Invagination of the small intestine in the adult: small intestine lipoma
Invaginación del intestino delgado en el adulto: lipoma de intestino delgado
Resumen:
The author reviews sorne general aspects· of lipomas and invagination of small intestine in adults, such as national case material, patbology, clínica! and radiologicalaspects, therapy employed and surgical management. He also presents bis own case material consisting of four patients _with pedicled lipoma of small intestinecomplicated by ileo-ileal and ileo-colic invagination. In one case there was low ileal occlusion, with vascular involvement and mesentero-ileal necrosis. In the remainingthree there was jejunal, ileal and ileo-colic invagination. In cases of urgency due to this complication he advises exploratory laparotomy for diagnostica! purposes.The lesion found and its topography will determine surgical procedure employed. When the ileocaecal sector is involved and it is not possible to deinvaginateit, or else there is devitalization, a right ileo-colectomy is indicated. 'I'his will also be the tactic employed when carcinomas cannot be totally discarded.The only safe means, in bis opinion, of establishing the real nature of tumor is through histopathological study, since tumors of similar symptomatology, clinical aspect and topography may or may not be malign.
Analizamos la Invaginación del intestino delgado en el adulto y el lipoma de intestino delgado. Revisamos su Casuística Nacional. Presentamos 4 observaciones de lipoma (pediculado) de intestino delgado, que desarrollaron como complicación -invaginación- ( íleoileal e ileocólica). Oclusión íleal baja, con participación vascular y necrosismesenteroileal en un caso. Los otros invaginación yeyunal, íleal e ileocólica. Hacemos la revisión de la patología, clínica, radiológica, terapéutica y manejo operatorio.Reafirmamos la importancia de la laparotomía exploradora por esta complicación, en la urgencia. Su diagnóstico resulta mayoritariamente de la exploración operatoria. La complicación será resuelta de acuerdo a la comprobación lesiona! y su topografía. Cuando corresponde al sector ileocecal y no puede se desinvaginada, o hay desvitalización o no ha podido ser descartado con certeza el carcinoma, la ileocolectomía derecha, está formalmente indicada. El estudio histopatológico es el único medio para el diagnóstico segurode la naturaleza del tumor. Tumores de similar sintomatología, exteriorización clínica y topografía, pueden ser malignos.
| 1973 | |
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lipoma sistema digestivo cirugía gástrica lipoma digestive system gastric surgery |
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| Español | |
| Sociedad de Cirugía del Uruguay | |
| Revista Cirugía del Uruguay | |
| https://revista.scu.org.uy/index.php/cir_urug/article/view/2400 | |
| Acceso abierto |
| Sumario: | The author reviews sorne general aspects· of lipomas and invagination of small intestine in adults, such as national case material, patbology, clínica! and radiologicalaspects, therapy employed and surgical management. He also presents bis own case material consisting of four patients _with pedicled lipoma of small intestinecomplicated by ileo-ileal and ileo-colic invagination. In one case there was low ileal occlusion, with vascular involvement and mesentero-ileal necrosis. In the remainingthree there was jejunal, ileal and ileo-colic invagination. In cases of urgency due to this complication he advises exploratory laparotomy for diagnostica! purposes.The lesion found and its topography will determine surgical procedure employed. When the ileocaecal sector is involved and it is not possible to deinvaginateit, or else there is devitalization, a right ileo-colectomy is indicated. 'I'his will also be the tactic employed when carcinomas cannot be totally discarded.The only safe means, in bis opinion, of establishing the real nature of tumor is through histopathological study, since tumors of similar symptomatology, clinical aspect and topography may or may not be malign. |
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