5 documents found, page 1 of 1
Broncho-Esophageal Fistula: When Surgery and Endoscopy Fail, Consider Physiolog...
Maia, D; Tronchetti, J; D'Journo, X; Dutau, HWe discuss the case of an esophageal cancer patient treated by chemo and radiotherapy complicated by an esophageal stenosis and an iatrogenic broncho-esophageal fistula. This latter was managed with multiple palliative stenting procedures and colonic surgical bypass. Despite a long disease free survival but decreased quality of life and frailty, we came to the proposal of an extremely unusual form of treatment ...
Endobronchial Amphotericin B to Treat Hemoptysis in an Inoperable Patient with ...
Pinto, M; Rodrigues, J; Silva, M; Maia, D; Miguel, AA 37-year-old man presented with chronic cavitary pulmonary aspergillosis and hemoptysis refractory to systemic antifungal therapy with voriconazole and bronchial artery embolization. Surgical excision was unfeasible due to the patient's refusal of blood transfusions. Ten sessions of intracavitary instillation of amphotericin B via flexible bronchoscopy were then performed. Hemoptysis cessation and aspergilloma...
A Diagnosis Hard to Swallow
Maia, D; Caires, N; Silva, S
Pseudochylothorax Combined with Spontaneous Pneumothorax: Case Report of a Rare...
Rosa, R; Maia, D; Caires, N; Gerardo, R; Gonçalves, I; Cardoso, JPleural involvement is the most frequent thoracic complication of rheumatoid arthritis (RA), usually occurring in patients with known RA. Typical rheumatoid pleural effusion is an exudate characterized by low pH and glucose levels and high LDH activity. Rarely, it has features of pseudochylothorax. Other uncommon complications are pneumothorax, hydropneumothorax, empyema, and bronchopleural fistula. The case of...
Portuguese consensus document for the management of alpha-1-antitrypsin deficiency
Lopes, A; Mineiro, M; Costa, F; Gomes, J; Santos, C; Antunes, C; Maia, D; Melo, R; Canotilho, M; Magalhães, E; Vicente, I; Valente, C; Gonçalves, BAlpha-1-antitrypsin deficiency (AATD) is a genetic autosomal codominant disorder caused by mutations in SERPINA1 gene. It is one of the most prevalent genetic disorders, although it remains underdiagnosed. Whereas at international level there are several areas of consensus on this disorder, in Portugal, inter-hospital heterogeneity in clinical practice and resources available have been adding difficulties in re...