Multiple stab wounds on the left side of the chest in a patient with Situs Inversus Totalis: A lifesaving coincidence.

Introduction: Situs Inversus Totalis (SIT) is a rare finding of complete reversal of the thoracic and abdominal organs with an estimated incidence of 0.005%-0.01% in the population.

Double aneurysm of the superior mesenteric artery: case report.

Superior mesenteric artery aneurysms are rare, accounting for less than 0.5% of all intra-abdominal aneurysms. They are mainly caused by atherosclerosis and septic emboli resulting from bacterial endocarditis.

Epidemiology and outcome of patients with postoperative abdominal fistula.

Objective: to present the epidemiological profile, incidence and outcome of patients who developing postoperative abdominal fistula.

Methods: This observational, cross-sectional, prospective study evaluated patients undergoing abdominal surgery. We studied the epidemiological profile, the incidence of postoperative fistulas and their characteristics, the outcome of this complication and the predictors of mortality.

THE PANC 3 SCORE PREDICTING SEVERITY OF ACUTE PANCREATITIS.

Background: About 20% of cases of acute pancreatitis progress to a severe form, leading to high mortality rates. Several studies suggested methods to identify patients that will progress more severely. However, most studies present problems when used on daily practice.

AIR score assessment for acute appendicitis.

Background: Acute appendicitis is the most common cause of acute abdomen. Approximately 7% of the population will be affected by this condition during full life. The development of AIR score may contribute to diagnosis associating easy clinical criteria and two simple laboratory tests.

Lactate as predictor of mortality in polytrauma.

Background: The lactate is a product of anaerobic metabolism; it can be used as a marker on demand and availability of oxygen. Changes in lactate levels can be effectively used as a marker in resuscitation maneuvers, even in patients with stable vital signs.

Aim: To verify the lactate clearance as a predictor of mortality in trauma patients, in need of intensive care.

[Prognosis of acute pancreatitis by PANC 3 score].

Background: Acute pancreatitis is a disease of great importance in clinical practice, defined as an inflammatory process of the pancreas that may involve local tissues or affect other organs in a systemic manner, requiring, in such cases, an intensive care.

Aim: To analyze the simplified stratification system of the PANC 3 score, correlating it with the Ranson score, for the prognostic definition of cases of acute pancreatitis.

Method: Was conducted a prospective, observational study in which were evaluated 65 patients who were diagnosed with acute pancreatitis.

Main findings in laboratory tests diagnosis of acute appendicitis: a prospective evaluation.

Background: Acute appendicitis is the most common surgical abdominal disease in the emergency room. Although the diagnosis is clinical the complementary tests may be useful in doubt.

Aim: To evaluate the main laboratory tests in patients with acute appendicitis, as well as its relationship with the evolutionary stage of the disease.

Epidemiological analysis and use of rapid urease test in patients with perforated peptic ulcers.

Objective: To analyze the epidemiological profile of patients with gastroduodenal ulcer perforation and verify if the presence of H. pylori in the peritoneal and intraluminal secretions of these patients can be assessed by rapid urease test.

Methods: We conducted a prospective, descriptive, cross-sectional study with data from patients in a hospital at a regional level, in patients with peptic ulcer.