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3.
J Surg Case Rep ; 2018(9): rjy248, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30254735

RESUMO

Small bowel intussusception is an uncommon cause of adult intestinal obstruction after gastric bypass for morbid obesity. It usually affects the Roux or the common limb at the jejunojejunostomy site and is mainly retrograde. An altered motility of the Roux limb seems to be the main explanation for its developement. We report the case of a patient with a late acute anterograde intussusception after a previous distal Roux-en-Y gastric bypass. Clinical, radiological and operative findings are presented and surgical solutions described in the literature are reviewed.

5.
Rev Esp Enferm Dig ; 107(1): 39-40, 2015 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25603331

RESUMO

Systemic lupus erithematosus (SLE) is an autoimmune disease with multiorgan involvement caused principally by vasculitis of small vessels. The gastrointestinal tract is one of the most frequently affected by SLE, with abdominal pain as the most common symptom. An early diagnosis and treatment of lupus enteritis is essential to avoid complications like hemorrhage or perforation, with up to 50 % of mortality rate. However, differential diagnosis sometimes is difficult, especially with other types of gastrointestinal diseases as digestive involvement of antiphospholipid syndrome (APS), moreover when both entities may coexist. We describe the case of a patient with both diseases that was diagnosed with lupus enteritis and treated with steroid therapy; the patient had an excellent response.


Assuntos
Abdome Agudo/etiologia , Neoplasias Intestinais/complicações , Linfangioma/complicações , Humanos , Neoplasias Intestinais/patologia , Jejuno/patologia , Jejuno/cirurgia , Laparotomia , Linfonodos/patologia , Linfangioma/patologia , Masculino , Mesentério , Pessoa de Meia-Idade
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