{"id":3818,"date":"2015-12-09T09:00:33","date_gmt":"2015-12-09T09:00:33","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-complicacoes-em-retocolite-ulcerativa\/"},"modified":"2022-06-17T15:35:14","modified_gmt":"2022-06-17T15:35:14","slug":"caso-clinico-complicacoes-em-retocolite-ulcerativa","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-complicacoes-em-retocolite-ulcerativa\/","title":{"rendered":"Complica\u00e7\u00f5es em Retocolite Ulcerativa"},"content":{"rendered":"<p>Paciente do sexo feminino , 62 anos, solteira, natural e procedente de Mar\u00edlia-SP, empres\u00e1ria.<\/p>\n<p>Foi encaminhada (mar\u00e7o de 2015) com antecedente de retocolite ulcerativa de longa data, apresentando quadros de dor e diarr\u00e9ia, mesmo com uso (irregular) de cortic\u00f3ide e salicilatos.<\/p>\n<p>Inicialmente foi submetida a colonoscopia , para avaliar a gravidade da doen\u00e7a, com os seguintes achados:<\/p>\n<div id=\"attachment_3601\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014571f05.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-3601\" class=\"size-medium wp-image-3601\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014571f05.jpg\" alt=\"Eros\u00f5es puntiformes difusas, sem eros\u00f5es (Doen\u00e7a moderada, Escore 2 - Classifica\u00e7\u00e3o Cl\u00ednica Mayo)\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3601\" class=\"wp-caption-text\">Eros\u00f5es puntiformes difusas, sem eros\u00f5es (Doen\u00e7a moderada, Escore 2 &#8211; Classifica\u00e7\u00e3o Cl\u00ednica Mayo)<\/p><\/div>\n<div id=\"attachment_3602\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014571f13.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-3602\" class=\"size-medium wp-image-3602\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014571f13.jpg\" alt=\"Eros\u00f5es puntiformes difusas, sem eros\u00f5es (Doen\u00e7a moderada, Escore 2 - Classifica\u00e7\u00e3o Cl\u00ednica Mayo)\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3602\" class=\"wp-caption-text\">Eros\u00f5es puntiformes difusas,com \u00e1reas de apagamento vascular submucosa<\/p><\/div>\n<div id=\"attachment_3603\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014571f20.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-3603\" class=\"size-medium wp-image-3603\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014571f20.jpg\" alt=\"Eros\u00f5es puntiformes difusas, sem eros\u00f5es (Doen\u00e7a moderada, Escore 2 - Classifica\u00e7\u00e3o Cl\u00ednica Mayo)\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3603\" class=\"wp-caption-text\">Eros\u00f5es puntiformes difusas, sem ulcera\u00e7\u00f5es. (Doen\u00e7a moderada, Escore 2 &#8211; Classifica\u00e7\u00e3o Cl\u00ednica Mayo)<\/p><\/div>\n<div id=\"attachment_3604\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014571f33.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3604\" class=\"size-medium wp-image-3604\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014571f33.jpg\" alt=\"Eros\u00f5es puntiformes difusas, sem eros\u00f5es (Doen\u00e7a moderada, Escore 2 - Classifica\u00e7\u00e3o Cl\u00ednica Mayo)\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3604\" class=\"wp-caption-text\">Eros\u00f5es puntiformes difusas, , com enantema<\/p><\/div>\n<p>Laudo da colonoscopia (abril\/2015) : Pancolite ulcerativa (subescore 2 &#8211; Cl\u00ednica Mayo) &#8211; Doen\u00e7a diverticular de c\u00f3lon esquerdo n\u00e3o complicado &nbsp;(Nota : N\u00e3o foi poss\u00edvel avalia\u00e7\u00e3o de \u00edleo terminal, por grande quantidade de res\u00edduos).<\/p>\n<p>Baseado no exame colonosc\u00f3pico, corrigiu-se as dosagens de salicilatos e cortic\u00f3ide, sendo checada ades\u00e3o ao tratamento, com retornos ambulatoriais frequentes. Houve inicialmente melhora parcial , por\u00e9m, na evolu\u00e7\u00e3o, voltou a &nbsp;apresentar diarreia, agora com sangramento e perda ponderal. Foi ent\u00e3o solicitado novo exame endosc\u00f3pico, agora uma retossigmoidoscopia, para avaliar a resposta &nbsp;ao tratamento, com os seguintes achados :<\/p>\n<div id=\"attachment_3605\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f22.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3605\" class=\"size-medium wp-image-3605\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f22.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3605\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo<\/p><\/div>\n<div id=\"attachment_3606\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f27.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3606\" class=\"size-medium wp-image-3606\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f27.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3606\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave.Eros\u00f5es enantema e &nbsp;edema difuso<\/p><\/div>\n<div id=\"attachment_3607\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f28.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3607\" class=\"size-medium wp-image-3607\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f28.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3607\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo<\/p><\/div>\n<div id=\"attachment_3608\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f01.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3608\" class=\"size-medium wp-image-3608\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f01.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3608\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave.&nbsp;Ulcera\u00e7\u00f5es isoladas<\/p><\/div>\n<div id=\"attachment_3609\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f03.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3609\" class=\"size-medium wp-image-3609\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f03.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3609\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave.&nbsp;Ulcera\u00f5es isoladas<\/p><\/div>\n<div id=\"attachment_3610\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f06.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3610\" class=\"size-medium wp-image-3610\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f06.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3610\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo<\/p><\/div>\n<div id=\"attachment_3611\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f12.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3611\" class=\"size-medium wp-image-3611\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f12.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3611\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave.&nbsp;Eros\u00f5es e sangramento difuso<\/p><\/div>\n<div id=\"attachment_3612\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e014902f16.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3612\" class=\"size-medium wp-image-3612\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e014902f16.jpg\" alt=\"Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3612\" class=\"wp-caption-text\">Retocolite Ulcerativa em atividade Moderado-Grave. Escore 3 de Mayo<\/p><\/div>\n<p>Laudo Retossigmoidoscopia (junho\/2015) : Retocolite Ulcerativa em atividade moderado-grave.<\/p>\n<p>Com base no quadro cl\u00ednico e exame de imagem , optou-se por iniciar terapia com imunobiol\u00f3gicos, sendo escolhido Adalimumab (Humira&nbsp;\u00ae), nas doses habituais de indu\u00e7\u00e3o e manuten\u00e7\u00e3o.<\/p>\n<p>Ainda assim, n\u00e3o apresentou melhora cl\u00ednica, com persist\u00eancia da diarr\u00e9ia, sangramento retal, perda de peso e desnutri\u00e7\u00e3o. Foi internada, para tratamento com cortic\u00f3ide e troca de imunossupressor biol\u00f3gico para infliximab (Remicade \u00ae) &nbsp;Novamente, foi solicitada exame endosc\u00f3pico, para avaliar a fal\u00eancia do tratamento com imunossupressor, com os seguintes achados :<\/p>\n<div id=\"attachment_3614\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f01.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3614\" class=\"size-medium wp-image-3614\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f01.jpg\" alt=\"Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3614\" class=\"wp-caption-text\">Retocolite ulcerativa em atividade moderada:&nbsp;Apagamento de vasculatura e enantema difuso<\/p><\/div>\n<div id=\"attachment_3618\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f11.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3618\" class=\"size-medium wp-image-3618\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f11.jpg\" alt=\"Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3618\" class=\"wp-caption-text\">Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.<\/p><\/div>\n<div id=\"attachment_3617\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f10.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3617\" class=\"size-medium wp-image-3617\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f10.jpg\" alt=\"Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3617\" class=\"wp-caption-text\">Retocolite ulcerativa em atividade moderada: Eros\u00f5es difusas, com fibrina<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_3616\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f07.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3616\" class=\"size-medium wp-image-3616\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f07.jpg\" alt=\"Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3616\" class=\"wp-caption-text\">Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.<\/p><\/div>\n<div id=\"attachment_3615\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f05.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3615\" class=\"size-medium wp-image-3615\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f05.jpg\" alt=\"Retocolite ulcerativa em atividade moderada: Escore 2 de Mayo.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3615\" class=\"wp-caption-text\">Retocolite ulcerativa em atividade moderada:&nbsp;Apagamento de vasculatura e eros\u00f5es difusas<\/p><\/div>\n<div id=\"attachment_3622\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f17.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3622\" class=\"size-medium wp-image-3622\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f17.jpg\" alt=\"P\u00f3lipo Reto\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3622\" class=\"wp-caption-text\">P\u00f3lipo Reto &#8211; s\u00e9ssil, 25 mm<\/p><\/div>\n<div id=\"attachment_3620\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f13.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3620\" class=\"size-medium wp-image-3620\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f13.jpg\" alt=\"P\u00f3lipo Reto\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3620\" class=\"wp-caption-text\">P\u00f3lipo Reto &#8211; s\u00e9ssil, 25 mm , cerca de 8 cm de B.A.<\/p><\/div>\n<div id=\"attachment_3619\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e015140f12.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3619\" class=\"size-medium wp-image-3619\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e015140f12.jpg\" alt=\"P\u00f3lipo Reto\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3619\" class=\"wp-caption-text\">P\u00f3lipo Reto<\/p><\/div>\n<p>Laudo colonoscopia (outubro\/2015): Colonoscopia incompleta com angula\u00e7\u00e3o fixa de sigm\u00f3ide. Colite ulcerativa em atividade moderada (Escore 2 de Cl\u00ednica Mayo). P\u00f3lipo de reto (10 cm de BA). Bi\u00f3psias (nota :n\u00e3o realizada polipectomia devido a inflama\u00e7\u00e3o importante do \u00f3rg\u00e3o)<\/p>\n<p>An\u00e1tomo patol\u00f3gico da bi\u00f3psia de p\u00f3lipo de reto: Adenocarcinoma.<\/p>\n<p>Como n\u00e3o houve resposta ao tratamento cl\u00ednico, associado ao exame endosc\u00f3pico de neoplasia, optou-se pela protocolectomia total, que foi realizada sem intercorr\u00eancias, n\u00e3o sendo realizada &#8220;pouch ileal&#8221; devido as condi\u00e7\u00f5es cl\u00ednicas do paciente (realizada ileostomia terminal). Durante a cirurgia, foi realizada retoscopia, para deter minar que todo o reto havia sido dissecado e seria retirado (fechamento do reto cerca de 2 cm acima da linha pect\u00ednea) :<\/p>\n<div id=\"attachment_3624\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e009015f09.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3624\" class=\"size-medium wp-image-3624\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e009015f09.jpg\" alt=\"P\u00f3lipo- Retoscopia intraoperat\u00f3ria.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3624\" class=\"wp-caption-text\">P\u00f3lipo- Retoscopia intraoperat\u00f3ria.<\/p><\/div>\n<div id=\"attachment_3625\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e009015f13.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3625\" class=\"size-medium wp-image-3625\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e009015f13.jpg\" alt=\"P\u00f3lipo- Retoscopia intraoperat\u00f3ria.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3625\" class=\"wp-caption-text\">P\u00f3lipo- Retoscopia intraoperat\u00f3ria.<\/p><\/div>\n<div id=\"attachment_3626\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/e009015f15.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3626\" class=\"size-medium wp-image-3626\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/e009015f15.jpg\" alt=\"P\u00f3lipo- Retoscopia intraoperat\u00f3ria.\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3626\" class=\"wp-caption-text\">P\u00f3lipo- Retoscopia intraoperat\u00f3ria.<\/p><\/div>\n<p>A pe\u00e7a cir\u00fargica :<\/p>\n<div id=\"attachment_3629\" style=\"width: 274px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/IMG-20151207-WA0001.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3629\" class=\"size-medium wp-image-3629\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IMG-20151207-WA0001.jpg\" alt=\"Pe\u00e7a - Protocolectomia\" width=\"264\" height=\"300\"><\/a><p id=\"caption-attachment-3629\" class=\"wp-caption-text\">Pe\u00e7a &#8211; Protocolectomia<\/p><\/div>\n<div id=\"attachment_3631\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/IMG-20151207-WA0004.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3631\" class=\"size-medium wp-image-3631\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IMG-20151207-WA0004.jpg\" alt=\"Pe\u00e7a - Protocolectomia - aberta\" width=\"300\" height=\"225\"><\/a><p id=\"caption-attachment-3631\" class=\"wp-caption-text\">Pe\u00e7a &#8211; Protocolectomia &#8211; aberta<\/p><\/div>\n<div id=\"attachment_3630\" style=\"width: 235px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/IMG-20151207-WA0003.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3630\" class=\"size-medium wp-image-3630\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IMG-20151207-WA0003.jpg\" alt=\"P\u00f3lipo reto\" width=\"225\" height=\"300\"><\/a><p id=\"caption-attachment-3630\" class=\"wp-caption-text\">P\u00f3lipo reto<\/p><\/div>\n<div id=\"attachment_3632\" style=\"width: 235px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/IMG-20151207-WA0005.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3632\" class=\"size-medium wp-image-3632\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IMG-20151207-WA0005.jpg\" alt=\"P\u00f3lipo reto\" width=\"225\" height=\"300\"><\/a><p id=\"caption-attachment-3632\" class=\"wp-caption-text\">P\u00f3lipo reto<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_3633\" style=\"width: 235px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/12\/IMG-20151207-WA0006.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3633\" class=\"size-medium wp-image-3633\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/IMG-20151207-WA0006.jpg\" alt=\"P\u00f3lipo reto\" width=\"225\" height=\"300\"><\/a><p id=\"caption-attachment-3633\" class=\"wp-caption-text\">P\u00f3lipo reto<\/p><\/div>\n<p>An\u00e1tomo patol\u00f3gico da pe\u00e7a :<\/p>\n<ul>\n<li>Adenocarcinoma tubular polip\u00f3ide de moderado grau nuclear, com invas\u00e3o da submucosa, sem atingir a muscular pr\u00f3pria. Invas\u00e3o perineural ou angiolinf\u00e1tica n\u00e3o detectada.<\/li>\n<li>Aus\u00eancia de met\u00e1stase em 4o linfonodos isolados.<\/li>\n<li>&nbsp;Adenocarcinoma microc\u00f3pico incidental (invadindo superficialmente a submucosa)<\/li>\n<li>Retocolite ulcerativa idiop\u00e1tica em intensa atividade comprometendo todo o c\u00f3lon e ap\u00eandice cecal)<\/li>\n<li>Linfadenite cr\u00f4nica inespec\u00edfica.<\/li>\n<li>Margens livres.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Paciente sem encontra em p\u00f3s operat\u00f3rio, com boa recupera\u00e7\u00e3o, teve breve interna\u00e7\u00e3o no 10 po por desidrata\u00e7\u00e3o &#8211; ileostomia), aguardando consulto com oncologista para acompanhamento cl\u00ednico.<\/p>\n<p>&nbsp;<\/p>\n<p>Nota : Escore da Cl\u00ednica Mayo para achado endosc\u00f3pico em doen\u00e7a inflamat\u00f3ria intestinal:<\/p>\n<p>Zero = Normal ou inativa<\/p>\n<p>1 &nbsp;= Doen\u00e7a leve (enantema, perda de padr\u00e3o vascular, leve friabilidade)<\/p>\n<p>2 = Doen\u00e7a moderada (enantema evidente, perda de padr\u00e3o vascular, friabilidade, eros\u00f5es)<\/p>\n<p>3 = Doen\u00e7a grave (sangramento espont\u00e2neo, ulcera\u00e7\u00f5e)<\/p>\n<p>&nbsp;<\/p>\n<p><em>Imagens gentilmente cedidas pelo Prof. Dr. F\u00e1bio Vieira Teixeira &#8211; Gastrosa\u00fade &#8211; Mar\u00edlia &#8211; SP<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Veja mais :<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/\">Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?<\/a><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/diretrizes-scenic-consenso-internacional-sobre-o-rastreamento-e-manejo-de-displasia-na-doenca-inflamatoria-intestinal\/\">DIRETRIZES \u2013 SCENIC \u2013 Consenso internacional sobre o rastreamento e manejo de displasia na doen\u00e7a inflamat\u00f3ria intestinal<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente do sexo feminino , 62 anos, solteira, natural e procedente de Mar\u00edlia-SP, empres\u00e1ria.&hellip;<\/p>\n","protected":false},"author":2221,"featured_media":3804,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[282],"tipo":[156],"volume":[147],"class_list":["post-3818","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-282","tipo-colonoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Complica\u00e7\u00f5es em Retocolite Ulcerativa &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-complicacoes-em-retocolite-ulcerativa\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Complica\u00e7\u00f5es em Retocolite Ulcerativa\" \/>\n<meta property=\"og:description\" content=\"Paciente do sexo feminino , 62 anos, solteira, natural e procedente de Mar\u00edlia-SP, empres\u00e1ria. 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