RESUMO
Intussusception in infants and children represents a relatively usual challenge for the pediatric surgeon. However, the incidence of lymphoma of the small intestine or inflammatory myofibroblastic tumor, acting as a lead point for invagination, are rather rare. We hereby present two cases of secondary intussusception, with the aforementioned lead points.
Assuntos
Doenças do Íleo/diagnóstico , Neoplasias do Íleo/diagnóstico , Intussuscepção/diagnóstico , Linfoma/diagnóstico , Adolescente , Criança , Feminino , Humanos , Doenças do Íleo/patologia , Doenças do Íleo/cirurgia , Neoplasias do Íleo/patologia , Neoplasias do Íleo/cirurgia , Intestino Delgado/patologia , Intestino Delgado/cirurgia , Intussuscepção/patologia , Intussuscepção/cirurgia , Linfoma/patologia , Linfoma/cirurgia , MasculinoRESUMO
Blunt abdominal injury in children can be a significant diagnostic and therapeutic challenge. The extent and localization of organ damage cannot be always thoroughly investigated noninvasively and in spite of modern imaging techniques and a laparotomy may be necessary for diagnosis, even though it carries a significant morbidity. We present a rare case of isolated gastric rupture after blunt abdominal injury in a 12 year old boy that sustained a bicycle accident. He was hemodynamically stable, had signs of acute abdomen and axial tomography was inconclusive as of the site of visceral perforation. Definitive diagnosis and treatment were carried out laparoscopically with excellent results. Laparoscopic surgery in cases of blunt abdominal injury with gastric rupture can serve both as a diagnostic and therapeutic modality with the additional advantage of being less traumatic. The accumulation of relevant experience is mandatory in order to establish this modality in the diagnostic and therapeutic protocols.