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Divertículo intraluminal do duodeno: relato de caso
Furtado, Evaldo;Machado, Beatriz Ferreira Furtado;
Radiologia Brasileira , 2003, DOI: 10.1590/S0100-39842003000600012
Abstract: the authors present a case of intraluminal diverticulum of duodenum in a 44-year-old female with poor and uncharacteristic symptoms. the radiological diagnosis was confirmed by surgery. the patient was also followed up after surgery. this anomaly, a rare form of duplication, consists of a "pocket-like" structure lined on both sides by duodenal mucosa projecting into the duodenal lumen.
Intraluminal Ascending Aorta Fibroma
Mohammad Yusef Aarabi Moghadam,Maryam Moradian,Nader Givtaj,Kambiz Mozaffari
Journal of Tehran University Heart Center , 2011,
Abstract: Primary cardiac tumors are quite rare, especially in the pediatric age group, and their atypical presentations often prevent a timely diagnosis. Most primary cardiac tumors in the pediatric age group are benign. Fibromas are generally reported as the second most common primary cardiac tumors in the pediatric age group. These neoplasms are often intramural and involve the left ventricular free wall or the interventricular septum. Although benign, fibromas may become life-threatening by causing arrhythmias or obstruction to the blood flow. A case of supravalvular intraluminal ascending aorta fibroma in a 23-month-old girl, presenting with syncope, is described here; the location is rare and the presentation atypical for this type of tumor. Transesophageal echocardiography helped us to evaluate the anatomic details of the tumor and plan surgery.
Hipogamaglobulinemia como fator de risco para infec o por Cryptococcus neoformans: a propósito de dois casos
Pires Neto Roberto da Justa,Guimar?es Márcia Cristina,Moya Maria Janete,Oliveira Fabíola Reis
Revista da Sociedade Brasileira de Medicina Tropical , 2000,
Abstract: Dois pacientes HIV-soronegativos com doen a criptocócica refratária à terapia antifúngica convencional foram submetidos a estudo do sistema imune. Hipogamaglobulinemia foi evidenciada em ambos e associada à altera o funcional da imunidade mediada por células. Hipogamaglobulinemia é considerada como um possível fator predisponente para infec o criptocócica. A importancia dos anticorpos no controle da infec o por Cryptococcus neoformans é discutida.
Use of intraluminal protection in colonic anastomosis in dogs
Oliveira, André Lacerda de Abreu;Jamel, Nelson;Lacombe, Domingos Penna;Gon?alves, Manuel Domingos;Abílio, Edmundo Jorge;Manso, José Eduardo Ferreira;Costa, Alessandra Castello da;
Acta Cirurgica Brasileira , 2007, DOI: 10.1590/S0102-86502007000100011
Abstract: purpose: to test the use of intraluminal protection in colonic anastomosis without intestinal cleansing. the intraluminal liner was fashioned from porcine submucosa preserved in glycerin and then fixed 10 cm anteriorly to the anastomotic site. this technique was compared with the one used in termino-terminal colonic anastomosis without intraluminal protection. methods: twenty-eight dogs were divided into two groups of fourteen animals each. clinical and histopathological tests were performed on the fourth and twenty-first postoperative days. results: the morbidity and mortality rates were higher in animals that did not receive the intraluminal liner. histopathological examinations in animals in which the intraluminal liner was used showed better healing, characterized by milder inflammation and increased amount of collagen. conclusion: it can be concluded that the use of intraluminal protection decreases complication rates in colonic anastomosis and promotes better healing.
O padr?o facial é fator predisponente para otite média com efus?o em crian?as?
Nery, Cláudio de Góis;Buranello, Fernando Stefanato;Pereira, Cícero;Di Francesco, Renata Cantisani;
Brazilian Journal of Otorhinolaryngology , 2011, DOI: 10.1590/S1808-86942011000100014
Abstract: abnormalities in craniofacial morphology are associated with eustachian tube dysfunction and otitis media with effusion (ome). aim: to evaluate the relationship between facial pattern and craniofacial growth direction, and ome in children with enlarged tonsils and adenoids (eta). methods: clinical prospective survey in 79 children (41 male and 38 female), ranging from 4 to 10 years of age, with tonsil and adenoid enlargement (brodsky's grades iii and iv). forty children presented with ome (study group) and 39 did not (control group). cephalometric analysis was used to determine the facial pattern. results: there was no correlation observed between facial pattern and ome (c 2 = 0.25 p = 0.88). facial axis was larger in the ome group (f(1.75) = 3.68 p = 0.05) and the lower anterior facial height was smaller (f(1. 75) = 3.99 p = 0.05) in children with otitis media with effusion. conclusions: there was no correlation between ome and facial pattern in children with eta although a more horizontal facial growth direction, and a smaller lower anterior facial height was observed consistently among subjects in this group. this suggests that abnormal positioning of the eustachian tube influences the development of ome in children with eta.
Duodenal Tuberculosis
Inder Gupta,Ashok Parihar,Ghanshyam Dev, Zahid gillini
JK Science : Journal of Medical Education & Research , 2001,
Abstract: Duodenal tuber~ulosis is uncommon. We present here a case ofduodenal tuberculosis who presentedwith pain abdomen, vomiting and fever. Duodenoscopy revealed deep irregular ulcers in duodenum.Histopathology of duodenum showed features of tuberculosis.
Intraluminal migration of surgical sponge: Gossypiboma  [cached]
Patil Kundan,Patil Shaifali,Gorad Kedar,Panchal Anuradha
Saudi Journal of Gastroenterology , 2010,
Abstract: Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory reaction with formation of abscess, or aseptically with a fibrotic reaction developing into a mass. Intraluminal migration is relatively rare. We report the case of a 23 year old woman who presented after a previous caesarean section with intestinal obstruction. Plain abdominal radiograph and computed tomography confirmed the presence of gossypiboma. The patient underwent laparatomy and sponge removal. This report discusses the approach to, and manifestations of, migratory surgical gossypiboma.
Duodenal stenosis in a child  [cached]
Kshirsagar A,Sulhyan Sanjitsingh,Vasisth Gaurav,Nikam Yogesh
African Journal of Paediatric Surgery , 2011,
Abstract: We present a case of incomplete duodenal obstruction having a delayed presentation, making diagnosis and early intervention more challenging. Failure of recanalization of the duodenal lumen during the eighth to tenth week of gestation, results in duodenal atresia. Incomplete recanalization can lead to duodenal stenosis or the presence of a duodenal web. In the absence of other serious anomalies or prematurity, the overall survival for duodenal stenosis or atresia is nearly 100%.
Duodenal lipoma associated with ectopic duodenal glands  [cached]
Dianbo Cao,Xiaoyan Sun,Jimin Du,Yutian Sun
Clinics and Practice , 2011, DOI: 10.4081/cp.2011.e128
Abstract: Duodenal lipomas are relatively uncommon and are rarely responsible for clinical symptoms. Occasionally, searching for aetiology of gastrointestinal bleeding leads to the final diagnosis of duodenal lipomas. Here, we present the case of a 68-year-old woman who suffered with repeated melena and weight loss. Endoscopy, abdominal computed tomography (CT) and histopathological outcomes are described in this case of duodenal lipoma with ectopic duodenal glands.
Primary Closure without Diversion in Management of Operative Blunt Duodenal Trauma in Children  [PDF]
Katherine Smiley,Tiffany Wright,Sean Skinner,Joseph A. Iocono,John M. Draus
ISRN Pediatrics , 2012, DOI: 10.5402/2012/298753
Abstract: Background. Operative blunt duodenal trauma is rare in pediatric patients. Management is controversial with some recommending pyloric exclusion for complex cases. We hypothesized that primary closure without diversion may be safe even in complex (Grade II-III) injuries. Methods. A retrospective review of the American College of Surgeons’ Trauma Center database for the years 2003–2011 was performed to identify operative blunt duodenal trauma at our Level 1 Pediatric Trauma Center. Inclusion criteria included ages years and duodenal injury requiring operative intervention. Duodenal hematomas not requiring intervention and other small bowel injuries were excluded. Results. A total of 3,283 hospital records were reviewed. Forty patients with operative hollow viscous injuries and seven with operative duodenal injuries were identified. The mean Injury Severity Score was 10.4, with injuries ranging from Grades I–IV and involving all duodenal segments. All injuries were closed primarily with drain placement and assessed for leakage via fluoroscopy between postoperative days 4 and 6. The average length of stay was 11 days; average time to full feeds was 7 days. No complications were encountered. Conclusion. Blunt abdominal trauma is an uncommon mechanism of pediatric duodenal injuries. Primary repair with drain placement is safe even in more complex injuries. 1. Introduction Blunt duodenal trauma remains a relatively rare diagnosis among the pediatric population, accounting for 3 to 5% of all abdominal injuries [1]. Many cases are the result of lap belt or bicycle handlebar injuries, although higher mortality rates have been reported with blunt duodenal injury secondary to nonaccidental trauma [2]. In contrast to adult duodenal traumas, of which greater than 70% are penetrating, the majority of pediatric duodenal injuries are secondary to blunt trauma [3]. Cerise and Scully emphasized that trends in duodenal trauma have demonstrated a gradual increase in severity as a greater proportion are now secondary to motor vehicle accidents, with relatively fewer children experiencing low-velocity handlebar trauma [4]. Their collected cases allowed them to describe three general mechanisms of injury to the small bowel, which include crushing the bowel between the spine and a blunt object, tangential shearing against a relatively immobile segment of bowel, and increased intraluminal pressure causing rupture of a closed bowel loop [4]. Appropriate treatment of such injuries is hampered both by potential delay in diagnosis and by the controversial nature of optimal surgical
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