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Obstrucción intestinal secundaria a hernia intercostal transdiafragmática
Bowel obstruction secondary to transdiaphragmatic intercostal hernia
Lara Blanco Terés
, Íñigo García Sanz, Cristina Marín Campos, Álvaro Gancedo Quintana, Elena Martín-Pérez
Autor para correspondencia
Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid (UAM), Madrid, España
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Parte del contenido intestinal se hernia entre la 9.ª y 10.ª costilla izquierda (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>B), condicionando un cambio de calibre (<a class="elsevierStyleCrossRef" href="#fig0010">fig. 2</a>). El paciente se intervino de forma urgente mediante laparotomía con reducción del contenido a la cavidad abdominal, resección de un metro de yeyuno isquémico y anastomosis; con colocación de tubo endotorácico izquierdo y reparación del defecto diafragmático con malla de Goretex. El paciente presentó una evolución postoperatoria favorable<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1-3</span></a>.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 999 "Ancho" => 1255 "Tamanyo" => 236956 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Tomografía computarizada toracoabdominal con administración de contraste intravenoso. A)<span class="elsevierStyleHsp" style=""></span> Corte sagital: hernia diafragmática con orificio herniario de 9<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>6<span class="elsevierStyleHsp" style=""></span>cm (*). B)<span class="elsevierStyleHsp" style=""></span>Corte coronal: voluminoso saco herniario en tórax izquierdo que contiene asas intestinales dilatadas hasta el ápex. Parte del contenido se hernia entre la 9.ª y la 10.ª costilla izquierda (flecha).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 658 "Ancho" => 905 "Tamanyo" => 90129 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Corte transversal a nivel torácico. 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"fecha" => "2015" "volumen" => "100" "paginaInicial" => "444" "paginaFinal" => "449" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Giant transdiaphragmatic intercostal hernia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "I. Loumiotis" 1 => "D.P. Ceppa" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.athoracsur.2017.03.011" "Revista" => array:5 [ "tituloSerie" => "Ann Thorac Surg." "fecha" => "2017" "volumen" => "104" "paginaInicial" => "e93" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28633277" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transdiaphragmatic intercostal hernia after trauma: a case report, literature review, and discussion of a challenging clinical scenario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Sapp" 1 => "T. Nowack" 2 => "D.B. Christie" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1177/0003134820945273" "Revista" => array:3 [ "tituloSerie" => "Ann Surg." "fecha" => "2020" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15912052" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02105705/0000004500000007/v1_202207130605/S0210570521001096/v1_202207130605/es/main.assets" "Apartado" => array:4 [ "identificador" => "93594" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004500000007/v1_202207130605/S0210570521001096/v1_202207130605/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570521001096?idApp=UINPBA00004N" ]
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