♀️ 70 a, intervenida qx de hernia inguinal derecha hace años.
Acude por dolor abdominal, tipo cólico, intenso, junto con nauseas y vómitos que se han intensificado en las ultimas horas.
Rx abdomen: ⬇️⬇️ Image
¿Cuál es la etiología más probable del cuadro?
La aparición de asas de intestino delgado (verde), junto con aerobilia (rojo) hace que la sospecha inicial sea de íleo biliar.
Te habías dado cuenta de la aerobilia? (yo tampoco🤣) Hay que ser minucioso con las Rx🧐 Image

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More from @raulvelamazan

17 Apr
💩Colitis microscópica💩

🔦Colonoscopia siempre normal❓

Calprotectina útil❓

Budesonida durante cuanto tiempo❓

🦴Asocio Ca+Vit D ❓

🧵⬇️
Colitis Microscópica (CM) ▶️ Colitis linfocítica y colitis microscópica ▶️ solamente diferenciables por la histología

Prevalencia: 119 casos / 100.000 hab

Factor de riesgo: 🚬 y ♀️
💩Diarrea acuosa🌊 sin sangre🚫🩸, frecuentemente nocturna🌃 y asociando incontinencia y urgencia🚽🏃‍♀️

No ⬆️ riesgo de adenomas ni CCR ▶️cribado de CCR como en población general
Read 14 tweets

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