Duplicaciones del tracto gastrointestinal en niños, presentación de dos casos. Hospital Infantil Doctor Robert Reid Cabral (HIRRC), República Dominicana
Date
Subject
Gastrointestinal tract
gastrointestinal duplication
gastric duplication
cystic duplication
Dominican Republic
tracto gastrointestinal
duplicación gastrointestinal
duplicación gástrica
República Dominicana
anomalía congénita
gastrointestinal duplication
gastric duplication
cystic duplication
Dominican Republic
tracto gastrointestinal
duplicación gastrointestinal
duplicación gástrica
República Dominicana
anomalía congénita
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: la duplicación gastrointestinal es una ano-malía relativamente rara que puede ocurrir en cualquier nivel desde la cavidad bucal hasta el recto, los casos de duplicación gástrica son aún más raros, y la mayoría de ellos se han reportado en niños.
Material y método: en el siguiente trabajo se expone dos casos; número 1: paciente de sexo femenino de 2 años de edad, con presentación clínica de vómitos de contenido alimentario que luego se tornaron biliosos en número de 3-4 ocasiones por día, de 2 días de evolución, dolor abdo-minal difuso de 2 días de evolución, masa abdominal localizada en hemiabdomen derecho. Caso número 2: paciente masculino de 4 días de vida, a quien se realiza ultrasonido obstétrico a las 34 semanas de gestación, donde se evidencia imagen quística nivel abdominal. A ambos casos se le realiza laparotomía exploratoria eviden-ciando en caso número 1: duplicación gástrica al que se le realiza exéresis total y rafia gástrica, y el caso número 2: malrotación intestinal con vólvulo de intestino medio más duplicación intestinal (ileal), al que se le aplica proce-dimiento de Ladd más resección y anastomosis termino terminal ileoileal, ambos pacientes evolucionan de manera satisfactoria.
Conclusión: el propósito consiste en describir la presen-tación de ambos casos en la infancia, lo importante de los métodos diagnósticos y de la corrección quirúrgica por diferentes técnicas según la localización del quiste en el tracto gastrointestinal.
Introduction: Gastrointestinal duplication is a rela-tively rare anomaly that can occur at any level from the oral cavity to the rectum, cases of gastric duplication are even more rare, and most of them have been reported in children. Material and method: In the following work two cases are exposed: number 1 female patient of 2 years of life, with clinical presentation of vomiting of food content that later became bilious in number of 3-4 occasions per day of 2 days of evolution, diffuse abdominal pain of 2 days of evolution, abdominal mass located in the right hemi-abdomen. Case number 2 male patient of 4 days of life, to whom obstetric ultrasound is performed at 34 weeks of gestation where abdominal cystic image is evidenced. Both cases are performed exploratory laparotomy evidencing in case number 1 gastric duplication to which total exeresis and gastric raffia is performed and case number 2 evidences intestinal malrotation with volvulus of the middle intes-tine plus intestinal duplication (ileal) to which procedure is performed From Ladd plus resection and ileoileal terminal term anastomosis, both patients evolve satisfactorily. Conclusion: The purpose is to describe the presentation of both cases in childhood, the importance of diagnostic methods and surgical correction by different techniques according to the location of the cyst in the gastrointestinal tract.
Introduction: Gastrointestinal duplication is a rela-tively rare anomaly that can occur at any level from the oral cavity to the rectum, cases of gastric duplication are even more rare, and most of them have been reported in children. Material and method: In the following work two cases are exposed: number 1 female patient of 2 years of life, with clinical presentation of vomiting of food content that later became bilious in number of 3-4 occasions per day of 2 days of evolution, diffuse abdominal pain of 2 days of evolution, abdominal mass located in the right hemi-abdomen. Case number 2 male patient of 4 days of life, to whom obstetric ultrasound is performed at 34 weeks of gestation where abdominal cystic image is evidenced. Both cases are performed exploratory laparotomy evidencing in case number 1 gastric duplication to which total exeresis and gastric raffia is performed and case number 2 evidences intestinal malrotation with volvulus of the middle intes-tine plus intestinal duplication (ileal) to which procedure is performed From Ladd plus resection and ileoileal terminal term anastomosis, both patients evolve satisfactorily. Conclusion: The purpose is to describe the presentation of both cases in childhood, the importance of diagnostic methods and surgical correction by different techniques according to the location of the cyst in the gastrointestinal tract.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 4 No 1 (2020): Science and Health, january-april; 79-85
Ciencia y Salud; Vol. 4 Núm. 1 (2020): Ciencia y Salud, enero-abril; 79-85
2613-8824
2613-8816
10.22206/cysa.2020.v4i1
Ciencia y Salud; Vol. 4 Núm. 1 (2020): Ciencia y Salud, enero-abril; 79-85
2613-8824
2613-8816
10.22206/cysa.2020.v4i1