Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/14276 |
Resumo: | This case report is about a 7 year old boy with gastroesophageal reflux disease (GERD) treating since his first years of life. Despite the adequate clinical treatment for this pathology, he occasionally presented with early post-prandial vomits, sometimes requiring hospital internment for hydro electrolyte disorder compensation. After being referred by a General Surgeon, who thought a fundoplication was needed, the patient went to the Dirceu Arcoverde Hospital during a vomiting crisis to be evaluated by a Pediatric Surgeon. The hypothesis of intestinal malrotation associated or not with duodenal web was promptly suggested. The image exams corroborated and Ladd’s surgery was successfully performed. The case report was elaborated through the analysis of medical records of two medical services and reasoned by bibliographic research in the Scielo and Pubmed databases. Our goal with this paper is to bring to memory a differential diagnosis that is rare to a common pathology compatible group of symptoms and highlight the importance of a multidisciplinary team look. If exposed to a patient diagnosed with GERD, associated with growth stop of any kind and refractory clinical treatment, other diagnosis must be made and intestinal malrotation is one of them. |
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Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease Malrotación intestinal: un diagnóstico diferencial de la enfermedad por reflujo gastroesofágico Má rotação intestinal: um diagnóstico diferencial da doença do refluxo gastroesofágico refluxo gastroesofágicomá rotação intestinalreflujo gastroesofagicomalrotación intestinalgastroesophageal refluxintestinal malrotationThis case report is about a 7 year old boy with gastroesophageal reflux disease (GERD) treating since his first years of life. Despite the adequate clinical treatment for this pathology, he occasionally presented with early post-prandial vomits, sometimes requiring hospital internment for hydro electrolyte disorder compensation. After being referred by a General Surgeon, who thought a fundoplication was needed, the patient went to the Dirceu Arcoverde Hospital during a vomiting crisis to be evaluated by a Pediatric Surgeon. The hypothesis of intestinal malrotation associated or not with duodenal web was promptly suggested. The image exams corroborated and Ladd’s surgery was successfully performed. The case report was elaborated through the analysis of medical records of two medical services and reasoned by bibliographic research in the Scielo and Pubmed databases. Our goal with this paper is to bring to memory a differential diagnosis that is rare to a common pathology compatible group of symptoms and highlight the importance of a multidisciplinary team look. If exposed to a patient diagnosed with GERD, associated with growth stop of any kind and refractory clinical treatment, other diagnosis must be made and intestinal malrotation is one of them.En este relato vamos a discutir el caso de un paciente de 7 años com diagnostico de reflujo gastroesofagico en tratamiento desde los primeiros años de vida. Apesar del tratamiento clínico para la patología, presentava vomitos post-alimentares tempranos ocasionales, com necessidad de admisión hospitalar para control de disturbios hidroelectroliticos. Después de ser referenciado por um cirujano general, que sospechó de la necesidad de una fundoplicación, el paciente busco el servicio de urgencia del Hospital Estadual Dirceu Arcoverde durante uma crisis para evaluación de la Cirujía Pediátrica. La hipotesis de malrotación intestinal associada o no a uma membrana duodenal fue prontamente aventada e investigada. Los exámenes de imagen confirmaron la sospecha y la cirujia de Ladd fue realizada com éxito. El relato fue realizado por el analisis de datos de prontuário de dos servicios medicos y fundamentado por busca bibliografica en las bases de datos Scielo e Pubmed. Nuestro objetivo com este relato de caso es traer a la memoria um diagnostico diferencial incomun para sintomas compatibles com uma patologia muy frecuente y resaltar la importância de la evaluación de um equipo multidiciplinario. Frente a um paciente com enfermedad del reflujo gastroesofagico, presente em combinación com déficit de desarrollo y tratamiento refractario, nuevas hipotesis deven ser consideradas y una de ellas es la malrotacion intestinal.Neste relato iremos discorrer sobre um paciente de 7 anos de idade com diagnóstico de doença do refluxo gastroesofágico em tratamento desde os primeiros anos de vida. Apesar do tratamento clínico para a patologia, apresentava persistência de quadro de vômitos pós-alimentares precoces ocasionais, com necessidade de internação para compensação de distúrbios hidroeletrolíticos. Após ser encaminhado por um cirurgião, que suspeitou de necessidade de gastrofundoplicatura, o paciente procurou o serviço de urgência do Hospital Estadual Dirceu Arcoverde durante uma crise para ser avaliado pela Cirurgia Pediátrica. A hipótese de má rotação intestinal associada ou não a membrana duodenal foi prontamente aventada e investigada. Os exames de imagem corroboraram a suspeita e a cirurgia de Ladd foi realizada com sucesso. O relato foi elaborado através da análise de dados de prontuário de dois serviços médicos e fundamentado por pesquisa bibliográfica nas bases de dados Scielo e Pubmed. Nosso objetivo com este relato é trazer á memória um diagnóstico diferencial raro para uma sintomatologia compatível com patologia comum e salientar a importância do olhar de uma equipe multidisciplinar. Frente a um paciente com refluxo gastroesofágico, associado a déficit de crescimento e refratariedade no tratamento, diagnósticos diferenciais devem ser realizados e um deles é a má-rotação intestinal.Research, Society and Development2021-04-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1427610.33448/rsd-v10i4.14276Research, Society and Development; Vol. 10 No. 4; e49010414276Research, Society and Development; Vol. 10 Núm. 4; e49010414276Research, Society and Development; v. 10 n. 4; e490104142762525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/14276/12920Copyright (c) 2021 Ana Letícia de Aragão Oliveira Araripe; Juliana Almeida; Priscila Favoritto Lopeshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAraripe, Ana Letícia de Aragão Oliveira Almeida, JulianaLopes, Priscila Favoritto 2021-04-25T11:21:26Zoai:ojs.pkp.sfu.ca:article/14276Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:35:26.256666Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease Malrotación intestinal: un diagnóstico diferencial de la enfermedad por reflujo gastroesofágico Má rotação intestinal: um diagnóstico diferencial da doença do refluxo gastroesofágico |
title |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
spellingShingle |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease Araripe, Ana Letícia de Aragão Oliveira refluxo gastroesofágico má rotação intestinal reflujo gastroesofagico malrotación intestinal gastroesophageal reflux intestinal malrotation |
title_short |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
title_full |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
title_fullStr |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
title_full_unstemmed |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
title_sort |
Intestinal malrotation: a differential diagnosis of gastroesophageal reflux disease |
author |
Araripe, Ana Letícia de Aragão Oliveira |
author_facet |
Araripe, Ana Letícia de Aragão Oliveira Almeida, Juliana Lopes, Priscila Favoritto |
author_role |
author |
author2 |
Almeida, Juliana Lopes, Priscila Favoritto |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Araripe, Ana Letícia de Aragão Oliveira Almeida, Juliana Lopes, Priscila Favoritto |
dc.subject.por.fl_str_mv |
refluxo gastroesofágico má rotação intestinal reflujo gastroesofagico malrotación intestinal gastroesophageal reflux intestinal malrotation |
topic |
refluxo gastroesofágico má rotação intestinal reflujo gastroesofagico malrotación intestinal gastroesophageal reflux intestinal malrotation |
description |
This case report is about a 7 year old boy with gastroesophageal reflux disease (GERD) treating since his first years of life. Despite the adequate clinical treatment for this pathology, he occasionally presented with early post-prandial vomits, sometimes requiring hospital internment for hydro electrolyte disorder compensation. After being referred by a General Surgeon, who thought a fundoplication was needed, the patient went to the Dirceu Arcoverde Hospital during a vomiting crisis to be evaluated by a Pediatric Surgeon. The hypothesis of intestinal malrotation associated or not with duodenal web was promptly suggested. The image exams corroborated and Ladd’s surgery was successfully performed. The case report was elaborated through the analysis of medical records of two medical services and reasoned by bibliographic research in the Scielo and Pubmed databases. Our goal with this paper is to bring to memory a differential diagnosis that is rare to a common pathology compatible group of symptoms and highlight the importance of a multidisciplinary team look. If exposed to a patient diagnosed with GERD, associated with growth stop of any kind and refractory clinical treatment, other diagnosis must be made and intestinal malrotation is one of them. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-04-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14276 10.33448/rsd-v10i4.14276 |
url |
https://rsdjournal.org/index.php/rsd/article/view/14276 |
identifier_str_mv |
10.33448/rsd-v10i4.14276 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/14276/12920 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 10 No. 4; e49010414276 Research, Society and Development; Vol. 10 Núm. 4; e49010414276 Research, Society and Development; v. 10 n. 4; e49010414276 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052747904712704 |