RESUMO
Diagnosis of foreign body perforation of the gastrointestinal tract can be difficult. The purpose of this report is to describe a case of acute peritonitis after perforation of the ileum by a fish bone that was detected by computed tomography.
Assuntos
Corpos Estranhos/diagnóstico , Íleo/lesões , Perfuração Intestinal/etiologia , Peritonite/etiologia , Idoso , Animais , Osso e Ossos , Feminino , Peixes , Corpos Estranhos/cirurgia , Humanos , Íleo/cirurgia , Perfuração Intestinal/cirurgia , TunísiaRESUMO
We show here that phosphorylation of the insulin receptor and insulin receptor substrate-1 is increased when suspended cells are replated on fibronectin. This is not due to decreased numbers of cell surface receptors, alteration of insulin binding, or stimulation of a phosphatase activity in non-adherent cells. Expression of Src together with focal adhesion kinase (FAK) in suspended cells restores insulin-induced receptor autophosphorylation to levels observed in fibronectin-attached cells. Conversely, expression of dominant-negative mutants of either Src or FAK abolishes potentiation of insulin receptor phosphorylation by cell adhesion. The results suggest that both Src and FAK participate in integrin-mediated regulation of insulin receptor signal.