Base de dados : LILACS
Pesquisa : A01.923.047.025 [Categoria DeCS]
Referências encontradas : 45 [refinar]
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Id: biblio-1055138
Autor: Oliveira, F. R; Lima, F. R; Silvino, M. J; Pereira, L. F; Dias, F. G. G.
Título: Topography and syntopy of abdominopelvic viscera of the giant anteater (Myrmecophage tridactyla - Linnaeus, 1758) / Topografia e sintopia das vísceras abdominopélvicas do tamanduá-bandeira (Myrmecophage tridactyla - Linnaeus, 1758)
Fonte: Arq. bras. med. vet. zootec. (Online);71(6):1961-1967, Nov.-Dec. 2019. ilus.
Idioma: en.
Resumo: In view of the scarcity of data about the topography and syntopy of abdominopelvic viscera of the giant anteater (Myrmecophage tridactyla - Linnaeus, 1758), the present study aimed to elucidate these characteristics and to compare them with the other animal species, especially the domestic ones. Three specimens, two males and one female, were donated by the Environmental Military Police of Franca to the Anatomy Veterinary Laboratory of the University of Franca, after death by road killings. The animals were fixed and maintained in aqueous 10% formaldehyde solution, followed by conventional dissection of the abdominopelvic cavities for subsequent direct inspection and topographic description of the viscera, aiming at comparative analyzes with other species, whose positioning and particularities are already established in the literature. It was observed that most of the viscera of these cavities have similar location and syntopy to domestic animals, except for the kidneys and testicles. In view of the established methodology and the results obtained, it is accepted that more specimens of anteater, both genera, should be evaluated and registered scientifically to confirm the data of the current research and anatomical preconization of the abdominopelvic cavity, inasmuch anatomical individual variation are possible between animals of the same species.(AU)

Diante da escassez de dados sobre a topografia e a sintopia das vísceras abdominopélvicas do tamanduá-bandeira (Myrmecophage tridactyla - Linnaeus, 1758), o presente estudo teve como objetivo elucidar essas características e compará-las com as demais espécies animais, mormente as domésticas. Utilizaram-se três espécimes, dois machos e uma fêmea, provenientes de doação da Polícia Militar Ambiental de Franca ao Laboratório de Anatomia Veterinária da Universidade de Franca, após óbitos por atropelamentos. Os animais foram fixados e mantidos em solução aquosa de formaldeído a 10%, seguidos de dissecação convencional das cavidades abdominopélvicas para posterior inspeção direta e descrição topográfica das vísceras, visando a análises comparativas com outras espécies, cujo posicionamento e cujas particularidades já são bem estabelecidos na literatura. Observou-se que a maioria das vísceras dessas cavidades possuem localização e sintopia similares aos animais domésticos, exceto os rins e os testículos. Diante da metodologia estabelecida e dos resultados obtidos, admite-se que mais espécimes de tamanduás-bandeiras, de ambos os gêneros, devam ser avaliados e registrados cientificamente, visando à confirmação dos dados da atual pesquisa e à preconização anatômica da cavidade abdominopélvica, visto que variações anatômicas individuais são passíveis entre animais da mesma espécie.(AU)
Descritores: Vísceras/anatomia & histologia
Cavidade Abdominal/anatomia & histologia
Cingulados/anatomia & histologia
Limites: Animais
Responsável: BR68.1 - Biblioteca Virginie Buff D'Ápice


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Texto completo SciELO Costa Rica
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Id: biblio-1040452
Autor: Rockbrand Campos, Leyla Priscilla; Caro Pizarro, Valeria; Araya Castillo, Paulina; Rojas Carranza, Herin Victoria; Koutsowris Sáenz, Stefanos; Arroyo Quirós, Alejandra.
Título: Síndrome compartimental abdominal en el paciente pediátrico: una revisión de la literatura / Abdominal compartment syndrome in the pediatric patient: a review of the literature
Fonte: Med. leg. Costa Rica;36(2):115-126, sep.-dic. 2019. tab.
Idioma: es.
Resumo: Resumen El presente artículo tiene como finalidad realizar una revisión bibliográfica acerca del síndrome compartimental abdominal en el paciente pediátrico, para actualizar a la población médica general respecto al tema en cuestión; debido a que no hay actualmente estudios de peso estadístico en cuanto a la patología; además, no hay estudios recientes a nivel nacional. El síndrome compartimental abdominal es una condición clínica seria, que presenta una mortalidad elevada sobre todo en la población pediátrica. El desconocimiento de la patología es el principal factor determinante en la mortalidad; ya que, es fundamental la sospecha médica oportuna para inicio de medidas terapéuticas evitando disfunción orgánica y muerte. Por lo tanto, en el siguiente trabajo, se desarrollarán los puntos fundamentales sobre su incidencia, presentación clínica, factores de riesgo, fisiopatología, abordaje diagnóstico y los distintos abordajes terapéuticos, tanto médicos como quirúrgicos; así como, complicaciones y pronósticos. Sin olvidar el punto clave que es conocer la técnica para la medición de la presión intraabdominal, lo que posibilita la detección precoz de complicaciones y consecuentemente, un accionar terapéutico oportuno.

Abstract The purpose of this article is to carry out a bibliographic review about abdominal compartment syndrome in the pediatric patient, to update the medical population about this topic, because currently there are no studies with enough statistical weight about this pathology. Furthermore, there aren´t recent studies at the national level. Abdominal compartment syndrome is a serious clinical condition that has an elevated mortality rate, especially in the pediatric population. The ignorance of the pathology it is the main determining factor in mortality because it is fundamentally the timely medical suspicion to start therapeutic measures avoiding organ dysfunction and death. Therefore, in the following work, the fundamental points will be developed about its incidence, clinical presentation, risk factors, pathophysiology, diagnosis, approach and the different therapeutic approaches medical and surgical as well as complications and prognosis. Without forgetting the key point which is knowing the technique for the measurement of intra abdominal pressure, which will allow the early detection of complications and consequently, a timely therapeutic action.
Descritores: Pediatria
Cavidade Abdominal
Hipertensão Intra-Abdominal/diagnóstico
Limites: Humanos
Tipo de Publ: Revisão
Responsável: CR1.1 - BINASSS - Biblioteca Nacional de Salud y Seguridad Social


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Texto completo SciELO Brasil
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Id: biblio-886253
Autor: Ferreira Filho, Francisco; Moura Júnior, Luiz Gonzaga de; Rocha, Hermano Alexandre Lima; Rocha, Sabrina Gabriele Maia Oliveira; Ferreira, Lucas Fortes Portela; Ferreira, Amanda Fortes Portela.
Título: Abdominal cavity simulator for skill progression in videolaparoscopic sutures in Brazil
Fonte: Acta cir. bras;33(1):75-85, Jan. 2018. tab, graf.
Idioma: en.
Resumo: Abstract Purpose: To develop and test a model of teaching by means of an abdominal cavity simulator. Methods: This study had two stages: development of a teaching model and an experimental prospective study that aimed to evaluate the residents' competence. The participants were divided into 3 groups: first-year resident, second-year resident, and senior surgeon. The two groups of resident physicians received training in the simulator, under instructor supervision for skill acquisition, according to the model proposed in first stage. The surgeons did not receive this intervention. The correlations and associations were verified through simple and multiple linear regressions. The learning curves were analysed using Cox regression models. The impact of the epidemiological characteristics was tested. Results: All residents reached the maximum score at the end of 16 steps and were comparable to the experimental (p<0.001). Conclusion: Residents who underwent training using the methodology of the proposed teaching model, which is based on realistic simulation, acquired proficiency in the accomplishment of endosutures in up to 16 hours of training in the laboratory.
Descritores: Técnicas de Sutura/educação
Colecistectomia Laparoscópica/educação
Cavidade Abdominal/cirurgia
Educação de Graduação em Medicina/métodos
Treinamento por Simulação/métodos
-Desempenho Psicomotor
Valores de Referência
Fatores de Tempo
Brasil
Modelos Lineares
Modelos de Riscos Proporcionais
Estudos Prospectivos
Reprodutibilidade dos Testes
Análise de Variância
Competência Clínica
Colecistectomia Laparoscópica/métodos
Curva de Aprendizado
Internato e Residência
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: biblio-886194
Autor: Seitenfus, Rafael; Ferreira, Paulo Roberto Walter; Santos, Gabriel Oliveira dos; Alves, Rafael José Vargas; Kalil, Antonio Nocchi; Barros, Eduardo Dipp de; Glehen, Olivier; Casagrande, Thaís Andrade Costa; Bonin, Eduardo Aimoré; Silva Junior, Edison Martins da.
Título: A prototype single-port device for pressurized intraperitoneal aerosol chemotherapy. Technical feasibility and local drug distribution
Fonte: Acta cir. bras;32(12):1056-1063, Dec. 2017. tab, graf.
Idioma: en.
Resumo: Abstract Purpose: To evaluate the technical feasibility and homogeneity of drug distribution of pressurized intraperitoneal aerosol chemotherapy (PIPAC) based on a novel process of intraperitoneal drug application (multidirectional aerosolization). Methods: This was an in vivo experimental study in pigs. A single-port device was manufactured at the smallest diameter possible for multidirectional aerosolization of the chemotherapeutic drug under positive intraperitoneal pressure. Four domestic pigs were used in the study, one control animal that received multidirectional microjets of 9 mL/sec for 30 min and three animals that received multidirectional aerosolization (pig 02: 9 mL/sec for 30 min; pigs 03 and 04: 3 mL/sec for 15 min). Aerosolized silver nitrate solution was applied for anatomopathological evaluation of intraperitoneal drug distribution. Results: Injection time was able to maintain the pneumoperitoneum pressure below 20 mmHg. The rate of moderate silver nitrate staining was 45.4% for pig 01, 36.3% for pig 02, 36.3% for pig 03, and 72.7% for pig 04. Conclusions: Intra-abdominal drug distribution had a broad pattern, especially in animals exposed to the drug for 30 min. Our sample of only four animals was not large enough to demonstrate an association between aerosolization and a higher silver nitrate concentration in the stained abdominal regions.
Descritores: Neoplasias Peritoneais/tratamento farmacológico
Sistemas de Liberação de Medicamentos/métodos
Aerossóis/administração & dosagem
-Neoplasias Peritoneais/patologia
Neoplasias Peritoneais/secundário
Peritônio/efeitos dos fármacos
Pressão
Fatores de Tempo
Insuflação
Estudos de Viabilidade
Sistemas de Liberação de Medicamentos/instrumentação
Aerossóis/farmacocinética
Cavidade Abdominal
Sus scrofa
Modelos Animais de Doenças
Injeções Intraperitoneais
Limites: Animais
Responsável: BR1.1 - BIREME


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Id: lil-796980
Autor: Milanesi, Rafaela; Caregnato, Rita Catalina Aquino.
Título: Intra-abdominal pressure: an integrative review / Pressão intra-abdominal: revisão integrativa
Fonte: Einstein (Säo Paulo);14(3):423-430, July-Sept. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT There is a growing request for measuring intra-abdominal pressure in critically ill patients with acute abdominal pain to be clarified. Summarizing the research results on measurement of vesical intra-abdominal pressure and analyzing the level of evidence were the purposes of this integrative literature review, carried out based on the databases LILACS, MEDLINE and PubMed, from 2005 to July 2012. Twenty articles were identified, in that, 12 literature reviews, 4 descriptive and exploratory studies, 2 expert opinions, one prospective cohort study and one was an experience report. The vesical intra-abdominal pressure measurement was considered gold standard. There are variations in the technique however, but some common points were identified: complete supine position, in absence of abdominal contracture, in the end of expiration and expressed in mmHg. Most research results indicate keeping the transducer zeroed at the level of the mid-axillary line at the iliac crest level, and instill 25mL of sterile saline. Strong evidence must be developed.

RESUMO Em pacientes críticos com quadros abdominais agudos a esclarecer é crescente a solicitação da aferição da pressão intra-abdominal. Sintetizar resultados de pesquisas sobre a mensuração da pressão intra-abdominal pela via vesical e analisar o nível de evidência foram os objetivos desta revisão integrativa da literatura, realizada nas bases LILACS, MEDLINE e PubMed, no período de 2005 a julho de 2012. Identificaram-se 20 artigos, sendo 12 revisões de literatura, 4 estudos exploratório-descritivos, 2 opiniões de especialistas, 1 estudo de coorte prospectivo e 1 relato de experiência. O método vesical para mensuração da pressão intra-abdominal foi considerado padrão-ouro. Existem variações na técnica, entretanto pontos em comum foram identificados: posição supina completa, na ausência de contratura abdominal, ao final da expiração e expressa em mmHg. A maioria indica posicionar o ponto zero do transdutor na linha axilar média, ao nível da crista ilíaca e instilar 25ml de solução salina estéril. Evidências fortes precisam ser desenvolvidas.
Descritores: Pressão
Cateterismo Urinário/métodos
Cavidade Abdominal/fisiopatologia
Hipertensão Intra-Abdominal/diagnóstico
-Cloreto de Sódio/administração & dosagem
Ilustração Médica
Monitorização Fisiológica/instrumentação
Monitorização Fisiológica/métodos
Limites: Humanos
Responsável: BR1.1 - BIREME


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Id: lil-775566
Autor: Gomes, Ricardo Zanetti; Romanek, Gabriela Moreira Mahle; Przybycien, Michella; Amaral, Danielli Cristina; Akahane, Hugo Genki Kagawa.
Título: Evaluation of the effect of allopurinol as a protective factor in post ischemia and reperfusion inflammation in Wistar rats
Fonte: Acta cir. bras;31(2):126-132, Feb. 2016. tab, graf.
Idioma: en.
Resumo: PURPOSE: To investigate the potential protective effect of allopurinol on reperfusion injury by determining the inflammatory response through the measurement of tumor necrosis factor-alpha (TNF-alpha). METHODS: Sixty rats were distributed into two groups: control and allopurinol and each group was divided into three subgroups, ischemia for two hours, ischemia for three hours and ischemia simulation. Allopurinol group rats received 100mg/kg dose of allopurinol, whereas control group rats received an equivalent dose of saline. Clamping of the infrarenal aorta was performed for two or three hours depending on the subgroup. Ischemia simulation subgroups did not suffer ischemia, just aortic dissection, and maintenance for three hours. After 72 hours of reperfusion, blood was collected by cardiac puncture for TNF-alpha measurement. RESULTS: Allopurinol reduced TNF-alpha significantly (p <0.001) when compared to the matching control subgroups (control X allopurinol in ischemia for two hours and for three hours). CONCLUSION: Allopurinol reduced the concentrations of serum TNF-alpha when used at different times of ischemia followed by reperfusion, which might indicate reduction of the inflammation provoked by the reperfusion injury.
Descritores: Traumatismo por Reperfusão/metabolismo
Alopurinol/farmacologia
Cavidade Abdominal/irrigação sanguínea
Isquemia/cirurgia
Antimetabólitos/farmacologia
-Fatores de Tempo
Traumatismo por Reperfusão/prevenção & controle
Distribuição Aleatória
Fator de Necrose Tumoral alfa/análise
Fator de Necrose Tumoral alfa/efeitos dos fármacos
Espécies Reativas de Oxigênio/metabolismo
Ratos Wistar
Modelos Animais
Inflamação/metabolismo
Limites: Animais
Responsável: BR1.1 - BIREME


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Id: lil-351281
Autor: Pérez Parrado, Jorge; Camejo Pérez, José Aquiles; Trujillo Sánchez, Fernándo.
Título: Comportamiento de la sepsis intraabdominal en las Unidades de Cuidados Intensivos e intermedios / Intra-abdominal sepsis behaviour in intesive and intermediate care units
Fonte: Mediciego;9(1):82-87, ene.-jun. 2003. tab.
Idioma: es.
Resumo: Se realizó un estudio observacional descriptivo de tipo prospectivo a 44 Historias Clínicas de pacientes ingresados en UCI y UCIM de nuestro Hospital desde septiembre del 2001 hasta septiembre del 2002 para conocer el comportamiento de la sepsis intraabdominal...
Descritores: ADOLESCENT PSYCHIATRYABORTION, THERAPEUTIC
Sepse
Cavidade Abdominal
Responsável: CU421.1 - Biblioteca


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Texto completo SciELO Cuba
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Id: biblio-960585
Autor: Rodríguez Fernández, Zenén; Nazario Dolz, Ana María; Jaén Oropeza, Adolfo.
Título: Consideraciones actuales acerca de la evisceración tras laparotomía en adultos / Current considerations about evisceration after laparotomy in adults
Fonte: Rev. cuba. med. mil;46(4):395-406, oct.-dic. 2017.
Idioma: es.
Resumo: La evisceración es la salida de las vísceras abdominales a través de los bordes de la incisión de una laparotomía, provocada por alteraciones del proceso de cicatrización. En su etiología se invocan factores mecánicos, nutricionales y locales, entre las que figuran las relacionadas con el procedimiento quirúrgico, que motivan diversidad de criterios en la comunidad científica. Esta revisión se realiza con el propósito de profundizar en los aspectos cognoscitivos y criterios de tratamiento de esta entidad debido a las pocas referencias nacionales encontradas. Se realizó una revisión documental actualizada de la bibliografía nacional y extranjera publicada en formato electrónico e impreso sobre este tema. La evisceración es una grave complicación posquirúrgica, por su elevada morbilidad y mortalidad, en ella se involucran múltiples condiciones de riesgo en cada paciente, por tanto debe ser individualizado e independientemente de que existan lineamientos generales de tratamiento, como la utilización de mallas y modificaciones de la técnica quirúrgica; y su prevención exige el cumplimiento de estrictas medidas antes, durante y después de la intervención, en las cuales el cirujano juega el papel protagónico.

The evisceration is the outflow of the abdominal viscera through the edges of the incision of a laparotomy, caused by alterations of the healing process. In its etiology, mechanical, nutritional and local factors are invoked, among which are those related to the surgical procedure, which motivate a diversity of criteria in the scientific community. This review is carried out with the purpose of deepening the cognitive aspects and treatment criteria of this entity due to the few national references found. An updated documentary review of the national and foreign bibliography published in electronic and printed format on this subject was carried out. Evisceration is a serious postoperative complication, due to its high morbidity and mortality, in which multiple risk conditions are involved in each patient, therefore it must be individualized and regardless of whether there are general guidelines for treatment, such as the use of mesh and modifications of the surgical technique; and its prevention requires compliance with strict measures before, during and after the intervention, in which the surgeon plays the leading role.
Descritores: Fatores de Risco
Cavidade Abdominal/anormalidades
Hérnia Incisional/etiologia
Laparotomia/métodos
-Literatura de Revisão como Assunto
Limites: Humanos
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: biblio-905132
Autor: Nakahira, Evelyn Sue; Maximiano, Linda Ferreira; Lima, Fabiana Roberto; Ussami, Edson Yassushi.
Título: Abdominal and pelvic actinomycosis due to longstanding intrauterine device: a slow and devastating infection
Fonte: Autops. Case Rep;7(1):43-47, Jan.-Mar. 2017. ilus.
Idioma: en.
Resumo: Actinomycosis is a chronic or subacute bacterial infection characterized by large abscess formation, caused mainly by the gram-positive non-acid-fast, anaerobic, or microaerophilic/capnophilic, obligate parasites bacteria from the genus. Although pelvic inflammatory disease is an entity associated with the longstanding use of intrauterine devices (IUDs), actinomycosis is not one of the most frequent infections associated with IUDs. We present the case of a 43-year-old female patient who was referred to the emergency facility because of a 20-day history of abdominal pain with signs of peritoneal irritation. Imaging exams revealed collections confined to the pelvis, plus the presence of an IUD and evidence of sepsis, which was consistent with diffuse peritonitis. An exploratory laparotomy was undertaken, and a ruptured left tubal abscess was found along with peritonitis, and a huge amount of purulent secretion in the pelvis and abdominal cavity. Extensive lavage of the cavities with saline, a left salpingo-oophorectomy, and drainage of the cavities were performed. The histopathological examination of the surgical specimen revealed an acute salpingitis with abscesses containing sulfur granules. Therefore, the diagnosis of abdominal and pelvic actinomycosis was made. The postoperative outcome was troublesome and complicated with a colocutaneous fistula, which drained through the surgical wound. A second surgical approach was needed, requiring another extensive lavage and drainage of the recto-uterine pouch, plus the performance of a colostomy. Broad-spectrum antibiotics added to ampicillin were the first antimicrobial regimen followed by 4 weeks of amoxicillin during the outpatient follow-up. The patient satisfactorily recovered and is already scheduled for the intestinal transit reconstitution.
Descritores: Abscesso/etiologia
Actinomicose/diagnóstico
Dispositivos Intrauterinos/efeitos adversos
Ooforite/patologia
Salpingite/patologia
-Cavidade Abdominal/patologia
Anti-Infecciosos/uso terapêutico
Fístula
Perfuração Intestinal
Pelve/patologia
Limites: Humanos
Feminino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: BR26.7 - Serviço de Biblioteca e Documentação Científica


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Texto completo SciELO Brasil
Texto completo
Id: biblio-846903
Autor: Perera, S. C; Rappeti, J. C. S; Milech, V; Braga, F. A; Cavalcanti, G. A. O; Nakasu, C. C; Durante, L; Vives, P; Cleff, M. B.
Título: Eliminação de Dioctophyme renale pela urina em canino com dioctofimatose em rim esquerdo e cavidade abdominal - Primeiro relato no Rio Grande do Sul / Elimination of Dioctophyme renale to urine in canines with dioctophymosis in the left kidney and abdominal cavity - First report in Rio Grande do Sul
Fonte: Arq. bras. med. vet. zootec. (Online);69(3):618-622, jun. 2017. ilus.
Idioma: pt.
Resumo: Dioctophyme renale é um parasito que afeta tanto animais como humanos e tem como órgão de eleição o rim direito. Relata-se o caso clínico-cirúrgico de um paciente canino com histórico de eliminação de três exemplares de D. renale pela urina e presença de parasitos no rim esquerdo e na cavidade abdominal. No Hospital de Clínicas Veterinárias da Universidade Federal de Pelotas, foram realizados exames pré-cirúrgicos, entre eles a ultrassonografia abdominal, que identificou a localização dos nematódeos, e o exame de Doppler pulsado dos vasos intrarrenais, que demonstrou aumento nos índices resistivos nas regiões avaliadas. O paciente foi conduzido para a realização de laparotomia exploratória, sendo removidos 23 parasitos da cavidade abdominal. A presença de D. renale causa graves lesões nos rins e nos demais órgãos da cavidade abdominal, sendo essencial o diagnóstico precoce e a remoção dos nematódeos para recuperação do paciente.(AU)

Dioctophyme renale is a parasite that attacks animals as well as humans and has the right kidney as a preferred target organ. This document reports the case of a clinical-chirurgical canine patient with a history of elimination of three D. renale samples through its urine and presence of parasites at its left kidney and abdominal cavity. Pre-cirurgical exams were performed at the Veterinary Hospital of the Federal University of Pelotas. Among these exams, abdominal ultrasonography identified the nematode's location and the Pulse-Doppler of the intrarenal vessels showed an increase in the resistive indices of the evaluated areas. An Exploratory Laparotomy was conducted with the patient who had 23 parasites removed from its abdominal cavity. The presence of D. renale causes severe lesions at kidneys and other organs of the abdominal cavity, for this reason early diagnosis and nematode´s removal are essential for the patient's recovery.(AU)
Descritores: Cavidade Abdominal/parasitologia
Dioctophymatoidea
Rim/parasitologia
Urina/parasitologia
-Laparotomia/veterinária
Ultrassonografia Doppler de Pulso/veterinária
Limites: Animais
Cães
Responsável: BR68.1 - Biblioteca Virginie Buff D'Ápice



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