CIR - Artigos publicados em revistas não indexadas
Permanent URI for this collection
Browse
Browsing CIR - Artigos publicados em revistas não indexadas by Author "Alberto, S"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- Actinomycosis Causing Recurrent Perianal FistulaePublication . Cardoso, M; Carneiro, C; Lourenço, L; Rodrigues, C; Alberto, S; João, A; Rocha, R; Geraldes, V; Costa, A; Reis, J; Nunes, VActinomycosis is a rare but easily curable infection that should be considered in the differential diagnosis of perianal fistulizing disease. We present the case of a 26-year-old woman with complex perianal fistulae, including trans-sphincteric and suprasphincteric fistulous tracts and a rectovaginal fistula, requiring multiple abscess drainages, seton placement, and antibiotic courses, with little improvement. After extensive investigation, Actinomyces spp. was identified in anal cytology. The patient underwent a 6-week course of intravenous penicillin followed by oral amoxicillin, with remarkable improvement. This case illustrates the importance of pursuing less common diagnoses in refractory complex perianal disease, such as actinomycosis.
- Hematoma intramural espontáneo no traumático del intestino delgado: una complicación poco habitual de los anticoagulantesPublication . Alberto, S; Sánchez, P; Félix, J; Deus, JREl hematoma intramural del intestino delgado es una complicación poco habitual de la utilización de anticoagulantes orales. El diagnóstico sólo es posible cuando se asocian estos síntomas a una historia clínica de anticoagulación oral y pruebas radiológicas. A continuación se presenta el caso clínico de un paciente que ingreso por dolor epigástrico asociado a vómitos de retención con 48 h de evolución y antecedentes de anticoagulación oral con warfarina. La ecografía y la tomografía computarizada abdominal mostraban un asa yeyunal con espesamiento parietal difuso, indicativo de hematoma intramural. Se realizó tratamiento conservador, con regresión sintomática al segundo día y reabsorción del hematoma intramural del yeyuno. Se reintrodujo tratamiento anticoagulante, sin nueva recidiva.
- Hepatic abscess induced by foreign body: case report and literature reviewPublication . Santos, S; Alberto, S; Cruz, E; Pires, E; Figueira, T; Coimbra, E; Estevez, J; Oliveira, M; Novais, L; Deus, JRHepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon. Pre-operative diagnosis is diffi cult as patients are often unaware of the foreign body ingestion and symptoms and imagiology are usually non-specific. The authors report a case of 62-year-old woman who was admitted with fever and abdominal pain. Further investigation revealed hepatic abscess, without resolution despite antibiotic therapy. A liver abscess resulting from perforation and intra-hepatic migration of a bone coming from the pilorum was diagnosed by surgery. The literature concerning foreign body-induced perforation of the gastrointestinal tract complicated by liver abscess is reviewed.