[Intestinal obstruction for malrotation in an adult patient. Report of a case]. / Obstrución intestinal por malrotación en el adulto: A propósito de un caso.

We present a case of a 78 year-old man with the pathological antecedent of chronic constipation that comes to our emergency room at the Victor Lazarte Echegaray Hospital. He presented abdominal pain and progressive abdominal distension, nausea and bilious vomits of two days of evolution. The clinical examination showed an evident abdominal distension, and some metallic intestinal noises. A frontal and lateral simple abdominal x- ray showed a considerable distension of the gastric camera and intestinal loops and free fluid all over the abdominal cavity, all of which was compatible with the diagnosis of intestinal obstruction. At the operating room we proceeded with a exploration and we founded an intestinal obstruction at the ascending colon (Ladd's Bands) of high location with bloody fluid in the abdominal cavity, multiple fecalomas in the descending colon, and intestinal ischemia in the distal small bowel, the color, tone and coiling of the intestine recovered after section of the Ladd's bands. The patient evolved favorably.

[Foreign body in abdomen: report of a case]. / Cuerpo extraño en abdomen: a propósito de un caso.

The case of a 51 year-old female patient, who underwent a cholecystectomy four years ago is presented. She approached the surgical department at the Hospital Belén of Trujillo, Peru, suffering of abdominal pain for the past four months and with the presence of a mass located in the epigastrium occupying part of the right hypochondrium. A thoracic x-ray showed an encysted left pleural effusion, and an abdominal echography was compatible with a pancreatic pseudo-cyst. An exploratory laparectomy was performed and a 15x9 cm mass was found in the sub-hepatic area. This mass had a semisolid consistency with a rounded shape and multiple adherences to the upper omentum and the liver. In the macroscopic exam, after the dissection of the cyst, a 25x42 cm gauze was found inside the mass which was full of biliary fluid. Due to the unspecific clinical and image diagnosis it was decided to carry out a review of this topic, which is suspected of being under-recorded in this country.