Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

1) Three new cases of rupture of the normal intestine wall produced by musculr violence are presented. Review of the worlds literature about this subject that now amounts to 70 cases. 2) Definition. 3) Pathophysiology, symptomatology and pathology. Different winds of muscular violence that produced them. The predisponent role of the hernias. 4) Management of the intestinal perforation.

A report is made of a case of spontaneous pneumoperitoneum with roentgenographic evidence, in the eourse of a gangrenous appe1;dicitis with diffuse peritonitis in a 33-year old puerpera. The diagnosis and surgical technique of appendicitis in conjunction with recent puerperium, is dealt with.

A survey is carried out of the pathology, clinical patterns, diagnostic procedures, course and treatmént of severe post-operative enteritis of the necrotizing type. Cases are grouped into six clinical forms designed to fa.cilitate early diagnosis, the only way of instituting an adequate, life-saving therapy. Two diagnüstic elements are regarded as paramount: the search for soluble albumins and the pathological examination of the fecal centrifuged. Seven cases, of which four with pathological evidence, are submitted.

A new case of pneumoperitoneum, diagnosed roentgenologically, and provoked by appendix perforation, is reported upon. Operative findings accounting for this uncommon -although not exceptionalclinico- radiological occurrence, are discussed.

1) 81 cases of human intestinal obstruction were analized of the clinical point of view. 2) The relation among different parameters ( age, sex, types of strangulation, etc.) and the mortality was looked for. 3) The principal letal factors in this entity were pointed out. 4) The principles for improving the results were outlined

Editorial

Presented at session 10th June 1964

In conjunction with 5 cases of hepatocystic channels, a survey is carried out of the problem posed by the hepato-biliary channels called "accessory". It is poin tedout that such channels are not "accessory", but normal, so far as· their existence is concerned, and abnormal as regards their termination, constituting the only route ofbiliary drainage of a sector or segment, usually of the hepatic right lobe. Surgical procedures are discussed. In 2 of the 5 cases presented, chaimel ligature was performed, with a subhepatic abscess of biliary origin, as a postoperative complication. In other 2 cases, cholecystectomy was done, leaving the cystic stump wherein the -channel ended. In the remaining case, a channel wound developed, which was sutured and calibrated with Kehr's tube. The course of these patients warrants the contention that in cases of anomalouschannels of an appreciable caliber, a conservative approach is in order. Of primary importance is the correct exposure of the pedicular components supplemented, when feasible, by cholangiographic control, befare deciding upon whathatever therapeutic approach.

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An exceptional case of stellate burst of the liver left lobe by a contusion mechanism caused by a gunshot, with no bullet penetration and spared skin, .is reported upon.The circumstances underlying this rare occurrence are discussed.