Post-COVID-19 Irritable Bowel Syndrome Prevalence in Nursing Staff at the University Hospital of Puebla

Objetivo: El presente estudio pretende conocer la prevalencia de intestino irritable posterior a un evento de COVID-19 en el personal de enfermería del Hospital Universitario de Puebla. Métodos:  Se realizó un estudio descriptivo, prospectivo, transversal, homodemico. Resultados: el promedio de edad es de 35 años. Se obtuvo una muestra final de 28 pacientes. Del total de pacientes 26 (92.8%) son mujeres y 2 (7.14%) son hombres.  Se encontró una prevalencia de 53.7% para el diagnóstico de síndrome de intestino irritable (IC 95% 35.1 -72.02%). Conclusión: Se encontró una prevalencia mayor de síndrome de intestino irritable en personal de enfermería posterior a haber presentado COVID-19.Objective: The present study aims to determine the prevalence of irritable bowel syndrome following a COVID-19 event among nursing staff at the University Hospital of Puebla. Methods: This is a descriptive, prospective, cross-sectional study. Results: the average age is 35 years. A final sample of 28 patients was obtained. the total number of patients, 26 (92.8%) are female and 2 (7.14%) are male. A prevalence of 53.7% was found for the diagnosis of irritable bowel syndrome (95% CI 35.1 - 72.02%). Conclusion: A higher prevalence of irritable bowel syndrome was found in nursing staff after the diagnosis of COVID-19

Biloma secondary to blunt liver trauma in a pediatric patient: case report

Liver is the organ most frequently injured after blunt or penetrating abdominal trauma, being in pediatrics a pathology that has an increasing incidence; Non-operative management is the hallmark of treatment, however cases of secondary biliary leakage have been described, which may affect the intrahepatic or extrahepatic track. A male 8 years old, with blunt trauma in the right hypochondrium, presenting acute abdomen and hemodynamic instability, requiring exploratory laparotomy with a grade III liver injury in VI and VII hepatic segments. Four weeks after discharge, he presented as a complication a giant biloma in VII and VIII hepatic segments, performing percutaneous drainage guided by ultrasound. The incidence of biliary complications related to hepatic trauma is low, 4% in pediatric patients, dividing into bilomas or biliary fistulas; the presentation of biliary leakage is very non-specific and early diagnosis difficult; in the bilomas, the tomography allows to define precisely its size, nature, distribution and regional anatomy in relation to adjacent structures, as well as underlying cause. The approach of choice is percutaneous or endoscopic drainage, with surgical management being the last option

A case report on choledochoduodenal fistula: how to suspect this unusual entity?

A choledochoduodenal fistula is an abnormal connection between the common bile duct and the duodenum, which are associated with a history of problems in the common bile duct. It has appeared in 0.74% of patients submitted for biliary tract surgery. The most frequent symptoms of non-obstructive enteric biliary fistulas are: epigastric pain, cholangitis (80.91%), jaundice (54,.26%), fever (50.69%), nausea and/or vomiting (10.30%), abdominal distension (0.39%), asymptomatic (0.11%), and diarrhea (0.11%). Diagnostic imaging methods provide the data of greatest interest in revealing the presence of air in the bile duct. This method, as well as barium reflux under the biliary tree in contrasted studies and in ERCP, reveal the fistulous tract and its location. Neither the prevalence, nor the clinical characteristics that pertain to its presentation, are well known among our population. Possible treatments for this illness include conservative treatment with medication, endoscopic sphincterotomy, and surgical therapy

Intraoperative ultrasound for nephron-sparing surgery for intraparenchymal renal tumor: a case report

Los tumores renales representan aproximadamente del 2 al 3% de todas las neoplasias sólidas, son asintomáticos y en la mayoría de los casos su diagnóstico es incidental por medio de métodos de imagen que son realizados por otras patologías, el ultrasonido (USG) preoperatorio y transquirurgico otorga información sobre las características del tumor renal y así poder realizar un plan quirurgico que proporciones mayores beneficios al paciente. El tratamiento ideal para estas lesiones es la nefrectomía, sin embargo, actualmente la cirugía conservadora de nefronas (CCN) otorga mayores beneficios. El objetivo de este artículo es presentar un caso clínico del uso de USG transoperatorio en la CCN en el Hospital Universitario de Puebla.Renal tumors represent approximately 2 to 3% of all solid neoplasms, they are asymptomatic and in most cases their diagnosis is incidental through imaging methods that are performed for other pathologies, preoperative and transsurgical ultrasound (USG). It provides information about the characteristics of the kidney tumor and thus can make a surgical plan that provides greater benefits to the patient. The ideal treatment for these lesions is nephrectomy, however, currently nephron-conserving surgery (NCS) provides greater benefits. The objective of this article is to present a clinical case of the use of intraoperative USG in the CCN at the University Hospital of Puebla