RESUMEN
A 37-year-old man with a past history of a fall from height 16 years previously was admitted with acute abdomen. Investigations revealed intestinal obstruction caused by a diaphragmatic hernia. He had an incarcerated omentum and Richter's hernia of the transverse colon secondary to left diaphragmatic hernia leading to colonic ileus. Following resection of the strangulated omentum and reduction of the colon intraabdominally, a surgical repair of the hernia was performed using an abdominal and transthoracic approach. The relatively rare late complication of a left-sided enterothorax with ileus makes this a remarkable case and underlines the need for early surgery to avoid late complications.
Asunto(s)
Colon Transverso , Enfermedades del Colon/etiología , Enfermedades del Colon/cirugía , Hernia Diafragmática Traumática/complicaciones , Hernia Diafragmática Traumática/cirugía , Obstrucción Intestinal/etiología , Obstrucción Intestinal/cirugía , Abdomen Agudo/etiología , Adulto , Colon Transverso/diagnóstico por imagen , Colon Transverso/cirugía , Enfermedades del Colon/diagnóstico por imagen , Hernia Diafragmática Traumática/diagnóstico por imagen , Humanos , Obstrucción Intestinal/diagnóstico por imagen , Masculino , Derrame Pleural/diagnóstico por imagen , Derrame Pleural/etiología , Derrame Pleural/cirugía , Radiografía , ToracotomíaRESUMEN
Wegener's granulomatosis is a necrotizing vasculitis of unknown etiology characterized mainly by inflammation of the small- and medium-sized arteries and veins that affect any viscera. It may rarely involve the gastrointestinal tract. Only a few cases of multiple focus ileal perforation due to ulcers associated with Wegener's granulomatosis have been reported. Herein we report a case of a 32-year-old man with extensive intestinal small bowel ischaemic perforation due to Wegener's granulomatosis.
