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[PMID]:29049228
[Au] Autor:Zhang W; Sun H; Luo F
[Ad] Endereço:Department of Medical Ultrasonics, Qianfoshan Hospital Affiliated to Shan Dong University, Jinan, China.
[Ti] Título:The efficiency of sonography in diagnosing volvulus in neonates with suspected intestinal malrotation.
[So] Source:Medicine (Baltimore);96(42):e8287, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study is to prospectively evaluate the efficiency of sonography for volvulus diagnosis in neonates with clinically suspected intestinal malrotation.A total of 83 patients with suspected intestinal malrotation who underwent detailed abdominal sonography and upper gastrointestinal contrast study were included. Malrotation was characterized by inversion of the superior mesenteric artery (SMA) and superior mesenteric vein (SMV) in sonographic examination. The "whirlpool sign" of Color Doppler Sonography was recognized as a characteristic for malrotation with volvulus. The degrees of rotation of the SMV winding around SMA were also detected by sonography. Surgery was performed in patients with sonography diagnosed malrotation.A total of 39 patients were sonographically diagnosed as malrotation which was subsequently confirmed by surgery. The sensitivity and positive predictive value of the sonographic diagnosis were both 100% (39/39). The sensitivity, specificity and accuracy of "whirlpool sign" for the detection of midgut volvulus were 95.2% (20/21), 88.9% (16/18), and 92.3% (36/39), respectively. Greater degrees of rotation (equal or greater than 720°) showed higher risk (odds ratio, 5.0; P < .01) for intestinal necrosis occurrence.Sonography is more accurate in diagnosing suspected malrotation than upper gastrointestinal contrast study. Specific sonographic "whirlpool sign" related to volvulus may be used as a potential indicator for intestinal necrosis. In addition, sonography can exclude malrotation and may help the diagnosis of other diseases, such as annular pancreas and duodenal atresia.
[Mh] Termos MeSH primário: Anormalidades do Sistema Digestório/diagnóstico por imagem
Volvo Intestinal/diagnóstico por imagem
Ultrassonografia Doppler em Cores/métodos
[Mh] Termos MeSH secundário: Anormalidades do Sistema Digestório/diagnóstico
Anormalidades do Sistema Digestório/patologia
Feminino
Seres Humanos
Recém-Nascido
Volvo Intestinal/diagnóstico
Volvo Intestinal/patologia
Masculino
Artéria Mesentérica Superior/diagnóstico por imagem
Artéria Mesentérica Superior/patologia
Veias Mesentéricas/diagnóstico por imagem
Veias Mesentéricas/patologia
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171122
[Lr] Data última revisão:
171122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008287


  2 / 1393 MEDLINE  
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[PMID]:28953685
[Au] Autor:Cao Y; Li J; Shen L; Wang J; Xia Z; Tao K; Wang G; Cai K
[Ad] Endereço:Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
[Ti] Título:Gastric cancer in a situs inversus totalis patient with multiple intestinal and vessel variations related to gastrectomy surgery: A case report and literature review.
[So] Source:Medicine (Baltimore);96(39):e8209, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Situs inversus totalis (SIT) is a rare congenital anomaly characterized by complete inversion of the abdominal and thoracic organs, and often involves multiple genetic mutations. The most suitable surgical technique for patients with multiple vessel and organ variations as well as SIT remains unclear. Furthermore, there has been insufficient clinical evidence that demonstrates which surgical techniques achieve the best outcomes. Finally, the standard of care has not yet been determined. We present the case of a 60-year-old man with SIT, who was diagnosed with moderately and poorly differentiated adenocarcinoma at the gastroesophageal junction. We further describe the advantage of using robotic-assisted laparoscopic surgery in patients with this anomaly. PATIENT CONCERNS: A 60-year-old man complained of pain in his upper abdomen for 3 months. Physical examination revealed an apex beat in the right fifth intercostal space, and vascular anomalies were noted on abdominal angiographic computed tomography. DIAGNOSES: Moderately and poorly differentiated adenocarcinoma at the gastroesophageal junction with SIT. INTERVENTIONS: Robot-assisted total gastrectomy with D2 lymph node dissection and hand-sewn Roux-en-Y anastomosis was performed. OUTCOMES: The postoperative course was uneventful, and the patient was discharged on the seventh postoperative day. LESSONS: Robotic surgery for gastric cancer is a safe and feasible alternative to laparoscopic surgery and it can be successfully used to treat gastric cancer in patients with SIT with multiple anatomic variations. As exemplified by our case, SIT might be accompanied by multiple anatomic variations. Detailed preoperative detailed imaging of the blood vessels and gastrointestinal tract is useful in these patients.
[Mh] Termos MeSH primário: Adenocarcinoma in Situ
Junção Esofagogástrica/patologia
Gastrectomia/métodos
Cuidados Pré-Operatórios/métodos
Situs Inversus
Neoplasias Gástricas
[Mh] Termos MeSH secundário: Adenocarcinoma in Situ/patologia
Adenocarcinoma in Situ/fisiopatologia
Adenocarcinoma in Situ/cirurgia
Angiografia por Tomografia Computadorizada/métodos
Anormalidades do Sistema Digestório/diagnóstico
Seres Humanos
Laparoscopia/métodos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Robóticos/métodos
Situs Inversus/diagnóstico
Situs Inversus/fisiopatologia
Neoplasias Gástricas/patologia
Neoplasias Gástricas/fisiopatologia
Neoplasias Gástricas/cirurgia
Resultado do Tratamento
Malformações Vasculares/diagnóstico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008209


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[PMID]:28709660
[Au] Autor:Mery CM; De León LE; Rodriguez JR; Nieto RM; Zhang W; Adachi I; Heinle JS; Kane LC; McKenzie ED; Fraser CD
[Ad] Endereço:Division of Congenital Heart Surgery, Texas Children's Hospital, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas. Electronic address: cmmery@texaschildrens.org.
[Ti] Título:Effect of Gastrointestinal Malformations on the Outcomes of Patients With Congenital Heart Disease.
[So] Source:Ann Thorac Surg;104(5):1590-1596, 2017 Nov.
[Is] ISSN:1552-6259
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The goal of this study was to assess the effect of associated gastrointestinal malformations (GI) on the outcomes of patients undergoing congenital heart operations. METHODS: Neonates and infants with thoracic (esophageal atresia, tracheoesophageal fistula) and abdominal (duodenal stenosis/atresia, imperforate anus, Hirschsprung disease) GI malformations undergoing congenital heart operations between 1995 and 2015 were included. Two control groups were created, one for each group. Patients were matched by diagnosis, procedure, history of prematurity, presence of genetic syndrome, and a propensity score including weight and year of operation. RESULTS: The cohort included 383 patients: 52 (14%) with thoracic GI malformations and 98 (25%) thoracic GI controls, 80 (21%) with abdominal GI malformations and 153 (40%) abdominal GI controls. Median follow-up was 6 years (range, 16 days to 20 years). Patients with thoracic GI malformations had longer length of stay (p < 0.001), longer intubation times (p = 0.002), and higher perioperative death (p = 0.015) than controls. There was a tendency for worse overall survival than controls, mainly explained by the higher risk of early death (p = 0.06). No difference was found in outcomes between patients with abdominal GI malformations and controls. CONCLUSIONS: Patients with thoracic GI malformations have worse perioperative outcomes than controls, but their long-term survival does not seem to be significantly different. Abdominal GI malformations do not have a significant effect on outcomes. The presence of GI malformations should likely not preclude patients from undergoing congenital heart operations, but careful family counseling is necessary, especially for thoracic GI malformations.
[Mh] Termos MeSH primário: Causas de Morte
Anormalidades do Sistema Digestório/epidemiologia
Anormalidades do Sistema Digestório/cirurgia
Cardiopatias Congênitas/epidemiologia
Cardiopatias Congênitas/cirurgia
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Comorbidade
Bases de Dados Factuais
Anormalidades do Sistema Digestório/diagnóstico
Feminino
Cardiopatias Congênitas/diagnóstico
Seres Humanos
Lactente
Recém-Nascido
Recém-Nascido Prematuro
Estimativa de Kaplan-Meier
Masculino
Complicações Pós-Operatórias/mortalidade
Complicações Pós-Operatórias/fisiopatologia
Prognóstico
Procedimentos Cirúrgicos Reconstrutivos/métodos
Procedimentos Cirúrgicos Reconstrutivos/mortalidade
Valores de Referência
Estudos Retrospectivos
Medição de Risco
Estatísticas não Paramétricas
Análise de Sobrevida
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170716
[St] Status:MEDLINE


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[PMID]:28443816
[Au] Autor:Khen-Dunlop N; Beaudoin S; Marion B; Rousseau V; Giuseppi A; Nicloux M; Grevent D; Salomon LJ; Aigrain Y; Lapillonne A; Sarnacki S
[Ad] Endereço:AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France; EA 7328 FETUS, Hôpital Necker-Enfants malades, Paris, France. Electronic address: naziha.khen-dunlop@nck.aphp.fr.
[Ti] Título:Segmental volvulus in the neonate: A particular clinical entity.
[So] Source:J Pediatr Surg;52(3):454-457, 2017 Mar.
[Is] ISSN:1531-5037
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Complete intestinal volvulus is mainly related to congenital anomalies of the so-called intestinal malrotation, whereas segmental volvulus appears as a distinct entity, mostly observed during the perinatal period. Because these two situations are still lumped together, the aim of this study was to describe the particular condition of neonatal segmental volvulus. STUDY DESIGN: We analyzed the circumstances of diagnosis and management of 17 consecutives neonates operated for segmental volvulus more than a 10-year period in a single institution. During the same period, 19 cases of neonatal complete midgut volvulus were operated. RESULTS: Prenatal US exam anomalies were observed in 16/17 (94%) of segmental volvulus, significantly more frequently than in complete volvulus (p=0.003). Intestinal malposition was described peroperatively in all cases of complete volvulus, but also in 4/17 segmental volvulus (23%). Intestinal resection was performed in 88% of segmental volvulus when only one extensive intestinal necrosis was observed in complete volvulus. Parenteral nutrition was required in all patients with segmental volvulus with a median duration of 50days (range 5-251). CONCLUSION: Segmental volvulus occurs mainly prenatally and leads to fetal ultrasound anomalies. This situation, despite a limited length of intestinal loss, is associated to significant postnatal morbidity. TYPE OF THE STUDY: Treatment study. LEVEL OF EVIDENCE: Level IV.
[Mh] Termos MeSH primário: Anormalidades do Sistema Digestório/diagnóstico por imagem
Volvo Intestinal/diagnóstico por imagem
Intestinos/diagnóstico por imagem
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Intestinos/anormalidades
Masculino
Gravidez
Estudos Retrospectivos
Ultrassonografia Pré-Natal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170427
[St] Status:MEDLINE


  5 / 1393 MEDLINE  
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[PMID]:28296740
[Au] Autor:Ren H; Duan L; Zhao B; Wu X; Zhang H; Liu C
[Ad] Endereço:Department of Pediatric Surgery, Children's Hospital of Shanxi Province, Shanxi, China.
[Ti] Título:Diagnosis and treatment of communicating bronchopulmonary foregut malformation: Report of two cases and review of the literature.
[So] Source:Medicine (Baltimore);96(11):e6307, 2017 Mar.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Communicating bronchopulmonary foregut malformation (CBPFM) is a rare congenital malformation involving both the digestive and respiratory systems. To our best knowledge, most cases of CBPFM reported in the literature were in infancy or adulthood and CBPFM in infantile is even rarer with a high case-fatality rate partly due to misdiagnosis. PATIENT CONCERNS: We presented 2 cases of neonatal CBPFM. A 11-hour male newborn was admitted because of moaning for 7 hours, and a 1-day male newborn was referred to us with profuse foams, choking on breast-milk feeding and facial cyanosis. DIAGNOSES: With the assistance of upper gastrointestinal tract imaging and contrast-enhanced chest computed tomography (CT), the diagnosis was established according to the most recent diagnostic criteria. INTERVENTIONS: The case one recieved a lower left pneumonectomy and surgical repair of esophageal fistula. The case two was performed with a surgical repair of esophageal atresia and esophageal tracheal fistula firstly, and then also received a repair of communicating bronchopulmonary foregut malformation two weeks after the first operation. OUTCOMES: The case one was cured and discharged 2 weeks after admission. Unfortunately the case two died from respiratory failure. LESSONS: Pediatric surgeons should therefore be aware that type I CBPMF is rare and preoperative diagnosis is usually difficult. Maldiagnosis is uncommon because clinicians often focus their attention on esophageal atresia and neglect pulmonary abnormalities. Other than upper gastrointestinal tract radiography and CT scan, bronchoscopy should be considered in pediatric patients with esophageal atresia complicated with pulmonary abnormalities, knowing that bronchoscopy may help confirm the diagnosis and select surgical strategies.
[Mh] Termos MeSH primário: Anormalidades Múltiplas/diagnóstico por imagem
Anormalidades Múltiplas/cirurgia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias
Anormalidades do Sistema Digestório/diagnóstico por imagem
Anormalidades do Sistema Digestório/cirurgia
Endoscopia do Sistema Digestório
Atresia Esofágica/cirurgia
Seres Humanos
Recém-Nascido
Masculino
Anormalidades do Sistema Respiratório/diagnóstico por imagem
Anormalidades do Sistema Respiratório/cirurgia
Fístula do Sistema Respiratório/diagnóstico por imagem
Fístula do Sistema Respiratório/cirurgia
Tomografia Computadorizada por Raios X
Traqueia/diagnóstico por imagem
Traqueia/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170403
[Lr] Data última revisão:
170403
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006307


  6 / 1393 MEDLINE  
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[PMID]:28217872
[Au] Autor:Pastrana-Ayala R; Peña-Castro GL; Valencia-Herrera AM; Mena-Cedillos CA; Toussaint-Caire S; Akaki-Carreño YI; García-Delgado C; Morán-Barroso VF; Toledo-Bahena M
[Ad] Endereço:Department of Dermatology, Hospital Infantil de México Federico Gómez, México, D.F, Mexico.
[Ti] Título:Craniosynostosis, delayed closure of the fontanelle, anal, genitourinary, and skin abnormalities (CDAGS syndrome): first report in a Mexican patient and review of the literature.
[So] Source:Int J Dermatol;56(4):435-439, 2017 Apr.
[Is] ISSN:1365-4632
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Craniosynostosis and clavicular hypoplasia, delayed closure of the fontanelle, cranial defects, anal and genitourinary abnormalities, and skin (CDAGS), is an infrequent autosomal recessive entity with only 10 cases reported; no associated gene has been identified so far. CASE REPORT: The proband is a 2-year-old Mexican female with brachycephaly, cleft palate, anal malformation with rectovestibular fistula, and clinodactyly of the third toe overlapping the second. At 4 months of age, she developed a disseminated dermatosis with erythematous scaly nummular plaques, elevated keratotic sharp borders with thin to broad flaking, hematic crusts, and keratotic surface in others. The lesions were slightly pruritic and began at the lower limbs with posterior dissemination to the upper limbs, head, and trunk; palms and soles were unaffected. A skin biopsy showed hyperkeratosis, parakeratosis, acanthosis, and perivascular inflammatory infiltration in the upper reticular dermis among other alterations. She also presented mild bilateral neurosensory hypoacusia and enamel dysplasia. Her karyotype was normal. Treatment with topical hydrating creams partially improved the skin lesions at their center, while the sharply keratotic borders remained, giving a clinical resemblance to porokeratosis. DISCUSSION: The patient suffers from CDAGS syndrome but has normal development, and feet abnormality was described in only one other patient. The treatment with topical hydrating creams improved the skin lesions at their center, while porokeratotic characteristics persisted. CDAGS remains a diagnostic challenge; a comparison with previously reported cases is discussed. The timely detection of the syndrome will allow early treatment that may improve the condition of the patients.
[Mh] Termos MeSH primário: Canal Anal/anormalidades
Craniossinostoses/diagnóstico
Craniossinostoses/patologia
Anormalidades do Sistema Digestório/diagnóstico
Anormalidades do Sistema Digestório/patologia
Poroceratose/diagnóstico
Poroceratose/patologia
Anormalidades da Pele/patologia
Creme para a Pele/uso terapêutico
[Mh] Termos MeSH secundário: Canal Anal/diagnóstico por imagem
Canal Anal/patologia
Pré-Escolar
Craniossinostoses/diagnóstico por imagem
Craniossinostoses/tratamento farmacológico
Anormalidades do Sistema Digestório/diagnóstico por imagem
Anormalidades do Sistema Digestório/tratamento farmacológico
Feminino
Seres Humanos
Imagem Tridimensional
México
Poroceratose/diagnóstico por imagem
Poroceratose/tratamento farmacológico
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170221
[St] Status:MEDLINE
[do] DOI:10.1111/ijd.13504


  7 / 1393 MEDLINE  
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[PMID]:28208009
[Au] Autor:Tsutsumi K; Kato H; Okada H
[Ad] Endereço:Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
[Ti] Título:Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies.
[So] Source:Gut Liver;11(2):306-311, 2017 Mar 15.
[Is] ISSN:2005-1212
[Cp] País de publicação:Korea (South)
[La] Idioma:eng
[Ab] Resumo:A newly developed short double-balloon enteroscope with a working channel enlarged to a diameter of 3.2 mm is a novel innovation in stent placement for patients with surgically altered anatomies. Herein, we report three patients in whom this new scope contributed to an efficient technique and ideal treatment. In the first case, the double guidewire technique was efficient and effective for multiple stent placements. In the second case, covered self-expandable metal stent (SEMS) placement, which is the standard treatment for malignant biliary obstruction, could be performed in a technologically sound and safe manner. In the third case, SEMS placement was performed as palliative treatment for malignant afferent-loop obstruction; this procedure could be performed soundly and safely using the through-the-scope technique. The wider working channel of this new scope also facilitates a smoother accessory insertion and high suction performance, which reduces procedure time and stress on endoscopists. Furthermore, this new scope, which has advanced force transmission, adaptive bending, and a smaller turning radius, is expected to be highly successful in both diagnosis and therapy for various digestive diseases in patients with surgically altered anatomies.
[Mh] Termos MeSH primário: Anormalidades do Sistema Digestório/cirurgia
Enteroscopia de Duplo Balão/instrumentação
Endoscópios Gastrointestinais
Implante de Prótese/instrumentação
Stents
[Mh] Termos MeSH secundário: Adulto
Idoso
Anormalidades do Sistema Digestório/etiologia
Enteroscopia de Duplo Balão/métodos
Desenho de Equipamento
Feminino
Seres Humanos
Masculino
Meia-Idade
Implante de Prótese/métodos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.5009/gnl16441


  8 / 1393 MEDLINE  
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[PMID]:28130286
[Au] Autor:Rangarajan K; Chinna S; Nair N; Das CJ
[Ad] Endereço:Department of Radiodiagnosis, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
[Ti] Título:Peril of missing a double gall bladder: report of a patient who needed cholecystectomy two times over.
[So] Source:BMJ Case Rep;2017, 2017 Jan 27.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Gall bladder (GB) duplication is a rare anomaly, not often seen in regular clinical practice. Though a vestigial organ, the presence of calculi within the GB can cause the patient to be acutely symptomatic with right hypochondriac pain, which can even be life threatening if not treated. The presence of two GBs means this pathology can be seen in both the GBs, highlighting the importance of diagnosing this condition, lest the patient returns years after a cholecystectomy with cholecystitis yet again!
[Mh] Termos MeSH primário: Colecistectomia
Colecistite/diagnóstico por imagem
Anormalidades do Sistema Digestório/diagnóstico por imagem
Vesícula Biliar/diagnóstico por imagem
[Mh] Termos MeSH secundário: Colangiopancreatografia por Ressonância Magnética
Colecistite/complicações
Colecistite/cirurgia
Anormalidades do Sistema Digestório/complicações
Vesícula Biliar/anormalidades
Vesícula Biliar/cirurgia
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Meia-Idade
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170306
[Lr] Data última revisão:
170306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170129
[St] Status:MEDLINE


  9 / 1393 MEDLINE  
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[PMID]:28126700
[Au] Autor:Esterson YB; Villani R; Dela Cruz RA; Friedman B; Grimaldi GM
[Ad] Endereço:Department of Radiology, Northwell Health System, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address: YEsterson@northwell.edu.
[Ti] Título:Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion.
[So] Source:Clin Imaging;42:228-231, 2017 Mar - Apr.
[Is] ISSN:1873-4499
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.
[Mh] Termos MeSH primário: Arteriopatias Oclusivas/diagnóstico por imagem
Anormalidades do Sistema Digestório/diagnóstico por imagem
Volvo Intestinal/diagnóstico por imagem
Artéria Mesentérica Superior/diagnóstico por imagem
Complicações na Gravidez/diagnóstico por imagem
[Mh] Termos MeSH secundário: Adulto
Arteriopatias Oclusivas/etiologia
Anormalidades do Sistema Digestório/complicações
Feminino
Seres Humanos
Volvo Intestinal/complicações
Gravidez
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170504
[Lr] Data última revisão:
170504
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE


  10 / 1393 MEDLINE  
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[PMID]:28124311
[Au] Autor:Kumar B; Kumar M; Kumar P; Sinha AK; Anand U; Kumar A
[Ad] Endereço:Department of Pediatric Surgery, All India Institute of Medical Sciences, Phulwari Sharif, Patna, 801 507, India.
[Ti] Título:Color Doppler-An effective tool for diagnosing midgut volvulus with malrotation.
[So] Source:Indian J Gastroenterol;36(1):27-31, 2017 Jan.
[Is] ISSN:0975-0711
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Malrotation with midgut volvulus is a common surgical emergency in children. A diagnostic tool for malrotation with characteristics ideal in emergency settings such as non-invasiveness and rapidity remains a keenly debated issue among surgeons and radiologists alike. METHODS: Fifty-two pediatric patients of suspected malrotation with midgut volvulus were studied between 1998 and 2016. All patients underwent plain abdominal X-ray and Color Doppler; contrast upper gastrointestinal (GI) studywas done in some patients. All cases were operated and diagnosis was confirmed. A subset of 60 pediatric patients with nonspecific GI complaints were also examined to see relative position of superior mesenteric vein (SMV)/superior mesenteric artery (SMA) in control population. RESULT: A total of 52 suspected cases of malrotation were admitted from May 1998 to November 2015, 43 had inversion of SMA/SMV and nine had SMV anterior of SMA in Color Doppler. All 43 cases of inversion of SMA/SMV were cases of malrotation after surgical confirmation; while five out of nine cases of SMV anterior to SMA had malrotation. CONCLUSION: In appropriate clinical settings, Color Doppler documenting the reversal or aberrant SMV/SMA axis is not only predictive but also diagnostic of malrotation of gut.
[Mh] Termos MeSH primário: Anormalidades do Sistema Digestório/diagnóstico por imagem
Volvo Intestinal/diagnóstico por imagem
Ultrassonografia Doppler em Cores
[Mh] Termos MeSH secundário: Pré-Escolar
Anormalidades do Sistema Digestório/cirurgia
Feminino
Seres Humanos
Lactente
Volvo Intestinal/cirurgia
Masculino
Artéria Mesentérica Superior/anormalidades
Artéria Mesentérica Superior/diagnóstico por imagem
Veias Mesentéricas/anormalidades
Veias Mesentéricas/diagnóstico por imagem
Valor Preditivo dos Testes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171110
[Lr] Data última revisão:
171110
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170127
[St] Status:MEDLINE
[do] DOI:10.1007/s12664-017-0729-5



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