Reporte de caso clínico 1: falacia ad populum tras reparo de hernia inguinalderecha Reporte de caso clínico 2: hernia de amyand resuelta con técnica de Shouldice modificada

Abstract

Introduction: The ad populum fallacy or abdominal vortex sign is described as twistingof the mesentery and loops of the small intestine, giving rise to an acute obstructive abdomen that may be associated with necrosis or intestinal perforation, which is why it is considered a surgical emergency. This entity was initially described as intestinal malrotation, however several cases have currently been reported considering this non- pathognomic sign of a specific entity. (1). Clinical case: A case of a patient with crampy abdominal pain of 7 months of evolution associated with weight loss, abdominal distension, cramping located in the mesogastrium and hypogastrium constantly with periods of increased intensity, has presented weight loss is presented. of approximately 20 kg in 7 months as a surgical history hernioplasty with the Lichtenstein technique 7 months ago Conclusion: The presentation of ad popolum fallacy or whirpool sing is infrequent and is associated with intestinal malrotation. However, it has also been described in cecal and sigmoid volvulus with intestinal obstruction, in our case it was associated as a post-surgical complication after inguinal hernioplasty with the Lichtenstein technique.