OBJETIVOS: Determinar comparativamente las características clínicas y epidemiológicas que diferencian a los pacientes operados de vólvulo de sigmoides según las técnicas de resección y anastomosis primaria o colostomía en pacientes en el Hospital María Auxiliadora, durante el período de enero de 2004 a enero de 2010. METODOLOGÍA: Estudio descriptivo, comparativo y transversal. Se revisaron las historias clínicas de 40 pacientes operados de emergencia por obstrucción intestinal causada por vólvulo de sigmoides. RESULTADOS: Entre los afectados predominaron los hombres de 61 a 92 años. Para la resolución del vólvulo de sigmoides, la resección intestinal y anastomosis primaria, así como la colostomía de Hartmann fueron las técnicas más utilizadas. Se presentaron complicaciones abdominales, dehiscencias de anastomosis, obstrucción intestinal postoperatoria y reintervenc...

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...