Urgencias quirúrgicas abdominales en pacientes oncológicos

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2026-10-22

How to Cite

Sánchez Sabando, J., Plaza Cepeda, J., Jurado Bambino, A., & Marengo Baquerizo, C. (2026). Urgencias quirúrgicas abdominales en pacientes oncológicos. Oncology Journal (Ecuador), 2(1), 17–28. Retrieved from https://roe-solca.ec/index.php/johs/article/view/898

Issue

Vol. 2 No. 1 (1994): June

Section

Original Articles

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors

  • Jaime Sánchez Sabando Instituto Oncológico Nacional “Dr. Juan Tanca Marengo”
  • Jaime Plaza Cepeda Instituto Oncológico Nacional “Dr. Juan Tanca Marengo”
  • Antonio Jurado Bambino Instituto Oncológico Nacional “Dr. Juan Tanca Marengo”
  • Carlos Marengo Baquerizo Instituto Oncológico Nacional “Dr. Juan Tanca Marengo”

Abstract

Acute abdomen was diagnosed in 12 patients, 4 male and 8 female, with a mean age of 47 years (range: 11-74). All patients had previously diagnosed malignancies, and the acute abdominal complications were related to the primary tumor, metastases, or treatment with radiotherapy, chemotherapy, or surgery.

The symptoms were pain, abdominal distention, vomiting, and anemia, among others, with a duration of 2-60 days.

The diagnoses at surgery were acute appendicitis (1 case), duodenal perforation (1 case), suture dehiscence (1 case), gastric perforation with colonic fistula (1 case), duodenal obstruction (2 cases), and malignant intestinal obstruction (6 cases).

The primary neoplasms were cervical carcinoma (6 cases), rectal cancer (2 cases), colon cancer (1 case), gastric carcinoma (1 case), acute lymphoblastic leukemia (1 case), and mixed retroperitoneal liposarcoma (1 case).

The outcomes were 5 patients alive (41.7 %), with an average hospital stay of 16.6 days (range: 1-30 days), and 7 deaths (58.3 %), with an average of 19.4 days (range: 1-60 days).

The surgical techniques, complications, dilemmas regarding surgical decisions, and importance of prompt diagnosis for prognosis are discussed. Four representative cases are also described.

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References

DeVita VT, Hellman S. Cancer: Principles and Practice of Oncology. Surgical emergencies. Baker AR. Vol. II, 4.ª ed., pp. 2141-2158. [Verificar la estructura de la referencia y la autoría del capítulo].

Botsford RW, Wilson RE. The Acute Abdomen: An Approach to Diagnosis and Management. 2.ª ed. Philadelphia: WB Saunders; 1977.

Pauker SG, Kopelman RJ. Clinical problem solving: Trapped by an incidental finding. N Engl J Med. 1992;326:40-43.

Turnbull ADM, Starnes HF Jr. Surgical Emergencies in the Cancer Patient. Chicago: Year Book Medical Publishers; 1987.

Lau P, Lorentz T. Results of surgery for malignant bowel obstruction in advanced, unresectable, recurrent colorectal cancer. Dis Colon Rectum. 1993 Jan:61-64.

Wilson R. Urgencias quirúrgicas. En: DeVita VT. Cáncer: principios y prácticas de oncología. 3.ª ed., t. II. Salvat Editores, pp. 1468-1490.

Stellato T, Shenk R. Gastrointestinal emergencies in the oncology patient. Semin Oncol. 1989 Dec;16(6):521-531.

Kramer Z, Keller J, Rubin P. Oncologic emergencies. En: Clinical Oncology. Cap. 13. W.B. Saunders Company; 1993. pp. 147-158.

Gallick HL, Weaver DW, Sachs RJ, et al. Intestinal obstruction in cancer patients: An assessment of risk factors and outcome. Am Surg. 1986;52:434-437.

Skibber JM, Matter GJ, Pizzo PA, et al. Right lower quadrant pain in young patients with leukemia. Ann Surg. 1987;206:711-716.

Sherman NJ, Williams K, Wooley MM. Surgical complications in the patient with leukemia. J Pediatr Surg. 1973;8:235-244.

Johnson W, Borella L. Acute appendicitis in childhood leukemia. J Pediatr. 1965;67:595-599.

Murguía E, Quiroga D. Seminoma intraabdominal con pedículo torcido como causa de abdomen agudo. Rev Argent Cirug. 1992;62:197-198.

Wilson RE. Surgical emergencies. En: DeVita VT, Hellman S, Rosenberg SA, eds. Cancer: Principles and Practice of Oncology. 3.ª ed. Philadelphia, PA: J.B. Lippincott Co.; 1989. pp. 2003-2015.

Boher F, Lemchen H, et al. Abdomen agudo obstructivo por melanoma cutáneo metastático: relato de un caso. R. Pesquisa Médica. Porto Alegre. 1988;22(2):109-112.

Ketcham AS, Hoye RC, Pilch YM, Morton DL. Delayed intestinal obstruction following treatment for cancer. Cancer. 1970;25:406-410.

Walsh HPJ, Schofield PF. Is laparotomy for small bowel obstruction justified in patients with previously treated malignancy? Br J Surg. 1984;71:933-935.

Muraro C, Azoubel C, Salvia P, et al. Linfoma T de íleo terminal levando a abdome agudo obstrutivo por intussuscepção ileocecal. Rev Bras Colo-Proct. 1993;13(1):21-23.

Aranha GV, Folk FA, Greenlee HB. Surgical palliation of small bowel obstruction due to metastatic carcinoma. Am Surg. Volumen, páginas y año no indicados en el fragmento original.

Glass RL, LeDuc RJ. Small intestinal obstruction from peritoneal carcinomatosis. Am J Surg. 1973;125:316-317.

Stellato TA, Gauderer MWL, Ponsky JL. Percutaneous endoscopic gastrostomy for gastrointestinal decompression. Ann Surg. 1987;205:119-112. [Rango de páginas por verificar].

Clarke-Pearson DL, Chin NO, DeLong ER, et al. Surgical management of intestinal obstruction in ovarian cancer. I. Clinical features, postoperative complications, and survival. Gynecol Oncol. 1987;26:11-18.

Butler JA, Brian CL, Morrow M, Kahng K, et al. Small bowel obstruction in patients with a prior history of cancer. Am J Surg. 1991;162:624-628.

Klein MS, Ennis F, Sherlock P, et al. Stress erosions: A major cause of gastrointestinal hemorrhage in patients with malignant disease. Am J Dig Dis. 1973;18:167-173.

Kemeny MM, Magrath JT, Brennan MF. The role of surgery in the management of American Burkitt's lymphoma and its treatment. Ann Surg. 1982;196:82-86.

Gallick HL, Weaver DW, Sachs RJ, Bouwman DL. Intestinal obstruction in cancer patients: An assessment of risk factors and outcomes. Am Surg. 1986;52:434-437.

Roh JJ, Thompson JS, Harned RK, et al. Value of pneumoperitoneum in the diagnosis of visceral perforation. Am J Surg. 1983;146:830-833.

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