Browsing by Issue Date, starting with "2016"
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- Management of pediatric deep neck infections- a cross sectional retrospective analysisPublication . Menezes, A; Pereira, S; Breda, M; Silva, D; Guimarães, J; Dias, L
- Correção Laparoscópica de Atresia Duodenal Associada a Pâncreas AnularPublication . Barroso, C; Correia-Pinto, JA atresia duodenal é a causa mais comum de obstrução intestinal congénita. Frequentemente associa-se a outras malformações, como o pâncreas anular. A abordagem laparoscópica, ainda que tecnicamente exigente, traz para o recém-nascido benefícios evidentes. Os autores reportam o caso de um recém-nascido com diagnóstico pré-natal de atresia duodenal proposto para laparoscopia, durante a qual foi constatada a existência de pâncreas anular, e realizada a duodeno-duodenostomia em diamante.
- Acute Alithiasic Cholecystitis and Human Herpes Virus Type-6 Infection: First CasePublication . Gomes, MM; Antunes, H; Lobo, AL; Branca, F; Correia-Pinto, J; Moreira-Pinto, JA three-year-old male child presented with erythematous maculopapular nonpruritic generalized rash, poor feeding, vomiting, and cramping generalized abdominal pain. He was previously healthy and there was no family history of immunologic or other diseases. On examination he was afebrile, hemodynamically stable, with painful palpation of the right upper quadrant and positive Murphy's sign. Laboratory tests revealed elevated inflammatory markers, elevated aminotransferase activity, and features of cholestasis. Abdominal ultrasound showed gallbladder wall thickening of 8 mm with a positive sonographic Murphy's sign, without gallstones or pericholecystic fluid. Acute Alithiasic Cholecystitis (AAC) was diagnosed. Tests for underlying infectious causes were negative except positive blood specimen for Human Herpes Virus Type-6 (HHV-6) by polymerase chain reaction. With supportive therapy the child became progressively less symptomatic with gradual improvement. The child was discharged on the sixth day, asymptomatic and with improved analytic values. Two months later he had IgM negative and IgG positive antibodies (1/160) for HHV-6, which confirmed the diagnosis of previous infection. In a six-month follow-up period he remains asymptomatic. To the best of our knowledge, this represents the first case of AAC associated with HHV-6 infection.
- Meningioma fronto-basal com extensão naso-sinusalPublication . Pinto-Silva, D; Moreira, F; Marçal, N; Dias, L; Ramos, R; Almeida-Pinto, A
- Insulin secretion several years after type 1 diabetes diagnosis – case reportsPublication . Monteiro, AM; Paredes, S; Alves, M
- Herniação Meningoencefálica do Osso TemporalPublication . Miranda, D; Pereira, S; Ramos, R; Pinto, A; Vilarinho, S; Dias, LBackground: Temporal bone meningoencephalic herniations correspond to the presence of brain parenchyma and/or prolapsed meninges through a bone defect. It is a rare condition with potentially catastrophic consequences for the patient. Case Description: Sixty-nine year-old female patient with past medical history of chronic otitis media submitted to otologic surgery, arterial hypertension and breast cancer. Admitted to emergency department with tonic-clonic seizures secondary to meningoencephalitis triggered by otologic infection. The imaging investigation revealed the presence of a meningoencephalic herniation that was surgically treated by a multidisciplinary ENT and neurosurgery team. Discussion/Conclusions: Surgical treatment aims to remove meningoencephalic herniated tissue, bone defect repair and hearing recovery. Size and location of bone defect and meningoencephalic herniation are decisive factors in surgical approaches choice.
- Autoimmune Hemolytic Anemia and Hodgkin's Disease: An Unusual Pediatric AssociationPublication . Gomes, MM; Oliva, T; Pinto, AAutoimmune hemolytic anemia (AIHA) is a recognized complication of lymphoproliferative disorders. AIHA associated with Hodgkin's disease (HD) is uncommon especially in the pediatric population. The diagnosis of AIHA is usually associated with HD at the time of initial presentation or during the course of disease, but it could precede it by years to months. In adults the association of AIHA and HD is more frequent in advanced stages and in the nodular sclerosis and mixed cellularity type HD. Warm immune hemolytic anemia is mainly controlled with steroids and chemotherapy. We report a case of a pediatric patient with direct antiglobulin positive test at the diagnosis of a late relapse of stage III B mixed cellularity type HD.
- Infectious complications in head and neck surgery: Porto oncology center retrospective analysisPublication . Breda, M; Robles, R; Castro-Silva, J; Monteiro, E
- Massas Cervicais em Idade Pediátrica: um Desafio DiagnósticoPublication . Lima, A; Breda, M; Pereira-Martins, S; Guimarães, J; Ramalho, S; Dias, L
- Tratamento do Carcinoma da Próstata Metastizado: Surgimento de Novos Horizontes TerapêuticosPublication . Mota, P; Morais, N; Pimentel-Torres, J; Cordeiro, A; Dias, E; Cerqueira-Alves, M; Lima, EThe evolution in the treatment of metastatic prostate cancer currently provides to the urologist a wide range of therapeutic possibilities that have shown an improvement on overall survival and quality of life of patients. It is presented a clinical case in this article which reflects not only the effectiveness of these therapies but also their rapid evolution.