Caso clínico 1: tumor de timo. Caso clínico 2: persistencia de conducto onfalomesentérico en adultos

Abstract

Clinical case thymus tumor Introduction: Thymomas are epithelial neoplasms of the thymus gland, it is located behind the sternum and plays an important role in the immune system before birth. Thymus tumors are rare and represent 2% of mediastinal tumors. The gold standard in treatment is the surgical act; Therefore, the objective is to describe the clinical case as a contribution to the scientific community. Case report: A 67-year-old female patient, with a history of type 2 diabetes mellitus and obesity, productive cough of three months of evolution, went to the clinician for control, who requested a CT scan and revealed a mass located in the anterior mediastinum. a biopsy is then performed, confirming the diagnosis of thymoma. Conclusions: Thymus tumors (thymoma) are rare pathologies, most of them are diagnosed as findings, they are generally asymptomatic, difficult to identify, so high diagnostic suspicion is needed. Its treatment is surgical after obtaining a biopsy for planning surgery. Clinical case persistent omphalomesenteric duct in adults. Introduction: When naming umbilical diseases, reference is made to multiple pathologies that can affect the umbilical cord, they can be acquired or congenital. The most representative are the persistence of the urachus and the omphalomesenteric duct, which are common in children but rare in adults. Case report: A 68-year-old male patient, from a rural area, a farmer, with a history of hypertension, osteoarthritis with treatment, conventional prostatectomy more than 20 years ago, and umbilical discharge since childhood. He went to the emergency room after a physician's evaluation, due to the presence of “purulent” discharge at the umbilical level, pain, and erythema. He was admitted to internal medicine with a diagnosis of cellulitis versus abscess. The surgery service was consulted, which decided on surgical resolution with the following finding: entero-umbilical fistula 70 cm from the ileocecal valve due to persistent omphalomesenteric duct. On the eighth day of hospitalization, he was discharged, with a favorable evolution, outpatient treatment and outpatient control. Conclusions: The persistence of the omphalomesenteric duct in adults is a rare entity. In general, patients suffering from this condition are asymptomatic or report small amounts of umbilical secretion that goes unnoticed. Its diagnosis is incidental, usually during imaging tests. and it is more infrequent is that it presents complications in advanced ages. The definitive treatment when diagnosed is surgical.