A Case Report and Literature Review of Adrenal Myelolipoma.

Adrenal myelolipoma is considered a benign neoplasm that accounts for 6% to 16% of adrenal incidentalomas, and it is the second most common incidental adrenal tumor after adrenal adenomas. They are usually asymptomatic; however, in the presence of symptoms, significant growth, or complications, open surgical resection is indicated. We present the case of a 46-year-old woman with obesity and diabetes who experienced five years of left hemiabdominal pain, which was unsuccessfully treated symptomatically.

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.

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.

[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.

[Gallstone ileus, experience in the Dr. Eduardo Liceaga General Hospital of Mexico].

Background: Gallstone ileus is a rare cause of intestinal obstruction (1-4%). It results from the migration of a gallstone through a bilio-enteric fistula. Treatment begins with fluid therapy, followed by enterolithotomy, fistula closure, and cholecystectomy.