RESUMO
Intestinal endometriosis can rarely show itself bowel obstruction. An accurate anamnesis, radiological tests and endoscopy are of some use for correct diagnosis. Frequently however, differential diagnosis with others of pathology is not possible either in preoperative or in postoperative management, but by means of histological finding. We present here a case of acute bowel obstruction secondary to ileo-cecal endometriosis.
Assuntos
Endometriose/complicações , Valva Ileocecal , Obstrução Intestinal/etiologia , Doença Aguda , Adulto , Diagnóstico Diferencial , Endometriose/diagnóstico , Endometriose/patologia , Endometriose/cirurgia , Feminino , Humanos , Doenças do Íleo/complicações , Doenças do Íleo/diagnóstico , Doenças do Íleo/patologia , Doenças do Íleo/cirurgia , Valva Ileocecal/patologia , Valva Ileocecal/cirurgia , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/patologia , Obstrução Intestinal/cirurgiaRESUMO
Pseudoxanthoma Elasticum (PXE) is a rare inherited elastic tissue disorder with degeneration of elastic fibres involving mainly skin, eyes and the cardiovascular system. Upper gastro-intestinal hemorrhage occurs in 13% of cases and is often resistant to non-surgical methods of treatment. One case report involving recurrent gastric hemorrhage in a young patient with PXE and treated with total gastrectomy is presented. Diagnosis was made, after surgery, by biopsy of skin lesions of the neck. The characteristics of PXE are reviewed and the case is discussed.
Assuntos
Hemorragia Gastrointestinal/etiologia , Pseudoxantoma Elástico/complicações , Adolescente , Biópsia , Feminino , Gastrectomia , Hemorragia Gastrointestinal/cirurgia , Humanos , Pseudoxantoma Elástico/diagnóstico , Pseudoxantoma Elástico/patologia , Pele/patologia , Estômago/patologiaRESUMO
A duodenal lesion due to blunt abdominal trauma is an infrequent eventi which makes important diagnostic and therapeutic problems. The preoperative diagnosis is not always easy, especially with retroperitoneal lesion or in injured patients. A plain abdominal radiography or a duodenal radiography with soluble contrast medium helps to achieve a proper diagnosis. Prognosis strictly depends on time between injury and surgical procedures. We report two successfully treated lesions of fourth duodenal due to a blunt abdominal trauma.
Assuntos
Traumatismos Abdominais , Duodeno/lesões , Ferimentos não Penetrantes , Traumatismos Abdominais/cirurgia , Adulto , Duodeno/cirurgia , Feminino , Humanos , Masculino , RupturaRESUMO
The authors describe the case of a 49-year-old man with a giant diverticulum of the duodenum, with apparently scarce symptoms, pointed out by gastroscopy and X-ray of the upper gastrointestinal duct with barium meal. The removal of the lesion, obtained after surgical operation, showed a diverticulum with a 6 cm diameter, with signs of diverticulitis; the histological test did not point out is degenerative lesions. A survey of the recent literature on the matter is presented.