ABSTRACT
The authors report a case of simultaneous bilateral rupture of the patellar ligament resulting of low-energy trauma in a patient with chronic renal failure.
Os autores apresentam um caso de uma ruptura bilateral simultânea do ligamento patelar decorrente de trauma de baixa energia em paciente portador de insuficiência renal crônica.
Subject(s)
Humans , Male , Aged , Knee , Patellar Ligament/surgery , Patellar Ligament/injuries , Rupture/therapyABSTRACT
We report a case of hepatic hydatid cyst presenting with obstructive jaundice following cholecystectomy. ERCP showed intrabiliary cyst rupture with biliary obstruction due to cyst remnants. Endoscopic sphincterotomy was performed and cyst debris removed with complete resolution of symptoms
Subject(s)
Humans , Male , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/therapy , Echinococcosis, Hepatic/physiopathology , Rupture/diagnosis , Rupture/etiology , Rupture/therapy , Cholangiopancreatography, Endoscopic Retrograde , Liver/pathology , Sphincterotomy, EndoscopicABSTRACT
Entre mayo 2003 y mayo 2006 cuatro pacientes que habian sufrido ruptura del mecanismo extensor después de una artroplastia total de rodilla fueron sometidos a reconstrucción tardía usando aloinjertos liofilizados de tendón de Aquiles. El promedio de edad era de 70,75 (70-72) años. Por lo menos 3 cirugías anteriores en promedio. Todos los pacientes alcanzaron un alivio del dolor con un promedio de seguimiento de 16,75 (3-38) meses. Dos pacientes presentaron en el post operatorio retardo para la extensión de 10 (50 por ciento) y dos de -40° (50 por ciento), comparando al promedio preoperatorio de -65° por ciento. La deambulación apoyando todo el peso fue posible en todos los pacientes; sin embargo dos pacientes usaban bastón (50 por ciento) y dos andadera (50 por ciento).
Subject(s)
Humans , Male , Female , Aged , Arthroplasty, Replacement, Knee/methods , Achilles Tendon/injuries , Achilles Tendon/pathology , Transplantation, Homologous/methods , Orthopedics , Rupture/therapy , TraumatologyABSTRACT
The aim of this study was to compare the efficacy of somatostatin versus endoscopic sclerotherapy in the management of digestive bleeding caused by rupture of esophageal varices. Forty patients were evaluated; 21 were randomly assigned to receive somatostatin (initial 250 micrograms followed by a 48-hour continuous infusion of 250 micrograms/h and 250 micrograms 6/6 h bolus in the first 24 hours) and 19 to receive endoscopic sclerotherapy with ethanolamine oleate 5 per cent. The patients were evaluated after 48 hours and after 7 days of treatment. Both groups of patients were similar in sex, age, gravity of the hemorrhage and liver dysfunction. Therapeutic failure occurred in 26.3 per cent and 35.7 per cent in the group of endoscopic sclerotherapy (48 h and 7 days respectively), and in 23.8 per cent and 21.4 per cent in the group of somatostatin. The need of blood transfusion (3.38 U in the group of endoscopic sclerotherapy and 2.42 U in the group of somatostatin) and the mortality rate (31.6 per cent in the group of endoscopic sclerotherapy and 28.6 per cent in the group of somatostatin) were also similar (P > 0.05). The authors conclude that somatostatin is as effective as endoscopic sclerotherapy and that it should be considered in the treatment of acute esophageal variceal bleeding
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Gastrointestinal Hemorrhage/therapy , Sclerotherapy , Somatostatin/therapeutic use , Esophageal and Gastric Varices/therapy , Vasodilator Agents/therapeutic use , Aged, 80 and over , Gastrointestinal Hemorrhage/etiology , Hypertension, Portal/therapy , Prospective Studies , Random Allocation , Rupture/therapy , Treatment Outcome , Esophageal and Gastric Varices/complicationsABSTRACT
La lesión traumática cerrada de los cuerpos cavernoso o fractura de pene o fractura de cujerpoas cavernosos, es una patología urológica de urgencia y poco frecuente. Presentamos nuestra experiencia en el diagnóstico, tratamiento quirúrgico y evaluación alejada de 6 pacientes intervenidos en el hospital de Clínicas "José de San Martín". El tiempo entre la Lesión y la consulta varió entre 2 y 10 horas. Todos los pacientes fueron intervenidos quirúrgicamente y se realizó evacuación del hematoma, control de la hemostasis y reparación de la lesión. En ningún caso se presentó lesión de uretra. El seguimiento se realizó durante 6 a 46 meses. Los resultados a largo plazo fueron satisfactorios ya que todos los pacientes mostraron una restituición anatómica y funcional completa
Subject(s)
Male , Humans , Adult , Middle Aged , Penis/injuries , Penis/pathology , Penis/surgery , Follow-Up Studies , Rupture/diagnosis , Rupture/surgery , Rupture/therapyABSTRACT
No período de 15 anos, 18.095 pacientes foram cadastrados na clínica privada, Centro Médico Esportivo Sao Francisco da Penitência e no Serviço Médico do Fluminense Football Clube. Observamos que, entre os 18.095 pacientes tratados, 10.719 (59,23 por cento) foram diagnosticados com lesoes esportivas e 2.670 (24 por cento), portadores de lesoes musculares. Apresentamos os meios de diagnóstico, que sao baseados na observaçao clínica evolutiva de atletas de alto nível, com minucioso registro diário e na escolha de exames complementares para orientaçao do tratamento conservador ou cirúrgico.
Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Athletic Injuries/therapy , Muscles/injuries , Athletic Injuries/diagnosis , Athletic Injuries/etiology , Athletic Injuries/prevention & control , Muscle Cramp/therapy , Contracture/therapy , Contusions/therapy , Prognosis , Recurrence , Rupture/therapy , Tendon Injuries/surgeryABSTRACT
Foi realizado trabalho de avaliaçäo do tratamento conservador em 189 ombros de 171 pacientes portadores de pinçamento subacromial e ruptura do manguito rotador, divididos em grupos I e II, respectivamente. Procurou-se caracterizar o grupo de estudo quanto aos dados de anamnese, exame fisico e tempo de tratamento, correlacionando-os com o resultado final. Encontraram-se 80,1 por cento e 75 por cento de resultados satisfatorios no grupo I ao fim de um e dois anos, respectivamente. No grupo II, 42,9 por cento e 21,5 por cento. O fator limitante na avaliaçäo dos resultados foi o abandono do tratamento.