ABSTRACT
Background: Spontaneous dissections of visceral arteries are rare and usually secondary to other disease. There is paucity of information about their natural course. Aim: To describe the imaging, clinical characteristics and follow-up of spontaneous visceral artery dissections diagnosed at our institution. Material and Methods: We report a series of 14 patients in whom a spontaneous dissection of a visceral artery was diagnosed on abdominal angio-CT between 2010 and 2018. Clinical features and evolution were recorded. Results: Isolated lesions of the celiac axis were the most common finding. Multiple territories were involved in 14% of cases. A dissection flap was observed in four cases, a hematoma-dissection complex in seven and an aneurysmal dilatation associated with the dissection in three. Of the 10 patients who were followed at our institution, 90% had stabilization or partial regression of the imaging findings. In the remaining case, new dissection events were observed. All cases were managed conservatively, and no death was reported. Conclusions: In this series of patients, spontaneous dissection of visceral arteries had a benign, favorable course, requiring only conservative management.
Subject(s)
Humans , Aortic Dissection/diagnostic imaging , Tomography, X-Ray Computed , Celiac Artery/diagnostic imaging , Dissection , HematomaABSTRACT
La enfermedad quística de la adventicia es una rara alteración de las arterias periféricas, caracterizada por la acumulación de contenido mucoso en la adventicia del vaso. Tiene predilección por la arteria poplítea, donde se localiza en cerca de 85 % de los casos. La mayoría de los afectados son hombres entre los 40 y los 50 años de edad, que presentan claudicación intermitente de inicio brusco y rápida progresión, sin evidencia de enfermedad ateroesclerótica. Se describe el caso un hombre de 57 años de edad en el que se diagnosticó esta entidad, con énfasis en las imágenes diagnósticas y el abordaje quirúrgico
Cystic adventitial disease is a rare vascular disorder of the peripheral arteries characterized by the collection of a mucinous substance inside the adventitia of the vessel. It has a predilection for the popliteal artery, being this localization about 85% of cases. Most of those affected are male between 40 to 50 years old, presenting with intermittent claudication of sudden onset and rapid progression without evidence of atherosclerotic disease. We describe the case of a 57 years old male who was diagnosed with this entity, with emphasis on the diagnostic imaging and surgical approach
Subject(s)
Humans , Popliteal Artery , Adventitia , Diagnosis, Differential , TherapeuticsABSTRACT
Plant-growth-promoting bacteria are often used to enhance crop yield and for biological control of phytopathogens. Bacillus sp. CHEP5 is a biocontrol agent that induces systemic resistance (ISR) in Arachis hypogaea L. (peanut) against Sclerotium rolfsii, the causal agent of root and stem wilt. In this work, the effect of the co-inoculation of Bacillus sp. CHEP5 and the peanut nodulating strain Bradyrhizobium sp. SEMIA 6144 was studied on induction of both systemic resistance and nodulation processes. Bradyrhizobium sp. SEMIA 6144 did not affect the ability of Bacillus sp. CHEP5 to protect peanut plants from S. rolfsii by ISR and the priming in challenged-plants, as evidenced by an increment in phenylalanine ammonia-lyase enzyme activity. Additionally, the capacity of Bradyrhizobium sp. SEMIA 6144 to induce nodule formation in pathogen-challenged plants was improved by the presence of Bacillus sp. CHEP5.