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1.
Autops. Case Rep ; 12: e2021351, 2022. graf
Article in English | LILACS | ID: biblio-1355722
2.
Rev. argent. cir ; 113(4): 482-486, dic. 2021. graf
Article in Spanish | LILACS, BINACIS | ID: biblio-1356959

ABSTRACT

RESUMEN Los quistes hepáticos simples (QHS) son las lesiones hepáticas más frecuentes. Cursan habitualmente asintomáticas, aunque cuando alcanzan gran tamaño pueden causar síntomas. El objetivo del presente artículo es presentar una complicación excepcional de los QHS. Presentamos a una mujer de 61 años con historia de QHS múltiples que acude a Urgencias por dolor abdominal brusco sin antecedente traumático. Ante la sospecha de rotura quística espontánea, se realiza tomografía computarizada (TC) abdominal que confirma el diagnóstico. Se decide tratamiento conservador con buena evolución. Tras el episodio agudo es intervenida quirúrgicamente realizándose destechamiento de los quistes. a rotura de los QHS es una complicación excepcional que habitualmente cursa con dolor abdominal. Debido a su baja frecuencia no existe un tratamiento estándar. Se acepta que el tratamiento conservador es una buena opción en pacientes sin signos de peritonitis, mientras que la cirugía urgente está indicada en pacientes con abdomen agudo.


ABSTRACT Simple liver cysts (SLC) are the most common liver tumors. They are usually asymptomatic but large cysts may produce symptoms. The aim of this article is to report a rare complication of SLC. We report the case of a 61-year-old woman with a history of multiple SLCs who sought medical care due to sudden abdominal pain not associated with trauma. A probable diagnosis of spontaneous rupture was made, and the patient underwent computed tomography (CT) scan of the abdomen which confirmed the suspicion. Conservative treatment was decided, with favorable outcome. After the acute episode the patient underwent surgery and the cysts were unroofed. Rupture of SLC is a rare complication that usually presents with abdominal pain. There is no standard of care due to the low incidence of this complication. The conservative approach is a good option in patients without signs of peritonitis, while emergency surgery is indicated in patients with acute abdomen.


Subject(s)
Humans , Female , Middle Aged , Rupture, Spontaneous , Cysts/diagnostic imaging , Conservative Treatment , Abdomen, Acute/surgery , Liver , Women , Wounds and Injuries , Cysts , Diagnosis , Abdomen , Abdomen, Acute
4.
Rev. colomb. cir ; 36(4): 719-725, 20210000. fig
Article in Spanish | LILACS | ID: biblio-1291270

ABSTRACT

Introducción. Los quistes gástricos de duplicación son malformaciones congénitas muy infrecuentes del tracto gastrointestinal. Se definen como una lesión quística tapizada por epitelio gastrointestinal que comparte una capa de músculo liso con la pared gástrica. Se han propuesto diferentes teorías sobre su patogénesis, sin embargo, los eventos embriológicos que conducen a la malformación no han logrado ser dilucidados. Debido a su localización y presentación clínica, el diagnóstico se realiza con mayor frecuencia durante los primeros años de vida y existen pocos casos reportados en adultos, en quienes el hallazgo suele ser incidental. Caso clínico. Se presenta el caso de una mujer de 65 años quien consultó por dolor abdominal crónico y síntomas digestivos inespecíficos. Por medio de Tomografía Axial Computarizada se evidenció una lesión quística en contacto con el páncreas y la pared gástrica. Se realizó exploración quirúrgica que, junto con los hallazgos histopatológicos, confirmó el diagnosticó de quiste de duplicación gástrico. Discusión. Los quistes de duplicación gástrica son anomalías excepcionales que se localizan más frecuentemente en la curvatura mayor. Su tratamiento es quirúrgico y la confirmación del diagnóstico se realiza mediante la histología


Introduction. Gastric duplication cysts are very rare congenital malformations of the gastrointestinal tract. They are defined as a cystic lesion lined by gastrointestinal epithelium that shares a layer of smooth muscle with the gastric wall. Different theories have been proposed about its pathogenesis, however, the embryological events that lead to the malformation have not been elucidated. Due to its location and clinical presentation, the diagnosis is made more frequently during the first years of life and there are few cases reported in adults, in whom the finding is usually incidental. Clinical case. We present the case of a 65-year-old woman who consulted for chronic abdominal pain and nonspecific digestive symptoms. A CT scan evidenced a cystic lesion in contact with the pancreas and the gastric wall. A surgical exploration was performed which, along with the histopathological findings, confirmed the diagnosis of a gastric duplication cyst. Discussion. Gastric duplication cysts are exceptional anomalies that are more frequently located in the greater curvature. Its treatment is surgical and the confirmation of the diagnosis is made by histology


Subject(s)
Humans , Cysts , Gastrointestinal Tract , General Surgery , Histology
6.
Rev. argent. reumatolg. (En línea) ; 32(1): 31-35, mar. 2021. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1279757

ABSTRACT

Se presenta el caso de un paciente con quistes en el hueso iliaco como causa atípica de lumbalgia crónica a la cual se puede enfrentar el reumatólogo, y se hará una revisión de la literatura sobre los tipos de quistes óseos y sus diagnósticos diferenciales. También se hará mención de sus opciones de tratamiento.


The case of a patient with cysts in the iliac bone is presented as an atypical cause of chronic low back pain that the rheumatologist may face, and a review of the literature on the types of bone cysts and their differential diagnoses will be made. Mention will also be made of your treatment options.


Subject(s)
Low Back Pain , Therapeutics , Bone Cysts , Back Pain , Cysts , Diagnosis, Differential
7.
Rev. argent. radiol ; 85(1): 11-20, ene. 2021. tab, graf
Article in Spanish | LILACS | ID: biblio-1155708

ABSTRACT

Resumen La presencia de lesiones quísticas de etiología oncológica en el encéfalo es cada vez más frecuente. El rol del especialista en imágenes es describir sus características, morfología y comportamiento con el contraste endovenoso, para llegar a realizar un diagnóstico presuntivo y enumerar sus diagnósticos diferenciales, y así orientar al médico tratante. Haremos una revisión de las lesiones quísticas de etiología oncológica de presentación frecuente en el encéfalo.


Abstract The presence of an oncologic cystic formation in the brain is frequent. The imaging specialist's role is to describe its features, morphology, and image enhancement characteristics with endovenous contrast, to make a presumptive diagnosis, and enumerated differential diagnoses and thus orientate the practitioner. We will analyze the most common expansive cystic formations.


Subject(s)
Brain Neoplasms/diagnostic imaging , Cysts/diagnostic imaging , Brain/pathology , Brain/diagnostic imaging , Magnetic Resonance Spectroscopy , Tomography, X-Ray Computed , Neurocytoma , Hemangioblastoma , Ependymoma
8.
Article in Chinese | WPRIM | ID: wpr-877564

ABSTRACT

OBJECTIVE@#To observe the clinical efficacy of thunder-fire moxibustion combined with mifepristone for ovarian chocolate cyst dysmenorrhea with kidney deficiency and blood stasis.@*METHODS@#Seventy patients were randomly divided into an observation group and a control group, 35 cases in each group. The patients in the the control group were treated with oral administration of mifepristone, 10 mg each time, once a day; based on the treatment of the control group, the patients in the observation group were treated with thunder-fire moxibustion at Guanyuan (CV 4), Zigong (EX-CA 1), Xuehai (SP 10), once every other day. Both the groups were treated for 3 months. The Cox menstrual symptom scale (CMSS) score, the maximum cross-sectional area of ectopic cyst, and the serum levels of transforming growth factor-β1 (TGF-β1) and interleukin-17 (IL-17) were observed before and after treatment in the two groups. The clinical efficacy was evaluated.@*RESULTS@#Compared before treatment, the severity scores and duration scores of CMSS as well as the serum levels of TGF-β1 were reduced after treatment in the two groups (@*CONCLUSION@#Thunder-fire moxibustion combined with mifepristone could significantly improve dysmenorrhea symptoms, shorten dysmenorrhea time and promote atrophy of ovarian heterotopic cyst in patients with ovarian chocolate cyst dysmenorrhea of kidney deficiency and blood stasis, and the mechanism may be related to the reduction of serum levels of TGF-β1 and IL-17.


Subject(s)
Acupuncture Points , Chocolate , Cysts , Dysmenorrhea/drug therapy , Female , Humans , Kidney , Mifepristone , Moxibustion
9.
Chinese Journal of Oncology ; (12): 1034-1042, 2021.
Article in Chinese | WPRIM | ID: wpr-920985

ABSTRACT

Presacral cysts are cystic or cyst-solid lesions between the sacrum and rectum. They are closely connected with adjacent pelvic floor structures such as sacrococcygeal fascia, rectum and anal sphincter. They are usually benign and are believed to be caused by aberrant embryogenesis. Clinically they are rare and its true incidence rate is unknown. Surgical resection remains the major treatment of presacral cysts. Unless the cysts are completely resected, the recurrence are unavoidable. The recurrent cysts even generate hard-to-heal sinus in the sacrococcyx, and cause the patients extreme pain. However, the current knowledge of presacral cysts is vague, even confused with other diseases such as ovarian cysts and perianal abscesses. Moreover, lack of the correct surgical concept or skills leads to palliative treatment of complex presacral cysts and serious complications such as fecal incontinence and massive haemorrhage which were attributed to impairing the function of anal sphincter or important blood vessels and nerves. The consensus summarizes the opinions and experiences of multidisciplinary experts in presacral cysts, and aims to provide clinicians with more detailed concept of the treatment, standardize the surgical approach and improve the resected efficacy of presacral cysts.


Subject(s)
China , Consensus , Cysts , Female , Humans , Neoplasm Recurrence, Local , Rectum/surgery
10.
Rev. méd. Minas Gerais ; 31: 31403, 2021.
Article in Portuguese | LILACS | ID: biblio-1291367

ABSTRACT

Cistos iridociliar são lesões raras, em geral assintomáticas de ocorrência esporádica. Caracteriza-se por lesões globulares originadas em epitélio de íris e corpo ciliar. Trata-se de um caso raro de cisto iridociliar de origem primária, sem relação traumática ou medicamentosa, em paciente adulto jovem. Foi-se realizado exame clínico em consultório oftalmológico com suspeita de lesão em topografia de olho esquerdo, confirmada posteriormente em exame de ultrassom de alta resolução,a biomicroscopia ultrassônica. O tratamento instituído foi de acompanhamento médico continuado, devido ao risco de evolução com comprometimento da saúde ocular, entre eles obstrução visual aguda e glaucoma por fechamento angular grave.


Iridociliary cysts are rare lesions, usually asymptomatic and sporadic. It is characterized by globular lesions originating in iris epithelium and ciliary body. It is a rare case of iridociliary cyst of primary origin, without a traumatic or medication relationship, in a young adult patient. A clinical examination was carried out in an ophthalmology office with suspicion of a lesion in the topography of the left eye, which was later confirmed in a high-resolution ultrasound examination, ultrasound biomicroscopy. The treatment instituted was continuous medical follow-up, due to the risk of progression with impaired eye health, including acute visual obstruction and glaucoma due to severe angular closure.


Subject(s)
Female , Adult , Cysts , Iris Diseases , Ophthalmology , Wounds and Injuries , Iris , Ciliary Body , Eye Health , Slit Lamp Microscopy
11.
Rev. bras. oftalmol ; 80(3): e0011, 2021. graf
Article in English | LILACS | ID: biblio-1280118

ABSTRACT

ABSTRACT The authors report the case of a male adult presenting significant ocular complications and irreversible visual impairment, resulting from the long-term progression and late diagnosis of an iris cyst in the right eye, probably secondary to trauma. The patient was admitted to Hospital Universitário Antonio Pedro with a total corneal opacity that blocked direct visualization of the anterior chamber. Ultrasound biomicroscopy was crucial for the anatomic study, and the patient was submitted to enucleation for aesthetic improvement and clarifying diagnosis. We concluded athalamia and deformation of the anterior segment, due to expansion of the cyst, led to gradual elevation of the intraocular pressure and damage of the optic nerve, resulting in visual loss.


RESUMO Relatamos o caso de um paciente com evolução e diagnóstico tardios de cisto de íris no olho direito, provavelmente secundário a trauma, com complicações importantes e baixa irreversível da visão, tendo sido admitido no Hospital Universitário Antônio Pedro já com leucoma total da córnea e câmara anterior indevassável. A biomicroscopia ultrassônica se mostrou imprescindível para o estudo anatômico, sendo o paciente finalmente submetido à enucleação, para melhora estética e elucidação diagnóstica. Concluímos que a atalamia e a desestruturação do segmento anterior, consequentes ao crescimento cístico, levaram a um gradativo aumento da pressão intraocular e lesão do nervo óptico, com consequente perda da visão.


Subject(s)
Humans , Male , Middle Aged , Cysts/complications , Cysts/diagnosis , Iris Diseases/diagnosis , Ophthalmoscopy , Tonometry, Ocular/methods , Magnetic Resonance Imaging , Eye Enucleation , Visual Acuity , Iris/diagnostic imaging , Ocular Hypertension/diagnosis , Ocular Hypertension/etiology , Blindness/etiology , Corneal Topography , Cysts/surgery , Cysts/pathology , Corneal Pachymetry , Slit Lamp Microscopy/methods , Iris Diseases/surgery , Iris Diseases/complications , Iris Diseases/pathology
12.
São Paulo; s.n; 2021. 57 p.
Thesis in Portuguese | LILACS | ID: biblio-1179166

ABSTRACT

O aumento da demanda de recursos hídricos causado pelo crescimento da população mundial, pela necessidade de produção de alimentos e utilização na indústria é uma realidade. Como enfrentamento a este cenário de segurança hídrica, existe uma crescente tendência mundial de uso de águas recicladas para fins que demandam águas de menor qualidade, poupando assim recursos hídricos e o meio ambiente. O presente estudo teve como objetivo identificar as espécies Cryptosporidium parvum, Cryptosporidium hominis, Cryptosporidium meleagridis e Giardia duodenalis (em seus assemblages A e B) nas águas de reúso provenientes das duas ETEs localizadas na cidade de São Paulo. Para a identificação das espécies Cryptosporidium parvum, Cryptosporidium meleagridis e Cryptosporidium hominis foram realizadas análise por regiões do gene 18S rRNA, com os primers descritos por ARAUJO (2018), onde foram detectadas em 5,76% (3/52) das amostras de água de reúso analisadas pelo método real-time PCR (qPCR). A espécie Giardia duodenalis foi identificada através de um fragmento do gene Gdh, com os primers descritos por (CACCIO et al, 2008) e foi detectada em 11,53% (6/52) das amostras de água de reúso analisadas. Após a identificação das amostras via qPCR, foi realizado o nested PCR para que os fragmentos de DNA identificados pudessem ser sequenciados, onde confirmamos a presença das espécies de Cryptosporidium spp. anteriormente citadas, porém as amostras de Giardia spp. não apresentaram resultados positivos no sequenciamento, não sendo possível a identificação dos assemblages. Este trabalho subsidia, com dados de presença de Giardia spp. e Cryptosporidium spp. nas águas de reúso produzida por duas ETEs da cidade de São Paulo, a elaboração de uma regulamentação adequada para o uso deste recurso em ambiente urbano com o intuito de se proteger a saúde da população exposta, em especial das populações mais vulneráveis e de se reduzir o risco de infecção pelo contato ocupacional.


The increasing demand for water resources caused by the growth of the world's population, the food production and use in industry is a reality. With this water crisis scenario, there is a growing worldwide trend towards the use of recycled water for purposes that demand lower water quality, thus saving water resources and the environment. In a previous study, we identified the presence of Giardia spp. and Cryptosporidium spp. in reuse waters from two wastewater treatment plants (WWTPs) in the city of São Paulo (called stations "A" and "B") using the USEPA 1693/2014 method. The present study aimed to identify the species Cryptosporidium parvum, Cryptosporidium hominis, Cryptosporidium meleagridis and Giardia duodenalis (in their assemblages A and B) in the reuse waters from the WWTPs in the city of São Paulo. Different molecular analyzes were carried out to identify the species found in the WWTPs. The species Cryptosporidium parvum, Cryptosporidium meleagridis and Cryptosporidium hominis were identified by regions of their 18S rRNA gene, with the primers described by ARAUJO (2018), and were detected in 5.76% (3/52) of the reuse water samples analyzed by real-time PCR (qPCR) method. The species Giardia duodenalis was identified through a fragment of the Gdh gene, with the primers described by (CACCIO et al., 2008) was detected in 11.53% (6/52) of the analyzed water samples. After identifying the samples via qPCR, the nested PCR was performed so that the identified DNA fragments could be sequenced, where we confirmed the presence of the previously mentioned Cryptosporidium spp., however the Giardia spp. samples did not show positive results in the sequencing, being not possible the identification of assemblages. This work subsidizes, with data on the presence of Giardia spp. and Cryptosporidium spp. in the two studied WWTPs in the city of São Paulo, the elaboration of an adequate regulation for the use of this resource in an urban environment, protecting the health of the exposed population, especially the most vulnerable populations and reducing the risk of infection by occupational use.


Subject(s)
Gray Water , Cryptosporidium , Cysts , Oocysts , Giardia
13.
CoDAS ; 33(3): e20200095, 2021. tab, graf
Article in English | LILACS | ID: biblio-1249625

ABSTRACT

ABSTRACT Purpose To evaluate and compare the parameters of Digital kymography obtained through the High-speed Videolaryngoscopy of women without laryngeal disorders, of women with vocal fold nodules and of women with vocal cysts. Methods A cross-sectional observational study in which 60 women aged 18 years and 45 years were selected. Three study groups were formed: 20 women without laryngeal disorder forming the control group (Group 1), 20 women with diagnosis of vocal fold nodules forming Group 2 and 20 women with diagnosis of vocal cysts forming Group 3. Subsequently the participants were evaluated by High-speed Videolaryngoscopy for analysis and comparison of laryngeal images using Digital kymography. The laryngeal parameters processed by the program KIPS® were: minimum, maximum and mean opening; dominant amplitude of the left and right vocal folds; dominant frequency of the right and left vocal folds; and close. Results The analysis of Digital kymography suggests that the presence of the vocal fold nodules and the vocal cysts tend to restrict more to the maximum and minimum opening of the vocal fold and the dominant amplitude of the opening variation in the middle region of the glottis. Conclusion Digital kymography parameters were similar in the presence of vocal fold nodules and vocal cysts lesions.


RESUMO Objetivo Avaliar e comparar os parâmetros da videoquimografia digital obtidos pela videolaringoscopia de alta velocidade de mulheres sem alterações laríngeas, de mulheres com nódulos de prega vocal e de mulheres com cistos vocais. Método Estudo observacional transversal, no qual foram selecionadas 60 mulheres com idade entre 18 e 45 anos. Três grupos foram formados: 20 mulheres sem alterações laríngeas formando o grupo controle (Grupo 1), 20 mulheres com diagnóstico de nódulos nas pregas vocais formando o Grupo 2 e 20 mulheres com diagnóstico de cistos vocais formando o Grupo 3. Posteriormente, os participantes foram avaliados por Videolaringoscopia de alta velocidade para análise e comparação de imagens da laringe usando videoquimografia digital. Os parâmetros videoquimográficos avaliados pelo programa KIPS® foram: aberturas mínima, máxima e média; amplitudes da prega vocal direita e esquerda; frequências da abertura da prega vocal direita e esquerda; e fechamento. Resultados A análise da videoquimografia digital sugere que a presença dos nódulos e dos cistos de pregas vocais tendem a restringir a abertura máxima e média da prega vocal e a amplitude dominante da variação de abertura na região média da glote. Conclusão Os parâmetros da videoquimografia digital foram semelhantes na presença de nódulos nas pregas vocais e lesões de cistos vocais.


Subject(s)
Humans , Female , Adolescent , Phonation , Cysts/diagnostic imaging , Vibration , Video Recording , Vocal Cords/diagnostic imaging , Cross-Sectional Studies , Kymography
14.
Rev. bras. oftalmol ; 79(6): 413-415, nov.-dez. 2020. graf
Article in Portuguese | LILACS | ID: biblio-1156158

ABSTRACT

Resumo Descrevemos o caso de um paciente portador de glaucoma secundário que evoluiu com cisto de tenon após implante de válvula de Ahmed. A despeito da conduta expectante inicial e das intervenções cirúrgicas posteriores, apenas com a utilização da ciclofotocoagulação transescleral com laser micropulsado a pressão intraocular atingiu valores aceitáveis.


Abstract We describe the case of a patient with secondary glaucoma who developed tenon cyst after Ahmed valve implantation. Despite the initial expectant management and subsequent surgical interventions, only with the micropulse transecleral cyclophotocoagulation did the intraocular pressure reach acceptable values.


Subject(s)
Humans , Male , Adult , Postoperative Complications , Glaucoma/surgery , Filtering Surgery , Glaucoma Drainage Implants/adverse effects , Cysts , Tenon Capsule , Intraocular Pressure
15.
Rev. Odontol. Araçatuba (Impr.) ; 41(3): 9-14, set./dez. 2020. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-1121722

ABSTRACT

Cistos Periapicais são proliferações dos restos epiteliais de Malassez em decorrência do processo desenvolvimento ou inflamatório devido necrose pulpar. Apresenta-se no início de forma assintomática, e dependendo da sua evolução pode levar a expansão da corticais e reabsorção óssea. Ao exame de imagem se apresentam como uma área radiotransparente bem delimitada, circunscrita por halo radiopaco geralmente associado a região apical de uma ou mais unidades dentárias. O objetivo desse trabalho é relatar abordagem cirúrgica de enucleação e curetagem de um cisto periapical em região maxilar(AU)


Periapical cysts are proliferations of the epithelial remains of Malassez due to the development or inflammatory process due to pulp necrosis. It presents at the beginning asymptomatic, and depending on its evolution may lead to cortical expansion and bone resorption. Imaging studies present as a well-defined radiotransparent area, circumscribed by a radiopaque halo generally associated with the apical region of one or more dental units. The objective of this study is to report a surgical approach of enucleation and curettage of a periapical cyst in the maxillary region(AU)


Subject(s)
Radicular Cyst , Radicular Cyst/surgery , Bone Resorption , Odontogenic Cysts , Radicular Cyst/diagnosis , Dental Pulp Necrosis , Cysts
16.
Rev. argent. cir ; 112(4): 490-497, dic. 2020. il, tab
Article in Spanish | LILACS, BINACIS | ID: biblio-1288161

ABSTRACT

RESUMEN Antecedentes: la neoplasia sólida pseudopapilar del páncreas es una entidad rara, que típicamente se presenta en mujeres jóvenes. Suele presentar síntomas abdominales inespecíficos. Es un tumor maligno de bajo grado de malignidad. Objetivos : el objetivo del siguiente informe de serie de casos es presentar 9 casos tratados en un cen tro y realizar una revisión bibliográfica del tema. Material y métodos: estudio retrospectivo descriptivo de los casos con diagnóstico anatomopatoló gico de neoplasia sólida pseudopapilar en el Servicio de Cirugía General, desde febrero de 2013 hasta septiembre de 2019. Se contemplaron como variables: edad, sexo, localización del tumor, tratamiento quirúrgico realizado, tiempo operatorio, complicaciones, estancia hospitalaria y seguimiento alejado. Resultados: fueron 9 casos, todos de sexo femenino con media de edad de 30 años (rango 20 a 70 años). La localización más frecuente fue en cola de páncreas en 4 casos (45%). Todas las pacientes fueron sometidas a cirugía, con abordaje laparoscópico en el 60% de los casos (n = 5); la resección pancreática distal con preservación esplénica fue la conducta más utilizada (n = 6). Se constataron tres complicaciones, de las cuales dos fueron colecciones abdominales como consecuencia de una fístula pancreática que se abordaron por vía percutánea, y la restante fue un retardo del vaciamiento gástrico por lo cual la paciente requirió internación prolongada. Conclusión: la neoplasia sólida pseudopapilar pancreática es una enfermedad poco frecuente, ma ligna pero con bajo riesgo de malignidad. Presenta buena sobrevida cuando se somete a cirugía de carácter curativo; la laparoscopia es la vía de abordaje de elección en centros con experiencia.


ABSTRACT Background: Solid pseudopapillary tumor of the pancreas is a rare condition that affects young women. The most common symptom is unspecific abdominal pain. It is a malignant tumor of low malignant potential. Objective: The aim of this study is to report a case series of patients treated in a single center and perform a bibliographic review. Material and methods: We conducted a retrospective study of the cases with pathological diagnosis of solid pseudopapillary tumor of the pancreas treated in the Department of General Surgery between February 2013 and September 2019. The following variables were analyzed; age, sex, tumor location, surgical treatment, operative time, complications, length of hospital stay and long-term follow-up. Results: Nine patients were included; all of them were women with mean age of 30 years (range: 20 - 70 years). The most common location of the tumor was the tail of the pancreas (n = 4; 45%). Surgery was performed in all the cases; five cases underwent video-assisted laparoscopy and spleen-preserving distal pancreatectomy was the technique more commonly used (n = 6). Three complications were recorded: two abdominal collections due to biliary leaks were trated by percutaneous approach and the other patient presented delayed gastric emptying and required prolonged hospitalization. Conclusion: Solid pseudopapillary tumor pf the pancreas is a rare low-grade malignant neoplasm. The prognosis is favorable after surgery and laparoscopy is the preferred approach in centers with experience.


Subject(s)
Humans , Female , Adult , Middle Aged , Aged , Young Adult , Pancreatic Neoplasms/surgery , Cysts/surgery , Pancreatectomy , Pancreatic Neoplasms/diagnostic imaging , Retrospective Studies , Ultrasonography , Laparoscopy
17.
Rev. medica electron ; 42(5): 2388-2397, sept.-oct. 2020. graf
Article in Spanish | LILACS, CUMED | ID: biblio-1144742

ABSTRACT

RESUMEN Los quistes de los conductos de Gartner, generalmente pequeños, benignos y asintomáticos, son vestigios del canal mesonéfrico de Wolff. Representan el 11 % de los quistes vaginales, esta es su localización más frecuente según la literatura consultada. Se presentó un caso operado en el Hospital Militar de Matanzas "Dr. Mario Muñoz Monroy", de localización en la cara posterior del istmo uterino (AU).


ABSTRAC Gartner's duct cyst, mostly little, benign and asymptomatic, are vestiges of the Wolffian mesonephric duct representing 11 % of the vaginal cysts; this location is the most frequently reported and published one up to date. The authors presented the case of a patient who underwent a surgery in the Military Hospital "Dr. Mario Muñoz Monroy¨ with a cyst in the posterior side of the uterine isthmus (AU).


Subject(s)
Humans , Female , Adult , Wolffian Ducts/abnormalities , Cysts/epidemiology , Uterus/abnormalities , Wolffian Ducts/surgery , Ultrasonography/methods , Cysts/surgery , Cysts/diagnosis
18.
Arch. argent. pediatr ; 118(5): e495-e498, oct 2020. ilus
Article in Spanish | LILACS, BINACIS | ID: biblio-1122541

ABSTRACT

La tortícolis es un signo clínico definido por la inclinación lateral del cuello y rotación de la cabeza, que puede ser fija o flexible y acompañarse o no de dolor cervical. Aparece en trastornos de diferente complejidad. Ante un caso de tortícolis, es preciso realizar una historia clínica cuidadosa y un examen físico completo, y, en caso de ser persistente, solicitar pruebas de imagen.Se hace referencia a una causa de tortícolis no descrita en la literatura. Se trata de una tumoración quística compresiva en la fosa craneal posterior, quiste de la bolsa de Blake, en una lactante pequeña diagnosticada mediante ecografía en la consulta de Pediatría de Atención Primaria. Tras el diagnóstico, se remitió al centro hospitalario de referencia, donde se intervino de urgencia por Neurocirugía Pediátrica, mediante fenestración de la tumoración por ventriculostomía endoscópica y derivación ventrículo-peritoneal. Actualmente, se encuentra asintomática y sin secuelas.


Torticollis is a clinical sign defined by the lateral inclination of the neck and rotation of the head, which can be fixed or flexible and accompanied or not by cervical pain. It appears in disorders of different complexity. In a case of torticollis it is necessary to carry out a careful medical history and a complete physical examination and, if persistent, request imaging tests.Reference is made to a cause of torticollis not described in the literature. This is a compressive cystic tumor in the posterior cranial fossa, Blake's pouch cyst, in a small infant diagnosed by ultrasound in the Primary Care Pediatrics office. After diagnosis, she was referred to the referral hospital, where emergency intervention was performed by pediatric neurosurgery, by fenestration of the tumor by endoscopic ventriculostomy and ventriculo-peritoneal shunt. She is currently asymptomatic and without sequelae.


Subject(s)
Humans , Female , Infant , Torticollis , Cranial Fossa, Posterior/diagnostic imaging , Cysts/diagnosis , Ventriculostomy , Cranial Fossa, Posterior/abnormalities , Cranial Fossa, Posterior/surgery , Cysts/surgery , Hydrocephalus/diagnostic imaging
19.
Rev. cuba. med ; 59(3): e492, tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1139062

ABSTRACT

La poliquistosis hepática aislada del adulto es una enfermedad congénita autosómica dominante de los conductos biliares intrahepáticos, con una aparición muy rara. Es más frecuente en el sexo femenino, y los quistes adquieren su máxima expresión a partir de la quinta década de la vida. A pesar de los hallazgos físicos y radiológicos a veces impresionantes, solo en una minoría de los pacientes la enfermedad progresa a lo largo de los años hacia una enfermedad hepática avanzada o desarrolla complicaciones como resultado de hepatomegalia masiva. Se presenta el caso de un paciente masculino que ingresa con el diagnóstico de infarto agudo de miocardio, asintomático desde el punto de vista abdominal y que se le diagnostica la enfermedad poliquística hepática(AU)


Isolated adult polycystic liver disease is rare autosomal dominant congenital disease of the intrahepatic bile ducts. It is more frequent in women, and the cysts acquire their maximum expression from the fifth decade of life. Despite the sometimes impressive physical and radiological findings, in only a minority of patients, the disease progresses over the years to advanced liver disease or develops complications as a result of massive hepatomegaly. We report here the case of a male patient who is admitted with the diagnosis of acute myocardial infarction, asymptomatic from the abdominal point of view and he was diagnosed with polycystic liver disease(AU)


Subject(s)
Humans , Male , Female , Tomography, X-Ray Computed/methods , Ultrasonography/methods , Cysts/diagnostic imaging , Liver Diseases/diagnostic imaging
20.
Gac. méd. boliv ; 43(1): 7-12, ago. 2020. ilus
Article in Spanish | LILACS | ID: biblio-1124811

ABSTRACT

Las masas anexiales en el embarazo oscilan entre el 2% a 10%; su torsión es causa rara de abdomen agudo durante el mismo. La conducta frente al diagnóstico fue, tradicionalmente, anexectomía sin detorsión del lado comprometido; posteriormente, detorsión y conservación del anexo torcido. OBJETIVO: describir el valor de la punción y aspiración bajo guía ecográfica como tratamiento, inicialmente temporal, en cuadro de torsión de pedículo de quiste anexial durante el embarazo. MÉTODOS: estudio observacional prospectivo de 9 casos clínicos con diagnóstico de torsión de pedículo de quiste anexial y embarazo sometidos al tratamiento de punción aspiración del quiste torcido bajo guía ecográfica entre el año 2014 a 2019. RESULTADOS: en todos los casos fue posible salvar en anexo comprometido; en dos casos hubo persistencia del quiste que se extirpó durante la cesárea; en el resto, la resolución fue completa. Hubo una pérdida de embarazo atribuible al cuadro clínico. CONCLUSION: la punción-evacuación del quiste simple torcido parece ser una buena alternativa en la resolución del cuadro agudo.


The adnexal masses in pregnancy range from 2% to 10%; the adnexal torsion is a rare cause of acute abdomen during pregnancy. Surgical management traditionally involved adnexectomy without detorsion of the compromised structure; recently conservative surgery was proposed which consists in detorsion and conservation of the affected annex. OBJETIVE: to describe the value of ultrasound guided fine needle puncture and aspiration as the initially treatment in pedicle torsion of adnexal cyst during pregnancy. METHODS: prospective observational study of 9 patients that had the diagnosis of pedicle torsion of adnexal cyst during pregnancy who underwent ultrasound guided fine needle aspiration as a treatment of the adnexal cyst torsion between 2014 and 2019. RESULTS: in all cases it was possible to save the compromised structure; in two cases we observed recurrence of the cyst, that was subsequently removed during a caesarean section in both cases; in the rest of the patient's resolution was complete. Spontaneous abortion was seen in one of the patients, this event was not related to the invasive procedure. CONCLUSION: ultrasound guided fine needle aspiration of an adnexal who has suffered of pedicle torsion seems to be a good alternative for the management of this acute condition.


Subject(s)
Humans , Pregnancy , Conservative Treatment , Patients , Adnexal Diseases , Cysts
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