Perforation of a decubitus gastric ulcer during intragastric balloon retrieval after surreptitious withdrawal of omeprazole.

Male, 24 yo, obesity class 1. We place him a 6 month intragastric balloon. He keeps asymptomatic while taking PPIs, having lost 13 kg in 4 months. He starts on month 5 with epigastric pain, just after abandoning omeprazole on his own. The pain worsens in spite of restarting PPIs and we schedule an urgent retrieval of the balloon. Gastric ulcer perforation occurs during balloon removal and the patient is operated.

[Surgery of the thyroid nodule. Current treatment]. / Cirugía del nódulo de tiroides. Tratamiento actual.

The concept of "thyroid nodule" is the presence in the gland of a neoformation with an enough diameter in order to be palpable. From a clinical point of view, the problem relies in establishing its diferential diagnosis with the cancer which prevails between the 10-15% of the cases. We emphasize the diagnostical tests, the different accesses and the surgical treatments with a morbidity that focus the attention of the surgeon. Finally, the author will present its experience.