[Bilateral chylothorax after gastric surgery]. / Quilotórax bilateral masivo en postoperatorio de gastrectomía subtotal.

Chylothorax is a lymphatic effusion of chylous in the pleural space due to thoracic duct obstruction or injury. The most frequent aetiology is cancer; it is also related to chest trauma and iatrogenic. We describe the case of bilateral chylothorax in a 76-year-old woman, right predominant, during the post-operational phase of gastric surgery. This presented itself with respiratory insufficiency and tachycardia without initial haemodynamic compromise. It presented a favourable evolution after conservative treatment, cessation of oral intake and TPN and chest tube during 10 to 14 days.

[Accidental hypothermia due to generalized psoriasis]. / Hipotermia accidental secundaria a brote de psoriasis generalizada.

The accidental hypothermia is a disorder of corporal termoregulation, defined as a central temperature below 35 masculine C. According to the intensity may be classified in mild (35-32.2 masculine C), moderate (32.2-28 masculine C) and severe (below 28 masculine C). The most frequent causes are the exposure to cold, use of depressant drugs of central nervous system and hypoglycemia, although there are other less frequent. We present a case of moderate hypothermia due to generalized psoriasis which required admission in the Intensive Care Unit of Hospital García Orcoyen. The termoregulation, pathogenesis, pathophysiology, diagnosis and management of accidental hypothermia are reviewed.