[Mixedematous ileus; acute abdomen exacerbate.]. / Ileo mixedematoso;exacerbante de abdomen agudo.

The surgical literature contains few reports about effects of hypothyroidism in patients with acute abdomen; has been reported that a glycoprotein infiltrate the lining of the bowel leading to denervation. We report the case of a woman with acute abdomen secondary to pyosalpynx with uncontrolled hypothyroidism postoperative complications.Hypothyroidism is called "big mimicker"because its clinic spectrum ranges from anasymptomatic subclinical condition to the rare,life-threatening myxedema coma, and thus can bea challenging diagnosis to make. Unrecognized hypothyroidism may lead to unnecessary surgery or even a potentially fatal outcome. A heightened awareness of this not so uncommon entity is mandatory

[Rectal endometriosis: entity difficult to diagnose.]. / Endometriosis rectal:entidad de difícil diagnóstico.

Endometriosis is a gynecologic disorder characterized by the presence of endometrial glands and stroma outside the endometrial cavity and the uterine musculature. Although the ectopic endometriotic implants are most commonly found in the pelvis, the GI tract is the most common site of extrapelvic endometriosis The diagnosis of rectosigmoid is difficult to make on colonoscopy because of the subepithelial location of the endometriotic implants. We present a case report ofa 38-years-old woman referred with a diagnosis of rectal cancer with large intestine symptoms.Rectal endometriosis should be considered in the differential diagnosis of extramucosal rectal masses in premenopausal women, particularly if the patient has gynecological complaints or a history of infertility.