A Case Report and Literature Review of Intestinal Perforation Due to Tuberculosis.

Intestinal tuberculosis (ITB) is challenging due to its nonspecific clinical presentation, sometimes manifesting with acute complications such as intestinal perforation or obstruction. We present the case of a 39-year-old male presented with continuous fever, abdominal pain, and peritoneal irritation. A contrast-enhanced thoracoabdominopelvic computed tomography revealed free air and fluid, suggestive of intestinal perforation.

Biomarcadores y endotipos en la sepsis. Nuevas evidencias.

Antecedentes: La sepsis es una causa importante de enfermedad y muerte en todo el mundo, y es un proceso complejo y heterogéneo. Ahora se reconoce que los marcadores biológicos mejoran la clasificación de la sepsis y pueden facilitar la identificación de distintas subclases o endotipos de pacientes.

Objetivo: Analizar los conceptos actuales en biología traslacional que ayudan a entender la heterogeneidad en la respuesta del paciente con sepsis.

Evaluation of C-reactive protein, procalcitonin and the PCR/PCT index as indicators of mortality in abdominal sepsis.

Background: Biomarker combinations can improve timely diagnosis and survival.

Objective: To determine the usefulness of serum procalcitonin concentration (PCT), C-reactive protein (PCR) and the PCR / PCT index as predictors of mortality.

Method: Retrospective study of patients diagnosed with abdominal sepsis during the period from April 2017 to February 2018.

Evaluation of the level of high density lipoproteins as a predictor of severity in abdominal sepsis.

Background: Alterations in the lipid profile are part of the acute phase response, this corresponds to the so-called lipemia of sepsis.

Objective: To determine if the serum level of high density lipoprotein (HDL) is related to severity and mortality.

Method: Retrospective, descriptive, cross-sectional study of patients diagnosed with abdominal sepsis.

Comparison between the body mass index and the Controlling Nutritional status to determine the severity in patients with abdominal sepsis.

Background: The systemic response of the organism, in defense against the aggressor agent, generates acute catabolic response, which leads to deterioration of the nutritional status.

Objective: Compare the usefulness of the body mass index (BMI) and the CONUT scale to determine the severity in abdominal sepsis.

Methods: Retrospective, descriptive, cross-sectional study in patients with diagnosis of abdominal sepsis, from April 2016 to February 2017.

Hyperparathyroidism during pregnancy. Is it a diagnostic and therapeutic challenge?

Background: Primary hyperparathyroidism (PHPT) is characterized by an increase in parathyroid hormone (PTH) and hypercalcemia, which, when present during pregnancy, increases both maternal and fetal morbidity and mortality.

Objective: Emphasize the importance of surgical intervention in primary hyperparathyroidism during pregnancy.

Clinical Case: A 27-year-old female with a pregnancy of 27.

Is albumin a predictor of severity and mortality in patients with abdominal sepsis?

Background: Patients with a lower level of albumin have a more severe infection, the level of said biomarker is a strong predictor of mortality.

Objective: To determine the usefulness of the serum albumin level as a predictor of severity and mortality.

Methods: Retrospective, descriptive, cross-sectional study of patients diagnosed with abdominal sepsis.

Evaluation of the serum procalcitonin level as an indicator of severity and mortality in abdominal sepsis due to secondary peritonitis.

Background: Procalcitonin is a biomarker of sepsis, whose concentrations increase when some endotoxin enters the bloodstream. It is used, among other things, to discriminate the etiology of infections, increase or decrease the antibiotic spectrum, and predict mortality.

Objective: To determine the utility of the serum level of procalcitonin as a predictor of severity and mortality.

Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis.

Introduction: It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.

Objective: To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.

Method: A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015.

[Comparación del índice de neutrófilos/linfocitos, la escala de SOFA y la concentración sérica de procalcitonina como indicadores de la gravedad de la apendicitis aguda].

IntroducciÓn: La apendicitis aguda (AA) es una de las principales causas de abdomen agudo. Un retraso en su diagnóstico y tratamiento elevan la morbimortalidad.

Objetivo: Evaluar el índice de neutrófilos/linfocitos (INL), la escala SOFA (Sequential Organ Failure Assessment), la procalcitonina (PCT) y la bilirrubina total (BT), y ver si existe relación como determinantes de la gravedad de la AA.

[Programa de entrenamiento en reparacion vascular en modelo experimental para residentes de cirugía general].

IntroducciÓn: Los programas de entrenamiento simulado permiten optimizar recursos, aumentar la práctica técnica y acortar curvas de aprendizaje, y constituyen un método seguro, estandarizado y validado de aprendizaje para todos los entrenados.

Objetivo: Desarrollar un programa de entrenamiento vascular mediante la elaboración de una anastomosis término-terminal de un vaso en un modelo experimental para residentes de cirugía general.

MÉtodo: Para el desarrollo de este modelo de entrenamiento se utilizó una extremidad amputada a nivel supracondíleo libre de proceso médico-legal.

[Índice de Mannheim y mortalidad en sepsis abdominal].

IntroducciÓn: La sepsis abdominal representa la respuesta inflamatoria peritoneal ante la invasión microbiana, con una mortalidad del 17%. El índice de peritonitis de Mannheim es una herramienta clínica y un predictor de mortalidad, con alta sensibilidad y especificidad.

Objetivo: Determinar si existe correlación entre el puntaje obtenido mediante el índice de peritonitis de Mannheim y la mortalidad.

[Divertículo de Zenker. Manejo endoscópico contra técnica abierta. ¿Cuál es mejor? Experiencia en el Hospital General de México Dr. Eduardo Liceaga].

IntroducciÓn: El divertículo de Zenker es una enfermedad rara en la población general. Su tratamiento puede llevarse a cabo mediante un enfoque endoscópico o quirúrgico.

Objetivo: Reportar la experiencia en el manejo del divertículo de Zenker en un centro de enseñanza de tercer nivel.