Vólvulo de íleon distal: una causa infrecuente de dolor abdominal en adultos mayores: reporte de caso clínico

Abdominal pain in older adults (OA) is a challenge due to the physiological changes of aging, atypical clinical manifestations, and multimorbidity. The objective is to present an OA patient with a rare etiology of abdominal pain and intestinal obstruction, such as intestinal volvulus. An 82-year-old...

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Bibliographic Details
Published in:Duazary 2023, Vol.20 (4)
Main Authors: González Haddad, Adolfo, Sosa Sarmiento, Paola Vanessa, Gil Yande, Sara, Ocampo Chaparro, José Mauricio, Reyes Ortiz, Carlos A
Format: Article
Language:Spanish
Subjects:
Aging
envejecimiento
Intestinal obstruction
Intestinal volvulus
intestino delgado
obstrucción intestinal
Small intestine
vólvulo intestinal
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Summary:Abdominal pain in older adults (OA) is a challenge due to the physiological changes of aging, atypical clinical manifestations, and multimorbidity. The objective is to present an OA patient with a rare etiology of abdominal pain and intestinal obstruction, such as intestinal volvulus. An 82-year-old patient with multiple geriatric conditions is presented, who was admitted for subacute abdominal pain and symptoms suggestive of intestinal obstruction. Computed axial tomography (CT) of the abdomen shows the swirl sign compatible with a diagnosis of volvulus of the distal ileum. El dolor abdominal en los adultos mayores (AM) es un desafío por los cambios fisiológicos del envejecimiento, manifestaciones clínicas atípicas y multimorbilidad. El objetivo es presentar un paciente AM con dolor abdominal   de una etiología poco común de dolor abdominal y de obstrucción intestinal, como lo es el vólvulo intestinal. Se presenta un paciente de 82 años con múltiples condiciones geriátricas, quien ingresó por dolor abdominal subagudo, y clínica sugestiva de obstrucción intestinal. La tomografía axial computarizada (TAC) de abdomen muestra el signo del remolino compatible, con diagnóstico de vólvulo de íleon distal.
ISSN:1794-5992
2389-783X
2389-783X