RESUMO
El objetivo de este estudio es revisar una de las opciones quirúrgicas para el tratamiento de la obesidad en pacientes con situs inversus total. Se presenta el caso de una paciente de 39 años de edad con situs inversus total (diagnóstico transquirúrgico) que fue sometida a gastrectomía en manga laparoscópica, con resultados postquirúrgicos óptimos; además, en la revisión de la literatura encontramos 14 casos publicados a nivel mundial de procedimientos quirúrgicos metabólicos.
The objective of this study is to perform a review of one of the surgicaloptions for the treatment of obesity in patients with total situs inversus. We present the case of a female patient of 39 years of age with total situs inversus (trans-surgical diagnosis) and who underwent a laparoscopic sleeve gastrectomy, with optimal postoperative results, in addition a review of the literature is made, finding 14 cases published to global level of metabolic surgical procedures.
Assuntos
Humanos , Situs Inversus , Laparoscopia , Cirurgia BariátricaRESUMO
Acute appendicitis is one of the most common abdominal emergencies, even though most cases of appendicitis will be due to obstruction of the appendiceal lumen, in rare occasions and mostly due to poor sanitary conditions a parasitic infection may cause appendicitis. Entamoeba histolytica is a common parasite and has a broad clinical spectrum from an asymptomatic disease to a life-threatening condition. In rare occasions, trophozoites can invade the appendiceal wall causing appendicitis. Preoperative diagnosis of acute amebic appendicitis is usually difficult, yet surgical treatment as in non-amebic appendicitis is the treatment of choice. However, due to the increased rate of postoperative complications associated with acute amebic appendicitis, a course of nitroimidazoles, and increased awareness in basic sanitary measures is usually recommended. We present a case of a 29-year-old woman, she presented with abdominal pain and appendicitis was suspected. After successful surgery, pathology confirmed acute amebic appendicitis.
