Assuntos
Duodenopatias/etiologia , Obstrução Duodenal/complicações , Intussuscepção/etiologia , Síndrome da Artéria Mesentérica Superior/complicações , Adulto , Duodenopatias/diagnóstico por imagem , Duodenopatias/cirurgia , Feminino , Humanos , Intussuscepção/diagnóstico por imagem , Intussuscepção/cirurgia , RadiografiaRESUMO
Siendo el duodeno un organo fijo, la invaginacion sobre si mismo es una rareza. No hemos encontrado informe en la literatura mundial de caso similar, por lo que consideramos de interes informar de una paciente con obstruccion parcial por invaginacion duodeno-duonenal secundaria a un sindrome de pinza mesenterica superior de larga evolucion. Se efectuo duodeno-yeyunoanastomosis latero-lateral retrocolica, con resultados satisfactorios.Se revisa la literatura y se hacen consideraciones en relacion al diagnostico diferencial y tratamiento de las alteraciones congenitas del duodeno. Conclusiones: La obstruccion parcial cronica del duodeno puede ocasionar una invaginacion que requiere tratamiento quirurgico
Assuntos
Humanos , Obstrução Duodenal , Intussuscepção , Síndrome da Artéria Mesentérica SuperiorRESUMO
En el higado se presentan una gran variedad de quistes benignos y lesiones solidas Al contrario de lo que sucede con lesiones causadas por parasitos o por anticonceptivos orales que pueden llegar a ser fatales los quistes congenitos pueden permanecer asintomaticos o causar molestias minimas.En ocasiones requieren tratamiento quirurgico por el volume que pueden alcanzar o bien para llegar a un diagnostico definitivo. Se revisa la literatura sobre este tema y se informa de un caso
Assuntos
Pessoa de Meia-Idade , Humanos , Feminino , Cistos , HepatopatiasRESUMO
After major surgery some patients, especially those with an infectiouss process or sepsis, develop jaundice which has been called reactive hepatitis, toxic hepatitis, septic hepatitis or benign postoperative cholestasis; these terms do not have a very precise connotation. Eighty patients with postoperative sepsis and jaundice where studied, excluding those with liver or biliary tract disease, hepato-toxic drugs or repeated halogenated anesthetics. All of them had complete laboratory tests, cultures and percutaneous liver biopsy when it was feasible. Thirty five patients were submitted to percutaneous liver biopsy and they are the material for this paper. There was no correlation with the type and duration of the operation, postoperative complications, shock or kind of anesthesia. The main laboratory changes were leukocytosis, neutrophilia, elevation of the bilirubins mainly the direct type and increase of the alkaline phosphatase; transaminases were within normal limits. Cultures were positive in 76% of the cases predominating E. coli, Pseudomonas a. and Proteus, anaerobics were present in 22.8% of the cases. The liver biopsy showed lymphoctic infiltration, hyperplasia of the Kupffer cells, hepatic regeneration and turbid tumefaction; pericholangitis, focal necrosis, retention of pigment and steatosis were less frequent. We consider that the best denomination of these complications is benign postoperative cholestasis.