[Churg-Strauss abdominal manifestation].

Background: Churg-Strauss is a rare, idiopathic, hypereosinophilic disease characterized by blood, tissue, and systemic vasculitis in patients with a history of asthma or allergic rhinitis. Gastrointestinal manifestations of Churg Strauss appear in a 31-45% of the patients according to some series of studies, abdominal pain being the most frequent symptom followed by diarrhea and bleeding.

Clinical Case: Male patient with a history of asthma who presents abdominal pain apparently due to acute appendicitis.

[Appendiceal stump appendicitis].

Background: Stump appendicitis is a rare disease characterized by inflammation of the appendiceal remnant. Although normally this is an early complication, it can present up to 50 years after surgery.

Clinical Case: Male patient of 66 years old with antecedent of laparoscopic appendectomy, presented with abdominal pain, leucocytosis and peritoneal irritation.

[Mucocele of the appendix: an unusual finding in a patient with ulcerative colitis].

Background: Patients with ulcerative colitis (UC) or Crohn's disease (CD) have an increased risk for the development of colorectal dysplasia and carcinoma. Although appendiceal inflammation occurs histologically in 40-86% of colectomy specimens from patients with inflammatory bowel disease (IBD), appendiceal neoplasms have been reported only infrequently, and the notion of a direct association between IBD and appendiceal neoplasia is speculative.

Clinical Case: A 54-year-old male patient developed abdominal pain and bloody diarrhea 3 years prior.

[Tuberculosis of the pancreas: an unsuspected cause of abdominal pain and fever].

Background: Tuberculosis is frequently the form of presentation of human immunodeficiency virus (HIV) infection even in patients who have not developed acquired immune deficiency syndrome (AIDS). Nevertheless, pancreatic affection is uncommon. Tuberculosis of the pancreas (TBP) is a clinical rarity and mimics pancreatic carcinoma both clinically and radiologically.

Multiple intestinal lipomatosis. Case report.

Background: Intestinal lipomatosis is a rare disease with an incidence at autopsy ranging from 0.04 to 4.5%.

[Use of vacuum-assisted closure in the treatment of surgical infection sites].

Surgical site infection is one of the most important health problems representing an increase in morbi-mortality and economical devastation for the patient. There have been a variety of procedures that surgeons have employed to control this situation, from very refined surgical procedures, advanced antimicrobial therapy to local therapy with alginates, hydrocolloid dressings and many others with active topical substances. One of the newest treatments is the VAC (Vacuum-Assisted Closure).

[Relaparotomy on demand: factors related to mortality].

Objective: To assess the mortality related factors of patients after relaparotomy on demand.

Background: In some patients, a relaparotomy after a primary laparotomy will be necessary, most due to acute complications. The relaparotomy can be planned or on demand based on the evolution of the patient.

[Enterocutaneous fistulas in patients older than 70 years].

Introduction: Enterocutaneous fistula remains a major complication after abdominal surgery.

Material And Methods: We reviewed the charts of patients over 70 years of age with enterocutaneous fistula who were seen in a general surgery department. Special interest was given to mortality-related factors.

[Postoperative entero-cutaneous fistula].

Enterocutaneous fistulas of the digestive tract is a major catastrophe of surgical practice. In most cases, they represent serious complications of abdominal surgery. A total of 90% of cases develop of a surgical complication or injury.

[Manual mechanical anastomosis colorectal surgery].

Objective: To determine advantages and disadvantages of manual vs mechanical sutures in colon surgery.

Material And Methods: A retrospective study of clinical files of 84 colon surgery patients was conducted, to establish morbidity and mortality of these patients with special emphasis in length of surgical procedure and type of suture used during procedure (either manual or mechanical).

Results: Of 84 patients included in this study, manual suture was used in 70 (group 1) and mechanical suture in 14 (group 2).