{"id":153525,"date":"2022-06-23T23:28:00","date_gmt":"2022-06-24T06:28:00","guid":{"rendered":"https:\/\/clarius.com\/blog\/examen-pocus-dinamico-en-consulta-para-diagnosticar-una-hernia-umbilical-encarcelada\/"},"modified":"2026-03-13T09:24:14","modified_gmt":"2026-03-13T16:24:14","slug":"examen-pocus-dinamico-en-consulta-para-diagnosticar-una-hernia-umbilical-encarcelada","status":"publish","type":"post","link":"https:\/\/clarius.com\/es\/blog\/examen-pocus-dinamico-en-consulta-para-diagnosticar-una-hernia-umbilical-encarcelada\/","title":{"rendered":"Examen POCUS din\u00e1mico en consulta para diagnosticar una hernia umbilical encarcelada"},"content":{"rendered":"\n

La Dra. Kathryn Malherbe, directora general de MedSol AI Solutions<\/a> en Sud\u00e1frica, nos pas\u00f3 un estudio ecogr\u00e1fico de una hernia umbilical que detect\u00f3 con el esc\u00e1ner inal\u00e1mbrico Clarius L15 HD<\/a>.<\/p>\n\n

La paciente presentaba sensibilidad umbilical y un bulto palpable que se hac\u00eda m\u00e1s evidente con los esfuerzos abdominales inferiores. Se le hab\u00eda practicado una apendicectom\u00eda laparosc\u00f3pica 7 d\u00edas antes. <\/p>\n\n

Los hallazgos ecogr\u00e1ficos<\/strong> confirman la hernia de asa intestinal<\/h2>\n\n

Se utiliz\u00f3 el esc\u00e1ner Clarius L15 HD<\/a> para obtener im\u00e1genes de la zona de inter\u00e9s. Debido al aumento de la sombra ac\u00fastica posterior relacionada con el ombligo, la sonda se coloc\u00f3 en posici\u00f3n transversal y con un ligero \u00e1ngulo\/inclinaci\u00f3n de la sonda para evaluar el aspecto posterior de la regi\u00f3n umbilical. <\/p>\n\n

La ecograf\u00eda mostr\u00f3 un asa intestinal distendida y herniada, superficial a la vaina del recto abdominal, con signos reducidos de vascularidad durante la imagen Doppler de potencia. Cuando se aplic\u00f3 compresi\u00f3n din\u00e1mica con el esc\u00e1ner, la paciente confirm\u00f3 que la regi\u00f3n de sensibilidad correspond\u00eda a la localizaci\u00f3n de la hernia intestinal en la ecograf\u00eda. <\/p>\n\n

El cuello del asa intestinal herniada med\u00eda 10,2 mm (ver figura 1) y el asa intestinal med\u00eda 22,3 mm x 9,8 mm (ver figura 2).<\/p>\n\n

\n
\"\"
Figura 1<\/figcaption><\/figure>\n\n\n\n
\"\"
Figura 2<\/figcaption><\/figure>\n<\/figure>\n\n

La pared externa del asa intestinal aparec\u00eda hiperecoica en la ecograf\u00eda, con p\u00e9rdida del aspecto t\u00edpico de haustra. La maniobra din\u00e1mica de Valsalva demostr\u00f3 que el asa intestinal aparec\u00eda constre\u00f1ida con movimiento limitado, lo que confirm\u00f3 la sospecha de una hernia incarcerada no reducible. <\/p>\n\n

V\u00eddeo: La Maniobra de Valsalva Din\u00e1mica Confirma el Encarcelamiento<\/strong><\/h2>\n\n

La ecograf\u00eda din\u00e1mica del asa intestinal presuntamente herniada ayud\u00f3 a determinar la extensi\u00f3n de la hernia, as\u00ed como la presencia de incarceraci\u00f3n, que requer\u00eda una intervenci\u00f3n quir\u00fargica posterior.<\/p>\n

\n
\"\"<\/figure>\n<\/div>\n

Tratamiento<\/strong><\/h2>\n\n

Se remiti\u00f3 a la paciente a una laparoscopia a lo largo del ombligo, y se redujo el asa herniaria mediante la inserci\u00f3n de una malla met\u00e1lica.<\/p>\n\n

La ecograf\u00eda en el punto de atenci\u00f3n con IA salva vidas<\/strong><\/h2>\n\n

\u00c9ste es un ejemplo de hernia incisional, que puede producirse si hay un cierre inadecuado del defecto fascial en el lugar del puerto tras la cirug\u00eda laparosc\u00f3pica. Algunas hernias incisionales pueden desarrollarse poco despu\u00e9s de la cirug\u00eda, como en el caso de esta paciente, o pueden tardar meses o a\u00f1os en producirse. <\/p>\n\n

Me di cuenta de que luego derivaban al paciente a una unidad de ultrasonidos basada en un carro en el estudio preoperatorio del hospital, \u00a1y las im\u00e1genes del Clarius superaban con creces a ese sistema!\u00bb, dice el Dr. Malherbe.<\/p><\/blockquote>\n\n

La Dra. Malherbe dedica la mayor parte de su tiempo a trabajar en el desarrollo de un software de aprendizaje autom\u00e1tico profundo e inteligencia artificial para la detecci\u00f3n precoz del c\u00e1ncer de mama<\/a> en im\u00e1genes ecogr\u00e1ficas. El software MedSol se integra con un esc\u00e1ner Clarius para producir resultados diagn\u00f3sticos r\u00e1pidos y precisos, lo que en \u00faltima instancia conduce a una reducci\u00f3n significativa de las tasas de mortalidad asociadas al c\u00e1ncer de mama. <\/p>\n\n

Con im\u00e1genes de alta definici\u00f3n y ajustes automatizados, la ecograf\u00eda inal\u00e1mbrica Clarius<\/a> es la elecci\u00f3n clara para la ecograf\u00eda en el punto de atenci\u00f3n. Nuestros nuevos ec\u00f3grafos HD3<\/a> son un 30% m\u00e1s peque\u00f1os y asequibles, y cuentan con una aplicaci\u00f3n basada en IA que proporciona im\u00e1genes optimizadas a tu dispositivo Android o iOS. <\/p>\n\n

\u00bfA\u00fan no eres usuario de Clarius? Te invitamos areservar una demostraci\u00f3n<\/a>con un ecografista de Clarius para ver la diferencia que pueden marcar las im\u00e1genes de alta definici\u00f3n a la hora de ofrecer la mejor atenci\u00f3n al paciente. <\/p>\n","protected":false},"excerpt":{"rendered":"

La Dra. Kathryn Malherbe, directora general de MedSol AI Solutions en Sud\u00e1frica, nos pas\u00f3 un estudio ecogr\u00e1fico de una hernia umbilical que detect\u00f3 con el esc\u00e1ner inal\u00e1mbrico Clarius L15 HD. La paciente presentaba sensibilidad umbilical y un bulto palpable que se hac\u00eda m\u00e1s evidente con los esfuerzos abdominales inferiores. Se le hab\u00eda practicado una apendicectom\u00eda…<\/p>\n","protected":false},"author":4,"featured_media":48615,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[1087,992,1041],"tags":[],"specialities":[798,48],"class_list":["post-153525","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-investiga","category-perspectivas","category-video","specialities-hospitalist","specialities-primary-care"],"acf":[],"yoast_head":"\nExamen POCUS din\u00e1mico en consulta para diagnosticar una hernia umbilical encarcelada | Clarius | Blog Post<\/title>\n<meta name=\"description\" content=\"La Dra. 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