vólvulo del sigmoides
TRANSCRIPT
-
8/3/2019 Vlvulo del sigmoides
1/43
'O;:4/0824/084859,170/44-4,
,73N,
7943,3.34
-
8/3/2019 Vlvulo del sigmoides
2/43
013.O3 8 , 749,.O3 9478O3 /0 ,8, 824/0,
84-70 8: 00 2084.O.4 .:, .4380.:03., ,3,9O2., 1845,94O., 80/090723, 803 8: 5708039,.O3 ,:/,8:-,:/, 4 3907290390
-
8/3/2019 Vlvulo del sigmoides
3/43
-
8/3/2019 Vlvulo del sigmoides
4/43
,.94708!70/854303908 ,.94708/090723,3908 8,824/0,70/:3/,3908
8970.,20394/0,25,39,.O3/02084
,.94708,70,/48 0.E3.48
-
8/3/2019 Vlvulo del sigmoides
5/43
,.94708090723,3908, 8,824/0,70/:3/,390
43F394824/08954,-/423450;,34
43895,.O3.7O3., 2039,.O3
0897:..O34,0308,/050482:7,08
0:745,9J,,:943O2.,
-
8/3/2019 Vlvulo del sigmoides
6/43
,.94708090723,3908- 8970.,20394/0,25,39,.O3/02084
-74887097E.9170.:0390/0,-,80,:8,/08.434./,
-
8/3/2019 Vlvulo del sigmoides
7/43
,.94708,70,/48,8,039,242,86:8904;E7.4
09.
90747E;/4
7/,854894507,947,8
-
8/3/2019 Vlvulo del sigmoides
8/43
4380.:03.,8,3,9O2.,803824/08;4;:,/4
$037,/490254/09478O3
8903.O3/0,.2/0/E20974/0,8,,,,7,/,.242E88:09,5472084,74/0-,8008970.,
!0/09478O30307,20390,3947,7,80.70,,48,.2/02,703,3,
,9478O3085,7., S
42509,S 42E8
-
8/3/2019 Vlvulo del sigmoides
9/43
4380.:03.,8,3,9O2.,8
03824/08;4;:,/4$037,/490254/09478O3
425742845,709,
, '9,/,/.43807;,/,
!74708,/08/00/02,.44774448.:74.,3488 907,.4308 70;078-083472,,.O3.43/089478O3
-
8/3/2019 Vlvulo del sigmoides
10/43
4380.:03.,8,3,9O2.,803824/08;4;:,/4$037,/490254/09478O3
425742845,709,-,3703,
!74708,/08/05,7.,4802039,7,,89,,507147,.O3
-
8/3/2019 Vlvulo del sigmoides
11/43
$3942,944J,,8:4897:..O33 4-897:..O3390893,-,, 447.O.454,89744 0903.O3/010.,8 ,808
8903.O3,-/423,0503/0/0954/0;O;:4/:7,.O3 %478O33.42509,,8,;,7,-0 ,3703, !07147,.O3 50794398 $4. $0588
$J3942,8843/090723,/48547089,/4/0,8,
-
8/3/2019 Vlvulo del sigmoides
12/43
43172,.O3/,3O89., 8J3942,8-/423,080307,08
,2031J8.4, 3850..O3/8903.O3547209047824
4;4/0,82F97.4,573.54
-
8/3/2019 Vlvulo del sigmoides
13/43
43172,.O3/,3O89.,,203.J3.4
-!!
/447;,7,-0#088903.,70290390
.!#&$507925,3824
,9/0547,8,03,/0
J6:/4/&$&%$03.4949,
-
8/3/2019 Vlvulo del sigmoides
14/43
43172,.O3/,3O89.,# 8250/0,-/4203
8,/8903//,03420,47,34/0.,1F
.3/74845,./,/0830,08;079.,08
43;0/,/8:50747 $348/050747,.O38,,
-
8/3/2019 Vlvulo del sigmoides
15/43
43172,.O3/,3O89., 302,-,79,/42,03035:39,/0E54035.4/0
,;0
%/0,-/420350;8
!0729/4908/085:F8/0/0;4;:,.O3 403
,:803.,/08348/07,;0.4257428403/,3O89.4/10703.,
-
8/3/2019 Vlvulo del sigmoides
16/43
:,/748.J3.48'O;:4,:/4020348170.:0390
$3,390.0/03908570;48 447.O.4,:/480;074.434-897:..O3
$348/07,;0/,/
#06:070.7:J,:70390
-
8/3/2019 Vlvulo del sigmoides
17/43
:,/74.J3.4'O;:4,:/402E8170.:0390 43,390.0/0390/00584/48570;48/0
8:34897:..O36:0.0/0743.434833907;03.O32F/.,80:/48/0/0-,.0/,7704.,
!,.03903708,433:0;40584/4/0/447/0,:348/J,84
,:3,847,8!##$'
;4:.43,,,4-897:..O3
$3480307,08843;,7,-08347,;08 #06:070/02,3042F/.4.7:J,/107/,
-
8/3/2019 Vlvulo del sigmoides
18/43
:,/74.J3.4 'O;:4.7O3.454.4170.:0390
390;0/03908 /00584/48/0/447,:/4954.O.454E897.470.:7703908
89038O3,-/423,,82F97.,.4389,3908
#084:.O3085439E30,03,:348/J,8
$0/,03,3.,34854897,/48
-
8/3/2019 Vlvulo del sigmoides
19/43
,3O89:. /10703., 045,7,J9.4 !4894507,/4897,9,203948
20/.,20394848/,N454897,:2E9.4486:F2.4
$020394,74 390893,/,9,/4835:394/097,38.O3;008/74,F7048 ,:803.,/050789,9824390893,
0,.443,1:3.43, 8970N2039480;07483.,:8,47E3.,,7.,/,/,9,.O3570107039020390/082,.4436:07/4,:803.,/0,:897,8443705094/00.084,70
-897:..O3.4O3., /89, %7,38.O3,-7:59, 030:,7/0,4-897:..O3.43,:803.,/0,8/89,,2824,.,:8,2,8170.:03900,2,3,,80:3/,,/;079.:98
-
8/3/2019 Vlvulo del sigmoides
20/43
!743O89.4 ,8548-08.425.,.4308843,4-897:..O303
,8,.077,/,86:02,30.7488
507147,.O3403:/404824/0 3908934/0,/4800370/,84-700208482,574/:.03/4:3,4-897:..O303,8,.077,/,.430897,3:,.O3,3703,
,70.:7703., /085:F8/0,70/:..O3346:77.,08/0
-
8/3/2019 Vlvulo del sigmoides
21/43
%7,9,20394J3.4 6:77.4
-
8/3/2019 Vlvulo del sigmoides
22/43
%7,9,203942F/.4-09;4 ;9,7.7:J,/0:7003., 03:3.44334
5705,7,/4
!07297.7:J,.43-:03,5705,7,.O3
3.43;030390/0994 2F/.4844 897,38947470./;,
-
8/3/2019 Vlvulo del sigmoides
23/43
%7,9,203942F/.40//,80307,08 ,304/0/447 /7,9,.O3
%F.3.,8/070/:..O3/0;O;:4 057010703.,.4370.94824/048.45J, 4.44348.45J,10-0 !07290 0;4;:,7 0,8,,10.9,/, 570.,70089,/4/0,2:.48,5,7,/0903074,;,3,7
0574.0/20394 ,,4803/48.O5.480/02,50906:,8
02477,,830.7488 #084507147,.O3
-
8/3/2019 Vlvulo del sigmoides
24/43
%7,9,203942F/.4 $340890.44348.454 $43/,70.9,,7,;,803,/, #49,.O35708O38:,;0
302,.43,:,9-,48:074184O.4,5708O3;,7,-0
%#$"
-
8/3/2019 Vlvulo del sigmoides
25/43
%#%%"#0139;4
$,370344507147,.O3020703.,6:7.,
/0,/0.7:J, 107/,
43.443-035705,7,/4
-
8/3/2019 Vlvulo del sigmoides
26/43
%7,9,203946:77.43/.,.4308
3908934,3703,/4
!0147,.O3 /03908934.42574209/4
344-903.O3/0,.:7,.O3/0139;,
-
8/3/2019 Vlvulo del sigmoides
27/43
%7,9,203946:77.4 !,848,80:7 0;4;:,.O3 /0,8 ,8,8.42574209/,8
',47,.O3/0488020394886:F2.48
3E88/0,;,-/,//04828248
-
8/3/2019 Vlvulo del sigmoides
28/43
%7,9,203946:7J:7.4 $03908934.42574209/4089E;,-0
805701070,/08;4;:,.O3 ,1,.O3/0,8,,,5,70/,-/423,89095497,9,203949030:3,2479,/,/2:-,,:3,70./;,6:048.,039700050748,28249025480010.9,
:3,.448942J,,70./;,082J32,
-
8/3/2019 Vlvulo del sigmoides
29/43
%7,9,203946:77.4390:3,8,34;,-0089E3/.,/,,
7080..O3/030.08/,/6:J,00..O3805,390,7E/0,.:07/4,089,/44.,0307,/0031072403970:3,02.40.942J, /070.,.437089,:7,.O3320/,9,/0,.4393:/,/
390893,4,090747,.O3 7080..O3/0:.,0 4,7080..O3.434.448942J, ,.,-48805,7,/48
-
8/3/2019 Vlvulo del sigmoides
30/43
448942J,
-
8/3/2019 Vlvulo del sigmoides
31/43
013.O3 $0:8,09F7234/0.448942J,5,7,701077348,
,-4.,20394/039089347:084,.,0090747
57,.9.,/46:77.,20390.4327,8,/07;,75,7.,4949,20390097E3894390893,
8020394/0.443,-4.,/4,090747/090723,0342-70/0,.448942J,
-
8/3/2019 Vlvulo del sigmoides
32/43
-
8/3/2019 Vlvulo del sigmoides
33/43
%548/0.448942J,448942J,8,907,08 308/08.425708;48
448942J,8.7.:310703.,08 $43/081:3.43,,3908
-
8/3/2019 Vlvulo del sigmoides
34/43
-
8/3/2019 Vlvulo del sigmoides
35/43
-
8/3/2019 Vlvulo del sigmoides
36/43
3/.,.4308 %7,38947,8 07;,7097E389420397,897,9,248:3,
,10..O3/89,,0,
0139;, :,3/4,08O3/89,,0,345:0/0807
0975,/,4.:,3/4803/40975,/,34,548-/,/08/07089,-0.07097E3894
-
8/3/2019 Vlvulo del sigmoides
37/43
0301.48/0.448942J,/081:3.43,,390, #07084/0574.084831,2,94748- !7490..O301.,/08:9:7,8. ;9,7310..4308033907;03.4308
471.,08 0850.,08/ 3,8084308/0897:.9;,884:.43,0
.:,/74/0:703.,5072905705,7,7
,8.43/.43080307,084.,08/003107245,7,:3,3907;03.O3548907476:0023001,.947094OJ.4
-
8/3/2019 Vlvulo del sigmoides
38/43
-
8/3/2019 Vlvulo del sigmoides
39/43
0.:.O3/0,8.448942J,8 10.9:,7,.448942J,03,282,,5,74942J,
547,6:08057,.9.O,.40.942J, 4,
0547,.O305430,0;8.07,.O3310..O3/0,07/,4,089034888570107-057,.9.,7:3,,5,74942J,,/4.,0,/,/0,,5,74942J,573.5,
0-000780:380203942O;/0.4436:050729,8:090747,.O38330.08/,//0
/085703/203945,7094.O.4 836:0020846:0/097,..43,/4 5,7,0;9,797,8947348.7.:,94748.43,.438:039030.7488/0,8,4/085703/20394/0,.448942J,
-
8/3/2019 Vlvulo del sigmoides
40/43
90747,/403908934/0-0,:89,780,,5,74942J,,,8,8:9:7,3/48:8.428:7,85475,348/0,3/4085,.48:1.0390039700,8,,5,70/6:050729,3974/:.7,.7:,34/48/0/48031472,
-03,:89,/,&308970.,203940,07,/4/0,07/,574;4.,0/02,08903488,330.7488/0,8,!470.4397,74:3,07/,2:,25,507290,0;8.07,.O3,0;0397,.O30574,584
/0,.448942J,
-
8/3/2019 Vlvulo del sigmoides
41/43
-
8/3/2019 Vlvulo del sigmoides
42/43
0770/0,.448942J, :03,77,.O3/048.,-48,:374/0,
-4.,,.077,7
,8:9:7,34/0-06:0/,7039038O3!,7,04/0-04-9030780:3,-:03,-07,.O3/0,8, 48-47/08,,3,894248,7/0-03807
/0854,/48949,20390/090/4..,97.,5,7,0;9,7/08.03.,/08:9:7,8408903488
,8:9:7,/0-0010.9:,78003/485,348:34
949,497480742:8.:,72-48,5:3948805,7,/485,7,0;9,708903488
-
8/3/2019 Vlvulo del sigmoides
43/43
425.,.4308 /02, 0.7488
-8.0848507.4489O2.48 1J89:,8 02477,,8 !07147,.O3/0,8,5470302, #097,..O3 !74,584
;8.07,.O3 ;0397,.O3 ,770,/07298