Colitis isquémica

Colitis isquémica Jesús M. Herrero Rivas R-1 Aparato digestivo

Caso clínico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Antecedentes personales ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiología ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomía vascular ,[object Object],[object Object],[object Object]

Historia actual ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indice de sospecha clínica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PC y diagnóstico ,[object Object],[object Object],[object Object]

Pruebas de laboratorio ,[object Object],[object Object],[object Object],[object Object],[object Object]

Rx abdomen ,[object Object],[object Object]

Endoscopia ,[object Object],[object Object],[object Object],[object Object]

Ulceración segmentaria ,[object Object],[object Object],[object Object]

Tc abdominal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Colitis isquémica de colon transverso distal y flexura esplénica

Aire en una rama intrahepática del sistema venoso portal

Neumatosis afectando al ciego, con ascitis en pelvis

Angiografía o AngioTC mesénterica ,[object Object],[object Object],[object Object],[object Object],[object Object]

DD: C.infecciosa vs C.isquémica ,[object Object],[object Object],[object Object],[object Object],[object Object]

C. Ulcerosa vs C.isquémica ,[object Object],[object Object],[object Object],[object Object]

Enf de Crohn vs C.isquémica ,[object Object],[object Object],[object Object],[object Object],[object Object]

Otros diagnósticos ,[object Object],[object Object],[object Object],[object Object]

Tratamiento y evolución ,[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento médico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Tratamiento quirúrgico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evolución y pronóstico ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Evolución y pronóstico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Puntos clave ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Puntos clave ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Myth 1: the colon es uniquely sensitive to ischemia

Myth 2: CI is often preceded by a period of global ischemia ,[object Object],[object Object],[object Object],[object Object]

Myth 3: most cases of CI occur at the tenous “watershed” areas ,[object Object],[object Object],[object Object],[object Object],[object Object]

Myth 4: colonoscopy and biopsy are specific por ischemic colitis ,[object Object],[object Object],[object Object]

Otras observaciones ,[object Object],[object Object],[object Object],[object Object]

Otras observaciones ,[object Object],[object Object],[object Object]

Conclusiones ,[object Object],[object Object],[object Object],[object Object],[object Object]

Colitis isquémica

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Colitis isquémica