PubMed Health⌕ Search

Biomedical subjects

J M Lera Tricas

Publications and source records attributed to J M Lera Tricas.

10 recordsLinked to original sources

[Gastric necrosis caused by acute gastric distention and superior mesenteric artery syndrome].

We report the case of a 14 year-old female patient who was admitted complaining of abdominal pain due to gastric distension after an episode of bulimia. The patient was diagnosed as having gastric intramural necrosis by CT. An emergency laparotomy was performed and a massive gastric necrosis and duodenal compression due to the superior mesenteric artery syndrome was found. The patient did well after total gastrectomy and Roux-en-Y procedure.

Adolescent↗

[Variceal hemorrhage on the colostomy area in a patient with portal hypertension].

A 68 years old patient who had a colostomy done for an abdomino-perineal resection, started episodes of bleeding seven years later from varices at the colostomy site secondary to portal hypertension. Direct suture of the varices and distal colonic resection were ineffective to stop the bleeding. Sclerotherapy with polidocanol, however permitted the patient to remain asymptomatic during 14 months.

Aged↗

[Risk for injuries in traffic accidents among drivers under the effect of alcohol in Navarra].

We conducted a retrospective analysis of the levels of alcohol in the blood of a group of 54 drivers who required hospital emergency care after having suffered a traffic accident on roads in the Health Area III of Navarra (Spain) from June to September 1989, and compared them to another group of 219 drivers, not victims of traffic accidents, submitted to the breathalyser (test of alcoholaemia) on the roads of the same Health Area over the same period of time. In the group of 54 accident victims, the median alcoholaemia was 100 mg/dl, with a quartile deviation of 88 mg/dl, and the percentage of positives (alcoholaemia equal to or greater than 80 mg/dl) was 50.9%. In the group of 219 drivers not victims of traffic accidents, the median alcoholaemia was 16 mg/dl, the quartile deviation 18.5 mg/dl and the percentage of positive alcoholaemia was 1.8%. Drivers with a level of blood alcohol equal to or greater than 80 mg/dl have an estimated risk (Odds Ratio) of being injured in a traffic accident 55.82 times higher than drivers with a lower level.

Accidents, Traffic↗