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Intestinal occlusion and laparoscopic surgery. Report of 3 cases Introduction: Laparoscopic surgery has allowed the development of new diagnostic and therapeutic techniques for a lot of digestive diseases, including the patients who suffer of some kind of intestinal occlusion. Purpose: To show 3 cases in which the laparoscopic approach was useful in the diagnostic and treatment of intestinal occlusion owing to peritoneal bands. Cases report: There are 2 female patients, one of them with 12 weeks pregnancy. Both patients presented severe abdominal pain mainly localized in the right iliac fossa, an exploration compatible with acute abdomen and a high WBC count. The pregnant patient had an abdominal ultrasound with free liquid in pelvis, the X-ray in the other patient showed an occlusive ileus. The third patient is a male one, 78 years old who began with abdominal pain in mesogastrium, a high leukocyte count and rebound tenderness on palpation, the X-ray showed gross bowel walls in the left segment of the abdomen. The 3 patients were operated laparoscopically. In the first 2 cases acute appendicitis was excluded; in both patients we found a peritoneal band crossing over and occluding the terminal ileum, the non pregnant patient had an ischemic portion that was liberated and no resection was needed. The male patient had an intestinal infarction of jejunum in a length of 90 cm, the laparoscopic procedure was converted by the way of a minimal 12 cm incision to allow the resection, the etiology of the disease was again a peritoneal band which led to the intestinal torsion. The postoperative course of the patients was uneventful.

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2004-04-19   |   582 visitas   |   Evalua este artículo 0 valoraciones

Vol. 5 Núm.1. Febrero 2004 Pags. 98-118 Rev Mex Cir Endoscop 2004; Supl.(1)