- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Appendicitis Diagnosis and Management
- Gastrointestinal Tumor Research and Treatment
- Airway Management and Intubation Techniques
- Bariatric Surgery and Outcomes
- Intestinal Malrotation and Obstruction Disorders
- Foreign Body Medical Cases
- Vascular Malformations and Hemangiomas
- Pediatric Hepatobiliary Diseases and Treatments
- Gallbladder and Bile Duct Disorders
- Hernia repair and management
- Hemostasis and retained surgical items
- Congenital Diaphragmatic Hernia Studies
- Endometriosis Research and Treatment
- Neuroendocrine Tumor Research Advances
- Abdominal Trauma and Injuries
- Sarcoma Diagnosis and Treatment
- Vascular anomalies and interventions
- Cardiac tumors and thrombi
- Diagnosis and treatment of tuberculosis
- Intestinal and Peritoneal Adhesions
- Pancreatic and Hepatic Oncology Research
- Vascular Tumors and Angiosarcomas
- Abdominal vascular conditions and treatments
Universidad San Francisco de Quito
2020-2025
Hospital Metropolitano
2021-2024
Hospital Vozandes
2019-2023
Hospital General del Sur de Quito, IESS
2020-2023
Hospital Clínico Universitario de Caracas
2021
Universidad de Tijuana
2021
Pontificia Universidad Católica del Ecuador
2018-2020
Universidad Internacional del Ecuador
2020
Monterey Peninsula College
2020
Lymphangioma is an unusual lymphatic system malformation that rarely affects adults' mesentery. Even though it a benign tumor, its capacity to grow and affect nearby structures can cause severe morbidity even mortality in specific patients. As symptoms are nonspecific, highlighted clinical insight needed reach diagnosis. We present case of 60-year-old woman who presented with abdominal pain suffered acute abdomen due lymphangioma the mesentery small bowel; after complete resection, patient...
Abstract Pericardial lymphangiomas are exceptionally rare and affect both children adults. Although they usually asymptomatic, can cause symptoms secondary to the mass effect, from syncope or palpitations arrhythmia congestive heart failure. The most reliable diagnostic methods echocardiography, computed tomography, magnetic resonance imaging, with subsequent confirmation by histopathology. Its treatment consists of complete surgical resection. We present case a 2-year-old female patient...
As the weight of adult population continues to increase, bariatric surgery has emerged as best available treatment achieve lasting and significant loss. However, with all medical procedures, post-operative complications can will continue occur. Among those rare Roux-en-Y gastric bypass is necrosis remnant, a severe near-fatal complication that be deadly if left untreated. Prompt treatment, surgical therapy, close follow are critical in patients. We present case 37-year-old woman who...
After surgery, forgetting instruments, gauze, surgical pads, cotton, or other materials is a serious but avoidable complication. Symptoms are broad and will depend on the location of gossypiboma body's reaction against it. Most manifest either as an exudative inflammatory fibrotic reaction. Intraluminal migration relatively rare and, in most cases, mimic symptoms abdominal obstruction. We present case healthy 25-year-old male. emergency whole pad was left inside his abdomen, which eroded its...
Obesity is a worldwide epidemic that carries significant morbidity and mortality. There are many weight loss strategies available, yet to this date, none risk-free. Intragastric balloons have been used for decades as temporary measure reduction can be useful approach specific patients. Serious complications related the device remain rare; however, prompt intervention usually needed when they arise. We present case of 38-year-old female patient, she was using an intragastric balloon treat her...
Mesenteric cysts are rare tumors, they can emerge from any part of the mesentery bowel duodenum to rectum. Their symptomatology mimic almost abdominal disease making diagnosis troublesome. In some circumstances, these grow considerable sizes resection impossible since its size compromise different structures. Surgery is treatment choice as complete only curative treatment. We present a case female patient, she suffered recurrent episodes pain mistaken gastritis. After profound evaluation,...
Cholecystitis is a common gallbladder pathology characterized by abdominal pain, positive Murphy sign and elevated white blood count. Abdominal ultrasound usually gives definite diagnosis. Duplication of the rare congenital anomaly that can either be asymptomatic or present with symptoms associated cholelithiasis, cholecystitis, cholangitis pancreatitis. Clinically indistinguishable from regular pathologies. The management duplicated similar to other diseases, if one both gallbladders cause...
Situs inversus totalis is a rare genetic condition characterized by the transposition of organs to opposite side body, consequently, clinical syndromes show an atypical picture creating challenge for surgery team and predisposing delays in treatment diagnosis. Laparoscopic cholecystectomy gold standard acute cholecystitis, patients with situs inversus, laparoscopic technique must be modified accommodate patient's anatomy.We present case 55-year-old male patient without any past medical...
Abstract Dysphagia is a common condition in clinical practice; however, an unusual type of dysphagia due to compression the esophagus by abnormal right subclavian artery may be discovered rare subset patients. The prognosis and treatment will depend on severity symptoms compromise surrounding structures. We present case 18-year-old female who presented with gradually progressive dysphagia. At first, it was treated as gastroesophageal reflux disease; nonetheless, became severe, after thorough...
Lymphangioma is a benign mass lesion characterized by numerous thin-walled lymphatic spaces that usually manifests in the first few years of life. They generally appear head, neck and axillary regions. Abdominal lymphangiomas have been reported however they are rare 5%. The small bowel mesentery lymphangioma has described <1%. Lymphangiomas may remain asymptomatic or present with complications depending on size location lesion. We case 71-year-old female, she presented to emergency acute...
Pneumatosis cystoides intestinalis (PCI) is a rare condition characterized by gas infiltration into the intestine wall. When seen in intestinal wall, it usually sign of bowel wall infarction and surgical emergency; therefore, an adequate differentiation benign urgent conditions pneumatosis necessary to prevent misdiagnosis inadequate therapies. We present case 79-year-old male with past medical history Alzheimer's, cholecystectomy, umbilical hernia. PCI was identified, conservative therapy...
Abstract Parasitic infections continue to be a burden for developing countries—the lack of hygiene measures and clean water results in dangerous scenarios that can lead challenging problems. Most Ascaris lumbricoides are usually mild; nonetheless, rare cases endemic regions, they migrate the bile duct cause severe complications requiring surgery. We present case 43-year-old woman who had cholangitis due A. lumbricoides. The worm migrated from bowel obstructed duct; after surgery, patient...
Parasitic infections are still a burden in developing countries. The lack of sanitation and hygiene measures can result an increase morbidity mortality due to parasitic infections. Surgery may be needed treat serious complications caused by some these parasites. Ascaris lumbricoides is one the most common parasites although usually mild, severe complications, rare, exist. We present case patient from Ecuadorean Amazon region with limited access drinking water. She presented emergency room...
Liposarcomas are rare malignant tumors that mostly develop in the retroperitoneum. They have a broad behavioral spectrum, from small masses of tissue to highly aggressive tumors. The dedifferentiation process occurs up 10% and it's most likely occur retroperitoneum, not only changes its components but also prognosis. These can grow massive size since them do give any symptoms until they invade adjacent structures. Timely detection surgery could avoid all these potentially lethal scenarios....
Mucinous cystadenomas are a common benign neoplasm of the ovaries that can grow much larger than other adnexal masses; they recognized as precursors ovarian cancer and may slowly transform to borderline tumors invasive cancer. Prompt accurate treatment is essential these massive sizes be potentially lethal if left untreated. Health care providers must understand patient, their expectations problems; without proper communication follow-up, any destined disappoint. We present case 76-year-old...
Obesity is a worldwide pandemic and closely associated with an increased risk of comorbidities overall mortality. Surgery has emerged as essential strategy to ameliorate obesity-attributable powerful weight-loss tool. Due the increasing number obese patients predicted elect surgery, individuals rare anomalies such situs inversus can be expected.We present case 49-year-old woman levocardia. She had high BMI was admitted for bariatric surgery. After several adjustments our technique, procedure...
Jejunal diverticula are rare, and small bowel diverticular disease resulting in volvulus can lead to severe complications; as symptoms non-specific, many patients misdiagnosed treated wrongly for other conditions. When a is detected, urgent surgical treatment needed avoid troublesome difficulties. We present the case of 36-year-old woman who presented emergency room with an acute abdomen due obstruction. After further testing, was detected promptly treated. that caused final diagnosis.