La apendicitis es la inflamación del apéndice ileocecal. Pacientes y métodos: 892 casos de Apendicitis Aguda sometidos a cirugía en el servicio de Urgencias Adultos del Hospital de Clínicas San Lorenzo entre los años 2015 al 2019, trabajo retrospectivo, descriptivo, transversal que tiene como objetivo investigar la relación del recuento de leucocitos con desviación a la izquierda y el hallazgo quirúrgico. Resultado: En un 77,6% el conteo de glóbulos blancos fue igual o mayor a 11.000, con promedio de porcentaje de neutrófilos de 79,77?8,42. La base no comprometida se encontró en 96% de los casos. El hallazgo quirúrgico más frecuente fue la Gangrenosa (37,7%). Conclusión: Evidenciamos presencia de leucocitosis en un 77 % relacionado a apendicitis aguda.
Introduction: Crural hernia is due to a defect of the fascia transversalis, which makes the hernia sac becomes exteriorized in the femoral region. Patients and methods: 32 cases of patients with a diagnosis of crural hernia from the Surgical Clinical Chair at Hospital de Clínicas, Paraguay from 2015 through 2021. This was a retrospective, descriptive, cross-sectional study whose objective is to determine the clinical and surgical characteristics of Crural Hernias in the I Surgical Clinical Chair at Hospital de Clínicas, Paraguay from 2015 through 2021. Results: 78.1% were women. Mean age was 68.1 +/-14 years, the most common reason for consultation was pain in the inguinocrural region in 56.3% of the patients. In 78.1% of them, pain was confirmed in the right sid. Infrainguinal approach was attempted in 68.8% of the cases. Conclusion: The current challenge is always for the surgeon to achieve an accurate diagnosis and follow the correct course of action in each patient. Since the group of patients diagnosed with crural hernia is limited we should provide them with proper treatment and know all the options available.
Reporte de caso RESUMEN Los schwannomas son tumores degenerados de la vaina del nervio periférico que muy raramente se presentan a nivel del musculo del psoas. Generalmente alcanzan grandes proporciones antes de producir síntomas por efecto masa. Exponemos un caso y revisamos la escasa literatura sobre este tipo de lesiones y la variedad ancient schwannoma que presentaba nuestra paciente.
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