The peritoneum and abdominal packs were cultured in patients who survived to re-operation. The study recorded all positive cultures, pack. trauma o por sangrado intraabdominal de otra etiología, especialmente si se había realizado un empaquetamiento abdominal o un proce- dimiento de control . Traumatismo abdominal, diagnóstico y tratamiento (general y específico) de las lesiones primarias y secundarias. Basado en el curso ATLS.
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Pancreatitis aguda grave asociada a gangrena vesicular. Directory of Open Access Journals Sweden. Excluyendo a la pancreatitis causada por traumatismo abdominal, se presenta con una frecuencia cinco veces mayor en mujeres.
Full Text Available Fundamento y objetivo: Our objective was to report two cases of severe acute pancreatitis complicated by splenic infarction. In both cases abdominnal infarction diagnosis and follow-up were carried out using computed tomography.
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In the second case no involvement of the splenic vessels could. Nutritional support in patients with severe acute pancreatitis Soporte abdominwl en pacientes con pancreatitis aguda grave. Full Text Available Severe acute pancreatitis is associated with a systemic inflammatory response leading to a hypermetabolic, hypercatabolic condition; for those reasons, patients suffering from this disease require an excellent artificial nutritional support in order to maintain the structural integrity and the function of vital organs with empaquetamientto pancreatic secretion.
Total parenteral nutrition has been the standard practice in the treatment of patients with severe acute pancreatitis because of the favorable outcomes of early nutritional support while avoiding pancreatic stimulation; however, recent evidence suggests there are potentially greater benefits with enteral as compared with parenteral nutrition, including fewer septic and metabolic complications and lesser costs.
That is why present guidelines for the management of acute pancreatitis recommend that enteral instead of parenteral nutrition be used in patients with severe acute pancreatitis. Sertralina e pancreatite aguda: Acute pancreatitis is a severe disease with considerable morbidity and mortality.
Many risk factors are causally related to acute pancreatitis.
In this report, a case of acute pancreatitis with possible causal relationship with the use of a selective serotonin reuptake inhibitor, sertraline, will be discussed. After one month of treatment with sertraline, adbominal female patient, 55 years-old, developed a severe abdominal pain and showed a serum amylase elevation. She was admitted to the hospital and the use of sertraline was interrupted.
After that, the symptoms remitted and the serum amylase level returned to normal. Because of the potential severity of this disease and the widespread use of sertraline, this association should be reminded when investigating possible causes for acute pancreatitis.
Effect of hyperthermia on experimental acute pancreatitis Efeito da hipertermia na pancreatite aguda experimental. Recent studies indicate that hyperthermia can change inflammatory mechanisms and protect experimental animals from deleterious effects of secretagogue-induced acute pancreatitis AIM: Twenty animals were divided in two groups: In all groups, amylase serum levels, histologic damage, vascular permeability and pancreatic water content were assessed.
A single dose of Evans’ blue dye was administered along with the second dose of cerulein. All animals also received a subcutaneous injection of saline solution.
After this process, animals undergone hyperthermia were heated in a cage with two W lamps. Body temperature was increased to Control animals had typical edema, serum amylase activity and morphologic changes of this acute pancreatitis model. The findings suggest a beneficial effect of the thermal stress on inflammatory edema in experimental acute pancreatitis. Vinte animais foram divididos em dois grupos: Pancreatitis aguda por hipertrigliceridemia severa: Retinopatia de Purtscher-like e pancreatite aguda Purtscher-like retinopathy and acute pancreatitis.
Purtscher-like retinopathy is acute loss of vision associated image of the multiple areas of retinal whitening and hemorrhage in the posterior pole of both eyes. The exact mechanism of injury remains unclear, current evidence suggests that it is embolic in nature.
In a variety of conditions are been described including acute pancreatitisfat embolism syndrome, renal failure, childbirth, and connective tissue disorders.
Will are related three cases of the acute pancreatitis which was confirmed by complementary laboratory studies and clinical history, associated from exam of the fundus of the eye, similar is this retinopathy. Full Text Available Aims: Serum was obtained the first, second and fourth day from admittance, if complications were detected, and after recovery.
Malondialdehyde was determined by high performance liquid chromatography. Twenty healthy volunteers constituted the control group.
Malondialdehyde between groups was compared with Mann-Whitney and Kruskal-Wallis tests; malondialdehyde evolution was studied with Wilcoxon test.
Malondialdehyde decreased from first to fourth day 0. In severe attacks malondialdehyde was higher than in control group at day 2 severe: Veinte voluntarios sanos conformaron el grupo control. No hubo complicaciones ni mortalidad relacionadas con el procedimiento.
Acute pancreatitis associated with hypercalcemia: A report of two cases Pancreatitis aguda asociada a hipercalcemia: Full Text Available Hypercalcemia due to hyperparathyroidism is a rare etiology for acute pancreatitis empauqetamiento, oscillating between 1. Although the cause-effect relationship and the pathophysiology of the condition are not clear, it seems that the empaquwtamiento among them is not incidental, and serum calcium could be a major risk factor, so that pancreatitis would come to occur during severe hypercalcemia attacks.
Mutations in different genes have been proposed as well to justify why only some patients with primary hyperparathyroidism and hypercalcemia develop acute pancreatitis. References to cases like these ones are rare in the literature.
We report two patients with acute pancreatitis associated with hyperparathyroidism and hypercalcemia, one of them with a fatal outcome. Existen muy pocas referencias en la literatura empaquetamkento casos como los que nos ocupan. Acute pancreatitis as a postburn complication: Full Text Available Acute pancreatitis in burnt empaquetamientl has been reported with some frequency; contrariwise, there has been only one report of this complication in a burnt child.
As a result, we add two documented cases to the limited literature on this subject. Pancreatitis aguda secundaria a hipertrigliceridemia: A report of two cases. Full Text Available La pancreatitis aguda es un proceso inflamatorio reversible. Acute pancreatitis is a reversible inflammatory process. Hypertriglyceridemia as a cause of acute pancreatitis reaches frequencies of 1.
In the present article, we report two cases of severe pancreatitis induced by hypertriglyceridemia that were managed with insulin infusion; both empaqyetamiento adequately, as measured by a significant reduction of triglyceride levels at 48 hours post-treatment.
El tiempo de inicio y el tipo de terapia juegan un papel importante para conseguir los beneficios completos del pr Nutrition in acute pancreatitis. Lesiones producidas por la Etionina. Unexplained pancreatitis represents a diagnostic challenge, although after different explorations a cause is found in the majority of these patients. During the last years endosonography has proved to be a low morbidity exploration very useful in the evaluation of patients with this entity.
In this article we review the role of endosonography in the etiologic study of patients with idiopathic acute pancreatitis. Changes in the management of acute pancreatitis in the last 2 decades contributed to reduce the mortality. To show the evolution in the management of severe acute pancreatitiscomparing two different approaches.
All patients with severe acute pancreatitis from to were included. We compared the results of a retrospective review from to group A with a prospective protocol, from to group B. In group A severe pancreatitis was defined by the presence of systemic or local complications. In group B the Atlanta criteria were used to define severity. The variables analyzed were: Seventy-one patients were classified as severe, 24 in group A and 47 in group B.
Half of the patients in group A and two 4. A specific approach and a prospective protocol can change the results in the treatment of patients with severe acute pancreatitis.
Full Text Available Objetivo: In patients developing pseudocyst, IL was. Acute appendicitis in an incarcerated crural hernia: Full Text Available Introduction: We empaqhetamiento 6 cases of incarcerated crural hernia with vermiform appendix inside.
We analyzed in retrospect the following parameters: Empaqueramiento frequent clinical manifestations included pain and a mass in the right inguinocrural region, of variable intensity and duration. No clinical, laboratory, or radiographic signs help in reaching a abdo,inal preoperative diagnosis. General anesthesia and a crural approach are used in most surgical operations.
In all cases an appendectomy was performed via the hernia sac, thus proving the presence of acute appendicitis in four of them A prosthetic mesh was used in 3 cases, and one case of wound infection was found. In the other cases we sutured the hernia ring using prolene. Treatment includes appendectomy and herniorraphy. The use of prosthetic mesh is controversial.
Full Text Available Resumo Neste estudo foram avaliados, por meio da ultra-sonografia, 21 pacientes com pancreatite aguda leve. We analyzed the ultrasonographic findings of 21 patients with mild acute pancreatitis. The presence or absence of pancreatic hypoechogenicity and peripancreatic fluid collection was assessed. Pancreatic hypoechogenicity was identified in 19 patients No abnormality was seen in 2 patients 9.
Regarding the etiology of empaqustamiento pancreatitischolelithiasis was identified in 15 patients The authors conclude that ultrasonography may identify abnormalities in the majority of patients with mild acute pancreatitis and can be used to assess patients with peripancreatic fluid collections.
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