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Revista Colombiana de Cirugía
Article . 2019 . Peer-reviewed
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Divertículo único de yeyuno con obstrucción intestinal y abdomen agudo

Authors: Villarreal, Ricardo A.; Vinck, Eric E.; Cabrera, Luis Felipe; Zuchini, Andrés C.; Jiménez, Cristina;

Divertículo único de yeyuno con obstrucción intestinal y abdomen agudo

Abstract

Introducción. El hallazgo de divertículos en el intestino delgado es poco usual, y se presentan principalmente en el yeyuno y en el íleon. Tienen una incidencia relativamente baja, aproximadamente, de 0,06 a 5 % en autopsias y de 0,5 a 2,3 % como hallazgos radiológicos. Predominan en la sexta y la séptima década de la vida y en el sexo masculino. Presentación de caso. Se trata de una paciente de sexo femenino de 90 años, que ingresó al servicio de urgencias por un cuadro clínico de un día de dolor en el hemiabdomen derecho irradiado al hipogastrio y asociado con múltiples episodios de emesis. Se hospitalizó para estudios paraclínicos y, durante la observación, presentó deterioro clínico, por lo que fue sometida a una laparotomía exploratoria, y se encontró un divertículo único de yeyuno. Discusión. Los divertículos de intestino delgado son poco frecuentes, y comprometen solo la mucosa y sub- mucosa. Del total de casos, del 0,9 a 1 % corresponden a divertículos del yeyuno. Estos pueden asociarse con divertículos en otra parte del tubo digestivo, como esófago (2,3 %), duodeno (30 %) o colon (61 %). El manejo de esta enfermedad depende de cada paciente.

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Keywords

divertículo, RD1-811, abdomen, acute, diverticulum, abdomen agudo, yeyuno, intestinal obstruction, laparotomy, laparotomía, obstrucción intestinal, Surgery, jejunum

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    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
4
Top 10%
Average
Average
Green
gold