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Obstrucción intestinal por divertículo de Meckel en la enfermedad de Crohn estenosante: ¿coincidencia?
Teresa Ortiz Muñoz1, Alberto García Picazo2, Francisca Moreno Nisa1
1General and Digestive Surgery , Hospital Universitario La Paz.
Revista espanola de enfermedades digestivas
|February 25, 2026
Resumen
Un paciente con enfermedad de Crohn experimentó una obstrucción ileal incompleta debido a un cuerpo extraño. Esta rara complicación requirió imágenes avanzadas e intervención para su diagnóstico y manejo.
Área de la Ciencia:
- Gastroenterología
- Informes de casos quirúrgicos
Sus antecedentes:
- La enfermedad de Crohn (EC) es una enfermedad inflamatoria intestinal crónica.
- La EC estenosante del íleon distal puede requerir dilataciones endoscópicas repetidas.
- Terapias biológicas previas (infliximab, adalimumab, ustekinumab) no fueron efectivas en este paciente.
Objetivo del estudio:
- Informar un caso raro de obstrucción ileal incompleta en un paciente con enfermedad de Crohn de larga data.
- Destacar los desafíos diagnósticos y el manejo de un cuerpo extraño intraluminal en el íleon.
Principales métodos:
- Informe de caso de un hombre de 56 años con obstrucción ileal sintomática.
- El estudio diagnóstico incluyó radiografía abdominal y tomografía computarizada.
- Se analizaron la presentación clínica y los hallazgos de imagen.
Principales resultados:
- El paciente presentó dolor abdominal, náuseas y vómitos.
- Las imágenes revelaron bucles dilatados del intestino delgado y sugirieron una obstrucción ileal incompleta.
- La tomografía computarizada identificó un cuerpo extraño intraluminal como la causa.
Conclusiones:
- Un cuerpo extraño intraluminal puede causar obstrucción ileal incompleta en pacientes con enfermedad de Crohn.
- Las imágenes avanzadas son cruciales para diagnosticar tales complicaciones raras.
- Las estrategias de manejo deben considerar la enfermedad de Crohn subyacente y la etiología del cuerpo extraño.
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