Cirugía española
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Bowel and mesenteric injuries from blunt abdominal trauma are infrequent and difficult to diagnose. A finding of pneumoperitoneum on computed tomography is useful, although not specific. ⋯ Two cases of pneumoperitoneum following associated blunt chest and abdominal trauma are reported. In both patients laparotomy did not show bowel perforation and conservative treatment could have been provided.
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Conflict between two ethical and legal conditions such as life and freedom is frequent in medical practice. Jurisdiction has handed down contradictory decisions and edicts when placing life (and therefore the lex artis of physicians) above Jehovah's witnesses' right to refuse blood transfusions. ⋯ Thus the patient's liberty is infringed, giving rise to interventions that may give rise to complaints and lawsuits. The present article provides an overview of each and every situation that could give rise to doubts, as well as an analysis of jurisdiction and the legal responsibilities involved in surgical decisions about Jehovah's witnesses.
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Esophageal duplication cyst is a rare congenital alteration. Most of these cysts are asymptomatic and are usually identified as an incidental finding. These lesions can develop complications (bleeding, infection, etc.) and even malignant degeneration. Consequently, the treatment of choice is surgical.
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Editorial Review
[Permissive hypotension in resuscitation of trauma patients].