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Diverticulitis cecal y cirugía laparoscópica asistida. ¿Son compatibles? Presentación de un caso
| Content Provider | Semantic Scholar |
|---|---|
| Author | Zolezzi, Adrián Murillo Montes, Carlos Guerrero, Víctor Hugo Guerrero Reyes, Carlos Cosme Morishige, Pablo Daniel Murakami |
| Copyright Year | 2009 |
| Abstract | Objective: We present a case of cecal diverticulitis diagnosed through CAT scan, which was managed with laparoscopic assisted ileo-colic resection. Setting: Third level health care hospital (ABC medical center). Design: Case report. Description of the case: Male patient, 37-year-old, who started 18 h before with oppressive abdominal pain, in the epigastrium, which later turned diffuse, intensity 7/10, constant, accompanied by non-quantified fever, chills, and intense nausea without vomitting. He referred having had a similar condition 6 months before. Physical exploration revealed painful abdomen to deep palpation in the right hypochondrium and epigastrium with negative rebound. Tests revealed leukocytosis. The TAC scan revealed an inflamed cecal diverticulum. He was subjected to a laparoscopic assisted ileo-colic resecction. The post-operative period was uneventful and he was discharged in good conditions. Conclusion: The diagnosis of cecal diverticulitis is rare. It is an uncommon entity and its clinical presentation is suggestive of acute appendicitis. TAC scan enables a differential diagnosis. Laparoscopy-assisted treatment can be a feasible alternative, which provides the benefits of a faster recovery, a better cosmetic result, and a faster return to daily activities. Resumen Objetivo: Exponemos un caso de diverticulitis cecal diagnosticado por medio de tomografia axial computada, que se manejo con reseccion ileocolica asistida por laparoscopia. Sede: Hospital de tercer nivel de atencion (Centro Medico ABC). Diseno: Reporte de caso. Descripcion del caso: Masculino de 37 anos quien inicio 18 h antes con dolor abdominal opresivo, en epigastrio y que posteriormente se torno difuso, intensidad 7/10, constante, acompanado por fiebre no cuantificada, escalofrios y nausea intensa sin llegar al vomito. Refirio un cuadro similar 6 meses antes. A la exploracion fisica se encontro un abdomen doloroso a la palpacion profunda en hipocondrio derecho y epigastrio con rebote negativo. Se realizaron estudios de gabinete que mostraron leucocitosis. En la tomografia computada se observo un diverticulo cecal inflamado. Se le realizo una reseccion ileo-colica laparoscopica asistida. Curso un post-operatorio adecuado y egreso en buenas condiciones. Conclusion: El diagnostico de la diverticulitis cecal es raro. Es una entidad poco comun y su presentacion clinica es sugestiva de la apendicitis aguda. La tomografia computada facilita el diagnostico diferencial. El tratamiento asistido por laparoscopia puede ser una alternativa factible, que proporciona los beneficios de una recuperacion mas expedita, un mejor resultado cosmetico y un retorno mas rapido a las actividades diarias. www.medigraphic.org.mx |
| Starting Page | 192 |
| Ending Page | 195 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Volume Number | 31 |
| Alternate Webpage(s) | http://www.medigraphic.com/pdfs/cirgen/cg-2009/cg093k.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
