Adenocarcinoma de Yeyuno como Causa de Intususcepción Intestinal
Objetive: Report and analysis of a case of intestinal intussusception secondary to adenocarcinoma of the jejunum. Description of the case: A 33-year-old male was admitted to the emergency department due to abdominal pain and oral intolerance accompanied by vomiting and significant abdominal distent...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2024
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=9430181 |
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| Summary: | Objetive: Report and analysis of a case of intestinal intussusception secondary to adenocarcinoma of the jejunum. Description of the case: A 33-year-old male was admitted to the emergency department due to abdominal pain and oral intolerance accompanied by vomiting and significant abdominal distention. He is valued for the general surgery service. Who, after clinical evaluation and questioning, is diagnosed with upper intestinal obstruction without identifying a specific etiology. It was decided to perform a simple abdominal tomography in which dilation of the gastric chamber with thickening of the jejunal wall was seen, with an image of target morphology suggestive of intestinal intussusception. Surgical management is indicated, performing exploratory laparotomy in which intestinal intussusception is evident 20 cm from the angle of Treitz, identifying a lesion with suspicion of a tumor, so it is decided to resect 30 cm of jejunum leaving free margins and it is decided to biopsy lymph nodes for subsequent sending to pathology, a terminal anastomosis is performed in two planes, drainage directed to the anastomosis is placed and the surgical procedure is terminated. During the first 24 post-surgical hours with a significant clinical improvement, it was decided to start liquids on the second post-surgical day, having a good response. At 72 hours after the post-surgery, the patient was found to have good tolerance to liquids, with evacuations present, a soft diet was started without present eventualities, he remains in hospital for surveillance and it is decided that he will be discharged without complications on the sixth post-surgical day, currently being followed up by the medical oncology service for hisotpathological diagnosis. Conclusion: Jejunal adenocarcinoma is a rare entity about which very little is known, representing a diagnostic challenge since it generally occurs in advanced stages, which causes a condition of intestinal obstruction and secondary to this, delay in targeted treatment. |
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