[Pheochromocytoma. A case report]. / Feocromocitoma. Informe de un caso.

We present the case of a 34 year-old male, who was diagnosed with a malign pheochromocytoma and who was treated with left laparascopic suprarenalectomy. This is a neoplasia of the chromoffin cells with a prevalence of two cases per million inhabitants, which generally causes the typical symptoms of episodic freeing of catecholamines. We describe the case's form of presentation, which began with successive episodes of intense abdominal pain on the left side. In the abdominal pelvic ultrasound and abdominal CT, a mass of 6.5 cm diameter was objectified, dependent on the left suprarenal gland. High levels of metanefrines and catecholamines were evident in the urine. A total left laparoscopic adrenalectomy was carried out. The pathological anatomy showed malign pheochromocytoma.

Feocromocitoma. Informe de un caso / Pheochromocytoma. A case report

Se presenta el caso de un varón de 34 años de edad, a quien se diagnosticó un feocromocitoma maligno y fue tratado con suprarrenalectomía izquierda lapararoscópica. Se trata de una neoplasia de las células cromafines con una prevalencia de dos casos por millón de habitantes, que, generalmente, causa los síntomas típicos de liberación episódica de catecolaminas. Se describe la forma de presentación del caso, que debuta con episodios sucesivos de dolorimiento abdominal intenso en flanco izdo. En la ecografía abdominopélvica y TAC abdominal, se objetiva una masa de 6,5 cms de diámetro, dependiente de la glándula suprarrenal izda. Se evidencian niveles elevados de metanefrinas ycatecolaminas en orina. Se realiza adrenalectomía total izquierda laparoscópica. La anatomía patológica evidencia feocromocitoma maligno(AU)

We present the case of a 34 year-old male, who was diagnosed with a malign pheochromocytoma and who was treated with left laparascopic suprarenalectomy. This is a neoplasia of the chromoff in cells with a prevalence of two cases per million inhabitants, which generally causes the typical symptoms of episodic freeing of catecholamines. We describe the case’s form of presentation, which began with successive episodes of intense abdominal pain on the left side. In the abdominal pelvic ultrasound and abdominal CT, a mass of 6.5 cm diameter was objectified, dependent on the left suprarenal gland. High levels of metanefrines and catecholamines were evident in the urine. A total left laparoscopic adrenalectomy was carried out. The pathological anatomy showed malign pheochromocytoma(AU)

[Management of first epileptic seizure and status epilepticus in the emergency department]. / Manejo de la primera crisis epiléptica y del status en urgencias.

First epileptic seizure is a common reason for attending the emergency department. Its management is focused on diagnosis of the episode and on identification and treatment of the underlying cause. Occasionally, anti-epileptic treatment will be required. However, when the seizure is prolonged - a condition known as status epilepticus - it becomes a life-threatening process and requires immediate treatment. In this article, general advice and guidelines for the management of seizures and of status epilepticus in emergency departments is reviewed.

Manejo de la primera crisis epiléptica y del status en urgencias / Management of first epileptic seizure and status epilepticus in the emergency department

La primera crisis epiléptica es una causa frecuente de consulta en los servicios de urgencias. El manejo en urgencias se centra en el diagnóstico del episodio y en la identificación de la causa subyacente, y sólo ocasionalmente será necesario el inicio de un tratamiento antiepiléptico. Sin embargo, cuando la crisis es prolongada se convierte en una verdadera emergencia médica, el estatus epiléptico, y requiere un tratamiento inmediato. En este trabajo se revisarán las pautas generales de manejo de las crisis y del estatus epiléptico en urgencias, tanto para el diagnóstico como para el tratamiento (AU)

First epileptic seizure is a common reason for attending the emergency department. Its management is focused on diagnosis of the episode and on identification and treatment of the underlying cause. Occasionally, anti-epileptic treatment will be required. However, when the seizure is prolonged - a condition known as status epilepticus - it becomes a life-threatening process and requires immediate treatment. In this article, general advice and guidelines for the management of seizures and of status epilepticus in emergency departments is reviewed (AU)

[Endobronchial tuberculosis]. / Tuberculosis endobronquial.

Eight hospitalized patients with endobronchial tuberculosis are reported. Diagnosis was reached in six patients by the demonstration of acid-alcohol resistant bacilli in the bronchial aspirate. In the fifth patient microscopic examination of the bacteria in the liquid obtained by aspiration of a paraspinal abscess was positive. In the last patient diagnosis was established by the positive growth in Lowenstein's medium of lymph node extracts. The clinical, radiologic, endoscopic and microbiologic features are discussed.