Nonfunctioning islet cell carcinoma of the pancreas: case report.

Islet cell carcinomas have an incidence of 5 per million per year; 50 per cent of these are nonfunctioning islet cell tumors. The presenting symptoms mimic pancreatic ductal adenocarcinoma. The CT finding of a pancreatic head mass that spares the main duct may distinguish between the two.

[Management of pancreatic trauma in damage-control laparotomy].

Major pancreatic trauma challenges the trauma surgeon with diagnostic problems and choices of treatment modalities. The most important determinant guiding management is the integrity of the main pancreatic duct. The preoperative and intraoperative assessment and treatment of pancreatic injury may be difficult, especially when concurrent severe injuries are present.

Method of evaluation "MMexico" in emergency medicine.

The systematic evaluation of the patient in the ED is a principal objective. Clinicians should try to maintain the patient's hemodynamic and metabolic stability. The available resources should be used appropriately to obtain an early diagnosis and definitive management.