Intususcepción ileo-ileal secundario a pólipo fibroide inflamatoriocomunicación de un caso y revisión de la literatura.

  1. A Medina Velasco 1
  2. R de la Plaza Llamas 1
  3. V Arteaga Peralta 1
  4. AJ López Marcano 1
  5. B González Sierra 1
  6. DA Díaz Candelas 1
  7. B Sastre Borregón 1
  8. R Latorre Fragua 1
  9. JM Ramia Ángel 1
  1. 1 Hospital Universitario de Guadalajara. Guadalajara.
Revista:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Año de publicación: 2020

Volumen: 31

Número: 1

Páginas: 69-80

Tipo: Artículo

DOI: 10.37351/2020311.12 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Cirugía Andaluza

Resumen

Introducción: la intususcepción es el deslizamiento de un segmento de tracto gastrointestinal hacia otro distalmente adyacente, pudiendo alterar el tránsito gastrointestinal y su vascularización. Es más frecuente en niños y raro en adultos (5-16%), representando en estos últimos 1-5% de los casos de obstrucción intestinal. Una rara causa de esta es el pólipo fibroide inflamatorio (PFI). Presentamos un caso y revisamos la literatura. Material y Métodos: se trata de un caso de intususcepción íleo-ileal causada por un PFI en una mujer de 26 años y realizamos una búsqueda en la literatura (actualizada el 9 de febrero de 2018). Como criterios de inclusión se seleccionaron aquellos pacientes con cuadros de intususcepción de intestino delgado por PFI. Se excluyeron los casos en otras localizaciones. Resultados: la mediana de edad fue de 45 años con un rango intercuartilítico (RI) de 35-58 años, siendo más frecuente en mujeres (55%). La localización más frecuente de los PFI el íleon. La duración de los síntomas hasta la valoración hospitalaria tuvo una mediana de diez días (RI 3-45 días), presentando una masa palpable abdominal en 22 casos (22%). La tomografía computarizada fue la prueba más utilizada en el diagnóstico. En el tratamiento quirúrgico, la técnica más realizada fue la resección y anastomosis de intestino delgado por laparotomía. La mediana del tamaño del PFI fue de 3,5 cm (RI 3-5 cm). Discusión y conclusiones: la intususcepción causada por PFI en intestino delgado ha sido descrita en 99 ocasiones en la literatura revisada, considerándose un hallazgo excepcional.

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Fuente de los datos: Dialnet