Intususcepción en adulto como complicación de un lipoma parietal intestinal. Reporte de caso

Leidi Johana Rodríguez Sotto, Emmanuel Francisco Murguía Lugo, Julián Andrés Bucheli Buesaco
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Abstract

Intussusception in adults is an extremely rare surgical clinical entity, its main etiology in this population is generally attri¬buted to malignant origin, benign pathology is less frequent and presents a challenge for pre-surgical diagnosis, since its presentation is non-specific and variable. Below is a clinical case that debuted with a clinical picture of intermittent pain in the right upper quadrant, manifesting exacerbation and non-specific laboratory tests, for which initially pathology of biliary origin was thought to be the reason for the pain, and therefore, an ultrasound of the liver and bile ducts was performed, observing signs suggestive of intussusception secondary to a lipoma, for which a simple abdominal tomography was performed to corroborate the diagnosis. Keywords: Adult; intestinal obstruction; computed tomography; intussusception; intestinal lipoma.
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成人肠套叠是肠壁脂肪瘤的并发症。个案报告
成人肠套叠是一种极其罕见的外科临床疾病,其主要病因在该人群中通常归因于恶性起源,良性病理较少,并且由于其表现非特异性和可变,因此对术前诊断提出了挑战。以下是一个临床病例,首次出现右上象限间歇性疼痛的临床图片,表现为恶化和非特异性实验室检查,最初认为胆道起源的病理是疼痛的原因,因此,对肝脏和胆管进行了超声检查,观察到提示继发于脂肪瘤的肠套叠的迹象,对此进行了简单的腹部断层扫描以证实诊断。关键词:成年人;肠梗阻;计算机断层扫描;肠套叠;肠道脂肪瘤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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