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dc.contributor.authorMarín Marmolejo, Juan Carlosspa
dc.contributor.authorSarmiento, Luis Antoniospa
dc.contributor.authorMartínez, Juan Davidspa
dc.date.accessioned2020-10-27T14:19:11Z
dc.date.available2020-10-27T14:19:11Z
dc.date.issued2020-07-22
dc.identifier.issn2382-4603
dc.identifier.issn0123-7047
dc.identifier.urihttp://hdl.handle.net/20.500.12749/9893
dc.description.abstractIntroducción: La obstrucción intestinal por coágulo intraluminal es una complicación posquirúrgica poco frecuente reportada en la literatura. Reportamos el caso de un paciente con obstrucción intestinal por coágulos intraluminales posquirúrgicos de una hepaticoyeyunostomía con Y de Roux. Caso clínico: Paciente masculino de 53 años de edad, se presenta con cuadro de colangitis recurrente, secundaria a estenosis benigna de la vía biliar post colecistectomía laparoscópica, realizada hace 2 años. En su manejo con endoprótesis por colangiopancreatografía retrógrada endoscópica (CPRE) no mejoró de sus episodios de colangitis, por lo que se consideró el paso a una reconstrucción tipo hepaticoyeyunostomía. En el postoperatorio temprano, presentó signos de obstrucción intestinal. La tomografía computarizada (TC) abdominal contrastada demostró líquido libre y signos de obstrucción. Es llevado a cirugía de urgencia, encontrándose la anastomosis en Y de Roux obstruida por gran coágulo intraluminal, requiriendo enterotomía para su extracción. Discusión: La obstrucción intestinal postoperatoria secundaria a un coágulo intraluminal es inusual, se debe sospechar en paciente con síntomas de obstrucción intestinal. El método ideal para el diagnóstico es la tomografía y el tratamiento es con relaparotomía para extraer los coágulos. Es importante el conocimiento de esta entidad para cualquier médico, ya que es una rara complicación en la que se necesita una buena sospecha diagnóstica y un tratamiento oportuno.spa
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dc.publisherUniversidad Autónoma de Bucaramanga UNAB
dc.relationhttps://revistas.unab.edu.co/index.php/medunab/article/view/3823/3289
dc.relationHttps://revistas.unab.edu.co/index.php/medunab/article/view/3823/3302
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dc.relation.urihttps://revistas.unab.edu.co/index.php/medunab/article/view/3823
dc.rightsDerechos de autor 2020 MedUNAB
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.sourceMedUNAB; Vol. 23 Núm. 2 (2020): agosto - noviembre 2020: Cirugía general, Coronavirus, Hemorroides; 294-300
dc.subjectTrombosis
dc.subjectIntestino Delgado
dc.subjectObstrucción Intestinal
dc.subjectGastrectomía
dc.subjectPeriodo Posoperatorio
dc.titleCoágulos intraluminales en postoperatorio de una hepaticoyeyunostomía: rara complicación para un rápido actuar
dc.title.translatedPostoperative intraluminal blood clots after a hepaticojejunostomy: rare, fast-action complication
dc.type.driverinfo:eu-repo/semantics/article
dc.type.localArtículospa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1f
dc.subject.keywordsThrombosiseng
dc.subject.keywordsSmall Intestineeng
dc.subject.keywordsIntestinal Obstructioneng
dc.subject.keywordsGastrectomyeng
dc.subject.keywordsPostoperative Periodeng
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga UNABspa
dc.type.hasversionInfo:eu-repo/semantics/publishedVersion
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.description.abstractenglishIntroduction: An intestinal obstruction due to intraluminal blood clots is a postoperative complication that is infrequently reported in literature. We reported the case of a patient with an intestinal obstruction due to postoperative intraluminal blood clots from a Roux-en-Y hepaticojejunostomy. Clinical Case: A 53-year-old male patient appeared with recurring cholangitis secondary to a benign stenosis of the bile duct after a laparoscopic cholecystectomy performed 2 years prior. Treatment with an endoprosthesis by endoscopic retrograde cholangiopancreatography (ERCP) did not improve cholangitis episodes, for which reason transition to reconstruction by hepaticojejunostomy was considered. He showed signs of intestinal obstruction during early postoperative care. The computed tomography (CT) scan of the abdomen with contrast showed free fluid and signs of obstruction. The patient was taken to an emergency surgery, where the Roux-en-Y anastomosis was found to be obstructed by a large intraluminal blood clot. It required an enterotomy to be extracted. Discussion: A postoperative intestinal obstruction secondary to intraluminal blood clots is unusual, but must be suspected in patients with symptoms of intestinal obstruction. The ideal method for diagnosis is by tomography and treatment involves a relaparotomy to extract the blood clots. It is important for doctors to have knowledge of this condition, since it is a rare complication that requires good diagnostic insight and timely treatment.eng
dc.identifier.doi10.29375/01237047.3823
dc.type.redcolhttp://purl.org/redcol/resource_type/CJournalArticle
dc.rights.creativecommonsAttribution-NonCommercial 4.0 International*


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