Background: Ascaris lumbricoides is one of the most frequent human helminthiasis, but the complication with liver abscess is very rare and severe, being a challenge for the correct and timely diagnosis.
Acute pancreatitis (AP) is a systemic immunoinfl ammatory response to auto-digestion of the pancreas and peri-pancreatic organs. It is a frequent gastrointestinal disease with an important morbimortality, reaching 30% in severe cases. Different studies and reviews by international groups have developed multiple classifi cation systems to assess the severity and address the correct management along time, identifying the better molecular markers, clinical outcome determinants and reaching conservative management as the angular piece in AP. In this review we present a compilation of the latest studies and international consensus about AP physiology, etiology, risk factors, diagnosis, severity assessment, imaging and treatment.
Background: The first hand replantation was completed in 1962 by Malt and Mckhannin in Boston, since then, multiple case-reports with a success rate of 80-90% have been published. The Ischemia time and trauma mechanism are the main factors that influence the rate of success directly, however, the treatment must be individualized.Case Report: A 32 years-old male with transmetacarpal amputation at flexor zone II of the left hand after traumatic amputation with a wood saw arrived to emergency room. The Patient was evaluated by the surgical team and concluded the Patient was a good candidate for a hand Replantation mainly because of the short time since the injury and the clean cut aspect. The procedure was successfully completed and the patients follow up, after a month, showed minimal limitation of the hand.
Conclusion:Advances in microsurgery allow multiple centers across the world to perform replantation of segments after a traumatic amputation. The success of procedure is based on the selection of candidates, the surgical team abilities and multidisciplinary management with better functional results than the use of prosthesis.
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