Gastrointestinal hemorrhage as the first manifestation of metastatic choriocarcinoma in a male patient.

Introduction: Choriocarcinoma is a malignant tumor, it is more frequent in the female sex, rarely reported in the male sex.

Clinical Case: A 19-year-old male patient who was admitted with hematochezia and melenic evacuations, panendoscopy and colonoscopy were performed without documenting the bleeding site, exploratory laparotomy was performed finding tumor lesion in the jejunum, the histopathological examination reported Choriocarcinoma.

Conclusions: Gastrointestinal bleeding as a presentation of choriocarcinoma is sometimes the only symptom that the patient presents.

Usefulness of serum amylase and lipase as predictors of the severity of post-endoscopic retrograde cholangiopancreatography pancreatitis.

Background: Post-ERCP pancreatitis (PEP) is the most common complication of Post-endoscopic retrograde cholangiopancreatography.

Objective: to demonstrate whether serum amylase and lipase values correlate with the presence and severity of PEP.

Method: We conducted a retrospective, observational and analytical study of patients who underwent ERCP, those who developed pancreatitis were classified by severity according to the 2012 revised Atlanta criteria and their serum enzyme levels were analyzed.

[Obesity and complicated diverticular disease of the colon].

Background: The incidence of diverticular disease of the colon has been rising in recent years, and the associated factors are: low ingestion of fibre, age, lack of physical activity, and obesity.

Methods: A retrospective, descriptive, observational study was conducted on patients with the diagnosis of complicated diverticular disease requiring surgical or interventional treatment, for a period of 12 years.

Results: A total of 114 patients (72 males, and 42 females), age range 28-91 years.