RESUMEN
A man, aged 74, presented with a rare clinical entity of an acute surgical abdomen similar to acute appendicitis. This case showed a non-Meckel's ileal diverticulitis that was complicated with a diverticular perforation and associated peritonitis. This is a very rare but potential life-threatening surgical emergency, mimicking the clinical presentation of acute appendicitis. The subject of small bowel non-Meckel's diverticulitis is reviewed because of the rarity of this condition and the diagnostic challenges it poses.
Asunto(s)
Dolor Abdominal/etiología , Diverticulitis/complicaciones , Enfermedades del Íleon/complicaciones , Perforación Intestinal/complicaciones , Dolor Abdominal/diagnóstico , Dolor Abdominal/cirugía , Enfermedad Aguda , Anciano , Anastomosis Quirúrgica/métodos , Diagnóstico Diferencial , Diverticulitis/diagnóstico , Diverticulitis/cirugía , Estudios de Seguimiento , Humanos , Enfermedades del Íleon/diagnóstico , Enfermedades del Íleon/cirugía , Íleon/cirugía , Perforación Intestinal/diagnóstico , Perforación Intestinal/cirugía , Laparotomía , Masculino , Rotura Espontánea , Tomografía Computarizada por Rayos XRESUMEN
We present two patients, each with a hamartoma of the spleen. These cases were thought to be well indicated for a hand-assisted laparoscopic approach and subsequent treatment was successful. Focal lesions of the spleen should be removed intact to allow a complete histological examination and to avoid peritoneal dissemination in case of malignancy. In these patients, the hand-assisted laparoscopic approach makes it possible to remove an unmorcellated organ and has the advantages of the laparoscopic technique. It can be considered as one of the suitable methods of surgical treatment.
Asunto(s)
Hamartoma/cirugía , Esplenectomía/métodos , Enfermedades del Bazo/cirugía , Anciano , Femenino , Hamartoma/diagnóstico por imagen , Humanos , Laparoscopía , Enfermedades del Bazo/diagnóstico por imagen , Tomografía Computarizada por Rayos XRESUMEN
A man, age 68, presented with two rare clinical entities of adult bowel obstruction. This case showed a caecocolic intussusception (due to a caecal malignant lesion) with a small bowel volvulus secondarily. These are rare but potential life-threatening surgical emergencies.