Revista Medica del Hospital General de Mexico最新文献

{"title":"Iliac artery reconstruction secondary to incidental injury in open hernia repair: A case report and literature review","authors":"R. Doña-Jaimes ,&nbsp;J.A. García-Espinoza ,&nbsp;N.E. Basurto Acevedo ,&nbsp;N.A. Lechuga-García ,&nbsp;M.J. López Juárez ,&nbsp;R. Aragón-Soto","doi":"10.1016/j.hgmx.2016.08.008","DOIUrl":"10.1016/j.hgmx.2016.08.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Inguinal hernia repair is one of the most common surgeries performed worldwide by general surgeons. More than 750,000 inguinal hernia repairs are performed each year in the United States. Complications of inguinal or femoral hernia are relatively rare, depending on the clinical circumstances in which the patient is admitted to the operating room and the type of hernia. The complications are classified as: intraoperative, short term and long term. Arterial lesions are the rarest but most dangerous.</p></div><div><h3>Objective</h3><p>To describe surgical techniques used to repair injuries to the external iliac artery during an inguinal hernia repair that is reproducible by general surgeons.</p></div><div><h3>Materials and methods</h3><p>A case report of an intraoperative external iliac artery injury is presented in which is a polytetrafluoroethylene (PTFE) graft was used over the length of the lesion. Different techniques may be used for revascularisation: autogenous vein graft, synthetic grafts, revascularisation with ipsilateral or contralateral internal iliac artery and femoro-femoral crossover graft.</p></div><div><h3>Conclusion</h3><p>The surgical technique using PTFE grafts is effective for repairing arterial injuries and it results in timely revascularisation that promotes satisfactory progress.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early primary lymphoedema treated by en bloc excision: A case report","authors":"J.A. García-Espinoza ,&nbsp;V.B. Aguilar-Aragón ,&nbsp;S. Vásquez-Ciriaco","doi":"10.1016/j.hgmx.2016.08.007","DOIUrl":"10.1016/j.hgmx.2016.08.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Lymphoedema is a pathological condition with a low global incidence where protein-rich fluid accumulates in the interstitium, causing inflammation and degenerative changes in the affected limbs. It is divided into primary and secondary; worldwide the most common causes are cancer or its treatment and filariasis infection. It is diagnosed through the patient's medical history and treatment depends on the severity.</p></div><div><h3>Case report</h3><p>Twenty-one-year-old male with the condition for 8 years, with a gradual increase in volume in the right lower limb, seen in the emergency department due to functional disability; en bloc excision plus split-thickness grafting was performed, fixed with sutures and ABThera, with 85% integration and functional improvement.</p></div><div><h3>Conclusions</h3><p>Lymphoedema has a high socio-economic impact. Its treatment involves several specialists and must be multidisciplinary, who then find the cause and propose management according to the stage. Combined medical and surgical therapy is the best choice for advanced stages.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 6-11"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.08.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expression of genes MAGE-A3 MAGE-C1, NY-ESO-1 and SSX1 in patients with multiple myeloma at the General Hospital of Mexico","authors":"A. De la Cruz-Rosas ,&nbsp;A. Martínez-Tovar ,&nbsp;C. Ramos-Peñafiel ,&nbsp;R. Cerón-Maldonado ,&nbsp;A. García-Laguna ,&nbsp;I. Mendoza-Salas ,&nbsp;E. Miranda-Peralta ,&nbsp;J. Collazo-Jaloma ,&nbsp;I. Olarte-Carrillo","doi":"10.1016/j.hgmx.2016.06.008","DOIUrl":"10.1016/j.hgmx.2016.06.008","url":null,"abstract":"<div><p>Multiple myeloma is the most common form of plasma cell cancer. It is a disease of elderly people, with a mean age at diagnosis of 65–70, and represents 10–15% of all blood cancers. It is a heterogeneous disease associated with intrinsic factors and disease characteristics such as genetics, which dictate the clinical course of the disease. Multiple myeloma involves several abnormalities in the IgH variable region. The first oncogenic events in this cancer occur in the germinal centre, apparently during isotype switching and somatic hypermutation of B cells. While these primary mutations have been found in myeloma cells, these events alone are not enough to cause pathogenesis. However, few genes have been identified in this type of disease. The expression of cancer/testis antigens (CTAs) is limited to testis tissue and various types of cancer, in which they are considered as a tumour marker as they are associated with the prognosis and monitoring of the disease, and are involved with overall survival and event-free disease. In view of the above, the objective of this study was to analyse the expression of CTAs (MAGE-A3 and -C1, NY-ESO and SSX1) by RT-PCR in patients diagnosed with <em>de novo</em> multiple myeloma admitted to the Haematology Department of Hospital General de México. Our results proved that there is presence of these genes and that they may be involved in resistance, progression and survival.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 2","pages":"Pages 86-92"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.06.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Catastrophic presentation of venous thromboembolic disease","authors":"A. Ziga-Martínez ,&nbsp;P.M. Córdova-Quintal ,&nbsp;N.E. Lecuona-Huet ,&nbsp;R. Muñoz-Vigna ,&nbsp;N. Blum-Gilbert","doi":"10.1016/j.hgmx.2017.01.001","DOIUrl":"10.1016/j.hgmx.2017.01.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Phlegmasia cerulea dolens is a severe form of deep vein thrombosis of the lower limbs. It consists of the clinical triad of limb oedema, acute ischaemic pain and cyanosis, leading to venous congestion with oedema, massive fluid sequestration causing circulatory collapse and shock as the cause of death.</p></div><div><h3>Case report</h3><p>Female patient with deep vein thrombosis and development of phlegmasia cerulea dolens and pulmonary embolism.</p></div><div><h3>Discussion</h3><p>Phlegmasia cerulea dolens is a special form of deep vein thrombosis associated with proximal vein thrombosis, with signs of ischaemia. It should be suspected with the clinical symptoms of pain, oedema and cyanosis. Treatment includes: anticoagulation, thrombolysis and surgical thrombectomy; cases of acute haemodynamic ischaemias can require amputation of the limb.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 55-57"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48906224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First isolation and antimicrobial susceptibility testing of Chromobacterium violaceum from oysters in Mexico","authors":"R. Berebichez-Fridman ,&nbsp;S. Solano-Gálvez ,&nbsp;N.I. Copitin-Niconova ,&nbsp;J.A. Ruy-Díaz Reynoso ,&nbsp;T. Barrientos-Fortes ,&nbsp;R. Vázquez-López","doi":"10.1016/j.hgmx.2016.10.005","DOIUrl":"10.1016/j.hgmx.2016.10.005","url":null,"abstract":"<div><h3>Introduction</h3><p><em>Chromobacterium violaceum</em> is a Gram-negative, facultative, anaerobic, non-sporing, fermentative and oxidase-positive coccobacillus. Human infections caused by <em>Chromobacterium violaceum</em> are infrequent. There are a few reported cases in several countries. Those infections appear after a skin contact with soil or contaminated water. Infections can progress to necrotizing metastatatic lesions and multiple abscesses of the lung, liver, skin, spleen, lymph nodes and brain with fatal septicemia. Infections caused by this bacterium have a high lethality rate, with a low recovery rate among survivors. It has been described that this bacterium is resistant to several antibiotics.</p></div><div><h3>Materials and methods</h3><p><em>Chromobacterium violaceum</em> was isolated, cultivated, and identified from oysters from thirteen different restaurants in Mexico City and antimicrobial susceptibility testing was performed.</p></div><div><h3>Results</h3><p>Four isolations of <em>Chromobacterium violaceum</em> were obtained from oysters. Three of them corresponded to biotype 36 and all of them had a confidence factor of 0.987. All isolations were resistant to Carbencillin, Cephalothin and Cephotaxime. Two isolations were also resistant to Ampicillin and one was resistant to Amikacin. All isolations were sensitive to Ceftriaxone, Chloramphenicol, Gentamicin, Netilmicin, Nitrofurantoin, Pefloxacine and Trimethoprim-Sulfamethoxazole.</p></div><div><h3>Conclusions</h3><p>The presence of <em>Chromabacterium violaceum</em> in food obtained from salt marshes that usually are eaten fresh (like oysters) means a high potential risk for human health because this bacterium has been associated with high morbidity and mortality. In our report, this bacterium showed resistance to several antibacterial agents. Patients should be cautions when eating fresh seafood, and healthcare personnel should suspect an infection caused by <em>Chromobacterium violaceum</em> if the patient presents with sepsis, enteritis or abscesses and they have risk factors for acquiring this bacterium in order to provide prompt treatment and reduce the morbidity and mortality associated with the infection. This work represents the first isolation, cultivation and identification of <em>Chromobacterium violaceum</em> in Mexico.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 2","pages":"Pages 66-71"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The freedom to choose, eat, add and gain weight","authors":"D.A. Cabrera-Gaytán ,&nbsp;M.T. Cruz-Patiño","doi":"10.1016/j.hgmx.2017.02.004","DOIUrl":"10.1016/j.hgmx.2017.02.004","url":null,"abstract":"<div><p>The Federal Commission for Protection Against Health Risks (COFEPRIS) launched a regulation for new front nutritional labelling for food and non-alcoholic beverages, recommending that consumers add up their consumptions throughout the day without exceeding a hundred percentage points. The campaign has therefore been called “Add up and do not exceed 100%”. The policy established by the Federal Government is based on assumptions that encourage consumption and will not solve the problem in depth. Following is a descriptive and critical argument against said policy.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 2","pages":"Pages 102-106"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2017.02.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49130698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the antiemetic efficacy of propofol versus ondansetron in nasal surgery. Randomised clinical trial","authors":"L.A. Rosillo-Meneses ,&nbsp;O. Carrillo-Torres ,&nbsp;P. Gonzalez-Navarro ,&nbsp;J.A. Garcia-Garcia","doi":"10.1016/j.hgmx.2016.09.009","DOIUrl":"10.1016/j.hgmx.2016.09.009","url":null,"abstract":"<div><p>Postoperative nausea and vomiting are a frequent complication and are of particular interest to the surgical team. Its prevalence is 50% and 30% respectively, increasing to 80% in high-risk patients. It has special importance for anaesthetic management, since the presence of these symptoms prolongs the length of hospital stay, and delays discharge in outpatient surgery, with a consequent increase in the cost of care. 5-hydroxytryptamine type-3 antagonists (ondansetron) are the gold standard treatment; however there are many additional therapeutic options, including propofol, which is a widely distributed and easily accessible drug.</p></div><div><h3>Objective</h3><p>To demonstrate that ondansetron and propofol are an equipotent prophylactic therapy for the control of postoperative nausea and vomiting in nasal surgery.</p></div><div><h3>Methodology</h3><p>After obtaining informed consent and receiving approval from the institutional research ethics committees, a randomised, prospective, longitudinal, blind, comparative, clinical trial was conducted in which 46 patients were studied, divided into two groups. One group received 4<!--> <!-->mg intravenous ondansetron and the second group received 20<!--> <!-->mg intravenous propofol; both drugs were administered at the end of the surgery. The presence of nausea and vomiting was evaluated in the immediate post-anaesthetic period and 2, 4 and 6<!--> <!-->h afterwards.</p></div><div><h3>Conclusions</h3><p>There were no statistically significant differences in the presence of postoperative nausea and vomiting between the two groups.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 2","pages":"Pages 72-78"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.09.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Takotsubo cardiomyopathy: A case-report","authors":"V.H. Contreras Gutiérrez","doi":"10.1016/j.hgmx.2016.05.001","DOIUrl":"10.1016/j.hgmx.2016.05.001","url":null,"abstract":"<div><p>A 58 year-old-woman with no medical history presented to the emergency department complaining of chest pain and dyspnea. An ECG was performed, which showed ST-segment elevation in precordial leads from V1 to V5; elevated values of troponin I serum levels were found. Cardiac catheterization did not show obstructive coronary lesions, however hypokinesis of the apex and left ventricular segments were observed, with sparing of the basal segments. Afterwards a stressor precipitant was identified. The patient was diagnosed of takotsubo cardiomyopathy. Takotsubo cardiomyopathy probably accounts for 1–2% of all cases of suspected acute myocardial infarction, its true prevalence is unknown because of under diagnosis. The pathophysiological aspects of the disease are still a matter of debate and a standard treatment consensus is lacking.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 41-46"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54293886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant vulvo-abdominal aggressive angiomyxomas, report of two cases","authors":"A. Cañavera-Constantino ,&nbsp;M. Arrecillas-Zamora ,&nbsp;H. Domínguez-Malagón ,&nbsp;A. Angeles-Romero","doi":"10.1016/j.hgmx.2016.06.013","DOIUrl":"10.1016/j.hgmx.2016.06.013","url":null,"abstract":"<div><p>Aggressive angiomyxoma is a rare type of soft tissue tumour. It has traditionally been described as a low-grade myxomatous neoplasm of the vulvovaginal, perineal and pelvic regions in women, and has a high rate of recurrence because of its infiltrative potential and locoregional extension. Its pathogenesis and histogenesis are poorly understood, but it is proposed that chromosome 12 alterations and fibroblastic/myofibroblastic tumours are involved in its origin. Around 250 cases have been reported to date in the western literature, some of them with unusual presentations. The biggest reported tumour measures 26<!--> <!-->cm<!--> <!-->×<!--> <!-->21<!--> <!-->cm<!--> <!-->×<!--> <!-->6<!--> <!-->cm. The following article describes two case reports of this neoplasm, which were studied at Mexico's General Hospital “Dr. Eduardo Liceaga” over period of one year. Both case reports state that the tumours are considerably bigger than the ones currently reported (66<!--> <!-->cm<!--> <!-->×<!--> <!-->60<!--> <!-->cm<!--> <!-->×<!--> <!-->20<!--> <!-->cm and 50<!--> <!-->cm<!--> <!-->×<!--> <!-->46<!--> <!-->cm<!--> <!-->×<!--> <!-->17<!--> <!-->cm). We shall focus on histopathology and end with an analysis and discussion.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 12-17"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.06.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54295342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neonatal gastric perforation: A case report","authors":"L.E. Cardiel-Marmolejo ,&nbsp;A. Peña ,&nbsp;L. Urrutia-Moya ,&nbsp;D. Crespo-Smith ,&nbsp;C.A. Morales-Vivas ,&nbsp;K.V. Camacho-Juárez ,&nbsp;C. Roque-Ibáñez","doi":"10.1016/j.hgmx.2016.05.009","DOIUrl":"10.1016/j.hgmx.2016.05.009","url":null,"abstract":"<div><p>Gastric perforation in the newborn is a rare surgical emergency in our practice area; nevertheless, since the earlier it is diagnosed, the better the prognosis, it is a possibility that we must be aware of. Perforation would be suspected in an infant with severe abdominal distension and diagnosis is confirmed with simple abdominal X-rays, including anteroposterior and lateral projections with horizontal ray, on which pneumoperitoneum will be shown. We report the case of a neonate diagnosed with gastric perforation at 21<!--> <!-->h of age who underwent a successful surgical intervention and was able to go home clinically healthy nine days later.</p></div>","PeriodicalId":31559,"journal":{"name":"Revista Medica del Hospital General de Mexico","volume":"81 ","pages":"Pages 36-40"},"PeriodicalIF":0.0,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hgmx.2016.05.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54294237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}