Volumen 36 No.1 (Junio 2018)

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Browsing Volumen 36 No.1 (Junio 2018) by Author "Crespo Verdugo, Hernán"

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    Pancreatitis biliar necrotizante: a propósito de un caso
    (Universidad de Cuenca, 2018-06) Crespo Verdugo, Hernán; Ramón Brito, Maricela Susana; Pillco Guaraca, Mélida Cristina; Cabrera Suárez, Gimson Oswaldo
    The necrotizing pancreatitis is a severe form of acute pancreatitis, which causes multiorgan failure, with biliary lithiasis being its main etiology. The description of a clinical case of a 16-year-old patient with abdominal pain of several days of evolution is made. This case and complementary tests are an indicative of acute pancreatitis. Despide of receiving hospital treatment without improvement, the patient is operated surgically. Macroscopic lesions compatible with necrotizing pancreatitis and biliary lithiasis were found. A resection of 60% of the pancreas and a cholecystectomy for vesicular lithiasis was performed. The patient stays in the intensive care unit for antibiotic therapy with a subsequent recovery.
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    Tuberculosis intestinal y/o peritoneal y su implicación en el abdomen agudo.
    (Universidad de Cuenca, 2018-06) Ramón Brito Maricela Susana, Maricela Susana; Maldonado Farez, Vanessa Estefania; Crespo Verdugo, Hernán; Andrade Arizaga, Pedro Francisco; Mosquera Vallejo, Lorena Elizabeth
    A clinical case of a 14-year-old patient from the Cost is presented without a pathological history with recurrent episodes of diffuse abdominal pain that exacerbates acute abdomen, so a surgical intervention is decided. During the intervention, areas of necrotic tissue and areas with inflammatory tissue are evidenced, terminal ileum resection and right hemicolectomy plus transverse anastomosis lateral term are performed, samples are sent to pathological anatomy resulting in lesions produced by the Koch bacillus at the level of peritoneum and intestine. After the surgical intervention the diagnosis and treatment for intestinal tuberculosis is given, it was observed a favorable postoperative evolution without evidence of complications. A schematic treatment for tuberculosis is added, the patient was discharged after 10 days. Tuberculosis is a disease that for years has been called the great simulator, and in this case, it was presented as acute abdomen, requiring a surgical resection, as pulmonary tuberculosis, its treatment is based on antibiotic therapy for elimination of Koch bacillus