Monografía observacional del tronco celiaco / Observational Monograph Of The Celiac Trunk

El tronco celíaco es la primera rama visceral de la aorta abdominal, tiene la función de irrigar al hígado, bazo y estómago, además accesoriamente duodeno y páncreas. Nuestra intención fue describir experiencia en la disección de este ramo arterial, siendo ésta punta pié inicial para la elaboración de una propia casuística. Utilizamos para esta disección un cadáver adulto de sexo femenino conservado en formol al 10 % sin previa selección. El tronco celíaco (TC) fue abordado vía abdomnal, previa incisión medial del abdomen, al igual que sus ramos terminales y respectivos órganos que irriga. Se diseco en conjunto la pieza anatómica formada por el TC, arteria hepática, esplénica y coronaria estomáquica; hígado, estomago, bazo, páncreas y duodeno, con sus respectivas irrigaciones. Esta actividad fue realizad en el año lectivo 2011 por alumnos de primer año en en coordinación y dirección de un superior a cargo.

The celiac trunk is the first brnch of the abdominal nal aorta visceral, has the function of irrigating the liver, spleen and stomach, duodenum and páncreas alsoincidentally. Our intention was to describe the experiencia in the dissection of the arterial branch, this beingstarting point to the preparation of a casuistry own. Usedfor this dissection a female adult cadáver preserved in10% formalin without prior seletion. The celiac artery was approached route abdominal previous incisión medial abdomen, as well as their respective termial branches and organs that irrigates. Was dissected in anatomical piece set consistig of the celiac trunk, hepatic artery, splenic artery and stomachic coronary artery; liver, stomach, spleen pancreas and duodenum, with their irrigation. This activity was conducted in the academicyear 2011 for first years students in coordination and direction of a superior charge.

[Splenic lymphoma of the marginal zone without peripheral hairy lymphocytes]. / Linfoma esplénico de la zona marginal sin linfocitos vellosos en periferia.

This paper reports on a case of a 34-year male patient diagnosed for splenic lymphoma of the marginal zone, a rare entity in our milieu. Features of the disease are described. Early diagnosis is a must for optimum treatment of such a pathology, whose onset can be giant splenomegalia. All possible causes are to be considered.

[Sarcoidosis and fibrolamellar carcinoma of the liver]. / Sarcoidosis y carcinoma fibrolamelar del hígado.

The case of 20-years female patient with the diagnosis of sarcoidosis associated to fibrolamellar carcinoma of the liver is presented. Clinical features, diagnosis and treatment of these entities are exposed. The criteria of several researchers about the relation between sarcoidosis and neoplasic diseases are stood out. Sarcoidosis associated to fibrolamellar hepatocarcinoma is very uncommon.

[Foreign bodies in the esophagus of adults]. / Cuerpos extraños en el esófago de adultos.

A prospective descriptive observational study was made to determine the incidence of esophageal foreign bodies in adults who had been admitted to the Manual Ascunce Domenech teaching hospital of Camaguey, Cuba in the period from 1 September 1997 to 31 August 1998. The highest frequency of patients with this diagnosis was in 31 to 50 year-old men. Dysphagia and salivary retention in the pyriform sinuses were the prevalent symptoms. The state of the oral cavity was poor in 82.50% of patients. The foreign body was removed in the first 24 hours in 83.33% of patients. The radiological diagnosis was positive in 75% of patients. The upper third was the most common location in radiological and endoscopic studies. Fish bones were the prevalent foreign body. A quarter of the patients had complications and stable esophagoscopy was used to extract the foreign body in 96.67% of cases.

[Lingual involvement in progressive systemic sclerosis]. / Afectación lingual por esclerosis sistémica progresiva.

A case of a 40 year old female patient who began to present alterations in the tongue and who was diagnosed of Progressive Sclerosis of that organ is presented. The manifestation and diagnostic tools used in this case, as well as the treatment use, is given. The rareness of this disease, which is possible in systemic diseases, stands out.

Eutanasia: Encuesta de opinión a médicos internistas y pediatras: Medellín, segundo semestre 1998 / Euthanasia: Opinion poll amongst Internists and Pediatricians: Medellín, second semester 1998

Se realizó un estudio descriptivo transversal, en la ciudad de Medellín durante 1998 entre Pediatras e Internista, con el fin de determinar el grado de conocimientos, opiniones y prácticas que tienen éstos sobre la eutanasia. De el universo de 403 pediatras e internistas registrados en la Guía Médica y Hospitalaria de Medellín de 1997, se encuestaron 118, que presentan el 29.28 por ciento del total (26.06 por ciento y 32.29 por ciento respectivamente). El 83 por ciento fueron hombres, 63.2 por ciento menores de 50 años, 54 por ciento egresados de la Universidad de Antioquia (U de A), 52.5 por ciento internistas y 89 por ciento católicos. La gran mayoría de los encuestados afirmó conocer el concepto de eutanasia y estar de acuerdo con ésta dependiendo de múltiples factores, algunos de los cuales se evaluaron en este estudio. Mas de la cuarta parte reconoció haber realizado ó participado alguna vez en eutanasia y un 44 por ciento admitió haber visto u oído realizarla durante su práctica médica (experiencia indirecta). Se concluyo que hay un gran conocimiento del concepto de eutanasia dentro del gremio médico estudiado, estando a favor de esta un alto porcentaje y que, como mínimo, uno de cada cuatro médicos encuestados ha realizado eutanasia alguna vez, demostrando que ésta no es un fenómeno aislado, sino un tema de vital importancia, especialmente en nuestro país, donde a pesar de haber sido despenalizada la eutanasia desde hace 2 años, no ha sido reglamentada aún. Se recomienda profundizar ágilmente en este tema con más investigaciones que permitan a la opinión pública, al gremio médico, a las distintas estancias gubernamentales, y a la comunidad internacional, conocer las verdaderas dimensiones de la eutanasia y actuar al respecto, cada una de ellas de acuerdo a su función en la sociedad.

[Prostatic non-Hodgkin's lymphoma: report of a new case]. / Linfoma no-Hodgkin de próstata: informe de un nuevo caso.

OBJECTIVES: A 49-year-old male with primary lymphoma of the prostate is described. The clinical, diagnostic and therapeutic aspects are discussed. METHODS/RESULTS: The diagnostic yield of ultrasound in this condition is evaluated and the possible site for US-guided biopsy is defined. A significant correlation was found between a positive biopsy and the area of the prostate identified sonographically. There were no recurrence or other manifestations after treatment. CONCLUSIONS: The clinical features are corroborated by the sonographic findings and US-guided biopsy has been demonstrated to be more precise.

Estudio clínico epidemiológico de las fascioliasis hepática en la Provincia de Ciego Avil: Cuba / Clinical epidemiological study of liver fascioliasis in Ciego de Avila Province: Cuba

Se estudiaron 14 casos con diagnósticos de fascioliasis hepática, con el objetivo de conocer el comportamiento clínico-epidemiológico de esta zoonosis en nuestra provincia. La enfermedad afectó a personas de cualquier sexo o edad, con mayor incidencia en personas vinculadas a la actividad de la ganadería bovina. La ingestión de vegetales acuáticos contituyó la principal fuente de infestación. Clínicamente, la enfermedad presenta un espectro amplio que motiva que el diagnóstico inicial no se realiza con frecuencia

Leptospirosis en embarazadas / Leptospirosis in pregnants

Se investigan 175 gestantes con suero pareado de Leptospira durante el período de 1989 a 1990, en la provincia Ciego de avila, de la República de Cuba, con la técnica de microaglutinación, confirmándose 12 casos para el 6 por ciento. La mayor frecuencia de enfermos aparecieron en casos con diagnósticos presuntivo de meningoencefalitis y sepsis urinaria. Hubo un predominio de mujeres entre 20 y 24 años de edad, siendo la ocupación más frecuente las amas de casa. Llamamos la atención que la vigilancia epidemiológica de esta entidad no debe limitarse solamente a los grupos de riesgos. Las principales fuentes de infección fueron el contacto con aguas de albañales y el baño en fuentes de agua dulce (ríos y lagos). En el nivel de atención primaria se diagnosticó el 66,6 por ciento de los casos. Entre los síntomas y signos principales están: fiebre, artralgia, falea, vómitos y mialgia. Los serogrupos más frecuentes fueron el L.australis y el L.canicola. Todos los casos recibieron tratamiento con antibióticos o quimioterápicos, siendo más frecuente el uso de las penicilinas. La evolución de los casos fue satisfactoria

[Fibrosarcoma of the neck: report of a new case]. / Fibrosarcoma del cuello: a propósito de un nuevo caso.

We present a case of a 57 years old male diagnosed of neck fibrosarcoma. The main characteristics in this type of tumors, the importance of performing CT scan and histopathological studies in the diagnosis and treatment are emphasized. We conclude that this disease, though rare, must be taken into consideration in order to achieve a better prognosis in these patients.

Sevofluorano: un paso más en la búsqueda del anestésico inhalatorio ideal / Sevofluorane: another stage in the search of the ideal inhalatory anesthetic

El sevofluorano, un isopropil metil eter fluorinado, es un potente anestésico inhalatorio halogenado de amplio uso actualmente en Japón. Sus partículas características farmacocinéticas farmacodinámicas lo aproximan al anestésico inhalatorio ideal y lo hacen apto para la mayoría de las situaciones quirúrgicas, incluso muchas que hoy se presentan como un desafío para los anestesiólogos en su práctica diaria. Su pronta incorporación al arsenal anestesiológico obliga al profesional a un acabado conocimiento del mismo

Sevofluorano: un paso más en la búsqueda del anestésico inhalatorio ideal / Sevofluorane: another stage in the search of the ideal inhalatory anesthetic

El sevofluorano, un isopropil metil eter fluorinado, es un potente anestésico inhalatorio halogenado de amplio uso actualmente en Japón. Sus partículas características farmacocinéticas farmacodinámicas lo aproximan al anestésico inhalatorio ideal y lo hacen apto para la mayoría de las situaciones quirúrgicas, incluso muchas que hoy se presentan como un desafío para los anestesiólogos en su práctica diaria. Su pronta incorporación al arsenal anestesiológico obliga al profesional a un acabado conocimiento del mismo

[Laryngeal cancer in Camaguey (Cuba). Study of 168 cases]. / Cáncer de laringe en Camagüey (Cuba). Estudio de 168 casos.

A recent study of cancer of the larynx made at the Manuel Ascunce Domenech Provincial Hospital in Camagüey, Cuba, from 1985 to 1992 is presented. In this period 168 patients were diagnosed as having this illness. Male patients of 51-70 years age were predominant and smoking was an important factor in 76% of all patients and alcohol consumption in 20.2% of patients. The most common site was the glotis (39.2%) and the epidermoid variety was the most frequent type (95.5%). The tumors classified as T1a No Mo were the most representative of the group (32.1%). We encountered metastasis in only 11.3% of our patients. The terapeutic regimen used was radiotherapy.

[Hodgkin's disease of the penis. Report of a new case]. / Enfermedad de Hodgkin del pene. A propósito de un nuevo caso.

Herein we describe a 37-year-old patient diagnosed as having Hodgkin's disease of penis. To our knowledge, the present case is the youngest reported in the literature. The disease equally affected the body, prepuce and balanopreputial groove and was in stage I E at the time of diagnosis. Treatment was by radiotherapy, which left no trace of the disease. Four years thereafter the patient is disease-free. The cases previously reported are briefly reviewed and the results are compared.

[Laryngeal cancer in females in Camaguey (Cuba)]. / Cáncer de laringe en el sexo femenino en Camagüey (Cuba).

We studied cancer of the larynx in women seen at our hospital from 1985 to 1992. The incidence was 15.4%, a figure exceeding that usually reported in the bibliography. It was predominant between 51 and 70 years. The tumors had diverse clinical stages, stage I being predominant with the exception of glottic-supraglottic tumors. The most frequent treatment was radiotherapy, followed by total laryngectomy.

[Hypernephroma in horseshoe kidney]. / Hipernefroma en el riñón en herradura.

The case in discussion is that of a 38-year-old patient with a history of artralgia, anemia and a general syndrome. The physical examination revealed a tumor in the right hypochondrium and the right flank and she was admitted to the hospital due to the rapid growth of the tumor. On operating we found a horseshoe kidney and a hypernephroma in the isthmus of the kidney. Emphasis is made in performing a detailed radiological study in order to determine the best possible surgical approach.

[Pleomorphic adenoma of the salivary glands of multicentric origin. Apropos of a case]. / Adenoma pleomórfico de glándulas salivales de origen multicéntrico. A propósito de un caso.

The propose of this article is to show a case that presented several mixed tumours in the greater and minor salivary glands during 22 years. The patient was systematically studied according to the world's literature and the result obtained was the diagnosis of pleomorphic adenoma, both in the pre and post operatic phase.

[A clinical study of human leptospirosis. Apropos 215 cases]. / Estudio clínico de la leptospirosis humana. A propósito de 215 casos.

215 cases diagnosed of human leptospirosis in the Camagüey Province, Cuba, are studied, for the period between 1986 and 1990. The clinical and epidemiological features are studied, together with the anatomopathological study of the decreased. The most frequent complications and the treatment employed, including prophylactic measures, are analyzed. It is concluded that the disease is more frequent in young males, from a rural origin and with a farming job. Acute kidney failure was the main complication, and as for the therapeutic approach, penicillin was the antibiotic of election, prophylactic measures are important, specifically vaccination.

[Kikuchi's necrotizing lymphadenitis. A clinical case]. / Linfadenitis necronizante de Kikuchi. Caso clínico.

We present a case of a female patient who presented with Kikuchi's necrotic lymphadenitis a rare disease in our country and whose diagnosis fundamentally is histological, which itself is also difficult because of the wide range of differential diagnosis which has to be considered. This entity is frequent during the adolescent period in females and its clinical manifestations are few apart from that related to the lymphadenitis.