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We report a case of a male patient, aged 20, admitted by the emergency service of the Hospital
“Luis Vernaza” by presenting clinical picture of approximately 6 hours of development,
characterized by abdominal pain, severe crampy intensity level mesogastrio and hemiabdomen
of law, the physical examination highlighted the presence of a mass of approximately 10 cm in
diameter, of hard consistency in right iliac fossa, pain to palpation and fixed in hematic
biometrics presented leukocytosis with deviation to the left, and plain abdominal radiographs
(standing) reported hldroaéreos levels consistent with an obstructive picture, however, was
clinically diagnosed acute abdominal inflammatory decided a surgical intervention in a possible
sharp appendages, and the surgical findings was obtained as torción the presence of a
Meckel’s diverticulum 60 cm from the valve lleocecal. According to most publications about the
complications of Meckel Dívertícuio is found that the highest frequency is the same in children
and especially infants, it was decidedto present this case of intestinal obstruction! ia as a
consequence of torsion of a Meckel Dívertícuio that caused a small bowel volvulus around her
in an adult patient with no symptoms prior to acute. Dr.
Víctor Manuel Medina Revilla. Médico Residente 3. Postgrado de Cirugía General. Universidad
Católica Santiago de Guayaquil. Hospital Luis Vernaza.
Dra. Lucía Gabriela Pinto Heras. Médico Residente 2. Postgrado de Anestesiología.
Universidad Católica Santiago de Guayaquil. Hospital Luis Vernaza.
Dr. James Neira Borja. Cirujano de Planta. Sala San Aurelio. Servicio de Cirugía General.
Hospital Luis Vernaza.
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Torsión de divertículo de Meckel en adultos como causa de abdomen agudo obstructivo
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