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Pesquisa : C23.300.940 [Categoria DeCS]
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  1 / 25 MEDLINE  
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[PMID]:29384952
[Au] Autor:Liu KT; Wu YH
[Ad] Endereço:Department of Emergency Medicine, Kaohsiung Medical University Hospital.
[Ti] Título:Spontaneous perforation of Meckel diverticulum: A case report.
[So] Source:Medicine (Baltimore);96(52):e9506, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Meckel diverticulum (MD) is the most common congenital abnormality of the gastrointestinal tract. It is asymptomatic in the majority of patients. Perforation is a rare complication of MD and can be life-threatening. PATIENT CONCERNS: A 20-year-old male patient denying previous systemic disease and complaining of epigastric pain for 5 days came to our emergency department for help. Physical examination showed right lower quadrant tenderness without muscle guarding and rebounding pain. DIAGNOSIS: Blood examination including white blood cell, C reactive protein, liver, and renal function all showed within normal range. Abdominal computed tomography showed suspect MD in the distal ileum and enteritis at the ileum. INTERVENTION: Perforation of MD was found while in surgery, and Meckel diverticulectomy was performed. OUTCOMES: The patient was discharged 7 days after the operation with stable condition. LESSONS: Perforation is an uncommon complication of MD, and the symptom can mimic other acute abdominal conditions such as acute appendicitis while in the emergency space. We should take diagnosis under consideration as a differential diagnosis when we encounter patients whose impression was firstly acute appendicitis.
[Mh] Termos MeSH primário: Divertículo Ileal/complicações
Divertículo Ileal/cirurgia
Perfuração Espontânea/complicações
Perfuração Espontânea/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Taiwan
Tomografia Computadorizada por Raios X
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009506


  2 / 25 MEDLINE  
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[PMID]:29049233
[Au] Autor:Tsai CC; Huang PK; Liu HK; Su YT; Yang MC; Yeh ML
[Ad] Endereço:aDepartment of Pediatrics bDepartment of Pediatric Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan (R.O.C.).
[Ti] Título:Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review.
[So] Source:Medicine (Baltimore);96(42):e8306, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Choledochal cysts are a congenital disorder of the common bile duct that can cause progressive biliary obstruction and biliary cirrhosis. They were classified by Todani into five types. Of these, type VI choledochal cysts are rarely reported in the literature. PATIENT CONCERNS: A 22-month-old girl presented with intermittent epigastralgia for approximately 10 days and fever for three days. Fasting and total parenteral nutrition were administered after admission. However, sudden onset of severe epigastric pain occurred. An abdominal sonogram showed turbid ascites and peritonitis was impressed. DIAGNOSES: An emergent exploratory laparotomy was performed, and perforation of the posterior wall of types I and VI choledochal cysts was observed. INTERVENTIONS: Intraoperative cholangiography revealed concomitant types I and VI choledochal cysts with stricture of the distal common bile duct. Definite surgery for resection of the choledochal cysts and gallbladder was performed with Roux-en-Y choledochojejunostomy. OUTCOMES: The patient had no evidence of ascending cholangitis at three years after the operation. LESSONS: Type VI choledochal cysts are rarely reported in the literature. To our knowledge, this is the first reported pediatric case of concomitant types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation.
[Mh] Termos MeSH primário: Cisto do Colédoco/complicações
Cisto do Colédoco/cirurgia
Pancreatite/complicações
Perfuração Espontânea/complicações
[Mh] Termos MeSH secundário: Anastomose em-Y de Roux/métodos
Colangiografia
Cisto do Colédoco/classificação
Cisto do Colédoco/diagnóstico por imagem
Coledocostomia/métodos
Feminino
Seres Humanos
Lactente
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[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.0000000000008306


  3 / 25 MEDLINE  
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[PMID]:28225491
[Au] Autor:Ke QH; Zhang CJ; Huang HF
[Ad] Endereço:aDepartment of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou bDepartment of Hepatobiliary and Pancreatic Surgery, Shengzhou Branch of The First Affiliated Hospital, College of Medicine, Zhejiang University, Shengzhou, Zhejiang, P.R. China.
[Ti] Título:Rupture of hepatic hemangioma with hemoperitoneum due to spontaneous gallbladder perforation: A unique case report.
[So] Source:Medicine (Baltimore);96(8):e6110, 2017 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Hemangiomas are common benign tumors of the liver. Spontaneous rupture is a rare complication, occurring most commonly in giant hemangiomas. Rupture of a hemangioma with hemoperitoneum is a serious development and can be fatal if not managed promptly.The present study reports the unique case of a man who experienced rupture and hemorrhage of a hepatic hemangioma (HH) due to perforation of the gallbladder fundus. After en block resection of the hemangioma and gallbladder using the Pringle maneuver, the patient made an uneventful recovery without complications.To our knowledge, spontaneous rupture of HH secondary to gallbladder perforation has not been reported in the literature. This case highlights a unique, rare cause of ruptured HH and the need to consider appropriate treatment for some hemangiomas to avoid this potentially fatal complication. CONCLUSION: The current case may provide additional support for treatment of HH due to the potential for spontaneous rupture. For patients with ruptured HH, enucleation with the Pringle maneuver is recommended.
[Mh] Termos MeSH primário: Doenças da Vesícula Biliar/complicações
Hemangioma/complicações
Hemoperitônio/etiologia
Neoplasias Hepáticas/complicações
[Mh] Termos MeSH secundário: Dor Abdominal/diagnóstico por imagem
Dor Abdominal/etiologia
Dor Abdominal/cirurgia
Adulto
Diagnóstico Diferencial
Vesícula Biliar/diagnóstico por imagem
Vesícula Biliar/cirurgia
Doenças da Vesícula Biliar/diagnóstico por imagem
Doenças da Vesícula Biliar/cirurgia
Hemangioma/diagnóstico por imagem
Hemangioma/cirurgia
Hemoperitônio/diagnóstico por imagem
Hemoperitônio/cirurgia
Seres Humanos
Neoplasias Hepáticas/diagnóstico por imagem
Neoplasias Hepáticas/cirurgia
Masculino
Ruptura Espontânea/diagnóstico por imagem
Ruptura Espontânea/etiologia
Ruptura Espontânea/cirurgia
Perfuração Espontânea
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170317
[Lr] Data última revisão:
170317
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170223
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000006110


  4 / 25 MEDLINE  
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[PMID]:28156204
[Au] Autor:Quadri SA; Capua J; Ramakrishnan V; Sweiss R; Cabanne M; Noel J; Fiani B; Siddiqi J
[Ad] Endereço:Institute of Clinical Orthopedic and Neurosciences, Desert Regional Medical Center, Palm Springs, California.
[Ti] Título:A rare case of pharyngeal perforation and expectoration of an entire anterior cervical fixation construct.
[So] Source:J Neurosurg Spine;26(5):560-566, 2017 May.
[Is] ISSN:1547-5646
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Anterior cervical discectomy and fusion (ACDF) is a very common surgery performed globally. Although a few cases of expectorating screws or extrusion of screws into the gastrointestinal tract through esophageal perforations have previously been reported, there has not been a case reporting pharyngeal perforation and entire cervical construct extrusion in the literature to date. In this report the authors present the first case involving the extrusion of an entire cervical construct via a tear in the posterior pharyngeal wall. An 81-year-old woman presented to the emergency department (ED) with a complaint of significant cervical pain 5 days after a fall due to a syncopal event. Radiological findings showed severe anterior subluxation of C-2 on C-3 with no spinal cord signal change noted. She underwent ACDF at the C2-3 level utilizing a polyetheretherketone (PEEK) cage, allograft, autograft, and a nontranslational plate with a locking apparatus and expanding screws. The screw placement was satisfactory on postoperative radiography and the Grade II spondylolisthesis of C-2 on C-3 was reduced appropriately with the surgery. The postoperative radiographs obtained demonstrated good instrumentation placement. Three and a half years later the patient returned to the ED having expectorated the entire anterior cervical construct. A CT scan demonstrated the C-2 and C-3 vertebral bodies to be fused posteriorly with an anterior erosive defect within the vertebral bodies and the anterior fusion hardware at the C2-3 level no longer identified. The fiberoptic laryngoscopy demonstrated a 1 × 1 cm area over the importation of the hypopharynx, above the glotic area. The Gastrografin swallowing test ruled out any esophageal tear or fistula and confirmed the presence of a large ulcer on the posterior wall of the oropharynx. To the best of the authors' knowledge, this is the first ever reported case of a tear in the posterior pharyngeal wall along with extrusion of the entire cervical construct after ACDF. This case demonstrates a rare but potentially serious complication of ACDF. Based on the available literature, each case requires separate and distinct treatment from the others.
[Mh] Termos MeSH primário: Vértebras Cervicais/cirurgia
Discotomia/efeitos adversos
Fixadores Internos/efeitos adversos
Doenças Faríngeas/diagnóstico por imagem
Falha de Prótese
Fusão Vertebral/efeitos adversos
[Mh] Termos MeSH secundário: Acidentes por Quedas
Idoso de 80 Anos ou mais
Vértebras Cervicais/diagnóstico por imagem
Discotomia/instrumentação
Feminino
Seres Humanos
Laringoscopia
Faringe/diagnóstico por imagem
Fusão Vertebral/instrumentação
Perfuração Espontânea/diagnóstico por imagem
Síncope/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170204
[St] Status:MEDLINE
[do] DOI:10.3171/2016.10.SPINE16560


  5 / 25 MEDLINE  
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[PMID]:28146590
[Au] Autor:Cilveti R; Olmo M; Pérez-Jove J; Picazo JJ; Arimany JL; Mora E; Pérez-Porcuna TM; Aguilar I; Alonso A; Molina F; Del Amo M; Mendez C; HERMES Study Group
[Ad] Endereço:Department of Paediatrics, H. Universitari Mútua Terrassa, Barcelona, Spain.
[Ti] Título:Epidemiology of Otitis Media with Spontaneous Perforation of the Tympanic Membrane in Young Children and Association with Bacterial Nasopharyngeal Carriage, Recurrences and Pneumococcal Vaccination in Catalonia, Spain - The Prospective HERMES Study.
[So] Source:PLoS One;12(2):e0170316, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The Epidemiology of otitis media with spontaneous perforation of the tympanic membrane and associated nasopharyngeal carriage of bacterial otopathogens was analysed in a county in Catalonia (Spain) with pneumococcal conjugate vaccines (PCVs) not included in the immunization programme at study time. A prospective, multicentre study was performed in 10 primary care centres and 2 hospitals (June 2011-June 2014), including all otherwise healthy children ≥2 months ≤8 years with otitis media presenting spontaneous tympanic perforation within 48h. Up to 521 otitis episodes in 487 children were included, showing by culture/PCR in middle ear fluid (MEF): Haemophilus influenzae [24.2%], both Streptococcus pneumoniae and H. influenzae [24.0%], S. pneumoniae [15.9%], Streptococcus pyogenes [13.6%], and Staphylococcus aureus [6.7%]. Culture-negative/PCR-positive otitis accounted for 31.3% (S. pneumoniae), 30.2% (H. influenzae) and 89.6% (mixed S. pneumoniae/H. influenzae infections). Overall, incidence decreased over the 3-year study period, with significant decreases in otitis by S. pneumoniae and by H. influenzae, but no decreases for mixed S. pneumoniae/H. influenzae infections. Concordance between species in nasopharynx and MEF was found in 58.3% of cases, with maximal rates for S. pyogenes (71.8%), and with identical pneumococcal serotype in 40.5% of cases. Most patients (66.6%) had past episodes. PCV13 serotypes were significantly more frequent in first episodes, in otitis by S. pneumoniae as single agent, and among MEF than nasopharyngeal isolates. All non-PCV13 serotypes separately accounted for <5% in MEF. Up to 73.9% children had received ≥1 dose of PCV, with lower carriage of PCV13 serotypes than among non-vaccinated children. Pooling pneumococcal isolates from MEF and nasopharynx, 30% were multidrug resistant, primarily belonging to serotypes 19A [29.8%], 24A [14.3%], 19F [8.3%] and 15A [6.0%]. Our results suggest that increasing PCV13 vaccination would further reduce transmission of PCV13 serotypes with special benefits for youngest children (with none or uncompleted vaccine schedules), preventing first otitis episodes and subsequent recurrences.
[Mh] Termos MeSH primário: Infecções Bacterianas/microbiologia
Nasofaringe/microbiologia
Otite Média/epidemiologia
Otite Média/patologia
Perfuração Espontânea/patologia
Membrana Timpânica/patologia
[Mh] Termos MeSH secundário: Antibacterianos/farmacologia
Antibacterianos/uso terapêutico
Infecções Bacterianas/tratamento farmacológico
Portador Sadio
Criança
Pré-Escolar
Feminino
Seres Humanos
Incidência
Lactente
Masculino
Testes de Sensibilidade Microbiana
Razão de Chances
Otite Média/etiologia
Otite Média/prevenção & controle
Infecções Pneumocócicas/prevenção & controle
Vacinas Pneumocócicas/administração & dosagem
Estudos Prospectivos
Recidiva
Sorogrupo
Espanha/epidemiologia
Streptococcus pneumoniae/classificação
Streptococcus pneumoniae/imunologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Nm] Nome de substância:
0 (13-valent pneumococcal vaccine); 0 (Anti-Bacterial Agents); 0 (Pneumococcal Vaccines)
[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:170202
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0170316


  6 / 25 MEDLINE  
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[PMID]:27931023
[Au] Autor:Kulas Søborg ML; Leganger J; Rosenberg J; Burcharth J
[Ad] Endereço:Department of Surgery, Center for Perioperative Optimization (CPO), Gastro Unit, Herlev Hospital, Herlev, Denmark.
[Ti] Título:Increased Need for Gastrointestinal Surgery and Increased Risk of Surgery-Related Complications in Patients with Ehlers-Danlos Syndrome: A Systematic Review.
[So] Source:Dig Surg;34(2):161-170, 2017.
[Is] ISSN:1421-9883
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND/AIMS: Ehlers-Danlos syndromes (EDSs) constitute a rare group of inherited connective tissue diseases, characterized by multisystemic manifestations and general tissue fragility. Most severe complications include vascular and gastrointestinal (GI) emergencies requiring acute surgery. The purpose of this systematic review was to assess the causes of GI-related surgery and related mortality and morbidity in patients with EDSs. METHODS: A systematic search was conducted in PubMed, Embase, and Scopus to identify relevant studies. Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for systematic reviews were followed. According to eligibility criteria, data were extracted and systematically screened by 2 authors. RESULTS: Screening process identified 11 studies with a total of 1,567 patients. Findings indicated that patients with EDSs had a higher occurrence of surgery demanding GI manifestations, including perforation, hemorrhage, rupture of intra-abdominal organs, and rectal prolapse. Most affected was the vascular subtype, of which up to 33% underwent GI surgery and suffered from a lowered average life expectancy of 48 years (range 6-78). Secondary complications of surgery were common in all patients with EDSs. CONCLUSION: Studies suggested that patients with EDSs present an increased need for GI surgery, but also an increased risk of surgery-related complications, most predominantly seen in the vascular subtype.
[Mh] Termos MeSH primário: Síndrome de Ehlers-Danlos/complicações
Síndrome de Ehlers-Danlos/cirurgia
Gastroenteropatias/cirurgia
[Mh] Termos MeSH secundário: Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos
Síndrome de Ehlers-Danlos/classificação
Síndrome de Ehlers-Danlos/mortalidade
Gastroenteropatias/etiologia
Hemorragia Gastrointestinal/etiologia
Hemorragia Gastrointestinal/cirurgia
Hérnia/etiologia
Herniorrafia
Seres Humanos
Complicações Pós-Operatórias
Prolapso Retal/etiologia
Prolapso Retal/cirurgia
Ruptura Espontânea/etiologia
Ruptura Espontânea/cirurgia
Perfuração Espontânea/etiologia
Perfuração Espontânea/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170920
[Lr] Data última revisão:
170920
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161209
[St] Status:MEDLINE
[do] DOI:10.1159/000449106


  7 / 25 MEDLINE  
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[PMID]:27797677
[Au] Autor:Carpenter JL; Orth RC; Zhang W; Lopez ME; Mangona KL; Guillerman RP
[Ad] Endereço:From the Division of Pediatric Surgery (J.L.C., M.E.L.), Department of Pediatric Radiology (R.C.O., K.L.M., R.P.G.), and Surgical Outcomes Center (W.Z.), Texas Children's Hospital, 6701 Fannin St, Suite 470, Houston, TX 77030; and Michael E. DeBakey Department of Surgery, Baylor College of Medicine,
[Ti] Título:Diagnostic Performance of US for Differentiating Perforated from Nonperforated Pediatric Appendicitis: A Prospective Cohort Study.
[So] Source:Radiology;282(3):835-841, 2017 Mar.
[Is] ISSN:1527-1315
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Purpose To prospectively evaluate the diagnostic performance of ultrasonography (US) for differentiating perforated from nonperforated pediatric appendicitis and to investigate the association between specific US findings and perforation. Materials and Methods This HIPAA-compliant study had institutional review board approval, and the need for informed consent was waived. All abdominal US studies performed for suspected pediatric appendicitis at one institution from July 1, 2013, to July 9, 2014, were examined prospectively. US studies were reported by using a risk-stratified scoring system (where a score of 1 indicated a normal appendix; a score of 2, an incompletely visualized normal appendix; a score of 3, a nonvisualized appendix; a score of 4, equivocal; a score of 5a, nonperforated appendicitis; and a score of 5b, perforated appendicitis). The diagnostic performance of US studies designated 5a and 5b was calculated. The following US findings were correlated with perforation at multivariate analysis: maximum appendiceal diameter, wall thickness, loss of mural stratification, hyperemia, periappendiceal fat inflammation, periappendiceal fluid, lumen contents, and appendicolith presence. The number of symptomatic days prior to presentation was recorded. Surgical diagnosis and clinical follow-up served as reference standards. Results A total of 577 patients with a diagnosis of appendicitis at US met the study criteria (468 with a score of 5a; 109 with a score of 5b). Appendicitis was correctly identified in 573 (99.3%) of 577 patients. US performance in the detection of perforated appendicitis (5b) was as follows: a sensitivity of 44.0% (80 of 182), a specificity of 93.1% (364 of 391), a positive predictive value of 74.8% (80 of 107), and a negative predictive value of 78.1% (364 of 466). Statistically significant associations with perforated appendicitis were longer duration of symptoms (odds ratio [OR] = 1.46, P < .0001), increased maximum diameter (OR = 1.29, P < .0001), simple periappendiceal fluid (OR = 2.08, P = .002), complex periappendiceal fluid (OR = 18.5, P < .0001), fluid-filled lumen (OR = 0.34, P = .002), and appendicolith (OR = 1.67, P = .02). Conclusion US is highly specific but nonsensitive for perforated pediatric appendicitis. Several US findings are significantly associated with perforation, especially the presence of complex periappendiceal fluid. RSNA, 2016.
[Mh] Termos MeSH primário: Apendicite/diagnóstico por imagem
Apêndice/diagnóstico por imagem
Ultrassonografia
[Mh] Termos MeSH secundário: Adolescente
Apendicite/patologia
Apêndice/patologia
Criança
Pré-Escolar
Estudos de Coortes
Diagnóstico Diferencial
Feminino
Seres Humanos
Lactente
Masculino
Estudos Prospectivos
Reprodutibilidade dos Testes
Sensibilidade e Especificidade
Perfuração Espontânea/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170531
[Lr] Data última revisão:
170531
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161101
[St] Status:MEDLINE
[do] DOI:10.1148/radiol.2016160175


  8 / 25 MEDLINE  
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[PMID]:27670585
[Au] Autor:Piercecchi CW; Vasquez JC; Kaplan SJ; Hoffman J; Puskas JD; DeLaRosa J
[Ad] Endereço:Division of Cardiothoracic Surgery, Emory University, Atlanta, GA, USA. Electronic address: cpierc4@emory.edu.
[Ti] Título:Cardiac Perforation by Migrated Fractured Strut of Inferior Vena Cava Filter Mimicking Acute Coronary Syndrome.
[So] Source:Heart Lung Circ;26(2):e11-e13, 2017 Feb.
[Is] ISSN:1444-2892
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:We present a rare late complication after inferior vena cava filter (IVC) placement. A 52-year-old woman with an IVC presented with sudden onset of chest pain. Cardiac catheterisation and echocardiography revealed an embolised IVC filter strut penetrating the right ventricle. Endovascular retrieval was considered but deemed unsafe due to proximity to the right coronary artery and concern for migration to pulmonary circulation. Urgent removal of the strut was performed via sternotomy. The postoperative course was uneventful. Two weeks later, she was asymptomatic. Minimally invasive approaches have been described for retrieval of intact IVC filters that have migrated to the right heart but not for embolised filter fragments. We recommend traditional sternotomy as the preferred method of retrieval as it limits the likelihood of further migration or trauma.
[Mh] Termos MeSH primário: Síndrome Coronariana Aguda
Ventrículos do Coração/cirurgia
Perfuração Espontânea
Filtros de Veia Cava/efeitos adversos
[Mh] Termos MeSH secundário: Síndrome Coronariana Aguda/diagnóstico
Síndrome Coronariana Aguda/cirurgia
Feminino
Seres Humanos
Meia-Idade
Perfuração Espontânea/diagnóstico
Perfuração Espontânea/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160928
[St] Status:MEDLINE


  9 / 25 MEDLINE  
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[PMID]:27551906
[Au] Autor:Mughal Z; Green J; Whatling PJ; Patel R; Holme TC
[Ad] Endereço:Lister Hospital , UK.
[Ti] Título:Perfoation of the gallbladder: 'bait' for the unsuspecting laparoscopic surgeon.
[So] Source:Ann R Coll Surg Engl;99(1):e15-e18, 2017 Jan.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION Cholecystectomy is one of the most common elective procedures carried out by general surgeons. Most patients present with typical biliary anatomy and simple gallstone disease. Intraoperative and postoperative courses are frequently predictable and uncomplicated. Nevertheless, a small but significant number of patients experience complicated disease with rare presentations and complex biliary anatomy. Unfortunately, consensus on appropriate care for such patients is lacking. CASE HISTORY We describe three patients who presented with complex manifestations of gallbladder perforation: acute perforation of the gallbladder; a spontaneous cholecystocutaneous fistula; a cholecystoduodenal fistula. The initial presentation, preoperative investigations, and selected surgical strategy for each case are described. CONCLUSIONS The case studies described here illustrate the need for a low index of suspicion for gallbladder perforation. Caution should be exercised in preoperative and intraoperative phases in this patient population.
[Mh] Termos MeSH primário: Colecistectomia/métodos
Doenças da Vesícula Biliar/cirurgia
[Mh] Termos MeSH secundário: Dor Abdominal/etiologia
Idoso
Fístula Biliar/cirurgia
Colangiopancreatografia por Ressonância Magnética
Colecistectomia Laparoscópica/métodos
Colecistite/cirurgia
Conversão para Cirurgia Aberta
Fístula Cutânea/cirurgia
Feminino
Cálculos Biliares/cirurgia
Seres Humanos
Achados Incidentais
Fístula Intestinal/cirurgia
Masculino
Meia-Idade
Perfuração Espontânea/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170428
[Lr] Data última revisão:
170428
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160824
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0274


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[PMID]:27535818
[Au] Autor:Labombarda F; Roule V; Beygui F
[Ad] Endereço:Department of Cardiology, CHU De Caen, Caen, F-14000, France.
[Ti] Título:Delayed spontaneous perforation of polyvinyl alcohol membrane-Covered atrial septal defect closure devices.
[So] Source:Catheter Cardiovasc Interv;89(4):E141-E144, 2017 Mar 01.
[Is] ISSN:1522-726X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Percutaneous device closure has become the first choice for secundum atrial septal defect (ASD) closure when feasible in case of favorable anatomy. The Ultrasept II ASD occluder® device (Cardia Inc, Eagan, MN) is made of two nitinol disc frames covered with polyvinyl alcohol membranes, a synthetic polymer with a large application in the biomedical field. Four relatively early malfunctions of the polyvinyl alcohol membrane were observed in a series of six consecutive patients treated with ASD Ultrasept II closure device in our institution. Operators have to be aware of this apparently rare complication that is likely to be underestimated, associated with such devices. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Cateterismo Cardíaco/métodos
Procedimentos Cirúrgicos Cardíacos/métodos
Materiais Revestidos Biocompatíveis
Comunicação Interatrial/cirurgia
Álcool de Polivinil
Dispositivo para Oclusão Septal/efeitos adversos
[Mh] Termos MeSH secundário: Adulto
Idoso de 80 Anos ou mais
Ecocardiografia Transesofagiana
Feminino
Comunicação Interatrial/diagnóstico
Seres Humanos
Masculino
Desenho de Prótese
Falha de Prótese
Perfuração Espontânea
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:CASE REPORTS
[Nm] Nome de substância:
0 (Coated Materials, Biocompatible); 9002-89-5 (Polyvinyl Alcohol)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE
[do] DOI:10.1002/ccd.26704



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