Pub Date : 2023-11-10DOI: 10.22201/fm.24484865e.2023.66.6.04
María Fernanda Manzo-Suárez, Rodrigo Daniel Rodríguez- Pérez, Roberto B. Coránguez-Capistrán, Luis A. Rodríguez-Palomares, Eduardo Mercado-Cruz
Introduction: Carotid dissection consists of a tear in the vessel wall. It is a rare pathology, but it is the most common cause of ischemic cerebral vascular disease (CVD) in people under 45 years of age. The clinical manifestations are very variable. Method: We used CARE recommendations for reporting clinical cases. Clinical case: Previously, a healthy 45-year-old man with acute weakness of the right thoracic extremity without apparent cause. The simple skull tomography did not show any alterations. MRI showed complete occlusion of the internal carotid artery in all its segments and decreased flow of the left middle cerebral artery. The clinical evolution was unfavorable. Conclusion: Carotid dissection should be suspected in people with CVD without cardiovascular risk factors. Keywords: Carotid artery; spontaneous carotid dissection; acute ischemic stroke; emergency medicine; interventional radiology
导言颈动脉夹层包括血管壁撕裂。它是一种罕见的病理现象，但却是 45 岁以下人群缺血性脑血管病（CVD）最常见的病因。临床表现非常多变。方法：我们采用 CARE 建议报告临床病例。临床病例：此前，一名 45 岁的健康男性无明显诱因出现急性右胸肢无力。简单头颅断层扫描未显示任何改变。核磁共振成像显示颈内动脉全段完全闭塞，左侧大脑中动脉血流减少。临床表现不佳。结论无心血管危险因素的心血管疾病患者应怀疑颈动脉夹层。关键词颈动脉；自发性颈动脉夹层；急性缺血性脑卒中；急诊医学；介入放射学
{"title":"Disección carotídea espontánea: Presentación de un caso clínico con revisión de la literatura","authors":"María Fernanda Manzo-Suárez, Rodrigo Daniel Rodríguez- Pérez, Roberto B. Coránguez-Capistrán, Luis A. Rodríguez-Palomares, Eduardo Mercado-Cruz","doi":"10.22201/fm.24484865e.2023.66.6.04","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.6.04","url":null,"abstract":"Introduction: Carotid dissection consists of a tear in the vessel wall. It is a rare pathology, but it is the most common cause of ischemic cerebral vascular disease (CVD) in people under 45 years of age. The clinical manifestations are very variable. Method: We used CARE recommendations for reporting clinical cases. Clinical case: Previously, a healthy 45-year-old man with acute weakness of the right thoracic extremity without apparent cause. The simple skull tomography did not show any alterations. MRI showed complete occlusion of the internal carotid artery in all its segments and decreased flow of the left middle cerebral artery. The clinical evolution was unfavorable. Conclusion: Carotid dissection should be suspected in people with CVD without cardiovascular risk factors. Keywords: Carotid artery; spontaneous carotid dissection; acute ischemic stroke; emergency medicine; interventional radiology","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-10DOI: 10.22201/fm.24484865e.2023.66.6.05
Manuel Aguilar Jaramillo, Jaqueline Vanessa Rodríguez Vázquez, Gabriela Margarita Gavilanes Salazar, Mischele Vladimir Bello Dircio, Luis Cruz Benítez, Cristina Grado Limas, Daniel Nazario Cruz
Acute Mesenteric Ischemia is associated with a mortality rate between 50% and 100%; the rarest cause of this is venous thrombosis of the mesenteric (5%) and portal (1%) vessels. The clinical manifestations are diverse, with abdominal pain being the main symptom. Computed tomography with intravenous contrast in the portal phase is the most accurate image for diagnosis. Treatment in the acute phase is based on anticoagulation, intravenous fluids, prophylactic antibiotics, intestinal rest, and decompression. Damage control laparotomy, including bowel resection and open abdomen, may ultimately be warranted for patients with bowel necrosis and sepsis.
{"title":"Trombosis venosa mesentérica y portal como causa infrecuente de obstrucción e isquemia intestinal en paciente joven. Reporte de un caso","authors":"Manuel Aguilar Jaramillo, Jaqueline Vanessa Rodríguez Vázquez, Gabriela Margarita Gavilanes Salazar, Mischele Vladimir Bello Dircio, Luis Cruz Benítez, Cristina Grado Limas, Daniel Nazario Cruz","doi":"10.22201/fm.24484865e.2023.66.6.05","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.6.05","url":null,"abstract":"Acute Mesenteric Ischemia is associated with a mortality rate between 50% and 100%; the rarest cause of this is venous thrombosis of the mesenteric (5%) and portal (1%) vessels. The clinical manifestations are diverse, with abdominal pain being the main symptom. Computed tomography with intravenous contrast in the portal phase is the most accurate image for diagnosis. Treatment in the acute phase is based on anticoagulation, intravenous fluids, prophylactic antibiotics, intestinal rest, and decompression. Damage control laparotomy, including bowel resection and open abdomen, may ultimately be warranted for patients with bowel necrosis and sepsis.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-10DOI: 10.22201/fm.24484865e.2023.66.6.07
Adriana González-Villalva, Guadalupe Morales-Ricardes, Marcela Rojas-Lemus, Patricia Bizarro-Nevares, Nelly López-Valdez, Martha Ustarroz-Cano, María Isabel García-Peláez, María Eugenia Cervantes- Valencia, Shamir Mendoza-Martínez, José Ángel Salgado-Hernández, Brenda Casarrubias-Tabarez, Teresa I. Fortoul van der Goes
The endothelium is a monolayer of flatten cells named endothelial cells that form the inner layer of the heart, blood, and lymphatic vessels. Its function is not just as a barrier, but it is a regulator of vascular permeability and tone, hemostasis, inflammation, and angiogenesis. This review is about the general aspects of vascular endothelium and endothelial dysfunction that leads to increased vascular risk. Activation and dysfunction are discussed, considering the endothelialactivation as a self-limiting process, necessary to promote inflammation and hemostasis. Endothelial dysfunction is a pathological process in which the endothelium loses its ability for self-regulation and acquires a prothrombotic and proinflammation phenotype. Endothelial dysfunction is the initial step for atherosclerosis and increased cardiovascular risk, so the main biomarkers of endothelial dysfunction are reviewed. As basic knowledge about endothelium increases, preventive or therapeutic measures can be designed as treatment or prevention the risk of its dysfunction. Key words: Healthy endothelium; activation; endothelial; endothelial dysfunction; cardiovascular risk; atherosclerosis.
{"title":"El endotelio sano y su disfunción en el riesgo cardiovascular","authors":"Adriana González-Villalva, Guadalupe Morales-Ricardes, Marcela Rojas-Lemus, Patricia Bizarro-Nevares, Nelly López-Valdez, Martha Ustarroz-Cano, María Isabel García-Peláez, María Eugenia Cervantes- Valencia, Shamir Mendoza-Martínez, José Ángel Salgado-Hernández, Brenda Casarrubias-Tabarez, Teresa I. Fortoul van der Goes","doi":"10.22201/fm.24484865e.2023.66.6.07","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.6.07","url":null,"abstract":"The endothelium is a monolayer of flatten cells named endothelial cells that form the inner layer of the heart, blood, and lymphatic vessels. Its function is not just as a barrier, but it is a regulator of vascular permeability and tone, hemostasis, inflammation, and angiogenesis. This review is about the general aspects of vascular endothelium and endothelial dysfunction that leads to increased vascular risk. Activation and dysfunction are discussed, considering the endothelialactivation as a self-limiting process, necessary to promote inflammation and hemostasis. Endothelial dysfunction is a pathological process in which the endothelium loses its ability for self-regulation and acquires a prothrombotic and proinflammation phenotype. Endothelial dysfunction is the initial step for atherosclerosis and increased cardiovascular risk, so the main biomarkers of endothelial dysfunction are reviewed. As basic knowledge about endothelium increases, preventive or therapeutic measures can be designed as treatment or prevention the risk of its dysfunction. Key words: Healthy endothelium; activation; endothelial; endothelial dysfunction; cardiovascular risk; atherosclerosis.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-10DOI: 10.22201/fm.24484865e.2023.66.6.02
Jared González-Escandón, Diego Ordaz-Mayoral, Verónica Pablo-Mancilla, Alberto Vargas-Morales, Rodrigo Miranda-Zamora, Juan C. Díaz-Zagoya
Statins are widely used to control cholesterol levels in patients with hypercholesterolemia, which helps prevent cardiovascular diseases. In addition to controlling endogenous cholesterol synthesis, statins have diverse pleiotropic effects, such as antiinflammatory, antioxidant, and immunomodulatory properties. The disease caused by the SARS-CoV-2 virus (COVID-19) causes a cytokine storm that contributes to the generation of acute respiratory syndrome, which can lead to severe symptoms of this disease and even the death of the patient. Various studies carried out on patients with COVID-19 who received statins, before or during the disease, registered less severe symptoms, shorter hospital stays and lower mortality. The benefit of statins in COVID-19 should be explored more widely, as they can potentially contribute to the control of this pandemic that has devastated humanity. Keywords: Statins; COVID-19; inflammatory mediators; ator¬vastatin.
{"title":"Estatinas, una alternativa en el tratamiento de la COVID-19","authors":"Jared González-Escandón, Diego Ordaz-Mayoral, Verónica Pablo-Mancilla, Alberto Vargas-Morales, Rodrigo Miranda-Zamora, Juan C. Díaz-Zagoya","doi":"10.22201/fm.24484865e.2023.66.6.02","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.6.02","url":null,"abstract":"Statins are widely used to control cholesterol levels in patients with hypercholesterolemia, which helps prevent cardiovascular diseases. In addition to controlling endogenous cholesterol synthesis, statins have diverse pleiotropic effects, such as antiinflammatory, antioxidant, and immunomodulatory properties. The disease caused by the SARS-CoV-2 virus (COVID-19) causes a cytokine storm that contributes to the generation of acute respiratory syndrome, which can lead to severe symptoms of this disease and even the death of the patient. Various studies carried out on patients with COVID-19 who received statins, before or during the disease, registered less severe symptoms, shorter hospital stays and lower mortality. The benefit of statins in COVID-19 should be explored more widely, as they can potentially contribute to the control of this pandemic that has devastated humanity. Keywords: Statins; COVID-19; inflammatory mediators; ator¬vastatin.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139281071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-07DOI: 10.22201/fm.24484865e.2023.66.4s.02
Germán E. Fajardo Dolci
The educational training of general practitioners is a permanent challenge for everyuniversity-level school system. The early detection of strengths and learning needs favors timely and relevant action to support the academic trajectory of students and the achievement of a comprehensive training that benefits society. The Diagnosis of the Entry Profile of the Surgeon Degree of the Faculty of Medicine of the National Autonomous University of Mexico is a reflection of the conjunction of medical, educational and technological knowledge to achieve this goal. Keywords: Evaluation; diagnosis; admission profile; knowledge; English; vocational profile.
{"title":"Diagnóstico de perfil de ingreso de la Licenciatura de Médico Cirujano. Una experiencia de evaluación para la formación médica inicial.","authors":"Germán E. Fajardo Dolci","doi":"10.22201/fm.24484865e.2023.66.4s.02","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.4s.02","url":null,"abstract":"The educational training of general practitioners is a permanent challenge for everyuniversity-level school system. The early detection of strengths and learning needs favors\u0000timely and relevant action to support the academic trajectory of students and the\u0000achievement of a comprehensive training that benefits society. The Diagnosis of the Entry Profile of the Surgeon Degree of the Faculty of Medicine of the National Autonomous University of Mexico is a reflection of the conjunction of medical, educational and technological knowledge to achieve this goal.\u0000Keywords: Evaluation; diagnosis; admission profile; knowledge; English; vocational profile.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84761409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.15446/revfacmed.v71n2.110823
Miguel Cote-Menéndez
Between 2011 and 2021, the number of drug users increased by 23%, going from 240 million to 296 million.1 In this context, alcohol abuse is a risk factor for over 200 health disorders. According to the Pan American Health Organization (PAHO), the rate of alcohol use in the Americas is approximately 40% higher in the Americas than the global average, which means that this population consumes alcohol in a manner that is detrimental to their health. Therefore, among the numerous psychoactive substances available, alcohol is the main risk factor for burden of disease.2
{"title":"Alcohol abuse: a major invisible pandemic","authors":"Miguel Cote-Menéndez","doi":"10.15446/revfacmed.v71n2.110823","DOIUrl":"https://doi.org/10.15446/revfacmed.v71n2.110823","url":null,"abstract":"Between 2011 and 2021, the number of drug users increased by 23%, going from 240 million to 296 million.1 In this context, alcohol abuse is a risk factor for over 200 health disorders. According to the Pan American Health Organization (PAHO), the rate of alcohol use in the Americas is approximately 40% higher in the Americas than the global average, which means that this population consumes alcohol in a manner that is detrimental to their health. Therefore, among the numerous psychoactive substances available, alcohol is the main risk factor for burden of disease.2","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136238627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-12DOI: 10.15446/revfacmed.v71n1.110582
Alejandro Fernández-Duque
Los derechos sexuales y reproductivos están protegidos en Colombia por la Constitución Política de 1991;1 por tanto, es responsabilidad del Estado garantizar su cumplimiento. Durante muchos años, a los profesionales de la salud nos costó trabajo entender esto y cuando un paciente entraba a consulta pidiéndonos un método anticonceptivo definitivo tratábamos de disuadirlo. No obstante, hemos aprendido que nuestra función en esta área es aconsejar y no crear barreras, ni imponer límites de edad o de número de hijos, pues tal como se estableció en la Ley 1412 de 2010,2 las personas tienen derecho a decidir libre y responsablemente el número de hijos que conformarán su familia o si no quieren ser padres, y por tanto se debe promover la ligadura de conductos deferentes o vasectomía y la ligadura de trompas uterinas y autorizar su realización de forma gratuita.
{"title":"La vasectomía en Colombia: algunos comentarios sobre la situación actual","authors":"Alejandro Fernández-Duque","doi":"10.15446/revfacmed.v71n1.110582","DOIUrl":"https://doi.org/10.15446/revfacmed.v71n1.110582","url":null,"abstract":"Los derechos sexuales y reproductivos están protegidos en Colombia por la Constitución Política de 1991;1 por tanto, es responsabilidad del Estado garantizar su cumplimiento. Durante muchos años, a los profesionales de la salud nos costó trabajo entender esto y cuando un paciente entraba a consulta pidiéndonos un método anticonceptivo definitivo tratábamos de disuadirlo. No obstante, hemos aprendido que nuestra función en esta área es aconsejar y no crear barreras, ni imponer límites de edad o de número de hijos, pues tal como se estableció en la Ley 1412 de 2010,2 las personas tienen derecho a decidir libre y responsablemente el número de hijos que conformarán su familia o si no quieren ser padres, y por tanto se debe promover la ligadura de conductos deferentes o vasectomía y la ligadura de trompas uterinas y autorizar su realización de forma gratuita.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135886997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-10DOI: 10.22201/fm.24484865e.2023.66.5.06
Juan Jesús Yáñez Camacho, Mariedel Trujeque-Matos, David Mendoza Ayala
Male patient, 3 years old age, with abdominal pain, sudden, predominantly in right hypochondrium, distension abdominal, nausea, and bowel movements in "currant jelly
患者男，3岁，腹痛，突发性，以右胁部为主，腹胀，恶心，大便呈“醋栗果冻”状
{"title":"Haga su diagnóstico","authors":"Juan Jesús Yáñez Camacho, Mariedel Trujeque-Matos, David Mendoza Ayala","doi":"10.22201/fm.24484865e.2023.66.5.06","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.5.06","url":null,"abstract":"Male patient, 3 years old age, with abdominal pain, sudden, predominantly in right hypochondrium, distension abdominal, nausea, and bowel movements in \"currant jelly","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136073237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-10DOI: 10.22201/fm.24484865e.2023.66.5.07
Teresa I. Fortoul
Santiago Ramón y Cajal had a brother, Pedro who has been ignored by History, hidden under the enormous shadow of its famous relative but also due to his humble and modest character. Both were decreed by their parents to be doctors, a profession to which they would arrive not without first going through many adventures
Santiago Ramón y Cajal有一个兄弟Pedro，他一直被历史所忽视，隐藏在其著名亲戚的巨大阴影下，但也因为他的谦逊和谦虚的性格。他们的父母都规定他们要当医生，这是一个他们必须经历许多冒险才能到达的职业
{"title":"El otro Ramón y Cajal","authors":"Teresa I. Fortoul","doi":"10.22201/fm.24484865e.2023.66.5.07","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.5.07","url":null,"abstract":"Santiago Ramón y Cajal had a brother, Pedro who has been ignored by History, hidden under the enormous shadow of its famous relative but also due to his humble and modest character. Both were decreed by their parents to be doctors, a profession to which they would arrive not without first going through many adventures","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136073235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Intususcepción en adulto como complicación de un lipoma parietal intestinal. Reporte de caso","authors":"Leidi Johana Rodríguez Sotto, Emmanuel Francisco Murguía Lugo, Julián Andrés Bucheli Buesaco","doi":"10.22201/fm.24484865e.2023.66.5.04","DOIUrl":"https://doi.org/10.22201/fm.24484865e.2023.66.5.04","url":null,"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.","PeriodicalId":21295,"journal":{"name":"Revista de la Facultad de Medicina","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136073236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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