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Biomedical subjects

I Iturburu

Publications and source records attributed to I Iturburu.

5 recordsLinked to original sources

Acute necrotizing Meckel diverticulitis due to biliary enterolithiasis.

BACKGROUND: Acute abdominal pain due to complicated Meckel's diverticulum is an unusual event. Even the presence of biliary enterolithiasis at the onset of inflamed congenital diverticulum has rarely been reported previously. RESULTS: Despite this unusual presentation, an episode of gallstone passage through the biliary tract has not yet been described. CONCLUSIONS: Whether the stones were primarily formed in the diverticulum as enterolithiasis, or secondary to gallstone passage is discussed. The complications of Meckel's diverticulum requiring surgical treatment are reviewed, focusing on the unusual finding of biliary stones in Meckel's diverticulum and the etiogenic mechanism of enterolithiasis.

Aged↗

Serratia rubidaea as an invasive pathogen.

Serratia rubidaea biotype 1 was isolated from the bile and blood of a patient with a bile tract carcinoma obstructing the common bile duct and who underwent invasive procedures. The infection was cleared after adequate treatment with antibiotics.

Anti-Bacterial Agents↗

[Alithiasic cholecystitis and sclerosing cholangitis caused by Cryptosporidium and cytomegalovirus in a patient with HIV infection].

A 23-year-old female, an ex-parenteral drug abuser with HIV infection, developed multiple pericholangitic abscesses secondary to lithiasic cholecystitis and sclerosing cholangitis by Cryptosporidium and cytomegalovirus. We emphasize the clinical clues and the diagnostic role of endoscopic retrograde cholangiopancreatography (ERCP), as well as the contribution of the latter to surgical therapy (transendoscopic papillotomy). We also review the reported cases of biliary diseases by Cryptosporidium and/or cytomegalovirus in the literature.

Abscess↗

[Zinc deficiency caused by postgastrectomy fistula with high flow in a patient undergoing prolonged parenteral nutrition].

A case is presented of a 57-year-old male patient who underwent total gastrectomy due to gastric adenocarcinoma. During the postoperative period the patient required long-term parenteral nutrition due to a high-debit GI fistula (over 700 ml/day) and sepsis. Two months after parenteral nutrition was started, the patients presented irritability, mucocutaneous lesions and progressive bolding. Serum alkaline phosphatase and zinc levels were lower than normal, although a supplemental 0.03 mg/k/day of zinc was administered. Faced with this zinc deficiency picture, 10 mg zinc sulfate was administered parenterally on a daily basis. The deficiency picture improved markedly over a week's period, and serum zinc and alkaline phosphatase levels returned to normal. The importance of zinc balance control in patients under long-term parenteral nutrition and high fluid debit through GI fistulas is highlighted.

Colonic Diseases↗