Linitis plástica intestinal, metástasis tardía de adenocarcinoma gástrico en anillo de sello / Intestinal linitis plastica, late metastases in signet-ring gastric adenocarcinoma

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Carcinoma papilar de tiroides sobre conducto tirogloso persistente / Papillary thyroid carcinoma arising in a thyroglossal duct cyst

La malignización de los quistes del conducto tirogloso es infrecuente y corresponde fundamentalmente, a carcinomas papilares del tejido tiroideo que los constituye. En este trabajo se describe un carcinoma papilar que se asienta sobre el conducto tirogloso en una mujer de 40 años intervenida previamente de bocio multinodular que tenía una biopsia con aguja fina preoperatoria de carcinoma papilar de tiroides (AU)

Malignant transformation of thyroglossal duct cysts is uncommon and usually corresponds to papillary carcinoma of the thyroid tissue constituting the cyst. We report a case of papillary thyroid carcinoma originating in a thyroglossal duct cyst in a 40-year-old woman who had previously undergone surgery for goitre with a prior diagnosis of papillary carcinoma by fine needle punch biopsy (AU)

[Anisakiasis: an infestation to be known by surgeons]. / Anisakiase: une parasitose que le chirurgien doît connaître.

BACKGROUND: Anisakis infestation is related to the consumption of raw or undercooked fish. It can cause allergic reactions, or abdominal pain when the gastrointestinal tube is involved. Its incidence is rising in Europe. OBJECTIVE: To analyze a group of patients complaining of right iliac fossa pain with ileitis or colitis and establish its relationship with Anisakis spp. infection. PATIENTS AND METHODS: During a 3-months period, 28 patients with abdominal pain were referred to the hospital with a diagnosis of ileitis or colitis by imaging, endoscopy or surgery. Specific serology for Anisakis was performed in all of them. RESULTS: At imaging study, 14 patients had ileitis or colitis, three intestinal obstruction and one acute appendicitis. Fourteen patients were operated on and 7 of them underwent resection; histopathologic diagnosis were eosinophilic ileitis (2 cases) or colitis (3 cases), non specific ileitis (1 case) and Crohn's disease (1 case). Another patient had an endoscopic biopsy that concluded eosinophilic colitis. Anisakis serology was positive in 25 (89%), negative in two and unknown in one. All patients were discharged uneventfully. CONCLUSIONS: Digestive anisakiasis may present as acute abdomen. Surgeons should know and consider this diagnosis in patients with ileitis or colitis, moreover if an antecedent of raw or undercooked fish ingestion is present. A conservative approach is best performed but the clinical picture can require an emergent laparotomy.

Control de la hemorragia en el síndrome de Wünderlich / Control of hemorrhage in Wünderlich’s syndrome

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Tissucol application in dermolipectomy and incisional hernia repair.

Biological adhesives have a lot of applications in surgical procedures. Here we present a prospective study with the aim of analyzing results of the application of Tissucol between the muscle layers and subcutaneous tissue after incisional hernia repair with polypropylene mesh and associated dermolipectomy. We assess clinical and technical parameters, local morbidity, and hospital stay. Fifty-six patients were divided into two groups. Patients with whom we used fibrin glue were older, with more obesity (P < 0.005) with associated diseases, and their incisional hernias were larger and more complicated to repair. Patients in the Tissucol group developed less local morbidity (hematomas or abscesses; P < 0.01), had a shorter mean hospital stay (P < 0.01), and required less wound care. The use of Tissucol improves the results of surgical repair of large abdominal incisional hernias repaired by mesh placement and dermolipectomy, and it decreases global morbidity and hospital stay are reduced.