10 documents found, page 1 of 1

Lymphadenopathy, weight loss, and anal lesion in a teenager

Syphilis is a systemic disease with an increasing incidence in adolescents and young adults. Clinical manifestations can be variable and diagnosis requires a high index of suspicion, as syphilis can mimic other systemic diseases. Condylomata lata is a highly infectious manifestation of secondary syphilis, reported in 9-44% of cases. Here is reported the case of an adolescent girl who presented with inguinal lym...

Cocaine-Induced Atraumatic Splenic Rupture

The most frequent cause of splenic rupture is trauma. Rarely do spontaneous splenic ruptures occur. The authors report the case of an atraumatic splenic rupture (ASR) following a recent intranasal cocaine abuse that highlights the importance of a detailed social history, since early diagnosis and treatment can produce a positive outcome.; A causa mais frequente de ruptura esplénica é o trauma. Raramente ocorrem...

Incidental Adrenal Masses: A Case Report of an Adrenal Oncocytoma

A 59-year-old woman underwent an abdominal and pelvic computed tomography (CT) scan to rule out non-obstructive urolithiasis. The patient was asymptomatic, with the exception of occasional bilateral low back pain. A physical examination did not reveal any notable findings. The CT scan revealed the presence of an incidental solid left adrenal lesion, which displaced the body of the pancreas and the left kidney. ...

Blunt Trauma and Right Diaphragmatic Rupture: Unveiling the Impact

Traumatic diaphragmatic ruptures are rare, yet blunt injuries tend to be more easily overlooked compared to penetrating trauma. The minimal evidence of external injuries makes a high index of suspicion key for diagnosis. We report the case of a right-sided thoracoabdominal blunt trauma that resulted in a diaphragmatic rupture and fractured rib. Although often approached through a midline laparotomy, a definitiv...

Primary Petit Hernia: From Diagnosis to Open Surgical Approach

Lumbar hernias are quite rare, even more so when primary or of spontaneous nature. These defects in the lumbar region demand a comprehensive knowledge of the anatomy of the lateral abdominal wall and paraspinal muscles. Given the proximity of bone structures, they can pose a surgical challenge when trying to achieve an ideal dissection and appropriate mesh overlap. The authors report the case of a primary Petit...

Anterior Penetrating Neck Injury: A Path to the Cervical Spine

While rare in incidence, penetrating neck injuries are often life-threatening. When a patient's physiological status is appropriate, the first step in treatment should be a detailed preoperative imaging assessment. Formulating a treatment plan that includes computed tomography (CT) imaging and discussing the surgical approach with a multidisciplinary team before operating allows for a successful selective surgi...

Hidradenocarcinoma of the Female Breast: A Surgical Approach to a Rare Skin Tumor

Clear-cell hidradenocarcinomas are extremely uncommon sweat gland tumors with a predilection for the head and neck. In the limited number of articles reporting breast involvement, the primary focus concerns this entity's histological and immunohistochemical characteristics. Since hidradenocarcinomas of the breast have the potential to resemble a primary breast carcinoma closely, diagnosis may be challenging. Th...

Solving urban water microplastics with bacterial cellulose hydrogels: leveragin...

The prevalence of microplastics (MPs) in both urban and aquatic ecosystems is concerning, with wastewater treatment plants being considered one of the major sources of the issue. As the focus on developing sustainable solutions increases, unused remnants from bacterial cellulose (BC) membranes were ground to form BC hydrogels as potential bioflocculants of MPs. The influence of operational parameters such as BC...

Espondilodiscite em idade pediátrica – uma doença rara, um diagnóstico difícil

Introdução e objetivo: a espondilodiscite é a infeção que atinge o disco intervertebral e as vértebras contíguas e representa dois a quatro % do total das infeções osteoarticulares em idade pediátrica. O agente patogénico é identificado em cerca de metade dos casos, sendo o Staphylococcus aureus o mais frequentemente isolado. Estudos recentes demonstram que entre os seis meses e os quatro anos a Kingella kingae...

Traumatic Head Injury and Pneumocephalus