Introduction: Appendiceal tumors have a variable appearance. Onset is often appendiceal inflammatory clinical signs. They can be diagnosed through histological studies of the surgical piece. Appendiceal specimens obtained at Hospital Central del Instituto de Previsión Social were studied by the anatomical pathology lab on a routine basis. Objectives: To know the exact prevalence of appendiceal tumors in emergency appendectomies performed in such hospital from January 2020 through December of that same year. Methodology: This was an observational, cross-sectional, and retrospective study. Results: A total of 7 cases (0.81%) of appendiceal tumors were obtained from 860 appendectomies (6 cases of adenoma, and 1 case of moderately differentiated grade 2 infiltrating adenocarcinoma of the cecal appendix). This is the case of a 76-year-old woman. Conclusions: The most common anatomopathological diagnosis of tumor etiology in this population was adenoma followed by adenocarcinoma. These were diagnosed during the 6 th and 7 th decades of life. The study included a total of 860 patients with a mean age of 31.81 years being appendiceal signs more common during the 2 nd and 3 rd decades of life.
Introduction: Colorectal cancer is the most common malignant neoplasm of the digestive tract. More than 95% corresponds to adenocarcinoma. The incidence is similar in men and women. In the General Surgery Service of the IPS Central Hospital, a large number of right colectomies are performed electively for neoplastic pathologies. Objective: To describe the clinical, surgical and anatomopathological characteristics of colonic resections with oncological margin according to the approach route performed in the context of tumor pathologies of the right colon, at the IPS Central Hospital, 2018-2020. Methodology: A descriptive, retrospective, cross-sectional observational study was carried out. Results: 115 patients were included, the average age was 64.2 years, 55.7% female and 88.0% presented Adenocarcinoma. Regarding the approach route for colonic resection with oncological margin, in 76% it was conventional; in 6.9% by conventional route, they presented suture dehiscence and 4.6% died. The mean number of nodes resected was 18.8 ±9.9. It was found that 89.0% of those who underwent laparoscopic surgery had a hospital stay of 1-10 days and 85.0% conventional surgery. Conclusion: The average age was 64 years and the female sex predominated. The most frequent anatomopathological diagnosis was Adenocarcinoma; the most commonly used approach was the conventional one. The most frequent post-surgical complication was suture dehiscence, which occurred in a higher percentage in those patients with Characterization of right colectomies due to oncological pathologies according to the approach route in the general surgery service of the IPS Central Hospital, in the period 2018-2020Caracterización de colectomías derechas por patologías oncológicas según vía de abordaje en el servicio de cirugía general del Hospital Central IPS, en el período 2018 -2020
Isolated gallbladder perforation due to penetrating abdominal trauma is a rare event due to its anatomical location. The signs and symptoms suggestive of choleperitoneum may not be obvious within the first few hours following the event. This is the case of a 26-year-old man with penetrating abdominal trauma due to bladed weapon used by some individual with isolated gallbladder perforation.
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