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Abordagem clínica da cirrose hepática: protocolos de atuação

Reis, J; Alves, N; Martins, A; Horta, D; Alberto, S; Santos, L; Carvalho, R; Rodrigues, C; Oliveira, A; Costa, M; Lourenço, L; Branco, J; Cardoso, M


Reactivation of hepatitis B virus infection during treatment of hepatitis C wit...

Figueiredo, L; Alexandrino, G; Costa, M; Carvalho, R; Alberto, S; Martins, A


Actinomycosis Causing Recurrent Perianal Fistulae

Cardoso, M; Carneiro, C; Lourenço, L; Rodrigues, C; Alberto, S; João, A; Rocha, R; Geraldes, V; Costa, A; Reis, J; Nunes, V

Actinomycosis 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....



Hepatocellular carcinoma presenting with Budd-Chiari syndrome, right atrial thr...

Lourenço, L; Horta, D; Alberto, S; Reis, J

A 47-year-old patient presented with a two-week history of right upper quadrant pain, abdominal distention and new onset of shortness of breath. He had a history of intravenous drug abuse, no alcohol consumption and denied any known liver disease. On physical examination, he was tachypneic and had dullness in the flanks. His blood analysis at admission was as follows: hemoglobin, 12.9 g/dL; leukocyte count, 6,8...


Trauma perineal obstétrico: lacerações de grau 3 e 4

Bruno, D; Reis, L; Pereira, I; Ladeira, A; Alberto, S


Is there a proximal shift in the distribution of colorectal adenomas?

Oliveira, AM; Anapaz, V; Lourenço, L; Rodrigues, C; Alberto, S; Martins, A; Deus, JR; Reis, J

INTRODUCTION: Several studies have shown a proximal shift of colorectal cancer (CRC) during the last decades. However, few have analyzed the changing distribution of adenomas over time. AIM: The aim of this study was to compare the site and the characteristics of colorectal adenomas, in a single center, during two periods. METHODS: We conducted a retrospective, observational study in a single hospital of adenom...




Celiac disease and upper tract Crohn's disease: a rare association

Alberto, S; Martins, A; Deus, JR

The authors present the case of a 47 years old female, with no past or familial history, hospitalized due to vomiting and significant weight loss over the last 9 months, without abdominal pain, blood loss, constipation or diarrhea. Blood tests results revealed iron deficiency anaemia, seropositivity for ASCA, anti-transglutaminase antibody and HLA-DQ2. Upper GI endoscopy showed several ulcers in duodenal mucosa...


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