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Ultima descărcare din IBN: 2022-06-20 23:15 |
SM ISO690:2012 IVANOV, Artiom, MALCOVA, Tatiana, GURGHIŞ, Radu, ROJNOVEANU, Gheorghe. Asimptomatic duodenal diverticulum incidentally discovered: case report. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 276. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 276-276 | ||||||
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Rezumat | ||||||
Background. Diverticula of the duodenum(DD) are fairly common anatomical entities, estimated incidence 22%, however most DD are asymptomatic and rarely become serious clinical problems. In majority of cases DD are discovered incidentally during medical examination for other pathology. Objective of the study. To present the peculiarities of therapeutic management of a duodenal diverticulum combined with hiatal hernia, the case being surgically resolved with diverticulectomy, cruroraphy and Nissen fundoplication. Material and Methods. P. S., w/60 years, was hospitalized with medical history of precordial chest pain and epigastric discomfort. She received symptomatic treatment at cardiologist without any positive outcomes. Anamnesis vitae: chronic pancreatitis, chronic acalculous cholecystitis, inguinal herniotomy operation. Results. At hospitalization laboratory tests, ECG, echocardiography–normal values; X-ray of the large intestine–dolicocholon, divericulosis. Barium swallow X ray revealed a hiatal hernia gr. II-III with supradiaphragmatic prolapse of the gastric cardia and partially of the fornix and a duodenal diverticulum in D4 (2.1x3.2cm). When acute cardiac pathology was excluded, the patient was prepared for surgery: posterior cruroraphy and Nissen fundoplication, identification and mobilization of the diverticulum, mechanical suture at its base with peritonization of the suture line. Favourable course of the postoperative period with no complications was registered. Conclusion. Even DD become symptomatic only in case of complications development (hemorrhage, perforation) and frequently are discovered incidentally during imaging exploration for another medical condition, simultaneous prophylactic diverticulectomy is recommended. |
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Cuvinte-cheie duodenal diverticulum, Diagnosis, surgical treatment, diverticul duodenal, diagnostic, tratament chirurgical |
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