Video Experimental Relacionado
Updated: Sep 9, 2025
08:42
Using Multi-fluorinated Bile Acids and In Vivo Magnetic Resonance Imaging to Measure Bile Acid Transport
Published on: November 27, 2016
11.3K
La fiebre mediterránea familiar (FMF) complicada por la obstrucción adhesiva del intestino delgado: un desafío de
Tamer Hassan Hassan1, Karim Sourial2
1Colorectal, Nottingham University Hospitals NHS Trust-City Campus, Nottingham, Nottinghamshire, UK surgentamer1980@outlook.sa.
BMJ case reports
|September 3, 2025
Resumen
La fiebre mediterránea familiar (FMF) puede imitar emergencias quirúrgicas como la apendicitis y la obstrucción del intestino delgado (SBO). El diagnóstico precoz de la FMF es crucial para evitar cirugías y complicaciones innecesarias.
Área de la Ciencia:
- La medicina
- La genética
- Inmunología
Sus antecedentes:
- La fiebre mediterránea familiar (FMF) es un trastorno autoinflamatorio autosómico recesivo.
- Afecta principalmente a personas de ascendencia mediterránea, de Oriente Medio y del sur de Asia.
- La FMF puede presentarse con episodios recurrentes de dolor abdominal agudo, imitando condiciones quirúrgicas.
Objetivo del estudio:
- Informar de un caso de FMF con síntomas que imitan las emergencias quirúrgicas abdominales.
- Resaltar los desafíos de diagnóstico para diferenciar los ataques de FMF de las causas quirúrgicas del abdomen agudo.
- Hacer hincapié en la importancia de considerar la FMF en el diagnóstico diferencial del dolor abdominal recurrente en las poblaciones en riesgo.
Principales métodos:
- Informe de caso de un paciente varón diagnosticado con FMF a los 17 años.
- Revisión de los antecedentes de dolor abdominal recurrente y múltiples intervenciones quirúrgicas.
- Análisis de los procedimientos y resultados de diagnóstico, incluidas las laparotomías y la resección del intestino delgado.
Principales resultados:
- El paciente se sometió a dos cirugías innecesarias (apendicectomía y laparotomía exploratoria) antes del diagnóstico de FMF.
- Una tercera laparotomía para la obstrucción adhesiva del intestino delgado (SBO) confirmada por TC condujo a la resección del intestino delgado.
- Las complicaciones postoperatorias incluyeron empeoramiento del dolor abdominal y ileo prolongado.
Conclusiones:
- Este caso subraya la dificultad diagnóstica para distinguir los ataques abdominales relacionados con la FMF del abdomen agudo quirúrgico.
- El diagnóstico erróneo puede conducir a intervenciones quirúrgicas innecesarias y la morbilidad asociada.
- El reconocimiento y el diagnóstico oportunos de la FMF son esenciales para guiar el tratamiento adecuado y evitar complicaciones quirúrgicas.
Videos de Conceptos Relacionados
01:29Appendicitis-II: Diagnostic Studies and Management
145
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
145
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
238
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
238
01:22Appendicitis-I: Introduction
614
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
614
01:30Inflammatory Bowel Disease II: Crohn's Disease
375
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
375
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
413
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
413
01:17Chronic Bowel Disorders: Introduction
540
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
540