Subacute Meckel's diverticulum perforation.

Meckel's diverticulum is the most common intestinal congenital defect, its prevalence is 0.2%-4.0% and it occurs more commonly in children younger than 2-year old with intestinal bleeding and abdominal pain. Perforation in the elderly is very rare with no more than 35 articles reported worldwide. Here we report the case of a 62-year-old man who was admitted to hospital with a history of acute abdominal pain with a 20-day onset. The patient was treated with laparotomy and 30 cm ileal resection was performed for an 8×5 cm perforated ileum tumour at 50 from ileocecal valve with a side-to-side mechanical anastomosis for reconstruction. Having morbidity Clavien-Dindo scale I in postsurgical and good outcome in 6-month follow-up. Meckel's diverticulum is an infrequent pathology in paediatric and even rarer in adult population, however, it is always important to keep in mind how to act when is seen either as a finding or as a complication.

Detección de necesidades de educación médica continua durante 1984, en la población que asiste a cursos en la Facultad de Medicina UNAM / Detection of needs of medical continuing education during 1984, of the students of the courses of the Facultdad de Medicina UNAM

Se presentan los resultados de una encuesta de necesidades de educación médica contínua, aplicada a los profesionales del equipo de salud que asistieron al curso de actualización con aval de la UNAM; durante el año de 1984. Asistieron 1713 profesionales de los cuales la gran mayoría fueron médicos generales. El área clínica predominó sobre el área básica, auxiliares de diagnóstico y sociomedicina. Se prefirieron cursos teórico-prácticos, impartidos de preferencia en el turno matutino, 6 horas diarias por una semana. La sede universitaria más solicitada fué el palacio de medicina. Se presentan las sugerencias del contenido temático, agrupadas por áreas de la medicina. Finalmente se discuten los resultados obtenidos