Gallstone ileus, the forgotten one: a rare cause of intestinal perforation and a case report

Gallstone ileum represents an unusual cause of intestinal obstruction as a result of the presence of stones that cause mechanical obstruction. It has an incidence of less than 4%. Reaching mortality up to 25% of cases. It is a difficult suspicion, with characteristic signs that guide its presence such as pneumobilia, occlusion, and the presence of stone in radiological studies. Management should include surgical extraction as well as revision of the entire intestine with a suitable subsequent repair. Authors present the case of a 70-year-old patient with the presence of surgically resolved biliary ileum

Pollicization of the index finger, a feasible surgical technique for reconstruction in thumb agenesis in non-specialized units. A case report

<p><strong>Background</strong></p><p>The thumb is considered the main digit of the hand due to its versatility of movement, size, position, independence and relationship with the other digits. There are multiple congenital anomalies of the first finger, including hypoplasia to varying degrees, being one of the most prevalent. The thumb is considered hypoplastic when any part of the ray, whether soft tissue or bone, is deficient or nonexistent. The main objective of thumb reconstruction should be to restore its cardinal actions: mobility, stability, sensitivity, length and appearance. Despite there being microsurgical options for reconstruction of the thumb in specialized third-level centers, thumbing of the index finger (to convert it into a support for opposition, pinching and gripping) continues to be a method of choice in centers that They do not have trained surgeons or the necessary resources to achieve this.</p><p> </p><p><strong>Keywords: </strong>Pollicization, thumb reconstruction.</p&gt