Estévez PÁJ, Pérez SCM, Pérez SMJ, Ricardo MD, Palacios OL

Language: Spanish
References: 9
Page: 1143-1154
PDF size: 596.72 Kb.

ABSTRACT

Introduction: perforation of the terminal ileum is a cause of the dark peritonitis, announced by the exacerbation of the abdominal pain associated with the muscular defense and the more pronounced rigidity on the right iliac fossa. However, many patients, in a severe toxic state, may be non-classical clinical characteristics and lead to delays in diagnosis and appropriate surgical intervention.
Case presentation: the case of an emergency operated patient is presented in the capital of the Seychelles Islands with a diagnosis of non-traumatic perforation of the terminal ileum. Intestinal resection was performed with lateral term anastomosis in two planes with favorable evolution.
Discussion: simple debridement and primary closure of the perforation is the most commonly used procedure, but in cases in which there is also significant contamination with friable terminal ileum (caused by late presentation, multiple perforations or fecaloid peritonitis). ), something more than the mere closure of the perforation is obviously necessary to reduce the incidence of fatal complications such as the fecaloid fistula.
Conclusions: early diagnosis and treatment avoid more complicated procedures, and they are also associated with lower morbidity and mortality in these patients, 3 and in the surgical patient in general.

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