RESUMEN
Las recomendaciones son consejos dados por considerarse beneficiosos y no dejan de ser sugerencias, abiertas por tanto a diferentes interpretaciones. En ese sentido, el objetivo final de la revisión ha sido, con las evidencias disponibles, intentar homogeneizar al máximo la aproximación al diagnóstico y tratamiento medicoquirúrgico de una de las manifestaciones más complejas de la enfermedad de Crohn como son las fístulas perianales simples y complejas
Recommendations are advice that is given and considered to be beneficial; however, they are still suggestions and are therefore open to different interpretations. In this sense, the final objective of the review has been to try to homogenize, with the evidence available, the approach to the diagnosis and medical/surgical treatment of one of the most complex manifestations of Crohn's disease, such as simple and complex perianal fistulas
Asunto(s)
Humanos , Fístula Rectal/terapia , Enfermedad de Crohn/epidemiología , Colitis Ulcerosa/terapia , Enfermedad de Crohn/cirugía , Enfermedad de Crohn , Consenso , Índice de Severidad de la EnfermedadRESUMEN
Recommendations are advice that is given and considered to be beneficial; however, they are still suggestions and are therefore open to different interpretations. In this sense, the final objective of the review has been to try to homogenize, with the evidence available, the approach to the diagnosis and medical/surgical treatment of one of the most complex manifestations of Crohn's disease, such as simple and complex perianal fistulas.
Asunto(s)
Enfermedad de Crohn/complicaciones , Fístula Rectal/terapia , Corticoesteroides/uso terapéutico , Antibacterianos/uso terapéutico , Anticuerpos Monoclonales/uso terapéutico , Antirreumáticos/uso terapéutico , Endoscopía/métodos , Femenino , Fisura Anal/etiología , Fisura Anal/terapia , Humanos , Oxigenoterapia Hiperbárica , Inmunosupresores/uso terapéutico , Imagen por Resonancia Magnética/métodos , Trasplante de Células Madre Mesenquimatosas , Proctitis/tratamiento farmacológico , Proctitis/etiología , Proctitis/cirugía , Fístula Rectal/clasificación , Fístula Rectal/diagnóstico , Fístula Rectal/etiología , Fístula Rectovaginal/etiología , Fístula Rectovaginal/cirugía , Fístula Rectovaginal/terapia , Salicilatos/uso terapéutico , Colgajos Quirúrgicos , Tomografía Computarizada por Rayos X/métodos , Ultrasonografía/métodosRESUMEN
We report a case of successful percutaneous treatment of a congenital splenic cyst using alcohol as the sclerosing agent. A 14-year-old female adolescent presented with a nonsymptomatic cystic mass located in the spleen that was believed to be congenital. After ultrasonography, a drainage catheter was placed in the cavity. About 250 ml of serous liquid was extracted and sent for microbiologic and pathologic studies to rule out an infectious or malignant origin. Immediately afterwards, complete drainage and local sclerotherapy with alcohol was performed. This therapy was repeated 8 days later, after having observed 60 ml of fluid in the drainage bag. One year after treatment the cyst has practically disappeared. We believe that treatment of splenic cyst with percutaneous puncture, ethanolization, and drainage is a valid option and it does not rule out surgery if the conservative treatment fails.