Abstract Introduction: Several studies have highlighted the potential benefits of early prophylactic transjugular intrahepatic portosystemic shunt (preemptive TIPS) placement in reducing morbidity and mortality following variceal bleeding (VB). Baveno VII recommends its placement less than 72 h after VB (Child-Pugh class C <14 or class B >7 plus active bleeding). This study aimed to evaluate the effectiveness of...
Abstract Extraskeletal mesenchymal chondrosarcoma is an extremely rare neoplastic disease associated with high incidence of distant metastasis and poor prognosis, with heart metastasis being even more uncommon. We present a case of a female patient, 62 years old, diagnosed with extraskeletal mesenchymal chondrosarcoma with disseminated metastatic disease for thirteen years, currently under second-line chemother...
Resumo Introdução: Este estudo teve como objetivo a análise do papel do radiologista em permanência física noturna no Serviço de Urgência de um hospital central, avaliando o impacto dos exames ecográficos na orientação dos doentes, particularmente no que se refere à possibilidade de evitar a realização de tomografia computorizada. Métodos: Estudo observacional e retrospetivo que analisou os exames ecográficos d...
Abstract Osteoporosis-pseudoglioma syndrome is a rare autosomal recessive disorder of severe juvenile osteoporosis and congenital blindness. This disease is characterized by intellectual disability, osteoporosis of bones and eye abnormalities. It is usually diagnosed in early childhood, with affected children displaying early onset blindness, severe osteoporosis, short stature and fractures. On plain radiograph...
Abstract We present a case of a patient in his twenties, diagnosed with mucopolysaccharidosis type VI at 7 years old, and since then under enzyme replacement therapy. He has a clinical history of short stature, hypogonadism, moderate mitral and aortic valve insufficiency, bilateral hip dysplasia, bilateral carpal tunnel syndrome and bilateral corneal clouding. A skeletal radiographic evaluation showed typical r...
Abstract Introduction: 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 ...
Resumo Introdução: 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 tratame...
Abstract During evaluation for Liver Transplantation (LT) a 59-year-old patient with alcohol-induced liver cirrhosis presented with two small liver nodules with imaging features consistent with Hepatocellular Carcinoma (HCC). At separate times, both were successfully submitted to transarterial chemoembolization (TACE) with doxorubicin, allowing the patient to keep meeting LT criteria. The first nodule treated e...