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ENDOMETRIOSIS - UNUSUAL AETIOLOGY OF INGUINAL SWELLING

Longras, Catarina; Figueiredo Braga, Sandrina; Carrilho, Celso; Mesquita, Amílcar

A 42 years-old female presented with right inguinal swelling with one year of evolution. Magnetic resonance imaging was suggestive of inguinal endometriosis adherent to femoral vessels. Due to the rarity of this pathology (prevalence 0.3-0.6%), clinical suspicion is essential. Surgical excision is the treatment of choice.


RECURRENT INGUINAL LYMPHOCELE – A THERAPEUTIC CHALLENGE

Longras, Catarina; Figueiredo Braga, Sandrina; Carrilho, Celso; Mesquita, Amílcar

Recurrent lymphocele after repair of crural hernia without resolution after several aspirations and injections of sclerosing agents. Reintervention with lymphatic marking (injection of patent blue dye at the interdigital level, Figure 1 a) Lymphatic marking through injection of patent blue dye at the interdigital level. b) Surgical approach of the inguinal region. Figure 1), followed by en bloc removal of the g...


PORTOMESENTERIC VENOUS GAS AND INTESTINAL PNEUMATOSIS – RADIOLOGICAL SIGNS OF M...

Longras, Catarina; Figueiredo Braga, Sandrina; Aleixo, Sara; Moreira, Ricardo

Computed tomography showing portal and mesenteric venous gas and intestinal pneumatosis, rare radiological signs that, together, favor the diagnosis of mesenteric ischemia (70% of cases). When present, mortality is around 40-90%. Surgical exploration is mandatory with assessment of the extent of intestinal ischemia and appropriate treatment.


PÉ DIABÉTICO: O PODER DIAGNÓSTICO DA RADIOGRAFIA CONVENCIONAL

Campos Pereira, Eva; Ferreira, Joana; Carrilho, Celso; Braga, Sandrina; simóes, João Correia; Longras, Catarina; Brito, Diana; Mesquita, Amílcar

pé diabético é uma complicação da Diabetes Mellitus (DM) responsável por 1250 amputações (705 minor e 545 major) em 2015 em Portugal1,2. É uma consequência da vasculopatia, imunopatia e neuropatia3,4, sendo esta última o mecanismo mais importante da Neuroartropatia de Charcot (NC)5. Ainda com a fisiopatologia exata por definir, defendem-se atualmente duas correntes — a neurotraumática e a neurovascular — ou mes...


DIABETIC FOOT: THE DIAGNOSTIC POWER OF THE RADIOLOGICAL IMAGING

Pereira, Eva Campos; Ferreira, Joana; Carrilho, Celso; Braga, Sandrina; Correia Simões, João; Longras, Catarina; Brito, Diana; Marta, Ricardo

Introdução: O pé diabético é uma complicação da Diabetes Mellitus (DM) responsável por 250 amputações em 2015 em Portugal1,2. É uma consequência da vasculopatia, imunopatia e neuropatia3,4, sendo esta última o mecanismo mais importante da Neuroartropatia de Charcot (NC)5. A radiografia convencional permite uma primeira abordagem imagiológica, identificando os “6 D’s”: Dense subchondral bones; Degeneration; Dest...

Date: 2017   |   Origin: Angiologia e Cirurgia Vascular

Gallbladder Agenesis: A Case Report of an intraoperative diagnosis

Carvalho, Ana Cristina Silva; Santos Costa, Carlos; Correia, Pinto; Magalhães, Jorge; Brito, Diana; Martins, Marta da Cruz; Longras, Catarina

Introduction: Agenesis of the gallbladder is a rare congenital anomaly occurring in 10 to 65 per 100 000 people. Patients are usually asymptomatic and the diagnosis is made as an incidental finding during another abdominal surgery or at autopsy. The presence of biliary symptoms and a misleading ultrasound study can lead to unnecessary surgery. Case Presentation: We present a 43-year-old female proposed to lapar...

Date: 2017   |   Origin: Revista Portuguesa de Cirurgia

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