ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...

ABSTRACT The gastropleural fistula is an unusual pathological condition that requires a high index of diagnostic suspicion. A 30-year-old male patient was admitted to the María Auxiliadora Hospital due to a thoracoabdominal trauma opened by a firearm projectile, with an entrance hole in the left anterior hemithorax at the level of the 6th intercostal space and exit orifice in the right posterior hemithorax at the D10 level. When a hemopneumothorax was suspected, a thoracic drainage tube was placed and an exploratory laparotomy was performed after suspicion of gastric perforation. On the ninth day, 400cc of smelly greenish-green discharge with food debris in a thoracic drainage bottle was evident. The diagnosis of gastropleural fistula was made through upper gastrointestinal endoscopy and thoracoabdominal multislice spiral tomography. The treatment was by laparotomy and thoracotomy. Conc...

INTRODUCCIÓN: El oligohidramnios es la presencia deficiente del volumen de líquido amniótico, presenta una frecuencia mundial de 0,5% a 5,5% aproximadamente, como condición que complica el embarazo en todas las gestantes. Se ha asociado a mayor riesgo de morbimortalidad perinatal. OBJETIVO: Identificar los factores determinantes asociados a repercusiones perinatales desfavorables en gestantes con oligohidramnios en el hospital de Lima Este - Vitarte, periodo 2016 - 2019. MATERIALES Y MÉTODOS: Se realizó un estudio analítico, retrospectivo, de caso - control. La población de estudio fueron las gestantes con diagnóstico de oligohidramnios, por método ILA menor a 5cm, atendidas en el servicio de hospitalización de ginecobstetricia en el hospital de Lima Este - Vitarte, durante el periodo 2016 – 2019; conformada por 97 casos y controles (1:1). Los casos fueron los que presentaro...