Browsing by Author "Medina Aguilar, Mireya Andrea"

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Abdomen Obstructivo Secundario a Herniación Inguinal
(2016-12-01) Medina Aguilar, Mireya Andrea; Pozo Mayorga, Fernando Patricio Fernando Patricio Dr.
The following case raised in the Provincial General Hospital of Latacunga. It relates about a 78 years old male patient, in which it shows continuum pain at an inguinal level with an evolution of 24 hours approximately. The frame is accompanied with the inability of ambulation, for this reason the patient attends the physician. The initial physical examination shows pain when performing the palpation at an inguinal region level, besides it can be palpated non reducible mass in the same place with solid consistency. The laboratory examinations are performed with normal results, however the image examinations are altered and show a gaseous pattern that suggest an acute abdomen of obstructive kind. The patient is urgently taken to the operations room, determining a peritonitis which requires a Bogota bag to be constructed. 48 hours later, a cavity washing is performed including its closure. Yet, the patient presents a lousy evolution which requires him to be taken once again to the operations room where it can be evidenced a perforation of the small intestine bail which does resection and ileostomy, later, it is complicated by the respiratory system with a frame of dry cough. In the image examination it can be seen the presence of infiltrators at a base level which are added to the nosocomial pneumonia pathology. The patient is transferred to tertiary level attention for its treatment