Incarcerated right-sided diaphragmatic hernia in a patient undergoing Roux-en-Y gastric bypass

Bochdalek hernia is the most common congenital diaphragmatic hernia. Its symptoms are normally diagnosed and treated during the neonatal period. Conversely, in adults it is usually asymptomatic and, as a consequence, this group is misdiagnosed. A case of a 64-year-old female patient with an uncommon incarcerated right-sided diaphragmatic hernia formed three years after a Roux-en-Y gastric bypass and a significant weight loss is reported. The importance of this abnormality as a complication of the bariatric surgery should be considered(AU)

Mirizzi Syndrome Type IV: a challenging diagnosis

Mirizzi Syndrome type IV is an extremely rare condition, which is confused with the diagnosis of cholangiocarcinoma in many cases. This report describes a case of a forty-three-year old patient, who was forwarded to our department of general surgery with a high suspicion of a choledochal neoplasic lesion. During the hospitalization he was diagnosed with Mirizzi Syndrome type IV. We concisely describe the case and the literature review about this pathology

Comparação entre as pandemias de gripe de 1918 e 2009 na perspectiva do Hospital São Vicente de Paulo em Passo Fundo, Rio Grande do Sul / Comparison between influenza pandemics of 1918 and 2009 from the perspective of Hospital São Vicente de Paulo in Passo Fundo, Rio Grande do Sul, Brazil

Objetivos: Comparar a pandemia de gripe espanhola, que coincidiu com o ano de fundação do Hospital São Vicente de Paulo, localizado na cidade de Passo Fundo, RS, com a pandemia de gripe A vivida em 2009, ambas causadas pelo vírus Influenza A H1N1. Fonte de dados: Base de dados do Hospital São Vicente de Paulo (referente a 1918 e 2009) assim como seu site na internet, Arquivo Histórico Regional da Universidade de Passo Fundo, jornais, revistas e relatórios de 1918-1919 e 2009-2010, dados da literatura (principalmente do livro "Banalização da Morte na Cidade Calada", de Janete Silveira Abrão), periódicos científicos e sites oficiais da internet (Ministério da Saúde, Instituto Brasileiro de Geografia e Estatística, Organização Mundial da Saúde). Síntese dos dados: Uma pandemia de gripe espanhola ocorreu no ano de 1918 e causou a morte de mais de 20 milhões de pessoas em apenas um ano. Quase um século depois, surge a pandemia pelo vírus Influenza A H1N1, provocando cerca de 18 mil mortes entre abril de 2009 e maio de 2010. Este trabalho evidencia consequências dessas pandemias na cidade de Passo Fundo, especialmente no Hospital São Vicente de Paulo. Conclusões: Há consideráveis semelhanças entre as pandemias de 1918 e de 2009, sendo que ambas deixaram fortes marcas no Hospital São Vicente de Paulo e na cidade de Passo Fundo.

Aims: To compare the Spanish flu pandemic, which coincided with the year of founding of São Vicente de Paulo Hospital, located in the city of Passo Fundo, Rio Grande do Sul State, Brazil, with the influenza pandemic in 2009, both caused by the Influenza A H1N1 virus. Source of data: Hospital São Vicente de Paulo databases (1918 and 2009) and internet site, Regional Historical Archives of the University of Passo Fundo, newspapers, magazines and reports of 1918-1919 and 2009-2010, data of literature (mainly from the book of Janete Silveira Abrão "Banalização da Morte na Cidade Calada"), scientific journals and official internet sites (Ministry of Health, Brazilian Institute of Geography and Statistics, World Health Organization). Summary of findings: Spanish flu pandemic occurred in 1918 and killed more than 20 million people in just one year. Almost a century later, the Influenza A H1N1 pandemic emerges, causing about 18,000 deaths between April 2009 and May 2010. This work shows consequences of both pandemics in the city of Passo Fundo, especially in the São Vicente de Paulo Hospital. Conclusions: There are considerable similarities between the pandemics of 1918 and 2009, and both of them left strong marks on the São Vicente de Paulo Hospital and in the city of Passo Fundo.