RESUMO
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.
Assuntos
Doença de Crohn/complicações , Fístula Retal/terapia , Corticosteroides/uso terapêutico , Antibacterianos/uso terapêutico , Anticorpos Monoclonais/uso terapêutico , Antirreumáticos/uso terapêutico , Endoscopia/métodos , Feminino , Fissura Anal/etiologia , Fissura Anal/terapia , Humanos , Oxigenoterapia Hiperbárica , Imunossupressores/uso terapêutico , Imageamento por Ressonância Magnética/métodos , Transplante de Células-Tronco Mesenquimais , Proctite/tratamento farmacológico , Proctite/etiologia , Proctite/cirurgia , Fístula Retal/classificação , Fístula Retal/diagnóstico , Fístula Retal/etiologia , Fístula Retovaginal/etiologia , Fístula Retovaginal/cirurgia , Fístula Retovaginal/terapia , Salicilatos/uso terapêutico , Retalhos Cirúrgicos , Tomografia Computadorizada por Raios X/métodos , Ultrassonografia/métodosRESUMO
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
Assuntos
Humanos , Fístula Retal/terapia , Doença de Crohn/epidemiologia , Colite Ulcerativa/terapia , Doença de Crohn/cirurgia , Doença de Crohn , Consenso , Índice de Gravidade de DoençaRESUMO
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.