Ciencias de la Salud

Permanent URI for this communityhttp://repositorio.uta.edu.ec/handle/123456789/813

Browse

Filters

20161

Settings

Author: search.filters.author.Sailema Sailema, Gabriela XimenaSubject: search.filters.subject.ABDOMEN

Search Results

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Inercia Colónica en Paciente Femenina de 19 años, con Diagnóstico Inicial de Abdomen Agudo
    (Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Medicina, 2016-10-01) Sailema Sailema, Gabriela Ximena; Arguello Guanotasig, Santiago Alexis Dr. Esp.
    Colonic inertia occurs primarily in young women and is characterized by severe defecation infrequency, which can reach even one to two monthly depositions. This case is a female patient 19 years old; Pathologic Personal Background: Pneumonia Bilateral more Febrile Seizures, chronic constipation more parasitosis by Ameba Histolytica, Abdomen Obstructive; Surgical Background: Appendectomy. Attends the H.P.G.L to present about 2 days as apparent date, abdominal pain, cramping, intense, EVA scale (9/10), does the same that is located in epigastric, lower abdomen and radiates right upper quadrant and is accompanied by bloating and nausea refers this pain then appeared intake of chicken soup more aromatic water Physical examination patient conscious, oriented, afebrile, álgica;Abdominal surgical scar about 3 centimeters in length located in the right iliac fossa, distended abdomen, bowel sounds decreased in the entire large bowel, presence of tympanic to percussion, nonpitting abdomen, painful on palpation and generalized depth is observed, without signs of peritoneal irritation. It is worth emergency surgery guard who request additional examinations and decide their income in general surgery with partial presumptive diagnosis of acute obstructive abdomen. After conducting further investigations, more repetitive representations of constipation and clinical evaluation of the patient, Inertia Colonic diagnosed, so we decided to perform surgical treatment: left hemicolectomy + anastomosis colorectal term omentectomy + terminal + partial placement of drainage; during laparotomy is: left colon increased in size and length. Favorable postoperative course so the 29 days of hospitalization is decided hospital in good general conditions and outpatient control.