Gastric Trichobezoar about A Case in Adolescent


Gasman Ochoa Alvarez*, David Rosero

We describe a case of a 14-year-old female adolescent with a history of psychiatric disorder and frontal baldness of a chronic evolution. He comes for abdominal pain of 6 months of evolution, vomiting and palpable tumor at epigastric level. High Digestive Endoscopy that confirms Trichobezoar that occupies the entire lumen of the stomach is performed. It is subjected to exploratory laparotomy, performing gastrotomy, extraction of Trichobezoar and primary gastrorrhaphy in two planes. The postoperative evolution after 3 days of not eating orally and remaining hospitalized is favorable, with recommendations to assist in controlling the postoperative period with psychiatry.

Fatal and Non-Fatal Spontaneous and Iatrogenic Acute Aortic Dissection Type A: Report of Two Cases

S.A.M. Said*1, A. Derks2, J. G. Grandjean3

Aim: To describe iatrogenic and spontaneous presentations of acute aortic dissection (AAD) type A.

Method: We report two cases of male patients with iatrogenic non-fatal and spontaneous fatal acute aortic dissection type A.

Results: Two male patients are discussed with different aetiology of acute aortic dissection type A. The first patient of 68-years-old, having progressive angina pectoris developed iatrogenic acquired AAD secondary to diagnostic procedure of coronary angiography. Emergent surgical procedure was performed. The second patient of 66-years-old, with known history of aortic dissection type B, presented with acute chest and back pain. The condition was misdiagnosed for acute pulmonary embolism followed by sudden death. Autopsy findings are discussed.

Conclusions: Iatrogenic acute aortic dissection type A is a rare complication of routine coronary angiography which requires emergent surgical intervention. Spontaneous AAD may be erroneously seen for acute pulmonary embolism.

Study of the Effects and Consequences of Infertility on Couples

Mahmoud Yaghoubi Dost*1, Khatereh Monjezi2
 

The main objective of this study was to investigate the effects and consequences of infertility on couples in Masjed-e Soleyman. The research method, survey method and the statistical population of the present study included infertile couples referring to Masjed-e-Soleyman Medical Center in Khuzestan province (Iran). 109 Cochran sampling was used. A researcher-made questionnaire was used to assess the standard depression test (BAK). The data were analyzed statistical, percentage, mean, standard deviation, and Pearson correlation, Chi square, F and ANOVA using SPSS software. The results of the hypothesis test showed that there is a meaningful relationship between couples’ infertility with the tendency to divorce and depression. But the results of the findings did not show the relationship between couples’ infertility and marital durability