Browsing by Author "Pereira, B"
Now showing 1 - 5 of 5
Results Per Page
Sort Options
- Giant knee “ganglion”—a case reportPublication . Ferreira, NV; Carriço, FL; Pereira, B; Duarte, R; Maia, R; Sevivas, N; Fidalgo, R; Vieira da Silva, M
- Late presentation of vesicoureteral reflux: An unusual cause of pyelonephritis in adultsPublication . Pereira, B; Macedo, C; Anacleto, S; Gonçalves, M; Lima, E; Carvalho-Dias, EINTRODUCTION: Vesicoureteral reflux (VUR) corresponds to the reflux of urine from the bladder into the upper urinary system. It can be a congenital or an acquired anomaly and although its incidence is high in children it is uncommon in the adult life. One of its presentations in the adult population is the presence of recurrent Pyelonephritis. CASE PRESENTATION: Here we report a case of an adult patient with repetitive uncomplicated pyelonephritis caused by VUR. VUR was successfully managed endoscopically with subureteral injection of a bulking agent. A literature review of adult presenting VUR was performed. DISCUSSION: The first presentation of VUR in the adult life is rare. One of the most typical presentation is the presence of recurrent uncomplicated Pyelonephritis. Although no guidelines exists to study the presence of VUR in adult patients with Pyelonephritis, in the presence of several recurrent episodes of Pyelonephritis we should think in VUR as a possible cause. Even in adults, endoscopic management of VUR is an effective treatment with low morbidity. CONCLUSION: VUR can first present in the adult life, with recurrent episodes of UTI. The diagnosis is a suspicious one and is confirmed by VUCG. VUR in adults can be effectively managed with endoscopic injection of bulking agents.
- Modified Elmslie-Trillat Procedure for Distal Realignment of Patella TendonPublication . Filho, RB; Monteiro, AM; Andrade, R; Michael, MJ; Sevivas, N; Pereira, B; Sarmento, A; Espregueira-Mendes, JPatellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientific literature aiming the correction of underlying extensor mechanism malalignments. Still, the rate of complications is higher than desirable. The described technique is based on the principles of transferring the tibial tubercle medially as described in the Elmslie-Trillat technique. However, a curvilinear horizontal cut is made prior to the vertical cut, which raises a thick osseous fragment and allows the formation of a gutter when the osseous fragment is moved medially. Whereas the horizontal gutter provides stability to the bone fragment, the thicker dimension of the osseous fragment and retention of the distal attachment significantly enhances the osteotomy union. Hence, adequate pain relief and stability with very low postoperative morbidity could be achieved. The purpose of this surgical note is to describe a modification to the Elmslie-Trillat technique to treat patellofemoral dysfunctions, achieving a higher osseous stability and decreased postoperative morbidity.
- Perfuração Ileal por "Osso da Sorte"Publication . Ribas, S; Pereira, B; Semião, M; Vilaça, S; Falcão, J
- Torsão de Mucocelo Apendicular: uma complicação raraPublication . Ribas, S; Pereira, B; Semião, M; Reis, M; Vilaça, S