Artículos Publicados por los Docentes
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Browsing Artículos Publicados por los Docentes by Subject "Abdomen agudo"
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Item Enteritis eosinofílica, una causa extraña de abdomen agudo. Reporte de caso clínico(2020) Salamea Aviles, Pablo Andres; Salamea Aviles, Juan Josue; Salamea Cordero, Roman MarceloThe eosinophilic enteritis is a rare pathology, characterized by infiltration of eosinophils in one or more histological layers at different levels of the gastrointestinal tract, the stomach and small intestine being the most affected; its nonspecific clinical picture, characterized by abdominal pain, nausea, vomiting, diarrhea or constipation, weight loss and ascites, with the presence or absence of eosinophilia in the biometry. Case reportA 51-year-old male patient came to the emergency room due to abdominal distention and nausea, to physical examination on palpation, intense abdominal pain and distention, tympanic percussion and abolition of air-fluid sounds. Laboratory analysis reported leukocytosis with neutrophilia, abdominal ileus adynamic radiography, abdominal ultrasound presence of tubular images with a target appearance, associated with free purulent fluid in the right iliac fossa and rectal vesicum fundus. A clinical picture compatible with an acute abdomen with surgical resolution, an exploratory laparotomy was performedItem Prevalencia y características de la pancreatitis aguda biliar en los pacientes del Hospital Vicente Corral Moscoso 2014-2017(2022) Cañar Mendes, Andrea Estefania; Vidal Durazno, Paola NicoleObjective: to identify the prevalence and characteristics of acute biliary pancreatitis in patients at the Vicente Corral Moscoso Hospital in the period 2014-2017 in Cuenca city.Methodology: it is a descriptive study with a sample of 207 clinical records of patients diagnosed with acute biliary pancreatitis (ABP) in the services of the Vicente Corral Moscoso Hospital (HVCM), in the period 2014-2017. The information was collected in a form prepared by the authors and analyzed with the SPSS version 19.0 program through frequency distributions, percentages and means.Results: the prevalence of BAP was 2.11 cases per 1i000 patients attended in the clinical, emergency and surgery services. The 79.7% presented a mild complication, 15.9% moderately severe, and 4.3% severe. A total of 99% of patients have abdominal pain. The most frequent local complication with 11.1%, was the acute liquid collection. The 17.9% presented organ failure, 12.6% was transitory and 5.3% persistent. The 94.7% required surgical management, in 100% of cases clinical treatment was used. The 98.06% of patients showed improvement, 0.96% complications and 0.96% died.Conclusions: the results obtained show that the prevalence of BAP in the HVCM is 2.11 cases per 1i000 patients attended, predominantly female, abdominal pain was the most frequent symptom, clinical management was used in all cases and the surgical in 94.7%.
