[Surgical emergencies due to the traumatic breaking of a solid tumor]. / Urgencia quirúrgica por tumores sólidos rotos en forma traumática.

This report deals with three patients admitted with acute abdomen and hypovolemic shock, but at the operation, solid tumors traumatically broken were found. this finding is infrequent and is a serious problem for the surgeon who must solve the emergency and carry out the adequate surgical treatment with oncologic criterion.

[Paraplegia as a risk following catheterization of the umbilical artery. Report of a case and bibliographic review]. / Paraplejía como riesgo de la cateterización de arteria umbilical. Presentación de un caso y revisión bibliográfica.

A case of paraplegia in a female newborn in whom an umbilical catheter was inserted for treatment of fetal maternal isoimmunization with exchange transufsion is presented. Paraplegia was diagnosed in the fifth day after the procedure was performed. A left transfemoral angiography demonstrated the absence of the segmentary artery of Adamkiewicz at the level of T-11, which is responsible of circulation of the lower segment of the spinal cord; paraplegia was considered to be secondary to spinal cord infarction due to thrombosis; other causes of spinal block were ruled out. Review of the literature shows several reports of manifestations of thrombosis after catheterization of umbilical vessels.

[Clinicopathologic study in children of a diabetic mother. Review of 16 cases]. / Estudio clinopatológico en hijos de madre diabética. Revisión de 16 casos.

16 cases of infants of diabetic mothers were analyzed; 10 of them were live-born and died shortly afterwards; the other 6 were born dead. Among the live-born there was a high frequency of respiratory illnesses, neonatal jaundice and hemorrhagic tendency more often in lungs and C.N.S. At the necropsy, together with the findings atributtable to the mentioned illnesses there was also hyperplasia of the pancreatic islands in 100%, a high tendency to the visceral gigantism, specially in the liver, heart and lesser in the brain. And 20% had congenital malformations, chiefly in the C.N.S. genitourinary and lymphohematopoietic system. The descriptions are accompanied by a brief review of the literature.

[Diphenoxylate poisoning]. / Intoxicación por difenoxilato.

During the year 1976, 18 patients intoxicated with lomotil were admitted to the Emergency Service of the Centro Medico La Raza, I.M.S.S. with ages fluctuating between 4 months and 3 years; the average age was 22 mos. 88.8% of intoxications were accidental. Initial manifestations of atropinism and diphenoxylate showed the same proportion and 22% showed mixed symptoms. There were no deaths. All patients were given stomach washings and it was seen that the earlier the washing was given, the lesser the symptoms showed. The specific treatment given was with naloxone chloride (Narcanti) at a dose of 10 micrograms, per kilo and per dose intravenously and was repeated as often as necessary. Response was spectacular with improvement within 15 seconds. No patient showed side-effects to the application of the antagonist. Lomotil intoxication rated up to 15% of the total sum of intoxications admitted.