{"id":12938,"date":"2018-02-12T09:00:43","date_gmt":"2018-02-12T08:00:43","guid":{"rendered":"https:\/\/mileon.wordpress.com\/?p=12938"},"modified":"2018-02-12T09:00:43","modified_gmt":"2018-02-12T08:00:43","slug":"sesion-clinica-4-2018-fistula-ileosigmoidea","status":"publish","type":"post","link":"https:\/\/www.icscyl.com\/mileon\/sesiones-clinicas\/2018-02-12\/sesion-clinica-4-2018-fistula-ileosigmoidea\/","title":{"rendered":"Sesi\u00f3n cl\u00ednica 4\/2018: F\u00edstula ileosigmoidea"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-thumbnail wp-image-12939\" src=\"https:\/\/mileon.files.wordpress.com\/2018\/02\/31_v-1p01.jpg?w=150\" alt=\"31_V-1p01\" width=\"150\" height=\"75\" \/>La sesi\u00f3n cl\u00ednica del pasado mi\u00e9rcoles trataba sobre una paciente con un cuadro de diarrea acuosa muy profusa de varios meses de evoluci\u00f3n. El diagn\u00f3stico diferencial fue realizado por el Dr. Balaguer (R1) que repas\u00f3 las causas m\u00e1s frecuentes de diarrea cr\u00f3nica. La soluci\u00f3n la aport\u00f3 el Dr. Muela; se realiz\u00f3 biopsia duodenal para Whipple y celiaca que result\u00f3 negativa, y adem\u00e1s se complic\u00f3 con una hemorragia digestiva secundaria a la toma de biopsias, posteriormente una TC demostr\u00f3 una probable f\u00edstula ileosigmoidea, que a pesar de no observarse en los estudios baritados se demostr\u00f3 durante la intervenci\u00f3n quir\u00fargica, realiz\u00e1ndose amputaci\u00f3n abdomino-perineal y extirpaci\u00f3n de f\u00edstula. Sin embargo, la paciente present\u00f3 una evoluci\u00f3n tortuosa, con insuficiencia cardiaca refractaria y bacteriemia siendo exitus unos d\u00edas despu\u00e9s.\u00a0Su presentaci\u00f3n conjunta se encuentra disponible\u00a0<a href=\"https:\/\/drive.google.com\/open?id=1DcKSCb705-mX6mTaRfDY-1W6S83M4H8R\">aqu\u00ed.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La sesi\u00f3n cl\u00ednica del pasado mi\u00e9rcoles trataba sobre una paciente con un cuadro de diarrea acuosa muy profusa de varios meses de evoluci\u00f3n. El diagn\u00f3stico diferencial fue realizado por el Dr. Balaguer (R1) que repas\u00f3 las causas m\u00e1s frecuentes de diarrea cr\u00f3nica. La soluci\u00f3n la aport\u00f3 el Dr. Muela; se realiz\u00f3 biopsia duodenal para Whipple [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[723],"tags":[762,946],"class_list":["post-12938","post","type-post","status-publish","format-standard","hentry","category-sesiones-clinicas","tag-balaguer","tag-muela"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12938","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/comments?post=12938"}],"version-history":[{"count":0,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/posts\/12938\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/media?parent=12938"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/categories?post=12938"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.icscyl.com\/mileon\/wp-json\/wp\/v2\/tags?post=12938"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}