ABDOME AGUDO OCLUSIVO POR HEMATOMA DE INTESTINO DELGADO: RELATO DE CASO

Authors

  • Benur Polonio UFPR
  • Hector Sbaraini Fontes
  • Fabiola Grigoreto Lupion
  • Emanoela Rodrigues Azevedo
  • Lydio Barbier Neto
  • Sérgio Ossamu Ioshii

DOI:

https://doi.org/10.5380/rmu.v3i3.47338

Keywords:

abdome agudo, intestino delgado, anemia aplásica

Abstract

OBJETIVO: Relatar o caso de uma paciente adulta com abdome agudo oclusivo causado por hematoma de intestino delgado.

MÉTODO: Apresenta-se o caso de uma paciente atendido no serviço de urgência e emergência do HC-UFPR.

RESULTADO: Paciente feminina, de 20 anos, apresentou dor no mesogástrio, distensão abdominal e vomitos. A tomografia abdominal evidenciou segmento de intestino delgado com espessamento da parede  Foi submetida a laparotomia mediana onde se evidenciou um hematoma de intestino delgado em íleo há 40 cm da valvula ileocecal, causando obstrução. Realizou-se entrerectomia segmentar de 15cm e enteroenteroanastomose. O exame anatomopatológico evidenciou hematoma extenso de submucosa do segmento ressecado.

CONCLUSÃO: Os casos de abdome agudo oclusivo por hematoma de intestino delgado expontâneo são raros e devem ser manejados com tratamento clínico. Indica-se a cirurgia apenas na falha deste ou em casos de complicações durante o tratamento clinico.

Author Biography

Benur Polonio, UFPR

Professor adjunto da disciplina de técnica cirúrgica e cirurgia experimental

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Published

2016-11-29

How to Cite

Polonio, B., Fontes, H. S., Lupion, F. G., Azevedo, E. R., Neto, L. B., & Ioshii, S. O. (2016). ABDOME AGUDO OCLUSIVO POR HEMATOMA DE INTESTINO DELGADO: RELATO DE CASO. Revista Médica Da UFPR, 3(3). https://doi.org/10.5380/rmu.v3i3.47338

Issue

Vol. 3 No. 3 (2016)

Section

Relatos de Caso

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