Estadísticas

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      "titulo" => "Schwannoma maligno intraabdominal. Caso clínico"
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    "titulo" => "Enfermedad de Crohn duodenal. Aportación de dos casos"
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        "titulo" => "DUODENAL CROHN'S DISEASE. A REPORT OF TWO CASES"
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        "resumen" => "La incidencia de enfermedad de Crohn limitada exclusivamente al duodeno es muy baja, y es más frecuente su coexistencia con afectación gástrica e intestinal. Los autores comentan 2 casos de enfermedad de Crohn, una exclusivamente duodenal y de larga evolución, en una mujer de 51 años y otro caso en un varón de 44 años, con afectación simultánea del íleon terminal. Ambos pacientes presentaron cuadros suboclusivos, desnutrición y anemia ferropénica, y la sintomatología estaba determinada por la enfermedad duodenal. El diagnóstico se sospechó por las imágenes radiológicas y los hallazgos endoscópicos de múltiples estenosis y ulceraciones que afectaban a la tercera y la cuarta porciones duodenales. Los pacientes precisaron cirugía, practicándose en un caso duodenoplastia con resección de la cuarta porción duodenal incluyendo el ángulo duodenoyeyunal y asociándose una gastroyeyunostomía. En el segundo caso se realizó duodenectomía de la tercera y la cuarta porciones duodenales con anastomosis duodenoyeyunal y una ileocolostomía transversa derecha. El diagnóstico fue confirmado por el estudio histológico de las piezas de resección"
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        "resumen" => "The incidence of Crohn's disease involving duodenum alone is very low. In many cases, it coexists with gastric and intestinal disease. The authors report two cases of duodenal Crohn's disease. One, occurring in a 51-year-old patient, was long-standing and involved exclusively the duodenum. The other occurred in a 44-year-old man who presented simultaneous terminal ileum involvement. Both patients had symptoms of obstruction, anemia and malnutrition, all of which were associated with the duodenal disease. The diagnosis of duodenal Crohn's disease was suspected on the basis of radiological and endoscopic findings of multiple stenoses and mucosal ulcerations located in the third and fourth portions of the duodenum. One patient underwent strictureplasty with resection of the fourth portion of the duodenum and the duodenojejunal flexure, in combination with gastrojejunostomy. The other patient was treated by resection of the third and fourth portions of the duodenum, with duodenojejunal anastomosis and right ileocolectomy. The diagnoses were confirmed by histological study of the resected tissue"
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