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Cervical spine osteosynthesis screw: a rare cause of late pharyngeal perforation

Silva Sousa, Patrícia; Magalhães, Clara; Sousa, Diogo; Lemos Lopes, António; Cunha, Anita; Castanheira, António

Late-onset pharyngeal perforation is a rare complication of anterior cervical spine osteosynthesis. Clinical presentation is variable and may led to serious complications. We present a 49-year-old male patient with a six-week history of throat pain and foreign body sensation. He had a previous documented odontoid fracture treated with osteosynthesis with an interf ragmentary screw performed 30 years ago. A scre...


Overcoming challenges in healthcare interoperability regulatory compliance

Castanheira, António; Peixoto, Hugo; Machado, José Manuel

There has been a significant increase in the quantity of information stored digitally by health institutions. Such information contains personal data from the actors in their universe. Thus, is crucial that it is governed by a set of rules, in order to allow it to be understood without losing important data. With the increased use of digital tools for storing and exchanging information, ethical issues began to ...


Acute necrosis of oesophagus.

Araújo, Ricardo; Castanheira, António; Machado, Joana; Ramalho, Ana; Cancela, Eugénia; Ministro, Paula; Silva, Américo

Acute esophageal necrosis is a very rare pathological entity, first described in 1990 by Goldenberg. The authors report the case of a patient of 79 years of age with this disease. The etiology of this type of esophageal injury is not yet well defined and has a reported mortality between 33 and 50% . We present this case by the rarity of the disease and the exuberance of endoscopic images in demonstration of thi...

Date: 2011   |   Origin: Acta Médica Portuguesa

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