Hidatidosis peritoneal diseminada manifestada como isquemia intestinal
Bibliographic record
Abstract
La enfermedad hidatídica o equinococosis es una enfermedad endémica en los países del Mediterráneo, Australia, Asia, África, América del Sur y Canadá. Dentro de sus complicaciones, la ruptura intraperitoneal es una presentación rara, con síntomas altamente variables. El tratamiento de elección en la mayoría de los pacientes es la cirugía, agregando tratamiento médico adyuvante. Presentar el caso de un paciente con hidatidosis peritoneal diseminada manifestada con isquemia intestinal. Hombre de 50 años de edad que fue ingresado al servicio de Emergencias con historia de dolor abdominal crónico que empeoró en las últimas 24 h. En la exploración física mostró signos de sepsis y fue sometido a cirugía, donde se encontró una isquemia intestinal condicionada por una hidatidosis peritoneal diseminada, la cual generó retracción del mesenterio. Se realizó una resección intestinal con una ileostomía terminal. Los resultados de la biopsia de las lesiones quísticas fueron de equinococosis peritoneal diseminada. Se comenzó con tratamiento médico a base de albendazol y praziquantel. Este caso nos muestra una presentación rara de hidatidosis peritoneal diseminada la cual condicionó una isquemia intestinal. The hydatid disease, or echinococcosis, is endemic in Mediterranean countries, as well as in Australia, Asia, Africa, South America, and Canada. Among its complications is intraperitoneal rupture, a rare form of presentation, with highly variable symptoms. The treatment of choice is surgery plus adjuvant medical treatment in most patients. A case is presented of a patient with disseminated peritoneal hydatidosis manifested as intestinal ischaemia. A 50-year-old male was admitted to the emergency room with a history of chronic abdominal pain that worsened in the last 24 hours. He showed signs of sepsis in the physical examination and was subjected to surgery, in which intestinal ischaemia was found due to a disseminated peritoneal cystic disease, which had led to mesentery retraction. An intestinal resection with an end-ileostomy was performed. The results of the biopsy of the cystic lesions was disseminated peritoneal echinococcosis. Medical treatment was started with albendazole and praziquantel. This case shows a rare presentation of disseminated peritoneal hydatidosis, which led to intestinal ischaemia.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".