RESUMO
Small bowel transplantation trials before cyclosporine was unavailable because of rejection, graft-versus-host disease and technical problems. With the discovery of cyclosporine, and another immunosuppressors like prednisone, antithymocyte globulin, azathioprine, OKT3 and the recent rapamycin, mycophenolate mofetil, deoxyspergualin, FK506, mizoribine and brequinar sodium, the prognosis for small bowel transplanted patients is better than before.
Assuntos
Intestinos/transplante , Rejeição de Enxerto/prevenção & controle , Doença Enxerto-Hospedeiro/prevenção & controle , Humanos , Terapia de Imunossupressão/métodos , Monitorização FisiológicaRESUMO
This is a case report of an ileosigmoid volvulus in a 68 year old man. The patient had emergency surgery for an acute abdominal condition. Intraoperative diagnosis of an ileosigmoid knot was made and it was necessary to resect the necrotic portion of the ilium, with ilioiliostomy, and to resect the gangrenous section of the sigmoid colon, end colostomy, and Hartmann pouch. Eleven weeks later, a colosigmoidostomy was realized. The evolution of the patient was satisfactory. The literature about ileosigmoid volvulus is reviewed.
