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Search Results: 1 - 10 of 366544 matches for " Adenauer Marinho de Oliveira Góes Junior "
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Oclus o duodenal após cirurgia da aorta abdominal: relato de caso Duodenal obstruction following abdominal aortic surgery: case report
Adenauer Marinho de Oliveira Góes Junior,Alexandre Petnys,Edgar Rabboni,Milton Alves das Neves Junior
Jornal Vascular Brasileiro , 2008,
Abstract: A maior parte dos artigos sobre obstru o duodenal após cirurgia aórtica cita dados referentes às corre es da doen a aneurismática e n o da doen a aterosclerótica. N o obstante, é consenso que se trata de uma complica o rara, cuja incidência é menor do que 1%. Os autores relatam o caso de um paciente submetido a enxerto aorto-bifemoral que apresentou, como complica o pós-operatória, oclus o duodenal. O paciente foi tratado com reinterven o cirúrgica e uso de remendo de grande omento para síntese do retroperit nio. A revis o da literatura indica que a maioria dos casos responde bem ao tratamento conservador, e a conduta cirúrgica normalmente só é necessária quando aderências s o a causa da obstru o ou quando o tratamento clínico n o é satisfatório após 2 semanas. Most articles on duodenal obstruction following aortic surgery report data relative to repairs of aneurysmal disease, not atherosclerotic disease. However, duodenal obstruction is an uncommon complication, occurring in less than 1% of patients. We report a case of a patient submitted to aortobifemoral bypass reconstruction who had duodenal obstruction as postoperative complication. The patient was treated with surgical intervention and omental patching for retroperitoneal synthesis. Literature review indicates that most cases respond well to the conservative treatment, and surgical conduct is usually only required when adherences are causing the obstruction or when clinical treatment is not satisfactory after 2 weeks.
Idiopathic Lymphocele: A Possible Diagnosis for Infraclavicular Masses
Adenauer Marinho de Oliveira Góes Junior,Salim Abdon Haber Jeha
Case Reports in Surgery , 2012, DOI: 10.1155/2012/593028
Abstract: Lymphoceles are usually related to trauma or surgery, and its spontaneous development is rare. The aim of this paper is to report an uncommon case of idiopathic lymphocele located on the right infraclavicular region, in a female patient with no previous local trauma or surgery and unremarkable medical history. The diagnose was suggested by the tomographic aspect of the lesion and confirmed by ultrasound-guided fluid aspiration and cytological analysis. The authors also provide a brief review of the most important thing diagnostic features and treatment options for this condition. For the practicing clinician, the most important is to achieve an accurate diagnose and to choose the proper therapeutic method according to each clinical scenario.
Idiopathic Lymphocele: A Possible Diagnosis for Infraclavicular Masses
Adenauer Marinho de Oliveira Góes Junior,Salim Abdon Haber Jeha
Case Reports in Surgery , 2012, DOI: 10.1155/2012/593028
Abstract: Lymphoceles are usually related to trauma or surgery, and its spontaneous development is rare. The aim of this paper is to report an uncommon case of idiopathic lymphocele located on the right infraclavicular region, in a female patient with no previous local trauma or surgery and unremarkable medical history. The diagnose was suggested by the tomographic aspect of the lesion and confirmed by ultrasound-guided fluid aspiration and cytological analysis. The authors also provide a brief review of the most important thing diagnostic features and treatment options for this condition. For the practicing clinician, the most important is to achieve an accurate diagnose and to choose the proper therapeutic method according to each clinical scenario. 1. Introduction A lymphocele, also referred to as chylous pseudocysts, cystic lymphangiomas, and lymphatic duct hygromas, is defined as a circumscribed collection of protein-rich lymphatic fluid without an epithelial lining that develops in anatomic compartments as the result of trauma or interruption to the lymphatic system [1–4]. Lymphocele formation is a described complication of surgery in and around the inguinal and femoral vessels [1], cardiothoracic surgery, blunt chest trauma [1, 2], gynecologic surgery [3, 5, 6], esophagogastrectomy [2], renal transplant [4, 5, 7, 8], and prostatectomy [5, 9] among others. Its spontaneous appearance, on the contrary, is an uncommon fact. Currently, no diagnostic algorithm is in place for the evaluation of a suspected lymphocele, but numerous radiographic modalities when used in combination with clinical history and presentation will aid in the diagnose [1]. If imaging modalities provide uncertain diagnose, needle aspiration with cytologic [1, 10], and biochemical [7] analysis may be necessary for confirmation. There is scarce information about the natural history of spontaneous lymphoceles, but it is established that those related to trauma/surgical procedures, when small, are usually asymptomatic and can reabsorb spontaneously [1, 8]; on the other hand, large collections, especially if compressing important structures or when infected, require more aggressive approaches, including fine-needle aspiration, sclerotherapy, catheter drainage, and surgery [1–3, 5]. The aim of this paper is to report a case of idiopathic infraclavicular lymphocele and review the most important diagnosis features and treatment options for this condition. 2. Case Presentation Female, 54 years old, without previous noticed diseases, went to the dermatologist complaining about a “node” at the
Tratamento de tromboembolismo pulmonar por aspira??o percutanea do trombo: relato de caso
Góes Junior, Adenauer Marinho de Oliveira;Mascarenhas, Fabricio;Mour?o, Guilherme de Souza;Elkis, Henrique;Pieruccetti, Marco Ant?nio;
Jornal Vascular Brasileiro , 2010, DOI: 10.1590/S1677-54492010000300018
Abstract: massive pulmonary thromboembolism is an important cause of mortality. its main cause of death is the failure of the right ventricle, due to the high resistance to its outflow, and the patient survival, on these cases, depends on prompt recanalization of the pulmonary arteries. anticoagulation, use of thrombolytics and pulmonary embolectomy represent established therapeutic options to different clinical scenarios of pulmonary thromboembolism. nowadays, interventional radiology represents an alternative to treat patients with massive pulmonary thromboembolism and contra-indications to thrombolytics, and is a less invasive option compared to embolectomy. the authors reported a case of a patient with massive pulmonary thromboembolismand contra-indication to thrombolysis, who was submitted to percutaneous clot aspiration of the pulmonary arteries, and discussed the main mechanisms of endovascular techniques of pulmonary thromboembolism treatment.
Endovascular Treatment of Giant Splenic Artery Aneurysm
Adenauer Marinho de Oliveira Góes Junior,Amanda Silva de Oliveira Góes,Paloma Cals de Albuquerque,Renato Menezes Palácios,Simone de Campos Vieira Abib
Case Reports in Surgery , 2012, DOI: 10.1155/2012/964093
Abstract: Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases. Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5?cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation. Discussion. Symptomatic aneurysms and those larger than 2?cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature. Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy. 1. Introduction Visceral artery aneurysms (VAAs) are uncommon. Among them, splenic artery is the most common (46–60%), followed by hepatic artery (20%) and superior mesenteric artery (5-6%) [1–6]. Seventy-five percent of VAAs are asymptomatic. The most common symptom is pain in the upper left quadrant of the abdomen or in the epigastrium, radiating to left shoulder, nausea, and vomiting. [1, 2, 7, 8]. The rupture occurs in 3% to 8% of cases, is manifested by hypovolemic shock, and is potentially fatal [1, 2, 4, 7, 8]. The splenic artery aneurysms can be approached by laparotomy, laparoscopy, or endovascular techniques. The endovascular option, less invasive, has less morbidity and faster postoperative recovery [1–4, 8]. Among the various endovascular techniques, covered stent implantation has been little reported in the literature. The authors present a case of splenic artery aneurysm treated by this method. 2. Presentation of Case A female patient, 64 years old, controlled hypertension, and 2 previous pregnancies, presented as main complaint episodes of mild pain in the epigastrium and left hypochondrium, evolving for about 12 months. Physical examination of the abdomen was nonspecific, with ill-defined pain on palpation of the mesogastrium and left hypochondrium. In the hospital of origin she was submitted to
Trauma fechado de artéria poplítea com evolu??o atípica: relato de caso
Góes Junior, Adenauer Marinho de Oliveira;Fernandes, Alisson Roxo;Almeida, Catarina Coelho de;Neves Junior, Milton Alves das;Melo, Rafael Couto;Manzioni, Renato;Rabboni, Edgar;
Jornal Vascular Brasileiro , 2010, DOI: 10.1590/S1677-54492010000200013
Abstract: traumatic knee dislocation is associated with massive muscle damage. when there are neurovascular lesions, prognosis is even worse and the limb viability is threatened. popliteal artery lesions should be treated as soon as possible to prevent risk of limb loss, which can reach up to 80% in some case series. we report a case of a young patient who had traumatic knee dislocation associated with ipsilateral acetabular and femoral body fractures with late diagnosis (on the fifth day after the trauma) of popliteal artery lesion. the patient underwent limb revascularization with good outcome despite the severity of the lesion, which is in disagreement with the usual outcomes reported in the literature for the popliteal artery trauma with delayed treatment.
Oclus?o duodenal após cirurgia da aorta abdominal: relato de caso
Góes Junior, Adenauer Marinho de Oliveira;Petnys, Alexandre;Rabboni, Edgar;Neves Junior, Milton Alves das;Petterle, Paulo Henrique;Melo, Rafael Couto;Protta, Tatiana Rocha;Terci, Weverton;
Jornal Vascular Brasileiro , 2008, DOI: 10.1590/S1677-54492009005000003
Abstract: most articles on duodenal obstruction following aortic surgery report data relative to repairs of aneurysmal disease, not atherosclerotic disease. however, duodenal obstruction is an uncommon complication, occurring in less than 1% of patients. we report a case of a patient submitted to aortobifemoral bypass reconstruction who had duodenal obstruction as postoperative complication. the patient was treated with surgical intervention and omental patching for retroperitoneal synthesis. literature review indicates that most cases respond well to the conservative treatment, and surgical conduct is usually only required when adherences are causing the obstruction or when clinical treatment is not satisfactory after 2 weeks.
Tratamento endovascular de angiomiolipoma renal por emboliza??o arterial seletiva
Palácios, Renato Menezes;Góes, Amanda Silva de Oliveira;Albuquerque, Paloma Cals;Aguiar, Maurício Figueiredo Massulo;Ribeiro, Flávio Roberto Cavalleiro de Macêdo;Góes Junior, Adenauer Marinho de Oliveira;
Jornal Vascular Brasileiro , 2012, DOI: 10.1590/S1677-54492012000400013
Abstract: we report a case of a patient with a major complaint of left lumbar pain, diagnosed with bilateral renal angiomyolipomas (amlrs), with the most voluminous lesion of 6.2 cm in its largest diameter, underwent endovascular superselective arterial embolization with microspheres. the amlrs are rare benign tumors. most are sporadic, while a minority is associated with tuberous sclerosis complex (etc). the amlrs larger than 4 cm must be treated due to higher risk of complications, especially hemorrhagic. a selective arterial embolization (eas) is an effective and safe treatment for amlrs.
Endovascular Treatment of Giant Splenic Artery Aneurysm
Adenauer Marinho de Oliveira Góes Junior,Amanda Silva de Oliveira Góes,Paloma Cals de Albuquerque,Renato Menezes Palácios
Case Reports in Surgery , 2012, DOI: 10.1155/2012/964093
Abstract:
VASCULAR TRAUMA IN THE AMAZON REGION: A TWO YEARS CASES REVIEW FROM A SINGLE INSTITUTION  [PDF]
Adenauer Marinho de Oliveira Góes Jr., Allan Dias Vasconcelos Rodrigues, Fábio Brito Braga, Mariseth Carvalho de Andrade, Simone de Campos Vieira Abib
Health (Health) , 2014, DOI: 10.4236/health.2014.66071
Abstract: Introduction: Vascular injuries are among the main mechanisms of death in trauma. In Brazil, the general surgeon is in charge of emergencies procedures in most hospitals, but many times these surgeons are not familiarized with more complex vascular surgical techniques that often require a vascular surgeon. Pará State is the most populated one in the Brazilian Amazon region and a single hospital with vascular surgeons permanently on call is available. Objectives: To evaluate demographic data on vascular trauma victims; to establish the mechanism, anatomic location, injury pattern and surgical techniques used to manage the vascular lesions treated at the Metropolitan Emergency Hospital; to ascertain associated non-vascular injuries and victim’s clinical outcome. Methods: Retrospective analysis of medical records of patients treated for vascular injuries from February 2011 to February 2013 at the institution in case. All arterial and venous injuries were analyzed. Patients who were not operated by the vascular surgery team, iatrogenic injuries and those who underwent primary or sustained traumatic amputation were excluded. Results: 173 cases; 95.95% were male; 54.90% were between 25 and 49 years; penetrating trauma mechanisms were found in 88.44%; lower limb was the most affected topography (41.50%); the most injured vessels were the superficial femoral and ulnar arteries (in 15.75% of cases each) and the superficial femoral vein (17.77 %); autologous vein graft was the most performed technique for arterial repair (36.57%) and ligature was performed in 85.00% of venous trauma; amputation rate was 15.60% and mortality rate was 6.35%. Conclusions: Vascular injuries occurred predominantly in men from 24 to 49 years old; penetrating mechanisms were most frequent; lower limb was the most affected topography; the most frequently injured vessels were the ulnar and superficial femoral arteries and the superficial femoral vein; complete vessel transection was the most common injury pattern; arterial trauma was most frequently treated by autologous venous graft interposition and ligature was performed for most of venous injuries; fractures were the most common associated lesions; the majority of patients recovered uneventfully, ischemic and infectious complications were the most frequent ones; deaths were caused by hypovolemic and septic shocks.
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