Guelmes DAA, Quintero TL, Madrigal MJJ, Pérez MJR, Corona MZ

Language: Spanish
References: 6
Page:
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ABSTRACT

Background: Isolated thrombosis of the ileocaecal appendicular cholic artery is a rare entity and in most cases fatal. It has a challenging diagnosis and poses a challenge for any surgeon. Case presentation: Patient of 69 years who begins with a periumbilical abdominal pain of abrupt onset accompanied with nausea and vomiting, and has a diagnosis of enterocolitis in his health area. He was referred to the surgery department 24 hours later with signs of shock. He had a plain abdominal radiography which confirmed central air-fluid levels. He had an exploratory laparotomy. A total necrosis of the terminal segment of the ileum, cecum and a small part of the ascending colon was observed. He had a right hemicolectomy. Conclusions: The patient improved and had no postoperative complications.

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