by asthenia, 24 hours after jaundiced skin and sclera, nausea arriving vomiting of food content and dark urine. Eco abdominal roundworm reported in bile duct, 4 days later ERCP rule roundworm and retirement calculation of Oddi. ERCP is complicated with acute pancreatitis (3) which resolved spontaneously with supportive treatment in 15 days. We conclude that although it has been reported high percentage of common bile áscaris. (18) ERCP is the standard to identify the cause of obstruction Gold because the echo just have a sensitivity and specificity in identifying the cause that does not exceed 40% (4)
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    Linfoma no Hodgkin Intestinal como causa de Obstrucción Intestinal
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Escobar López, Gabriela Silvana; Yépez Yerovi Dr., Fabián Eduardo
    For female patient, 31 years old, with personal pathological history of hypertension 4 months without treatment, family medical history is presented; deceased sister 3 months ago with gastric cancer and systemic lupus erythematosus; and hypertensive mother. Patient comes to the emergency room with abdominal pain of a month of evolution, which intensifies 24 hours, located in epigastric cramping of great intensity that radiates flank and right iliac fossa, accompanied vomited food content three times and abdominal distention, constipation also relates a week ago. In the review of instruments and systems are asthenia and fine lees for about a month, weight loss of 10 kg 8 months ago. The patient consents physical examination oriented, algid, afebrile, hydrated. Abdomen globose, soft painful epigastric tenderness and right iliac fossa, Mac Burney and positive Bloomberg depressible. In laboratory tests striking a hemoglobin of 6.9 g / dL and a hematocrit of 24.4%, 54.4 MCV, MCH MCHC 15.4 and 28.3. The entry into service of surgery is decided with a diagnosis of acute abdomen and exploratory laparotomy was performed, in which tumor mass is at the level of terminal ileum 45 cm of ileocecal valve occluding the intestinal lumen 10 by 12 cm. And diverticulum ileal 50 cm of ileocecal valve. Diverticulum and tumor resection is performed with oncologic criteria with terminal end anastomosis, and sample is sent for histopathological examination; which reports intestinal non-Hodgkin lymphom