O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica
Difficult to diagnose abdominal pain is a challenge in the daily routine of surgeons, however, with the popularization of access to laparoendoscopy, the surgeon has acquired another piece of the diagnostic arsenal, this one with the benefit of having a therapeutic nature. This paper aims to repor...
| Autor principal: | Sales, Barion Santos Baroni |
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| Grau: | Monografia |
| Idioma: | pt_BR |
| Publicado em: |
Universidade Federal do Tocantins
2022
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| Acesso em linha: |
http://hdl.handle.net/11612/3773 |
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ir-11612-3773 |
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ir-11612-37732022-04-28T14:24:43Z O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica Sales, Barion Santos Baroni Carvalho, Adriana Edelves Trindade Martins Abdome agudo Dor abdominal Lipoma CNPQ::CIENCIAS DA SAUDE::MEDICINA Difficult to diagnose abdominal pain is a challenge in the daily routine of surgeons, however, with the popularization of access to laparoendoscopy, the surgeon has acquired another piece of the diagnostic arsenal, this one with the benefit of having a therapeutic nature. This paper aims to report the case of a patient who was admitted to the Unimed Hospital in Palmas - Tocantins, with acute abdominal pain difficult to diagnose, in which diagnostic laparoscopy was essential for detecting and surgically treating the cause. In the case report, a 22-year-old male patient presented with acute abdominal pain in the right flank and right iliac fossa, with a 7-day evolution and associated with anorexia, asthenia and prostration. No changes in laboratory tests. Computed tomography performed showed mild peritoneal thickening in the right flank and right iliac fossa. The patient was surgically approached laparoscopically, where a tumor in the parietal peritoneum was identified on the right flank, which was duly resected. The anatomopathological study identified the tumor as a necrotic lipoma. Acute abdomen is usually a very common surgical emergency that, if ignored, can lead to death. The patient in question, despite not having presented a classic clinic, had his abdominal pain complaint duly valued, thus avoiding an unfavorable evolution with a worse prognosis, demonstrating the importance of diagnostic laparoscopy in the management of patients with nonspecific abdominal pain. A dor abdominal de difícil diagnóstico é desafio no dia a dia médico cirurgião, porém, com a popularização do acesso a laparoendoscopia, o cirurgião adquiriu mais uma peça ao arsenal diagnóstico, este com o benefício de ter caráter terapêutico. Este trabalho tem como objetivo relatar o caso de um paciente que deu entrada no Hospital da Unimed em Palmas - Tocantins, com dor abdominal aguda de difícil diagnóstico, no qual a laparoscopia diagnóstica foi fundamental para detecção e tratamento cirúrgico da causa. Ao relato do caso, paciente de 22 anos, sexo masculino, com quadro de dor abdominal aguda em flanco direito e fossa ilíaca direita, de evolução de 7 dias e associada a anorexia, astenia e prostração. Sem alterações nos exames laboratoriais. A tomografia computadorizada realizada evidenciou discreto espessamento peritoneal no flanco direito e fossa ilíaca direita. O paciente foi abordado cirurgicamente por via laparoscópica, onde foi identificada uma tumoração em peritônio parietal no flanco direito, devidamente ressecada. O estudo anatomopatológico identificou a tumoração como um lipoma em necrose. O abdome agudo geralmente é uma urgência cirúrgica muito comum que se ignorada pode levar o paciente à morte. O paciente em questão, apesar de não ter apresentado clínica clássica, teve sua queixa de dor abdominal devidamente valorizada, evitou-se assim uma evolução desfavorável com um pior prognóstico, demonstrando a importância da laparoscopia diagnóstica no manejo do paciente com dor abdominal inespecífica. 2022-04-27T14:38:53Z 2022-04-27T14:38:53Z 2021 Monografia Sales, Barion Santos Baroni. O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica. 27 f. Monografia (Graduação). Curso de Medicina. Universidade Federal do Tocantins. Palmas, 2021. http://hdl.handle.net/11612/3773 pt_BR application/pdf Universidade Federal do Tocantins Palmas Medicina Palmas Graduação |
| institution |
Repositório Institucional - Universidade Federal do Tocantins - UFT |
| collection |
RepositorioUFT |
| language |
pt_BR |
| topic |
Abdome agudo Dor abdominal Lipoma CNPQ::CIENCIAS DA SAUDE::MEDICINA |
| spellingShingle |
Abdome agudo Dor abdominal Lipoma CNPQ::CIENCIAS DA SAUDE::MEDICINA Sales, Barion Santos Baroni O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| topic_facet |
Abdome agudo Dor abdominal Lipoma CNPQ::CIENCIAS DA SAUDE::MEDICINA |
| description |
Difficult to diagnose abdominal pain is a challenge in the daily routine of surgeons, however,
with the popularization of access to laparoendoscopy, the surgeon has acquired another piece
of the diagnostic arsenal, this one with the benefit of having a therapeutic nature. This paper
aims to report the case of a patient who was admitted to the Unimed Hospital in Palmas -
Tocantins, with acute abdominal pain difficult to diagnose, in which diagnostic laparoscopy
was essential for detecting and surgically treating the cause. In the case report, a 22-year-old
male patient presented with acute abdominal pain in the right flank and right iliac fossa, with
a 7-day evolution and associated with anorexia, asthenia and prostration. No changes in
laboratory tests. Computed tomography performed showed mild peritoneal thickening in the
right flank and right iliac fossa. The patient was surgically approached laparoscopically,
where a tumor in the parietal peritoneum was identified on the right flank, which was duly
resected. The anatomopathological study identified the tumor as a necrotic lipoma. Acute
abdomen is usually a very common surgical emergency that, if ignored, can lead to death. The
patient in question, despite not having presented a classic clinic, had his abdominal pain
complaint duly valued, thus avoiding an unfavorable evolution with a worse prognosis,
demonstrating the importance of diagnostic laparoscopy in the management of patients with
nonspecific abdominal pain. |
| author_additional |
Carvalho, Adriana Edelves Trindade Martins |
| author_additionalStr |
Carvalho, Adriana Edelves Trindade Martins |
| format |
Monografia |
| author |
Sales, Barion Santos Baroni |
| title |
O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| title_short |
O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| title_full |
O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| title_fullStr |
O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| title_full_unstemmed |
O papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| title_sort |
o papel da laparoscopia diagnóstica em casos de dor abdominal inespecífica |
| publisher |
Universidade Federal do Tocantins |
| publishDate |
2022 |
| url |
http://hdl.handle.net/11612/3773 |
| _version_ |
1787134542392328192 |
| score |
11.755432 |