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  1 / 2112 MEDLINE  
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[PMID]:29391321
[Au] Autor:Okuda Y; Mizuno S; Koide T; Suzaki M; Isaji S
[Ad] Endereço:Department of Surgery, Kinan Hospital, Mie, Japan.
[Ti] Título:Surgical treatment of pneumatosis cystoides intestinalis with pneumoperitoneum secondary.
[So] Source:Turk J Gastroenterol;29(1):129-131, 2018 01.
[Is] ISSN:2148-5607
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Mh] Termos MeSH primário: Pneumatose Cistoide Intestinal
Pneumoperitônio
[Mh] Termos MeSH secundário: Seres Humanos
Radiografia
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.5152/tjg.2018.17519


  2 / 2112 MEDLINE  
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[PMID]:28904665
[Au] Autor:Aglili FZ; Oudrhiri M; Knouni H; Taboz Y; Benkiran H; Aguenaou H; Ettaybi F; Barkat A
[Ad] Endereço:Service de Médecine et Réanimation Néonatale, PV, HER, Chis Ibn Sina, Commission de Formation Médicale Continue Université Mohammed V, Faculté de Médecine et Pharmacie, Équipe de Recherche en Santé et Nutrition du Couple Mère Enfant.
[Ti] Título:[Idiopathic gastric perforation in neonates: about a case].
[Ti] Título:Perforation gastrique idiopathique du nouveau-né: à propos d'un cas..
[So] Source:Pan Afr Med J;27:136, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Spontaneous neonatal gastric perforation is rare. We report the case of a newborn without any abnormality identified at delivery and whose mother had problem-free pregnancy. On the third day of life, he had a sudden onset of severe abdominal distension followed by bilious vomiting. Abdominal X-rays without treatment showed massive pneumoperitoneum and laparotomy showed a perforation at the level of the anterior gastric wall closed in a single layer closure. Postoperative course was uneventful. Spontaneous neonatal gastric perforation usually has a favorable outcome. Hence the importance of early diagnosis and patient management.
[Mh] Termos MeSH primário: Laparotomia/métodos
Pneumoperitônio/etiologia
Ruptura Gástrica/diagnóstico
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Pneumoperitônio/cirurgia
Ruptura Espontânea/diagnóstico
Ruptura Espontânea/cirurgia
Ruptura Gástrica/cirurgia
Vômito/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.136.12036


  3 / 2112 MEDLINE  
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[PMID]:28674585
[Au] Autor:Essarghini M; Tarchouli M; Elfahssi M; Aitali A; Bounaim A
[Ad] Endereço:Service de Chirurgie 1 de l'Hôpital Militaire d'Instruction Mohamed V, Rabat, Maroc.
[Ti] Título:[A rare case of spontaneous massive pneumoperitoneum].
[Ti] Título:Un cas rare de pneumopéritoine spontané massif: à propos d'une Observation..
[So] Source:Pan Afr Med J;26:192, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Spontaneous pneumoperitoneum is a rare disorder characterized by the presence of free air in the peritoneal cavity, in the absence of any obvious cause. We here report the case of a patient with massive pneumoperitoneum, detected by scan, in whom clinical, biological, radiological and laparoscopic examinations showed no detectable etiology. This case study describes a clinical entity rarely seen in our practice constituting a real diagnostic trap; accurate knowledge about the disease would avoid unnecessary and especially aggressive laparotomies revealing no signs of perforation. The laparoscopy seems to be a minimally invasive surgical procedure for doubtful cases allowing visual diagnosis by eliminating hollow organ perforation.
[Mh] Termos MeSH primário: Laparoscopia/métodos
Pneumoperitônio/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Seres Humanos
Laparotomia/métodos
Masculino
Pneumoperitônio/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170705
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.192.11554


  4 / 2112 MEDLINE  
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[PMID]:28530216
[Au] Autor:Krzeminski S
[Ad] Endereço:Malopolska District Medical Commission of the Ministry of Internal Affair in Cracow, Poland.
[Ti] Título:[Chilaiditi syndrome - a case report].
[Ti] Título:Zespól Chilaiditi ­ opis przypadku..
[So] Source:Pol Merkur Lekarski;42(250):170-172, 2017 Apr 21.
[Is] ISSN:1426-9686
[Cp] País de publicação:Poland
[La] Idioma:pol
[Ab] Resumo:The abnormality being the result of a certain transposition of the large intestine winding in between diaphragm and the liver, owes it's name to a so called Chilaiditi symptom. This symptom is rarely recognized for at most 0,025-0,28% of the whole population statistics - wise. The Chilaiditi symptom can be examined without any serious (abdominal) pain indication, when conducting the gastrointestinal examination with the implication of the different disorders. When carrying out the diagnostic examination, it is strongly recommended to take notice of patients suffering from the pain in abdominal area, especially in case of the patients with the developed air - structure under the right side copula of the diaphragm. The transposition of the large instestine winding between the diaphragm and the liver, may lead to the blood structure disorders along the part of patient's spot - pressed intestine and be the cause of the other afflictions. The circumstance as such is thus called by the name of Chilaiditi syndrome. The respective recognition of this syndrome may prevent the patient from any unnecessary assignment for a diagnostic and (or) any other therapeutic procedures in place.It may as well minimize the overall diagnostic treatment time lapse - usually concentrated on the pain relief treatment in the aftermath. The patients without examined affliction, (ex.) due to the liver disorders and the awareness of the existence of this syndrome in general, can be an indicator for taking up a decision for when it comes to the liver biopsy. This due to the risk of any perforation of the digestive tract. A CASE REPORT: The report describes case of the 56-year-old male patient, directed onto the surgery department by cause of a quite significant epigastric pain in the right side of the abdomen, however without any of the peritoneal symptoms indicated. The x-ray examination of the chest has indicated presence of the air - structure under the diaphragm copula. Having stated that and without any other signals of the serious abdominal inflammation, this symptom gave trigger for the assumption of the gastrointestinal perforation. As a result, the tomography scan has revealed high curve placement of the diaphragm going along the patient's front lobe of the liver. In the result the Chilaiditi syndrome has been recognized by the patient, where the symptom based treatment has prescribed leading the same to the absolute healing results as an outcome. After leaving the surgery by the patient, it has been made use of the re-directory to the leading gastroenterology practice for any further control checks. In the aftermath of the several year long observation, none of the abdominal pains have been reported back. CONCLUSIONS: Presence of the air - structure under the diaphragm copula without any typical affliction in relation to digestive tract perforation might be the result of transposition of the large intestine winding between diaphragm and the liver - called the Chilaiditi syndrome.
[Mh] Termos MeSH primário: Síndrome de Chilaiditi/patologia
Perfuração Intestinal/complicações
Pneumoperitônio/etiologia
[Mh] Termos MeSH secundário: Dor Abdominal
Seres Humanos
Perfuração Intestinal/diagnóstico por imagem
Perfuração Intestinal/cirurgia
Intestino Grosso/anormalidades
Masculino
Meia-Idade
Pneumoperitônio/diagnóstico por imagem
Pneumoperitônio/cirurgia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE


  5 / 2112 MEDLINE  
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[PMID]:28530215
[Au] Autor:Elikowski W; Malek-Elikowska M; Karon J; Mrozinska M; Baszko A; Horbacka K
[Ad] Endereço:Józef Strus Hospital, Poznan, Poland: Department of Internal Medicine.
[Ti] Título:Takotsubo cardiomyopathy after intravenous epinephrine administration following cardiac arrest provoked by pneumoperitoneum - a case report.
[So] Source:Pol Merkur Lekarski;42(250):165-169, 2017 Apr 21.
[Is] ISSN:1426-9686
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:In stress-induced takotsubo cardiomyopathy (TC) high levels of catecholamines, including epinephrine, may be detected in blood. On the other hand, administration of exogenous epinephrine may occasionally result in TC. A CASE REPORT: The authors describe a case of a 58-year-old, otherwise healthy female, with TC which occurred after intravenous injection of 1 mg of epinephrine against cardiac arrest provoked by pneumoperitoneum performed before planned laparoscopic cholecystectomy. She was admitted 3 days earlier due to biliary colic following a dietary mistake. Bradycardia followed by asystole took place immediately after carbon dioxide insufflation into the peritoneal cavity. Normal heart rhythm, with transient tachycardia, recurred after a short cardiac massage, intravenous atropine and epinephrine administration as well as pneumoperitoneum decompression. ECG after the episode showed nonspecific ST segment changes. Left ventricular dysfunction assessed in echocardiography as contractile abnormalities and decreased global longitudinal strain (GLS) represented an unusual type of TC - intermediate between mid-basal and focal one. These abnormalities, involving mainly the posterior wall, resolved rapidly within 24 hours without any specific treatment. The absence of coronary artery disease was confirmed by 128-row multidetector computed tomography. TC should be considered as a potential complication of epinephrine action; however, different factors related to laparoscopic procedure including general anesthesia, intubation, underlying disease and mental stress might have been also involved in TC triggering in the case presented.
[Mh] Termos MeSH primário: Epinefrina/efeitos adversos
Parada Cardíaca/etiologia
Pneumoperitônio/complicações
Cardiomiopatia de Takotsubo/induzido quimicamente
[Mh] Termos MeSH secundário: Administração Intravenosa
Epinefrina/administração & dosagem
Epinefrina/uso terapêutico
Feminino
Parada Cardíaca/tratamento farmacológico
Seres Humanos
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
YKH834O4BH (Epinephrine)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170523
[St] Status:MEDLINE


  6 / 2112 MEDLINE  
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[PMID]:28325724
[Au] Autor:Araújo AV; Santos C; Contente H; Branco C
[Ad] Endereço:Hospital Sao Francisco Xavier, Lisboa, Portugal.
[Ti] Título:Air everywhere: colon perforation after colonoscopy.
[So] Source:BMJ Case Rep;2017, 2017 Mar 21.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Colonoscopy is being widely used since the 1980s and is the leading diagnostic procedure for colorectal cancer. For many colorectal diseases, it is also a therapeutic tool. Like many other procedures in Medicine, it has its drawbacks and complications, some of which if not readily diagnosed can represent a serious risk to the patient's health and well-being. We describe a case of colon perforation during diagnostic colonoscopy in a patient, resulting in exuberant pneumoretroperitoneum, pneumoperitoneum, pneumomediastinum and subcutaneous emphysema, who successfully underwent laparoscopic colonic resection with primary anastomosis. There are only a few cases of combined intraperitoneal and retroperitoneal perforations described in the literature.
[Mh] Termos MeSH primário: Colonoscopia/efeitos adversos
Perfuração Intestinal/etiologia
Enfisema Mediastínico/etiologia
Pneumoperitônio/etiologia
Retropneumoperitônio/etiologia
Enfisema Subcutâneo/etiologia
[Mh] Termos MeSH secundário: Idoso
Anastomose Cirúrgica
Colo Sigmoide/cirurgia
Feminino
Seres Humanos
Laparoscopia
Enfisema Mediastínico/diagnóstico por imagem
Pneumoperitônio/diagnóstico por imagem
Espaço Retroperitoneal
Retropneumoperitônio/diagnóstico por imagem
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170516
[Lr] Data última revisão:
170516
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170323
[St] Status:MEDLINE


  7 / 2112 MEDLINE  
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[PMID]:28320323
[Au] Autor:Liu Y; Cao W; Liu Y; Wang Y; Lang R; Yue Y; Wu AS
[Ad] Endereço:Department of Anesthesiology, Beijing Chaoyang Hospital, Capital Medical University, No. 8 Gongti South Road, Chaoyang District, 100020, Beijing, China.
[Ti] Título:Changes in duration of action of rocuronium following decrease in hepatic blood flow during pneumoperitoneum for laparoscopic gynaecological surgery.
[So] Source:BMC Anesthesiol;17(1):45, 2017 Mar 20.
[Is] ISSN:1471-2253
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A moderate insufflation pressure and deep neuromuscular blockade (NMB) have been recommended in laparoscopic surgery in consideration of the possible reduction in splanchnic perfusion due to the CO -pneumoperitoneum. Since the liver is the major organ for rocuronium metabolism, the question of whether NMB of rocuronium would change with the variation of liver perfusion during pneumoperitoneum during laparoscopic surgery merits investigation. METHODS: In this prospective study, a total of sixty female patients scheduled for either selective laparoscopic gynaecological surgery (group laparoscopy) or laparotomy for gynaecological surgery (group control) were analyzed. Rocuronium was administered with closed-loop feedback infusion system, which was also applied to monitor NMB complied with good clinical research practice (GCRP). The onset time, clinical duration, and recovery index were measured. Hepatic blood flow was assessed by laparoscopic intraoperative ultrasonography before insufflation/after entering the abdominal cavity (T1), 5 min after insufflation in the Trendelenburg position/5 min after skin incision (T2), 15 min after insufflation in the Trendelenburg position/15 min after skin incision (T3), 30 min after insufflation in the Trendelenburg position/30 min after skin incision (T4), and 5 min after deflation/before closing the abdomen (T5) in group laparoscopy/group control respectively. The relationship between the clinical duration of rocuronium and portal venous blood flow was analyzed using linear or quadratic regression. RESULT: The clinical duration and RI of rocuronium were both prolonged significantly in group laparoscopy (36.8 ± 8.3 min; 12.8 ± 5.5 min) compared to group control (29.0 ± 5.8 min; 9.8 ± 4.0 min) (P < 0.0001; P = 0.018). A significant decrease was found in portal venous blood flow during the entire pneumoperitoneum period in group laparoscopy compared with group control (P < 0.0001). There was a significant correlation between the clinical duration of rocuronium and portal venous blood flow (Y = 51.800-0.043X + (1.86E-005) X ; r = 0.491; P < 0.0001). CONCLUSION: Rocuronium-induced NMB during laparoscopic gynaecological surgery might be prolonged due to the decrease in portal venous blood flow induced by CO -pneumoperitoneum. Less rocuronium could be required to achieve a desirable NMB in laparoscopic gynaecological surgery. TRIAL REGISTRATION: ChiCTR. Registry number: ChiCTR-OPN-15007524 . Date of registration: December 4, 2015.
[Mh] Termos MeSH primário: Androstanóis/farmacologia
Procedimentos Cirúrgicos em Ginecologia
Laparoscopia
Fígado/irrigação sanguínea
Bloqueio Neuromuscular/métodos
Pneumoperitônio/metabolismo
[Mh] Termos MeSH secundário: Adulto
Estudos de Casos e Controles
Feminino
Hemodinâmica/efeitos dos fármacos
Seres Humanos
Fígado/efeitos dos fármacos
Meia-Idade
Fármacos Neuromusculares não Despolarizantes/farmacologia
Estudos Prospectivos
Fatores de Tempo
Ultrassonografia
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Androstanols); 0 (Neuromuscular Nondepolarizing Agents); WRE554RFEZ (rocuronium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE
[do] DOI:10.1186/s12871-017-0335-1


  8 / 2112 MEDLINE  
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[PMID]:28317587
[Au] Autor:Shigeta K; Kikuchi E; Hagiwara M; Ando T; Mizuno R; Miyajima A; Nakagawa K; Oya M
[Ad] Endereço:Department of Urology, Keio University School of Medicine, Tokyo, Japan.
[Ti] Título:Prolonged pneumoperitoneum time is an independent risk factor for intravesical recurrence after laparoscopic radical nephroureterectomy in upper tract urothelial carcinoma.
[So] Source:Surg Oncol;26(1):73-79, 2017 Mar.
[Is] ISSN:1879-3320
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate the impact of pneumoperitoneum time on intravesical recurrence (IVR) in upper tract urothelial carcinoma (UTUC) patients who underwent laparoscopic radical nephroureterectomy (LRNU). PATIENTS AND METHODS: We identified 129 UTUC patients who underwent LRNU at our three institutions from 2004 to 2014. We evaluated the association of IVR rate and patient clinico-pathological characteristics including operation time. By retrospectively reviewing all videotapes, we defined pneumoperitoneum time as being from the infusion of pressurized CO2 gas with a pressure of 10-12 mmHg to extirpation of the kidney. RESULTS: During the median follow-up of 31.1 months, 61 (47.3%) had subsequent IVR after LRNU. Multivariate analysis revealed that prolonged pneumoperitoneum time (HR = 1.81, p = 0.025) and presence of lymphovascular invasion (LVI) (HR = 1.53, p = 0.006) were independent risk factors for subsequent IVR. The 3-year and 5-year IVR free survival rates were 43.7% and 21.8% in patients with a prolonged pneumoperitoneum time of ≥150 min, which were significantly lower than those in their counterparts (59.0% and 48.3%, respectively, p = 0.024). The subsequent IVR rates were 27.3% for a pneumoperitoneum time of <90 min, 35.8% for that of 90-150 min, 55.0% for that of 150-210 min, 61.1% for that of 210-270 min, and 85.7% for that of >270 min. CONCLUSIONS: Prolongation of pneumoperitoneum time and presence of LVI might be associated with higher risk of subsequent IVR in UTUC patients who underwent LRNU.
[Mh] Termos MeSH primário: Carcinoma de Células de Transição/cirurgia
Recidiva Local de Neoplasia/etiologia
Nefrectomia/efeitos adversos
Pneumoperitônio/complicações
Neoplasias da Bexiga Urinária/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Carcinoma de Células de Transição/patologia
Feminino
Seguimentos
Seres Humanos
Técnicas Imunoenzimáticas
Masculino
Meia-Idade
Gradação de Tumores
Recidiva Local de Neoplasia/patologia
Estadiamento de Neoplasias
Prognóstico
Estudos Retrospectivos
Fatores de Risco
Taxa de Sobrevida
Fatores de Tempo
Neoplasias da Bexiga Urinária/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170321
[St] Status:MEDLINE


  9 / 2112 MEDLINE  
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[PMID]:28241852
[Au] Autor:Iida A; Naito H; Tsukahara K; Yumoto T; Nosaka N; Kawana S; Sato K; Takeuchi N; Soneda J; Nakao A
[Ad] Endereço:Department of Emergency and Critical Care Medicine, Okayama University Graduate School of, Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama-shi, Okayama, 700-8558, Japan.
[Ti] Título:Pneumatosis cystoides intestinalis presenting as pneumoperitoneum in a patient with chronic obstructive pulmonary disease: a case report.
[So] Source:J Med Case Rep;11(1):55, 2017 Feb 28.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Pneumatosis cystoides intestinalis, marked by numerous gas-filled cysts in the intestinal wall and submucosa or intestinal submucosa, is a very uncommon condition. CASE PRESENTATION: A 79-year-old Asian man presented to our emergency department after 2 days of lower abdominal pain with nausea and constipation. His past medical history included chronic obstructive pulmonary disease and he had been treated with home oxygen therapy. The patient was hemodynamically stable and had mild generalized abdominal pain and a soft, distended abdomen without signs of peritonism. A computed tomography scan showed diffuse intraluminal gas and intraperitoneal free gas. Based on the images, a clinical diagnosis of pneumatosis cystoides intestinalis with pneumoperitoneum was made. Considering the patient's physical examination, the peritoneal free air was drained by aspiration and he was observed for 12 h, but remained well. Abdominal symptoms and pneumoperitineum resolved after drainage of the peritoneal air by aspiration. The suspected etiopathogenic mechanism of pneumatosis cystoides intestinalis in the presented patient may have been alveolar air leakage secondary to high airway pressure due to chronic obstructive pulmonary disease; air leakage from an alveolar rupture may have traveled to the retroperitoneum through the mediastinal vessels and entered the mesentery of the bowel. CONCLUSION: Emergency physicians should be aware of the potential development of pneumatosis cystoides intestinalis in chronic obstructive pulmonary disease patients.
[Mh] Termos MeSH primário: Pneumatose Cistoide Intestinal/complicações
Pneumoperitônio/etiologia
Doença Pulmonar Obstrutiva Crônica/complicações
[Mh] Termos MeSH secundário: Idoso
Colo Ascendente/diagnóstico por imagem
Colo Transverso/diagnóstico por imagem
Tratamento Conservador
Diagnóstico Diferencial
Seres Humanos
Íleo/diagnóstico por imagem
Masculino
Pneumatose Cistoide Intestinal/diagnóstico por imagem
Doença Pulmonar Obstrutiva Crônica/diagnóstico por imagem
Radiografia
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170720
[Lr] Data última revisão:
170720
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-017-1198-2


  10 / 2112 MEDLINE  
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[PMID]:28207319
[Au] Autor:McHenry KM; Dujowich M; Oliveira CR
[Ti] Título:What Is Your Diagnosis?
[So] Source:J Am Vet Med Assoc;250(5):505-507, 2017 Mar 01.
[Is] ISSN:1943-569X
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doenças do Cão/diagnóstico
Hepatopatias/veterinária
Anormalidade Torcional/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Fígado/patologia
Hepatopatias/diagnóstico
Hepatopatias/cirurgia
Masculino
Pneumoperitônio/diagnóstico
Pneumoperitônio/cirurgia
Pneumoperitônio/veterinária
Anormalidade Torcional/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170808
[Lr] Data última revisão:
170808
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE
[do] DOI:10.2460/javma.250.5.505



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