[Liver cirrhosis and pregnancy. An infrequent association. A rare case of liver cirrhosis with 3 pregnancies]. / Cirrosis hepática y embarazo. Asociación poco frecuente. Un caso raro de cirrosis hepatica con tres embarazos.

A chronic etylist 46 year old female patient with a chronic active hepatitis of a probable alcoholic origin in presented. Between 1983 an 1987 she became pregnant three times and had normal children. We suggest probable hypotheses for etiology of hepatic cirrhosis, hypogonadism and sterility.

Feocromocitoma maligno del organo de Zuckerkandl. / Malignant pheochromocytoma of the organ of Zuckerkandl

Se presenta una paciente mujer de 15 anos de edad portadora de un feocromocitoma maligno del organo de Zuckerkandl con multiples metastasis oseas (craneo, clavicula, vertebras). Se destaca su prolongada sobrevida (7,5 anos desde el momento del diagnostico) y el beneficio obtenido (clinico y bioquimico) con la extirpacion quirurgica y la radioterapia administrada. Su buena evolucion se vincula estrechamente con el control hemodinamico de la enfermedad logrado con la terapeutica combinada de alfa y beta bloqueantes

[Colonic angiodysplasia: report of a case and considerations]. / Angiodisplasia colónica: presentación de un caso y consideraciones.

An important etiology of gastrointestinal disease hemorrhage is the angiodisplasic in the last decades the recognition of this pathology has advanced due to the endoscopic and arteriographic techniques. Higher frequency is observed in patients older than 60 years old attributing its etiology to degenerative changes being associated between 20 and 25% with aortic stenosis. Expectant or surgical therapeutics depend on the importance of the hemorrhage and the general state of the patient, the patient that motivated this review presented previous low gastrointestinal hemorrhages. The use of selective arteriography on the last internation allowed us to make the diagnosis of colonic angio displasia.