Volvo de ceco complicado por icterícia séptica

Cecal volvulus is an uncommon cause of acute bowel obstruction in adults. The mechanism is torsion of the enlarged, poorly-fixed or hypermobile cecum. Patients with this condition may display highly variable clinical presentations, ranging from intermittent, self-limiting abdominal discomfort to acute abdominal pain associated with intestinal strangulation and sepsis. The treatment needs to be individualized for each case, but surgical management is required in almost every case. In the presence of gangrene or perforation of the cecum, resection and primary ileocolic anastomosis is recommended. However, in non-complicated cases detorsion and cecopexy are adequate. The authors report one case of cecal volvulus in a 55-year-old women treated with cecopexy that complicated with septic jaundice.

A economia ecológica e evolucionária de Georgescu-Roegen

The ecological and evolutionary economics of Georgescu-Roegen. The main argument of this paper is that Georgescu-Roegen's contributions represent a major disruption with economics' pre-analytic vision. He rejected at the same time both the closed and circular view of the economy and the mechanic analogies that oriented economics in the past century. Even though his influence has been felt mainly in the field of ecological economics, his epistemological contributions represent a major challenge to equilibrium thinking. Nowadays, treating economic systems as complex and evolutionary systems is becoming not only acceptable, but also a trend in the way political economy is made. We defend that Georgescu-Roegen's disruption represents a scientific revolution in economics, in the sense attributed by Kuhn.