Hemorragia digestiva alta como primera manifestación de un corstoma pancreático gástrico / Upper gastrointestinal bleeding as presenting symptoms of a gastic pancreatic chrositoma

El páncreas ectópico es un tejido pancreático fuera de su localización anatómica habitual con ausencia de continuidad con el páncreas normal. Describimos la presentación y el manejo de un paciente con tejido pancreático ectópico en el estómago

Ectopic pancreas is pancreatic tissue found outside its usual anatomic location without connection to the normal pancreas. We describe the presentation and management of a patient with ectopic pancreatic tissue in the stomach

Diverticulitis yeyunal perforada: una causa infrecuente de abdomen agudo grave / Perforated jejunal diverticulitis: An infrequent cause of seirous acute abdomen

Los divertículos yeyunales son entidades poco frecuentes y asintomáticos. En la mayoría de casos son hallazgos incidentales durante otra intervención quirúrgica, pero se estima que hasta un 10% presentan complicaciones agudas, principalmente diverticulitis con o sin perforación. Presentamos tres casos de diverticulitis yeyunal perforada, que consultaron por dolor abdominal difuso sin otra sintomatología asociada. Se intervinieron de forma urgente hallando en los tres casos, un plastrón inflamatorio secundario a diverticulitis yeyunal perforada, por lo que se realizó resección de todo el segmento afecto incluyendo todos los divertículos

Jejunal diverticular are uncommon and asymptomatic entities. Mostly, they are incidental findings during another surgical intervention, but it is estimated that up to 10% present acute complications, mainly diverticulitis with or without perforation. We report three cases of perforated jejunal diverticulitis, which were consulted for diffuse abdominal pain without associated symptoms. Urgent isurgery were performed, finding in all cases an inflammatory plastron secondary to perforated jejunal diverticulitis, the whole affected segment was resected

Treatment of the abdominal wall defects in an ambulatory surgical setting: our experience.

Introduction: The creation of Outpatient Surgery (OPS) units has allowed to reduce the costs and the waiting lists in an efficient fashion. We describe our series of patients operated on for abdominal wall defects, a pathology suitable for ambulatory surgery. Patients and methods: Between May 1994 and March 1998, 206 inguinal hernias, 23 femoral hernias, 47 umbilical-epigastric hernias and nine incisional hernias were operated on in an ambulatory surgical setting. The patients were selected following the selection criteria previously established (related to the patient, the environment and the surgical procedure). The average age was 45 years, and the distribution by sex, 210 men and 75 women. Spinal anesthesia was preferently performed. The surgical techniques employed were Lichtenstein's hernioplasty and Shouldice and Bassini procedures for inguinal hernias; Lichtenstein's plug technique for femoral hernias and simple closure or preperitoneal mesh for the middle line defects. Results: 44 patients needed readmitttance to hospital (failure of OPS), the most important causes being excessive pain, urinary retention and nausea/vomiting. There was no severe morbidity nor mortality. Conclusion: Surgery for abdominal wall defects constitutes a group of procedures suitable for efficient and low risk OPS programs.