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Interposición del colon que produce síntomas. interposición del colon que produce síntomas. Síndrome clínico en
JAMA
|August 25, 1978
Resumen
El síndrome de Chilaiditi, una interposición del colon, suele ser asintomático en adultos, pero puede causar síntomas significativos en personas con retraso mental. El tratamiento inmediato y las medidas profilácticas son efectivas para esta condición.
Área de la Ciencia:
- Gastroenterología y Gastroenterología.
- Radiología Radiología.
- Medicina interna es la medicina interna de las enfermedades.
Sus antecedentes:
- El síndrome de Chilaiditi, la interposición del colon entre el hígado y el diafragma, es típicamente un hallazgo asintomático incidental en la roentgenografía en adultos.
- Si bien ocasionalmente es sintomático en los niños, a menudo se pasa por alto como una causa de malestar gastrointestinal en poblaciones adultas específicas.
Objetivo del estudio:
- Para describir un síndrome sintomático único asociado con el síndrome de Chilaiditi en adultos con retraso mental.
- Identificar las características roentgenográficas y las manifestaciones clínicas de este grupo específico de pacientes.
- Para delinear estrategias efectivas de tratamiento y prevención.
Principales métodos:
- Revisión retrospectiva de pacientes adultos con el síndrome de Chilaiditi.
- Correlación de los síntomas clínicos con los hallazgos roentgenográficos específicos de la interposición del colon.
- Evaluación de los resultados del tratamiento y las medidas profilácticas.
Principales resultados:
- Se identificó un síndrome distinto de náuseas, dolor, vómitos, anorexia, distensión, sonidos intestinales audibles y estreñimiento en adultos con retraso mental con síndrome de Chilaiditi.
- Tres características roentgenográficas específicas fueron consistentemente asociadas con estos síntomas.
- Los síntomas mostraron una respuesta positiva a tratamientos médicos simples.
Conclusiones:
- El síndrome de Chilaiditi puede presentarse como una enfermedad sintomática significativa en adultos con retraso mental, al contrario de su presentación asintomática habitual.
- El reconocimiento de características clínicas y roentgenográficas específicas es crucial para el diagnóstico.
- La gestión y la prevención efectivas son alcanzables con intervenciones apropiadas.
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