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Un informe sobre el caso de la PUD perforada asociada a la neumatosis intestinal
Dereje Gebisa Bedada1, Tafese Gudissa Merga1, Alemu Bedado Hirpho1
1Department of Surgery, College of Health Science, Salale University, Fiche, Ethiopia.
International journal of surgery case reports
|September 5, 2025
Resumen
Este informe de caso destaca la ocurrencia rara de neumatosis intestinalis (PI) en un paciente con enfermedad de úlcera péptica perforada (PUD). La administración se centró en la perforación de la PUD, ya que el PI se resolvió sin intervención específica.
Área de la Ciencia:
- Gastroenterología
- Patología quirúrgica
- Cirugía abdominal
Sus antecedentes:
- La enfermedad de úlcera péptica perforada (PUD) es una emergencia quirúrgica significativa.
- La Pneumatosis Intestinalis (PI), el gas en la pared intestinal, rara vez se asocia con la PUD.
- La presentación y el manejo de la IP dependen de su causa subyacente.
Objetivo del estudio:
- Informar de un caso raro de enfermedad de úlcera péptica perforada (PUD, por sus siglas en inglés) con neumatosis intestinalis (PI, por sus siglas en inglés).
- Para discutir la presentación clínica, el diagnóstico y el tratamiento de esta rara asociación.
Principales métodos:
- Presentación del caso de un hombre de 45 años con dolor abdominal agudo.
- La laparotomía de diagnóstico reveló una perforación duodenal y un PI del intestino delgado.
- Reparación quirúrgica del duodeno y resección del intestino delgado y anastomosis.
Principales resultados:
- Manejo quirúrgico exitoso de la enfermedad de úlcera péptica perforada.
- Resolución de la neumatosis intestinal después de la operación sin tratamiento específico.
- Resultado positivo del paciente tras un año de seguimiento.
Conclusiones:
- Pneumatosis intestinalis puede ser un hallazgo incidental en la enfermedad de úlcera péptica perforada.
- El tratamiento de PI secundario asociado con PUD se centra en la perforación primaria.
- Esta rara complicación puede tener un pronóstico favorable con la intervención quirúrgica adecuada.
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