RESUMO
Una paciente de sexo femenino, obesa, presentó un cuadro de oclusión intestinal secundaria a una hernia de Spiegel estrangulada. Relatamos el proceso diagnóstico, su tratamiento y evolución. Realizamos una revisión bibliográfica de esta poco frecuente presentación, haciendo algunas consideraciones sobre su frecuencia, forma de estudio y posibilidades terapéuticas.
An obese female patient presented with intestinal obstruction secondary to a strangulated Spiegel hernia. We report the diagnostic process, its treatment and evolution. A bibliographical revision is done with considerations on the frequency, diagnostic workup and alternative therapies
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Ultrassonografia , Laparoscopia , Hérnia Abdominal/cirurgia , Hérnia Abdominal/diagnóstico , AponeuroseRESUMO
Secondary retroperitonitis after a developed acute appendicitis (without intraperitoneal involvement) is an unusually event. But otherwise manifested as inguinal tumoration, in a patient without previous inguinal hernia, is still less frequent. The fact that the retroperitoneal abscess founded the disection of the structures of the inguinal canal (without previous hermiation) by the retroperitoneal abscess simulating the clincal presentation of a strangulated inguinal hernia, supported to perform this presentation.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Antibioticoprofilaxia , Abscesso Abdominal/cirurgia , Abscesso Abdominal/complicações , Apendicite/cirurgia , Apendicite/patologia , Nutrição Enteral , Peritonite/cirurgia , Peritonite/patologiaRESUMO
The unique cecal diverticulitis is a rare event in the occidental population with a difficult pre-surgical diagnosis. The observation of this entity encountered during the development of a laparoscopy because a supposed diagnosis of acute apendicitis, motivated this report.
