Intussuscepção em crianças: avaliação por métodos de imagem e abordagem terapêutica

Cunha, Fábio Motta da; Figueirêdo, Sizenildo da Silva; Nóbrega, Bruno Barcelos da; Oliveira, Galba Leite; Monteiro, Soraya Silveira; Lederman, Henrique Manoel

doi:10.1590/s0100-39842005000300010

Cited by 4 publications

(4 citation statements)

References 28 publications

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“…In the large gut, 36% of malignant cases have been identified 8 . This condition is rare in adults, remains a diagnostic challenge for most surgeons, especially due to presenting a wide range of the symptoms, chronic problems often predominate 2,4,5,6,8,9 . In all series, the abdominal pain was most common symptom, followed by the nonspecific complaints with nausea, vomiting, constipation and fever.…”

Section: Discussionmentioning

confidence: 99%

Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report

Faruk

Bhuiyan²,

Parvin³

et al. 2021

Bangladesh J Med Sci

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Intussusception, invagination of a segment of the gut into an adjacent one, is a relatively common cause of the intestinal obstruction in children but a very rare and uncommon clinical entity in the adults accounting to 1% and near about 65% of these are caused by malignant lead point. The Lipomatous polyp accounts for 4% of all benign tumors of the gut. In most of the cases, these are seen particularly in large intestine, usually sub mucosal and around ileocecal valve. These are mostly and very often asymptomatic. Mrs. Rahima Begum aged 65 years, previously was a healthy Bangladeshi housewife, with the history of recurrent abdominal colic of moderate intensity for the last 6 months, associated with the appearance of mass in the right lower quadrant with features of sub-acute intestinal obstruction got admitted into the Ibn Sina Medical College Hospital, Kallyanpur, Dhaka, Bangladesh. The required and most relevant investigations revealed the Ileocolic intussusception and underwent the right hemicolectomy. Postoperative recovery of the patient was uneventful excepting the hypertension only. Histopathology investigations revealed lipomatous polyp arising from the Ileocecal junction. This study reports intussuception in the adult due to lipomatous polyp, a very rare case presenting with sub acute intestinal obstruction. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.204-207

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Section: Discussionmentioning

confidence: 99%

Intussusception in Adult due to Lipomatous Polyp - An Uncommon Case Report

Faruk

Bhuiyan²,

Parvin³

et al. 2021

Bangladesh J Med Sci

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“…No hemograma (Anexo 2), o paciente apresentou anemia normocítica e normocromica, leucocitose, hipoproteinemia, trombocitose, eosinofilia e linfopenia. A anemia pode estar relacionada com a perda hemorrágica que acontece em ambas às afecções, tendo em vista que, a intussuscepção pode causar um extravasamento de sangue decorrente da perda da integridade da mucosa, causada pela isquemia intestinal (Cunha et al, 2005) e a ancilostomose, pode causar anemia hemorrágica aguda ou crônica. (Carlos et al, 2011).…”

Section: Discussionunclassified

Intususcepción intestinal secundaria a parasitosis por Ancylostoma spp. en un perro

Oliveira¹,

Volkweis

Sales

et al. 2020

Pubvet

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A intussuscepção é a invaginação de um segmento intestinal em outro adjacente, causada por alterações da motilidade. A ancilostomose é uma infecção parasitária de intestino delgado, que acomete animais de todas as idades, principalmente cães jovens. Ambas afecções possuem sinais clínicos inespecíficos, porém muito semelhantes, como anemia, anorexia, dispneia, letargia, perda de peso êmese, diarreia sanguinolenta, distensão, dor abdominal e prolapso retal. O tratamento preconizado para intussuscepção se dá através da laparotomia exploratória seguida da redução manual ou da ressecção e anastomose intestinal, e para ancilostomose preconiza-se o uso de anti-helmínticos e terapia suporte, quando necessário. Relata-se um caso de intussuscepção secundária a infecção por Ancylostoma spp. em um cão com diarreia crônica, reduzida através de técnica cirúrgica. Sendo abordado aspectos de diagnóstico, tratamento e complicações terapêuticas. Em que pese, é importante salientar que a ancilostomíase pode causar intussuscepção e que o médico veterinário deve estar a par do diagnóstico, do ciclo do parasita, das técnicas de prevenção ambiental e do tratamento clínico e cirúrgico.Palavras-chave: ancilostomíase, cirurgia, intestino, invaginação, nematoide Secondary intestinal intussusception to parasitosis by Ancyclostoma spp. in a dogAbstract. Intussusception is the invagination of one intestinal segment into an adjacent segment, caused by changes in motility. Hookworm is a parasitic infection of the small intestine that affects animals of all ages, especially young dogs. Both conditions have nonspecific but very similar clinical signs, such as anemia, anorexia, dyspnea, lethargy, weight loss, emesis, bloody diarrhea, distension, abdominal pain, and rectal prolapse. Intussusception treatment is recommended by exploratory laparotomy followed by manual reduction or intestinal resection and anastomosis, and hookworm is recommended to use anthelminthic and supportive therapy when necessary. We report a case of intussusception secondary to Ancylostoma spp. in a dog with chronic diarrhea, reduced by surgical technique. Being addressed aspects of diagnosis, treatment and therapeutic complications. Importantly, hookworm can cause intussusception and the veterinarian should be aware of the diagnosis, the parasite cycle, environmental prevention techniques and clinical and surgical treatment.

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“…In the large intestine, 36% of malignant cases have been identified 8 . This condition is rare in adults, remains a diagnostic challenge for most surgeons, especially for presenting wide range of symptoms, chronic symptoms often predominate 2,4,5,6,8,9 . In all series abdominal pain was the most common symptom, followed by nonspecific symptoms with nausea, vomiting, constipation and fever.…”

Section: Discussionmentioning

confidence: 99%