Intestinal malrotation is a congenital abnormality of the embryological rotation of the intestine, it is estimated that more than 90% of patients with intestinal malrotation will be presented in the first 12 months of life. The clinical presentation in adults is manifested in a progressive way that usually occurs during the postprandial period, presenting: intermittent vomiting, abdominal pain, weight loss, chronic diarrhea, peritonitis, food intolerance, among Another. Treatment will depend on presentation, either acute or chronic, requiring emergency laparotomy to determine the cause. There is a case of acute surgical abdomen for acute appendicitis in a 27-year-old patient with intestinal malrotation, with initial clinical presentation of severe abdominal pain, diarrhea, positive lumbar percussion fist, which finally reached a Proper resolution and a good prognosis.

Introduction: Patient satisfaction is an indicator of the quality of care provided in health services.Knowing the level of satisfaction will improve deficiencies and reaffirm strengths to develop a healthsystem that provides the quality care that patients demand. Objective: To determine the satisfactionof the quality of service of patients of external Internal Medicine consultation of Hospital Daniel AlcidesCarrión - Huancayo, from July to November 2016. Methods: Observational, descriptive, cross-sectionalstudy. The sample consisted of 292 patients. The quality of service in the health system according topatient satisfaction was measured using the standardized SERVQUAL questionnaire. Results: 57% ofthe sample was female, the ages of the participants ranged from 36 to 45 years. Similarly, 36% of usershad complete secondary education and 63% were continuing patients. Overall satisfaction ...

Intestinal malrotation is a congenital abnormality of the embryological rotation of the intestine, it is estimated that more than 90% of patients with intestinal malrotation will be presented in the first 12 months of life. The clinical presentation in adults is manifested in a progressive way that usually occurs during the postprandial period, presenting: intermittent vomiting, abdominal pain, weight loss, chronic diarrhea, peritonitis, food intolerance, among Another. Treatment will depend on presentation, either acute or chronic, requiring emergency laparotomy to determine the cause. There is a case of acute surgical abdomen for acute appendicitis in a 27-year-old patient with intestinal malrotation, with initial clinical presentation of severe abdominal pain, diarrhea, positive lumbar percussion fist, which finally reached a Proper resolution and a good prognosis.

Introduction: Patient satisfaction is an indicator of the quality of care provided in health services.Knowing the level of satisfaction will improve deficiencies and reaffirm strengths to develop a healthsystem that provides the quality care that patients demand. Objective: To determine the satisfactionof the quality of service of patients of external Internal Medicine consultation of Hospital Daniel AlcidesCarrión - Huancayo, from July to November 2016. Methods: Observational, descriptive, cross-sectionalstudy. The sample consisted of 292 patients. The quality of service in the health system according topatient satisfaction was measured using the standardized SERVQUAL questionnaire. Results: 57% ofthe sample was female, the ages of the participants ranged from 36 to 45 years. Similarly, 36% of usershad complete secondary education and 63% were continuing patients. Overall satisfaction ...