PubMed Health⌕ Search

Biomedical subjects

Mauricio de la Fuente-Lira

Publications and source records attributed to Mauricio de la Fuente-Lira.

6 recordsLinked to original sources
PubMedDate not supplied

[Management of the abdominal wall in sepsis. Comparison of two techniques].

OBJECTIVE: To compare two techniques of open abdomen management in patients with abdominal sepsis. INTRODUCTION: Some patients with abdominal sepsis will require open abdomen management to avoid abdomen compartment syndrome. We compare use of the Bogota bag with a technique developed at our Institution with a subcutaneous polyethylene bag. METHODS: Thirty nine consecutive patients with abdominal sepsis who were managed with open abdomen. RESULTS: Twenty one patients with Bogota bag and 18 patients with subcutaneous polyethylene bag. Patients with Bogota bag had more report surgery intrabdominal complications compared with patients with subcutaneous polyethylene bag (p = 0.04, p = 0.037, respectively). Mortality was the same. CONCLUSIONS: Use of subcutaneous polyethylene bag in patient with abdominal sepsis and open abdomen appears safer when compared with Bogota bag.

Abdomen↗
PubMedDate not supplied

[Intussusception in adults].

Intestinal intussusception in adults is a very rare entity whose etiology differs greatly from its pediatric counterparts. Three adult patients with intestinal intussusception presented with intestinal obstruction and required surgery for its resolution. In each case a pathologic cause was found. They had intestinal polyps, two benign (lipoma and hamartomatous polyps) and one malignant (metastasis). Intestinal intussusception in adults usually has a pathologic cause. About half have a malignant etiology. Intestinal resection without reduction of the intussusception is the preferred surgical procedure.

Adult↗
PubMedDate not supplied

[Biliary ascariasis. Case report and review of the literature].

BACKGROUND: Ascaris lumbricoides is the most common nematode found in the human gastrointestinal tract with a greater prevalence found in developing tropical and subtropical countries. Most cases of ascariasis follow a benign course. In some cases the adult parasite can invade the biliary or pancreatic ducts and cause obstruction with development of cholecystitis, cholangitis, pancreatitis, and hepatic abscesses. We report a case of a patient with biliary ascariasis. CLINICAL CASE: A 40-year-old woman, born and residing in San Cristobal de las Casas, Chiapas, was admitted with right upper quadrant pain of 2-week duration. Pain was accompanied by nausea, vomiting and fever. Exploration revealed pain upon deep palpation of right hypochondria. Laboratory examinations demonstrated elevation of alkaline phosphatase without jaundice, leukocyte count of 14,300 and ultrasonography with ascaris within the gallbladder and intra- and extrahepatic ducts without evidence of dilatation. Medical treatment with mebendazol was begun orally; nevertheless, on the second day the patient reported an increase of the right hypochondria pain, vomiting and fever of 38 degrees C. Surgical treatment was decided upon. An open cholecystectomy was performed without evidence of parasites within the gallbladder. Expansion of the extrahepatic bile ducts was observed and a formal biliary exploration was carried out with extraction of 19 ascarids and colocalization of choledocostomy T-tube. At the third postoperative day, a T-tube cholangiography was done, showing residual ascarids in the biliary ducts that were resolved with a retrograde endoscopic cholangiopancreatography. The patient's evolution was without complications or fever and with adequate oral feeding posterior to biliary instrumentation. CONCLUSIONS: In obstructive biliary pathology, biliary ascariasis is a diagnosis that needs to be explored in our country. Knowledge of clinical symptoms, complications, and diagnostic and therapeutic options are of paramount importance for all health professionals in our country.

Adult↗
PubMedDate not supplied

[Appendiceal mucocele and gangrenous cholecystitis].

OBJECTIVE: We present a case report of appendiceal mucocele and gangrenous cholecystitis. SETTING: Hospital de Especialidades, Centro Médico Nacional Siglo XXI, México, D.F. CLINICAL CASE: An 80-year-old man was admitted to the hospital with diagnosis of acute cholecystitis and abdominal tumor under study, with complaints of abdominal pain for 10 days located in the right upper quadrant, without fever or significant weight loss. Laboratory analyses revealed moderate leucocytosis. CT of the abdomen revealed thickening of the gallbladder wall and acute local inflammation, as well as the presence of abdominal tumor in the right lower quadrant. The patient was surgically explored with the following findings: gangrenous cholecystitis and appendiceal tumor of 20 cm length. Cholecystectomy and appendectomy was performed. The postoperative period was normal. The final histological report was appendiceal mucocele and the patient was discharged after 5 days. The patient is currently without complaints at 5 months postoperatively.

Aged, 80 and over↗