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Actinomicose da parede abdominal - relato de um caso
Teixeira, Carlos Graeff;Agostini, Aventino Alfredo;Trindade, Luiz Carlos;Garcia, Errol;
Memórias do Instituto Oswaldo Cruz , 1984, DOI: 10.1590/S0074-02761984000200015
Abstract: a case of actinomycosis of the abdominal wall is reported.
Gravidez abdominal a termo com feto vivo: relato de caso
Santos, Luiz Carlos;Amorim, Melania Maria Ramos de;Miranda, Edmar;Saunders, Gisela de Oliveira;Oliveira, Elizabete de;Gattás, Jonyplácido;
Revista Brasileira de Ginecologia e Obstetrícia , 1999, DOI: 10.1590/S0100-72031999001000009
Abstract: term abdominal pregnancy with live fetus is an obstetrical rarity with high fetal and maternal morbidity and mortality. the authors present a case of abdominal pregnancy in a 43-year-old woman. the diagnosis was made only at term (37 weeks) by clinical findings and echography. exploratory laparotomy was performed and a living female newborn weighing 2,570 g was extracted. apgar scores were 3, 6 and 8 at the 1st, 5th and 10th minutes, respectively. placenta was inserted in the omentum and was removed without complications. postoperative course was uneventful and both mother and child were discharged healthy.
Tumor placentário diagnosticado durante a gravidez: relato de caso  [cached]
Mauad Filho Francisco,Costa Antonio Gadelha da,Spara Patricia,Ferreira Adilson Cunha
Revista Brasileira de Ginecologia e Obstetrícia , 2002,
Abstract: O tumor n o trofoblástico placentário encontrado com maior freqüência é o corioangioma, com incidência de aproximadamente 1%. Quando s o pequenos, geralmente n o levam a altera es fetais, mas quando s o grandes, podem levar a restri o de crescimento intra-útero, poliidramnio, trabalho de parto prematuro, insuficiência cardíaca congestiva e morte fetal. Os autores relatam um caso de corioangioma em uma paciente de 28 anos, diagnosticado em exame ultra-sonográfico de rotina, com idade gestacional de 32 semanas. O diagnóstico foi confirmado pelo exame anatomopatológico. As avalia es ultra-sonográficas revelaram a presen a de sofrimento fetal cr nico, que levou à interrup o da gesta o com 36 semanas. Os resultados neonatais foram satisfatórios, com Apgar de 9-10 e peso fetal de 2.460 gramas.
Divertículo congênito do ventrículo esquerdo associado a defeitos da parede tóraco-abdominal: relato de paciente operada em idade adulta
Silva, Roney Ronald Peixoto da;Oliveira, Homero Geraldo de;Rabello, Renato Rocha;Oliveira, Sérgio Caporali de;Rabello, Sebasti?o Correa;
Revista Brasileira de Cirurgia Cardiovascular , 1992, DOI: 10.1590/S0102-76381992000100009
Abstract: muscular diverticulum of the left ventricle is a rare anomaly. it is frequently associated with other congenital anomalies of the abdominal wall, sternum, diaphragm, pericardium and the heart itself. these have been described as cantrell syndrome. this paper reports a case of a 25-year-old female patient submitted to surgical repair of this syndrome.
Endometrioma de parede abdominal
Accetta, Italo;Accetta, Pietro;Accetta, André Figueiredo;Maia, Francisco José Santos;Oliveira, Ana Paula Félix de Andrade;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2011, DOI: 10.1590/S0102-67202011000100006
Abstract: backgrond: the exact incidence of endometriosis in the general population is unknown. confirmation of this disease is only possible by histopathological analysis of a fragment obtained by some invasive procedure, because there is so far, no clinical secure marker. aim: to report the experience with the clinical manifestations and surgical treatment in patients with abdominal wall endometrioma. methods: retrospective analysis of patients operated for abdominal wall endometrioma with emphasis on data relating to age, symptoms, previous cesarean, relation of symptoms with the menstrual cycle, physical examinations and additional surgical treatment, postoperative course and histopathological results of specimens. results: forteen patients were operated during the study period, aged between 28 and 40 years. the presence of local mass and pain that worsened during menstruation were the main complaints. ultrasound and ct examinations were important to precisely localize the disease. surgical excision was a wide excision of the tumor and affected tissues. the patient progressed satisfactorily and histopathology confirmed the diagnosis of abdominal wall endometrioma in all cases. conclusion: exists a clear relationship between cesarean operation and abdominal wall endometrioma; ultrasound studies and ct scans help to plan the surgical resection allowing resection of tumor and all affected adjacent tissues.
Endometrioma de parede abdominal
Accetta, Italo;Accetta, Pietro;Accetta, André Figueiredo;Maia, Francisco José Santos;Oliveira, Ana Paula Félix de Andrade;
Revista do Colégio Brasileiro de Cirurgi?es , 2011, DOI: 10.1590/S0100-69912011000100008
Abstract: objective: to report the authors' experience with the clinical manifestations and surgical treatment of abdominal wall endometriomas. methods: a retrospective analysis of patients operated for abdominal wall endometrioma was carried out, with emphasis on age, symptoms, previous cesarean, relation of symptoms with the menstrual cycle, physical examinations and additional surgical treatment, postoperative course and histopathological results of specimens. results: fourteen patients were operated during the study period, aged between 28 and 40 years. the presence of a local mass and pain that worsened during menstruation were the main complaints. ultrasound and computerized tomography examinations were important in the precise location of the disease. surgical excision was wide, invooving the tumor and affected tissues. the patients progressed satisfactorily and histopathology confirmed the diagnosis of abdominal wall endometrioma in all cases. conclusion: there was a clear relationship between cesarean section and abdominal wall endometrioma. ultrasound studies and ct scans helped to plan the surgical approach, allowing resection of the tumor and all adjacent affected tissues.
Influência da nicotina durante a gesta??o e lacta??o na cicatriza??o da parede abdominal de ratos lactentes: estudo tensiométrico
Alves, Marcelo Ribas;Campos, Ant?nio Carlos Ligocki;Ioshii, Sérgio Ossamu;Moraes-Junior, Hugo;Sakamoto, Danielle;Gortz, Lucas Wagner;
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S?o Paulo) , 2009, DOI: 10.1590/S0102-67202009000200009
Abstract: background: smoking is deleterious to the healing process in the intra-womb fetus. aim: to analyze the effects of nicotine, according with the tensiometric study (maximum strength, rupture strength and tensile strength), on the abdominal wall healing of suckling rats born of mothers that received nicotine, during pregnancy and lactation.methods: pregnant wistar rats were randomly divided into two groups, the nicotine group (ng), in which it was administered subcutaneous nicotine at dose of 2mg/kg/day, during pregnancy and lactation, and the control group (cg), that received subcutaneous isovolumetric saline solution at 0,9%, in the same period of time. sixty baby rats, divided into two groups, were weaned at 21 days and the transverse laparotomy was performed. each group was divided into two subgroups, each one containing 15 baby rats, in accordance with the date when the surgical scar was analyzed: on the 7th day of postoperative, control subgroup c7 and nicotine subgroup n7, or 21st day of the postoperative, control subgroup c21 and nicotine subgroup n21. the surgical scar in the healing area was evaluated by tensiometric study. the statistics was based on the anova model, at significance level of 5%.results: the tensiometric evaluation pointed out that the subgroup n7, in comparison to c7, presented lower maximum strength (0,391 ± 0,032kgf vs. 0,586 ± 0,041kgf, p=0,0060), rupture strength (0,393 ± 0,032kgf vs. 0,577 ± 0,051kgf, p=0,0047) and tensile strength (0,029 ± 0,002kgf/mm2 vs. 0,036 ± 0,005kgf/mm2, p=0,0493). the subgroup n21, when compared to c21, presented lower rupture strength (0,421 ± 0,004kgf vs. 0,581 ± 0,002kgf, p=0,0007) and tensile strength (0,053 ± 0,002kgf/mm2 vs. 0,066 ± 0,002kgf/mm2, p=0,0056). conclusion: adverse effect of nicotine, administrated in pregnancy and lactation period, was observed on the abdominal wall healing of baby rats, according to the tensiometric parameter.
Anorexia nervosa e gravidez: relato de caso
Nery Fabiano Gon?alves,Teixeira-Jr Ant?nio Lúcio,Miranda Gislene Valadares,Daker Maurício Viotti
Revista Brasileira de Psiquiatria , 2002,
Abstract: Relata-se o caso de uma adolescente de 18 anos que desenvolveu quadro de hiperemese gravídica seguida de anorexia nervosa durante sua primeira gravidez, chegando a índice de massa corporal (IMC) de 14,3 Kg/m2. Os sintomas apresentados remitiram após o término prematuro da gesta o. Apesar de a anorexia nervosa ser incomum na gravidez, seu diagnóstico é importante em virtude dos riscos para a saúde materna e fetal.
Giant desmoid tumor of the abdominal wall in a patient with Gardner Syndrome  [cached]
Daniel Paulino Santana,Juliano Alves Figueiredo,Matheus Matta Machado Mafra Duque Estrada Meyer,Paula Mendon?a Pimenta Ferreira
Journal of Coloproctology (Rio de Janeiro) , 2012,
Abstract: Gardner syndrome (GS) is a rare entity characterized by a triad of familial colonic polyposis, multiple osteomas and soft tissue tumors, including desmoid tumor (DT). This is a case report of a 30 year-old patient with GS who developed giant DT in the abdominal wall after undergoing several laparotomies. The patient has taken a long time to search for medical care, and at first he saw another team that refused to operate him by judging the lesion unresectable. The surgery in our department was performed in three steps. Initially, we resected the lesion with macroscopic margins, and as there were small bowel adhesions in the tumor, we performed enterectomy and closed using the "Bogotá" technique, with skin closure on the bag. On the fourth postoperative day (POD), we reoperated the abdomen without identifying any signs of fistula. On the seventh POD there was another surgical intervention, this time to insert a double-sided mesh. The patient recovered well, and had no debilitating motor deficit, despite the extensive resection of the abdominal muscles. Curative treatment of DT is based on surgical resection and only sequential surveillance allows us an early diagnosis, when the lesion is still resectable. Tumor desmoide gigante de parede abdominal em paciente portador da Síndrome de Gardner. A Síndrome de Gardner (SG) é uma entidade rara caracterizada pela tríade polipose col nica familial, múltiplos osteomas e tumores de tecidos moles, dentre eles o tumor desmoide (TD). Tratou-se de um relato de caso de um paciente de 30 anos, com SG que evoluiu com TD gigante em parede abdominal, após ser submetido a diversas laparotomias prévias. O paciente levou longo tempo para procurar o servi o de cirurgia, passando por outra equipe que se negou a abordá-lo por julgar a les o irressecável. A cirurgia no nosso servi o se deu em três tempos. Inicialmente, foi feita a ressec o da les o com margens macroscópicas e, por haver aderências de al as no tumor, realizamos enterectomia e fechamos a Bogotá com síntese da pele sobre a bolsa. No quarto dia pós-operatório (DPO), reabordamos o abd men sem identificar sinal de fístula. No sétimo DPO houve nova abordagem, agora para colocar tela dupla face. O paciente evoluiu bem, sem déficit motor debilitante, apesar da extensa área de ressec o muscular abdominal. O tratamento curativo dos TD é baseado na sua ressec o cirúrgica e somente a vigilancia sequencial nos permite seu diagnóstico precoce e a abordagem enquanto a les o é ressecável.
Hérnia traumática da parede abdominal
Henriques, Alexandre Cruz;Henriques, Simone Chiconelli;Godinho, Carlos Alberto;
Revista do Colégio Brasileiro de Cirurgi?es , 1999, DOI: 10.1590/S0100-69911999000500013
Abstract: a rare case of blunt traumatic abdominal hernia is presented in which jejunal loops herniated through the abdominal wall. the patient had a serious motor vehicle accident seven years ago, while wearing the seat belt. he developed a traumatic hernia in the anterior lateral abdominal wall, which was operated, and relapsed after some months. the patient was reoperated and we observed the unattachment of the anterior lateral abdominal musculature from the ilium crest. after the hernial sac treatment, the defect was solved with the use of a polypropylene mesh. the postoperative evolution was good and four months later there were no signs of recurrence. traumatic abdominal hernia remains a rare clinical entity, despite the increase in blunt abdominal trauma. traumatic abdominal wall hernia falls into two general categories: small lower quadrant abdominal defects, typically the result of blunt trauma with bicycle handlebars, and larger abdominal wall defects related to motor vehicle accidents. the diagnosis may be often established by the physical examination alone. conventional radiology and computerized tomography usefulness have been proved. in the vast majority of cases, early repair is recommended. the appropriate treatment is the reduction of the herniated bowel into the abdomen, the debridment of nonviable tissues, and a primary tension free closure of the detect.
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