Introduction: Abdominal tuberculosis is a reemerging problem and is one of the most important communicable diseases in the world. Despite expectations about the eradication in developing countries, it has recently been re-declared as a global emergency pathology. The increased incidence and prevalence shows an abdominal shape as one of the most common extrapulmonary involvement presentations. Objective: Since tuberculosis can affect various organs, it has a wide range and spectrum of signs and symptoms that make diagnosis difficult and delay treatment. Therefore, this review of the topic is done, concentrating on the fact that the high suspicion index should be an important factor in the early diagnosis. Treatment can be initiated helping to prevent and reduce high morbidity and mortality rates. Case Report: We present a case of a young patient with ascites secondary to abdominal tuberculosis confirmed by biopsy and increased adenosine deaminase in the peritoneal fluid. The main clinical findings, paraclinic, imaging studies and treatment are described.
1 ResumenLa hernia incisional, es un defecto que aparece en una herida quirúrgica previa. Ha afectado a la salud, en cuanto al aumento de la limitación laboral y el incremento de los costos médico -quirúrgicos. Con la introducción de los nuevos materiales protésicos, se han revolucionado los conceptos del cierre de hernias de la pared abdominal, observando el advenimiento de diferentes tipos de reparaciones.El reporte de un caso corresponde a un paciente, de género masculino, con diagnóstico de hernias epigás-tricas recidivantes y antecedente de alergia al Látex, en quien se reparó el defecto con separación de componentes, disecando todo el espacio subfacial y preperitoneal, de manera roma, para lograr la colocación de una malla de baja densidad, con total cobertura del AbstractThe incisional hernia is a defect that appears in a previous surgical wound. It has affected health, in terms of increased employment limitation and medical and surgical costs. The introduction of the new prosthetic materials have revolutionized the closure management of the abdominal wall hernias observing the emergence of different types of repairs.The report of a case is a male patient diagnosed with recurrent epigastric hernias and history of latex allergy, in whom the defect was repaired with separation component technique, dissecting all the preperitoneal and subfascial space, blunting for placing a low density mesh, with full coverage of the space from the epigastrium to the umbilicus. The patient had no intraoperative or postoperative complications. In a
ResumenEl quiste tirogloso es una malformación congénita asociada a la falta de involución del conducto tirogloso, ubicado entre el foramen de la lengua y la glándula tiroides. Su incidencia predomina en la infancia, aunque también se puede presentar en la adultez. Es común que la presencia de infecciones de las vías aéreas superiores o el desarrollo de fístulas hagan parte del cuadro clínico del paciente y se evidencie una masa.Se reporta el caso de un paciente de sexo masculino de 39 años de edad, que cursó con una lesión nodular correspondiente a un quiste tirogloso con apariencia de tejido tiroideo residual, de localización atípica en la línea media suprahiodea, que fue removido quirúrgicamente. Dada su ubicación, se requirió la pertinente planeación imaginoló-gica y prequirúrgica para la valoración de la glándula tiroides con el fin de resecar toda la lesión, usando la técnica de Sistrunk con remoción total del hueso hioides para evitar la recurrencia. Se discuten las características clínico-patoló-gicas de la enfermedad y se establece la importancia de la ubicación para la toma adecuada de decisiones clínicas o quirúrgicas que permitan brindar un tratamiento con un resultado seguro y eficaz para el paciente.Palabras clave: quiste tirogloso, fístula, glándula tiroides, técnica de Sistrunk AbstractThe thyroglossal cyst is a congenital abnormality resulting from a defective closing of the duct located between the foramen of the tongue and the thyroid gland. Its incidence predominates in childhood, although it can also occur in adulthood. It is common that the presences of upper ResumoO quisto tireoglosso é uma malformação congénita associada à falta de involução do conduto tireoglosso localizado entre o ovale da língua e a glândula tiroides. Sua incidência predomina na infância, embora também possa se apresentar nos adultos, sendo comum na clínica do paciente
SummaryThe choledochal cyst is a rare disease of unknown etiology, most prevalent in childhood, however, occurs in 20% of adult patients. Also, it is associated with a hepatobiliary disease. A case of an 18-year-old patient, with a recurrent abdominal pain, was diagnosed with the performance of an abdominal ultrasound and the Magnetic Resonance Image. After that, the surgical procedure was the resection of the lesion with an open technique without postoperative complications and with an adequate and definitive evolution of the clinical presentation. Keywords: Choledochal cyst; Recurrent abdominal pain; Treatment IntroductionThe choledochal cyst is defined as the congenital or combined dilatation of the extrahepatic biliary tree. It is observed in children and adults, predominantly in women. His previous approach was Once was intervened, the evolution was satisfactorily, without complications, discharged on postoperative day 7. At the remote control three weeks after surgery, he presented persistent abdominal pain and unquantified fever. He was admitted to the ER and they decided to transfuse for anemia and to take liver function tests which are elevated. They left him in observation and abdominal computed tomography was realised which does not show changes. The patient progresses favorably with adequate hemodynamic stability, with total improvement and withdrawal of the T-tube, normal liver tests and subsequent return to normal life (Figure 3). DiscussionCholedochal cyst is a disease of the biliary tract that can manifest throughout the biliary tree, frequently accompanying an abnormality of the pancreatic and biliar junction [1]. In 1959 the first classification was made in three varieties, and then in 1977, Todani did so considering the intrahepatic compromise of the same, reclassifying them in 5 types [2].In 1991, Serena Serradel, modified this classification as: Type I cysts or spinal dissection of the common bile duct [3]. Type II or diverticularly. Type III or choledococele are intraduodenal or intrapancreatic, and are subdivided into variants according to their origin [4]. Type IV, representing a multicystic variety subdivided into variant A, with intra and extrahepatic compromise, and variant B, confined to the extrahepatic biliary tract. Type V or Caroli syndrome [5], and Type VI, corresponds to cystic dilatation of the cystic duct (Figure 4).It is characterized by a rare congenital anomaly of the bile duct that may be associated with complications such as infections, obstructions and neoplasms. For that reason, a complete resection of the cyst should be made close to the diagnosis. The ultrasound, usually makes the diagnosis and gives the information regarding the size and the characteristics of the involved ducts. Data is relevant for surgery. The Magnetic Resonance, on the other hand, has an important role in the assessment of biliary tract in adults and even in children, and has demonstrated its use in congenital pathologies of the bile duct.The Magnetic Resonance is an effective and non-invasive t...
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