Abstract

ORELLANA CARO, Vanesa R; NIETO CORONEL, Maria T; RODRIGUEZ GARNICA, Maria G  and  NINA BLACUTT, Edna L. Multidisciplinary management in a refractory case of malignant intestinal obstruction. Cuad. - Hosp. Clín. [online]. 2023, vol.64, n.2, pp.59-65. ISSN 1562-6776.

Abstract Malignant intestinal obstruction (MIO) is defined as that alteration of intestinal transit due to mechanical or functional obstruction, which generates impaired motility and accumulation of secretions, caused by malignant tumors. It is an oncological and palliative emergency that is difficult to manage, this entity represents a challenge for the health team, due to the great impact on the quality of life of the patient and his family. The case of a 73-year-old female patient is presented, with clinical characteristics of malignant intestinal obstruction, initially evaluated by medical oncology who diagnosed high-grade serous ovarian carcinoma and peritoneal carcinomatosis, joint management with a multidisciplinary team is requested to treat malignant intestinal obstruction refractory to conventional medication, where intermittent superficial sedation is chosen; Likewise, preferences and end-of-life care at home are addressed with the patient and her family. This case is an example of the comprehensive management of cases refractory to malignant intestinal obstruction, where it is possible to alleviate the suffering of the patient and her family, when surgery is not an option

Keywords : Cancer; palliative; obstruction; psychology; multidisciplinary.

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