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- W2117628831 abstract "Varón de 47 años de edad, con estreñimiento habitual de larga evolución. Acude a consulta con un cuadro de importante meteorismo, acompañado de vómitos posprandiales y dolor abdominal generalizado desde hace 10 días asociado a su estreñimiento de base. En la exploración física presenta regular estado general; abdomen distendido con defensa abdominal y dudosa masa con la palpación en la fosa ilíaca derecha. La radiografía de abdomen muestra asas dilatadas centro-abdominales, por lo que es derivado para verificar la existencia de un cuadro obstructivo. En urgencias se solicita TAC, en la que se evidencia posible proceso neoplásico estenótico que afecta al íleon terminal. Es intervenido de urgencia. Se aprecia una tumoración en el área íleo-cecal que afecta al ciego y a las asas intestinales adyacentes. Se realiza ileostomía en la fosa ilíaca derecha y fístula mucosa. El resultado de la anatomía patológica informa de la existencia de enfermedad de Crohn. The case is presented of a 47 year-old male with long-term chronic constipation. He came to the clinic with a clinical picture of significant meteorism accompanied by post-prandial vomiting and generalised abdominal pain for 10 days, associated with his underlying constipation. In the physical examination he had a fair general health status, a distended abdomen with rigidity of the abdominal wall, and a suspicious mass on palpation in the right iliac fossa. The X-ray of the abdomen showed dilated loops in the mid-abdomen. Due to this finding, he was referred to hospital to verify that it was an obstruction. A CT scan was requested in the Emergency Department, which showed evidence of a possible obstructive neoplastic process that affected the terminal ileum. He was operated on urgently. Tumour formations were observed in the ileocaecal area that affected the blind loop and the adjacent intestinal loop. An ileostomy in the right iliac fossa and a mucous fistula was performed. The histopathology result reported that there was Crohn's disease." @default.
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- W2117628831 date "2015-01-01" @default.
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- W2117628831 title "Obstrucción intestinal como comienzo de la enfermedad de Crohn" @default.
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- W2117628831 doi "https://doi.org/10.1016/j.mgyf.2015.05.006" @default.
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