Search

Objective: Our objective was to present a case of inflammatory myofibroblastic tumor of the colon., Background: Inflammatory myofibroblastic tumors are uncommon. They originate from soft tissues, their appearance is more frequent in childhood and your adulthood and these tumors are composed of myofibroblastic cells, leukocytes, and plasmatic cells. More frequently, these tumors originate in lungs, mesentery, liver and spleen; intestinal appearance is uncommon., Method: In a 42 year-old male with a lump in right iliac fossa, a colonic inflammatory myofibroblastic tumor infiltrating ileocecal valve was found. Right hemicolectomy was performed. After a 10-month follow-up, no complications were found and no adjuvant therapy was needed., Conclusions: Inflammatory myofibroblastic tumors have been well described, but, experience is quite limited; Symptoms are consequences of compressed organs in the vicinity. At present, no early detection devices are available, but genetical evaluations for the patient's family members may contribute to unravel a pattern of transmission of the disease.

We inform the experience of the Parenteral Alimentation Service of the Hospital de Especialidades of the Instituto Mexicano del Serguro Social in Puebla, México, between February lst., 1980 and Marc, 31, 1981 is summarized. There were 124 patients in whom parenteral nutrition treatments were performed, 73 were males and 53 females. The majority was in the decade of the sixties. A catheter was placed in a central vein through a cut dawn of the cefalic vein in the shoulder in 104 and the rest had an internal jugular or subclavian veins punctured. The most frequent indication for parenteral nutrition was the presence of an external intestinal fistula. The most frequent complication was hyperglycemia (15.3%) and catheter sepsis (6%). Mortality was 33.3%, but of this only in one (0.75%) was the death caused directly by the procedure of parenteral Nutrition. The authors insist that the procedure is very usefull and with an acceptable risk if it is done with strict rules and protocols.

The charts of 50 patients with hepatic amebic abscesses diagnosed during 1976 in the Hospital de Especialidades del Instituto Mexicano del Seguro Social and in the Unidad Hospitalaria La Paz in the city of Puebla, were reviewed: 39 were men and 11 women, with an age range between the third and sixth decade. It was necessary to resort to surgical treatment in 25 (50%) of the patients for one or various of the following reasons: failure of medical treatment, imminent perforation, septicemia, perforation or the occurrence of an extremely large abscess. The total mortality was 2%. In all cases medical treatment was administered in the pre- and postoperative period. The surgical technique as well as its frequency is described and compared with the results of other groups. The mortality in our study was very low probably because the patients with large abscesses or sepsis were operated on an early stage of their evolution.

It is presented a case of spontaneous rupture of the union cardioesophageal consecutive on ingestion of bicarbonate in an old patient with strangulated hiatal hernia. It is analyzed the phisiopathological factors of such complication and the surgical treatment employed.