49 documents found, page 1 of 5
ARP Case Report nº 28: Encephalopathy Associated with Congenital Intrahepatic P...
Oliveira, Tiago; Ferreira, Luís Amaral; Oliveira, Carlos; Donato, PauloA 78-year-old female patient was admitted to the emergency department of our institution with a history of psychomotor retardation, myoclonus and dysarthria, over the last 2 months. Her past medical history only included atrial fibrillation with a rapid ventricular response. The neurological examination confirmed the findings mentioned above and an electroencephalography was performed which showed the presence ...
Discrimination between falls and blows from the localization and the number of ...
Henriques, Mélanie; Saliba-Serre, Bérengère; Martrille, Laurent; Blum, Alain; Chaumoître, Kathia; Donato, Paulo; Campos, Nuno; Cunha, EugéniaThe distinction between falls and blows is a common and difficult task in forensic sciences. One of the most often used criteria to address this issue is the hat brim line (HBL) rule, which states that fall-related injuries do not lie above the HBL. Some studies, however, have found that the use of HBL rule is not so relevant. This study assesses the aetiologies, the number of fractures, and their location on t...
Clinical Impact of Preoperative Biliary Drainage in Patients with Ductal Adenoc...
Amaral, Maria João; Freitas, João; Amaral, Mariana; Serôdio, Marco; Oliveira, Rui Caetano; Donato, Paulo; Tralhão, José GuilhermeOur aim was to study the association between preoperative biliary drainage (PBD) and morbidity following cephalic pancreaticoduodenectomy (CPD) for pancreatic ductal adenocarcinoma (PDAC) and its prognostic impact, which is still controversial in the literature. A retrospective study was conducted, which included 128 patients who underwent CPD for PDAC, divided into two groups: those who underwent PBD (group 1)...
Prevalence of celiac artery compression by median arcuate ligament in patients ...
Borges, Ana Paula; Antunes, Célia; Donato, PauloPurpose To study the association between median arcuate ligament compression (MALC) of celiac artery (CA) and splanchnic artery aneurysms/pseudoaneurysms (SAAPs) submitted to endovascular embolization. Methods Single center retrospective study of embolized SAAPs between 2010 and 2021, to evaluate the prevalence of MALC, and compare demographic data and clinical outcomes between patients with and without MALC. A...
Transvenous Obliteration Procedure in the Management of Parastomal Variceal Ble...
Estorninho, João; Patrão, Pedro; Temido, Maria José; Perdigoto, David N.; Figueiredo, Pedro; Donato, PauloIntroduction: Parastomal variceal bleeding (PVB) is a recognized complication of ostomized patients in the presence of portal hypertension. However, since there are few reported cases, a therapeutic algorithm has not yet been established. Case Presentation: A 63-year-old man, who had undergone a definitive colostomy, recurrently presented to the emergency department hemorrhage of bright red blood from his colos...
Analysis of 665 thyroid nodules using both EU-TIRADS and ACR TI-RADS classifica...
Borges, Ana Paula; Antunes, Célia; Alves, Filipe Caseiro; Donato, PauloBackground Ultrasound-based classification systems allow stratification of thyroid nodules to recommend fineneedle aspiration (FNA) based on their malignancy risk. However, these have discrepancies that may have an impact in thyroid cancer detection. We aimed to compare European Thyroid Association (EU-TIRADS) and American College of Radiology (ACR TI-RADS), in terms of FNA indication and diagnostic performance...
Pancreatic Cancer Biomarkers: Oncogenic Mutations, Tissue and Liquid Biopsies, ...
Amaral, Maria João; Oliveira, Rui C.; Donato, Paulo; Tralhão, José GuilhermePancreatic cancer is one of the most fatal malignancies, as approximately 80% of patients are at advanced stages by the time of diagnosis. The main reason for the poor overall survival is late diagnosis that is partially due to the lack of tools for early-stage detection. In addition, there are several challenges in evaluating response to treatment and predicting prognosis. In this article, we do a review of th...
Terapêutica Endovascular na Isquemia Mesentérica Aguda
Lopes, Simão; Donato, PauloIntrodução: A isquémia mesentérica aguda é uma causa de ventre agudo associada a altas taxas de morbimortalidade. As recomendações atuais para tratamento inicial desta patologia incluem a revascularização endovascular ou cirúrgica, no entanto estas recomendações são baseadas em estudos retrospetivos com pequenas amostras. O objetivo deste trabalho é fazer uma revisão da literatura das técnicas de tratamento end...
Carcinoma Hepatocelular e Colangiocarcinoma Síncronos num Fígado Cirrótico de E...
Borges, Ana Paula; Caseiro-Alves, Filipe; Antunes, Célia; Donato, PauloDurante a avaliação pré-transplante hepático de um doente de 59 anos com cirrose de etiologia alcoólica, foram detetados dois nódulos hepáticos com características imagiológicas compatíveis com carcinoma hepatocelular (CHC). Em tempos diferentes, foram ambos eficazmente submetidos a quimioembolização transarterial com doxorrubicina, permitindo ao doente continuar a cumprir critérios para transplante. O primeiro...
Hepatic artery pseudoaneurysm after hepatic transplant - endovascular treatment...
Campos, Nuno; Donato, PauloHepatic artery pseudoaneurysms (HAP) after liver transplantation are rare and associated with high mortality. Different treatment options exist for HAP, which include surgical intervention, radiological coil embolization or stenting and retransplantation. We describe a case of a patient presenting with HAP after a liver transplantion, that was successfully treated with stent grafting, allowing preservation of ...