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Tuberculosis is the primary cause of death due to infections. Osteoarticular involvement represents up to 20% of extrapulmonary tuberculosis cases, and tuberculous spondylodiscitis is the most common type. We present the case of a 31-year-old male patient with a history of close contact with a relative with tuberculosis who sought medical care due to low back pain, fever, night sweats and loss of…
Intussusception, or intestinal invagination, is a rare cause of bowel obstruction in adults. An underlying organic cause is identified in most cases, with malignant tumors being the most prevalent etiology. For this reason, surgery is the treatment of choice in this age group. We present two clinical cases of adult patients diagnosed with intussusception secondary to metastases from renal cell…
Intussusception, or intestinal invagination, is a rare cause of bowel obstruction in adults. An underlying organic cause is identified in most cases, with malignant tumors being the most prevalent etiology. For this reason, surgery is the treatment of choice in this age group. We present two clinical cases of adult patients diagnosed with intussusception secondary to metastases from renal cell…
Tuberculosis is the primary cause of death due to infections. Osteoarticular involvement represents up to 20% of extrapulmonary tuberculosis cases, and tuberculous spondylodiscitis is the most common type. We present the case of a 31-year-old male patient with a history of close contact with a relative with tuberculosis who sought medical care due to low back pain, fever, night sweats and loss of…
Sample size calculation is an essential component of the methodological design in medical research. In scientific studies, reporting the sample size improves the interpretability of the results, strengthening both the internal validity and ethical legitimacy of the study. This aspect is particularly important in surgery, given that many clinical events are relatively rare and surgical techniques…
Background: Artificial intelligence-based chatbots (CBIA) are a widely used source of medical information. Prompt engineering (PE) focuses on designing and optimizing the questions asked of AI/ CBs to improve responses. Objective: The aim of this study was to compare the quality of prompts and the responses provided by an AiCB for clinical case resolution in general surgery, before and following…
Maxillofacial gunshot injuries constitute a clinical challenge due to the complex anatomy and high risk of morbidity and mortality. Comminuted mandibular fractures resulting from ballistic trauma are often associated with bone loss, bacterial infection, and extensive soft tissue damage, limiting the use of open reduction with rigid internal fixation. We present the case of a 19-year-old male…
Perihepatic cholangiocarcinoma (pCCA) is one of the most challenging hepatobiliary tumors to treat in terms of surgical complexity and poor prognosis in unresectable cases. In selected patients without metastatic disease, liver transplantation (LT) performed according to a protocol that includes neoadjuvant therapy has emerged as an accepted curative option. We present the case of a 52-year-old…
Background: Artificial intelligence (AI) has demonstrated increasing potential in oncology, including in imaging analysis and as a tool for supporting clinical decision-making. Objective: The aim of this study was to evaluate an AI conversational model, trained using up-to-date clinical guidelines, to assist with staging and initial treatment planning in patients with gastroesophageal cancer.…
Encapsulating peritoneal sclerosis (EPS), also known as cocoon syndrome, is a rare cause of bowel obstruction in which the small intestine is encased by a thin fibrous membrane. We report the case of a 76-year-old male patient with no history of abdominal surgery who presented with colicky abdominal pain, vomiting, and abdominal distension. A computed tomography (CT) scan revealed severe bowel…