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Cirujano general

versão impressa ISSN 1405-0099

Resumo

RODRIGUEZ-PAZ, Carlos Agustín; HERRERA-FLORES, Héctor Tomás; RAMOS-MARTINEZ, Paris  e  CARREON-BRINGAS, Rosa María. Jejunal diverticulum, segmental intestinal pneumatosis, gallstone ileus and aortic occlusion saddle. A case report. Cir. gen [online]. 2016, vol.38, n.4, pp.203-206.  Epub 16-Abr-2020. ISSN 1405-0099.

66 male patient with lower limb strength loss and abdominal pain, pulseless and effacement CT vena cava. Enter data to surgery for aortic occlusion saddle and intestinal obstruction. The findings trans operative with bilateral femoral thrombectomy, abundant thrombi from the abdominal aorta to the distal beds; yeyuneal diverticulum 45 cm Treitz angle, pneumatosis intestinal mucosal sub at 40 to 70 cm Treitz a gallstone ileus to 220 cm from the ileocecal valve with intestinal necrosis process. He died of heart attack stop by again at the end of surgery. Of the five surgical, three conditions (gallstone ileus, yeyuneal diverticulum, intestinal pneumatosis) are frequency less than 1.3 at 0.03% in autopsies; the conjunction of the five-conditional death despite surgical efforts at an acute event.

Palavras-chave : Gallstone ileus; intestinal neumatosis; yeyuneal diverticula; aortic occlusion saddle; intestinal obstruction.

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