1
tesis de maestría
Publicado 2025
Enlace
Enlace
Esta investigación es primordial, muchos hospitales aun no implementan guías de práctica clínica donde incluyan las cirugías electivas ambulatorias como parte de los servicios que ofrecen, esta deficiencia genera pérdida de oportunidades en la distribución de recursos, debido a que muchas veces se hospitalizan pacientes que podrían ir directo a sus domicilios sin necesidad de ocupar un espacio física en el hospital de forma prolongada, además, reduce el riesgo de infecciones nosocomiales y permite que haya mayor acceso a otros pacientes que sí requieren el recurso de hospitalización.
2
artículo
Intussusception is an uncommon cause of acute surgical abdomen in adults. It is more common in pediatric patients, who usually present with classic symptoms including rectal bleeding, abdominal distension, and nausea. In contrast, in adult cases often present with nonspecific symptoms, such as abdominal pain and distension, making diagnosis more challenging. We present the case of a 41-year-old female patient, with no significant medical or surgical history, who was admitted with abdominal pain, vomiting, abdominal distension, and inability to pass flatus. Symptom intensity gradually increased. Physical examination revealed a distended abdomen with decreased bowel sounds, abdominal tenderness predominantly in the right iliac fossa, where a palpable mass was also noted. No signs of peritoneal irritation were observed. Contrast-enhanced abdominal CT confirmed intestinal intussusception at ...