Lesiones producidas en aficionados durante los festejos taurinos populares / Injuries to amateur participants in traditional bullfighting festivals

Introducción: Conocer los diferentes tipos de lesiones producidas en fiestas populares con toros o vaquillas, analizar las condiciones en las que se producen estas lesiones, las exploraciones radiológicas realizadas, el tratamiento y las complicaciones. Método: Se trata de un estudio retrospectivo en el que se revisan 107 pacientes que acudieron al servicio de urgencias de nuestro hospital con patología relacionada con los toros y vaquillas en un periodo de 10 años. Se valoraron la edad y el sexo de los pacientes, la exposición a tóxicos, el periodo del año en el que se produjeron las lesiones, el tipo de lesión (herida abierta, cerrada o lesiones mixtas), la duración del ingreso, el traslado a otro centro hospitalario, las exploraciones realizadas, el tratamiento y las complicaciones. Resultados: Fueron atendidas 107 personas (98 varones y 9 mujeres), con una edad media 41,68 años, por lesiones producidas en festejos taurinos populares. El 77,57% de las lesiones se produjeron durante los meses de julio, agosto y septiembre. Noventa y cinco de los 107 pacientes (88,78%) fueron hospitalizados. Del total de lesiones producidas, 91 correspondieron a heridas abiertas, 10 a contusiones, 27 a fracturas y 5 a traumatismo craneoencefálico (TCE). Ochenta y tres lesiones (62,40%) se localizaron en extremidades inferiores y periné. En cuanto al tratamiento recibido, se realizó sutura de las heridas (2), Friedrich (69), punción evacuadora del hematoma (1), cirugía ortopédica (5), laparotomía exploradora (6) y neurocirugía (1). Dos pacientes fallecieron. Conclusiones: Las lesiones producidas en espectáculos taurinos populares son diferentes en pacientes que acuden con heridas abiertas y los que sufren traumatismos cerrados. Debemos conocer la patogenia de las mismas con el fin de mejorar la supervivencia de los pacientes

Introduction: To identify the different types of injuries occurred during activities for the general public involving bulls. We analyze the conditions in which these injuries occurred, radiological examinations performed, treatment and complications. Method: We present a 10-year retrospective study examining 107 patients who came to the Emergency Department of our hospital with pathologies associated with bulls or bull calves over a period of 10years. We evaluated patient age and sex, exposure to toxic substances, period of the year in which the lesions occurred, type of injury (open, closed or mixed lesions), hospital stay, transfer to another hospital, treatment and complications. Results: A total of 107 patients (98 males and 9 females), with a mean age of 41.68years, were treated for injuries in popular bull festivals. 77.57% of the injuries occurred during the months of July, August and September. 95 out of the 107 patients (88.78%) were hospitalized. The total number of injuries included: 91 open wounds, 10 bruises, 27 fractures and 5 traumatic brain injuries. 83 injuries (62.40%) affected the lower limbs and perineum. The treatment received was: suture (2), Friedreich (69), hematoma drainage (1), orthopedic surgery (5), exploratory laparotomy (6) and neurosurgery (1). Two patients died. Conclusions: Injuries occurring during traditional bull-related festivals are different in patients with open wounds from patients who suffer blunt trauma. The pathogenesis of these injuries must be understood in order to improve patient survival

Injuries to amateur participants in traditional bullfighting festivals. / Lesiones producidas en aficionados durante los festejos taurinos populares.

INTRODUCTION: To identify the different types of injuries occurred during activities for the general public involving bulls. We analyze the conditions in which these injuries occurred, radiological examinations performed, treatment and complications. METHOD: We present a 10-year retrospective study examining 107 patients who came to the Emergency Department of our hospital with pathologies associated with bulls or bull calves over a period of 10years. We evaluated patient age and sex, exposure to toxic substances, period of the year in which the lesions occurred, type of injury (open, closed or mixed lesions), hospital stay, transfer to another hospital, treatment and complications. RESULTS: A total of 107 patients (98 males and 9 females), with a mean age of 41.68years, were treated for injuries in popular bull festivals. 77.57% of the injuries occurred during the months of July, August and September. 95 out of the 107 patients (88.78%) were hospitalized. The total number of injuries included: 91 open wounds, 10 bruises, 27 fractures and 5 traumatic brain injuries. 83 injuries (62.40%) affected the lower limbs and perineum. The treatment received was: suture (2), Friedreich (69), hematoma drainage (1), orthopedic surgery (5), exploratory laparotomy (6) and neurosurgery (1). Two patients died. CONCLUSIONS: Injuries occurring during traditional bull-related festivals are different in patients with open wounds from patients who suffer blunt trauma. The pathogenesis of these injuries must be understood in order to improve patient survival.

[Bifid ureter with a blind branch as cause of unspecified abdominal pain. Report of a new case and review of the literature]. / Uréter bífido con una rama ciega como causa de dolor abdominal inespecífico. Aportación de un nuevo caso y revisión de la literatura.

OBJECTIVE: To report a case of bifid left ureter with a blind-ending branch in a 35 year-old female patient who complained of poorly defined abdominal pain. METHODS: Clinical features, radiologic findings, differential diagnosis and therapeutic approach are discussed and the literature reviewed. RESULTS: Bifid ureter with a blind branch is not an uncommon anomaly as generally believed. There are at least a hundred and seventy-five cases reported in the literature reviewed. CONCLUSIONS: Diagnosis is most commonly made by intravenous urography (IVU) with oblique views showing the blind-ending segment filled by retrograde uretero-ureteral reflux. However blind segment does not always fill on excretory urography and retrograde pyelography is required for diagnosis (an ectopic kidney at the distal end of the blind-ending branch should be easily seen on CT scan or ultrasonography). A voiding cystourethrography (VCUG) may be needed to demonstrate an ureteral branch with coexistent vesicoureteral reflux. Treatment is initially conservative although complications or severe symptoms require surgical excision of the blind branch together with antireflux reimplantation of the normal ureter when vesicoureteral reflux is present.

Uréter bífido con una rama ciega como causa de dolor abdominal inespecífico. Aportación de un nuevo caso y revisión de la literatura / Blind-ending bifid ureter as cause of non-specific abdominal pain. Report of a new case and bibliographic review

OBJETIVO: Describir un caso de uréter bífido izquierdo con una rama ciega, en una mujer de 35 años que aquejaba un dolor abdominal difuso y de características variables. MÉTODOS: Las características clínicas, hallazgos radiológicos, diagnósticos diferenciales y actitudes terapéuticas son discutidas junto a la revisión de la literatura. RESULTADOS: El uréter bífido con una rama ciega es una anomalía no tan infrecuente como se cree. Hay por lo menos descritos 175 casos en la literatura revisada. CONCLUSIONES: El diagnóstico se realiza generalmente mediante urografía intravenosa (UIV) asociada a proyecciones oblicuas que muestran el uréter ciego relleno de contraste por el reflujo uretero-ureteral. Sin embargo el segmento ciego no siempre se rellena en la UIV y es necesario recurrir a una pielografía retrógrada para su diagnóstico (un riñón ectópico en relación con este segmento ureteral debería verse fácilmente en un TAC o ecografía) Para demostrar reflujo vesicoureteral en una rama ureteral puede ser necesaria una cistouretrografía miccional (C.U.M.S).El tratamiento es inicialmente conservador pero la aparición de complicaciones o síntomas severos requiere la exéresis del uréter ciego, asociando una reimplantación con técnica antireflujo del uréter normal cuando el reflujo vesicoureteral esta presente (AU)

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