6 documents found, page 1 of 1
Wound, Ischemia, Foot Infection (Wifi) Classification System And Its Predictive...
Alves, Duarte Gil; Ferreira, Vítor; Teixeira, Gabriela; Vasconcelos, João; Maia, Miguel; Vidoedo, José; Almeida Pinto , JoãoIntroduction: Commonly used chronic limb-threatening ischemia (CLTI) classifications lack granularity and detail to precisely stratify patients according to risk of limb loss, expected revascularization benefit and mortality. The aim of this study is to evaluate in a Portuguese population the prognostic value of an updated CLTI classification based on Wound, Ischemia, and foot Infection (WIfI) proposed by the S...
Cocaine-Induced Atraumatic Splenic Rupture
Sousa, Jessica; Alves, Duarte Gil; Ferreira, Luísa; Pinto, Joana; Schmitt, WillianThe most frequent cause of splenic rupture is trauma. Rarely do spontaneous splenic ruptures occur. The authors report the case of an atraumatic splenic rupture (ASR) following a recent intranasal cocaine abuse that highlights the importance of a detailed social history, since early diagnosis and treatment can produce a positive outcome.; A causa mais frequente de ruptura esplénica é o trauma. Raramente ocorrem...
Blunt Trauma and Right Diaphragmatic Rupture: Unveiling the Impact
Alves, Duarte Gil; Sousa, Jessica; Eurico Reis, João; Ribeiro, Rómulo; Calvinho, PauloTraumatic diaphragmatic ruptures are rare, yet blunt injuries tend to be more easily overlooked compared to penetrating trauma. The minimal evidence of external injuries makes a high index of suspicion key for diagnosis. We report the case of a right-sided thoracoabdominal blunt trauma that resulted in a diaphragmatic rupture and fractured rib. Although often approached through a midline laparotomy, a definitiv...
Primary Petit Hernia: From Diagnosis to Open Surgical Approach
Alves, Duarte Gil; Sousa, Jessica; Rodrigues, Catarina; Silva, Sara; Ribeiro, RómuloLumbar hernias are quite rare, even more so when primary or of spontaneous nature. These defects in the lumbar region demand a comprehensive knowledge of the anatomy of the lateral abdominal wall and paraspinal muscles. Given the proximity of bone structures, they can pose a surgical challenge when trying to achieve an ideal dissection and appropriate mesh overlap. The authors report the case of a primary Petit...
Anterior Penetrating Neck Injury: A Path to the Cervical Spine
Alves, Duarte Gil; Sousa, Jessica; Ferreira, Vítor; Almeida Pinto, João; Teixeira, NunoWhile rare in incidence, penetrating neck injuries are often life-threatening. When a patient's physiological status is appropriate, the first step in treatment should be a detailed preoperative imaging assessment. Formulating a treatment plan that includes computed tomography (CT) imaging and discussing the surgical approach with a multidisciplinary team before operating allows for a successful selective surgi...
Hidradenocarcinoma of the Female Breast: A Surgical Approach to a Rare Skin Tumor
Alves, Duarte Gil; Araújo, Cláudia; Sousa, Jessica; Lapa, Alexandra; Abreu de Sousa, JoaquimClear-cell hidradenocarcinomas are extremely uncommon sweat gland tumors with a predilection for the head and neck. In the limited number of articles reporting breast involvement, the primary focus concerns this entity's histological and immunohistochemical characteristics. Since hidradenocarcinomas of the breast have the potential to resemble a primary breast carcinoma closely, diagnosis may be challenging. Th...