Trombosis venosa profunda y agenesia de vena cava inferior: presentación típica en una anomalía poco frecuente. Caso clínico

Abnormalities of the inferior vena cava are rare. Its embryological development occurs between the sixth and eighth week of gestation and depends on the persistence or regression of three pairs of veins: the posterior cardinal veins, the subcardinal veins and the supracardinal veins. The type of congenital alteration depends on the moment that embryogenesis is altered. The most frequent clinical presentation is deep vein thrombosis, which occurs mainly in young men. We report a 16-year-old male presenting with edema of the left leg. No risk factor for thrombosis was recorded. A Doppler ultrasound confirmed the presence of a deep femoro-popliteal vein thrombosis. An abdominal CAT scan showed an agenesis of the supra and infra-adrenal inferior vena cava, with multiple collaterals. The study for thrombophilia was negative. The patient was treated with vitamin K antagonists with a good clinical response.

Ulcera péptica perfurada: análise retrospectiva / Perforated peptic ulcer: retrospective analysis

Este estudo é uma retrospectiva de dezesseis casos consecutivos de úlcera péptica perfurada, atendidos e operados no Serviço de Cirurgia Geral do Hospital Nosasa Senhora da Conceiçäo, no período compreendido entre fevereiro de 1984 a julho de 1985. A análise considera a percentagem, e os casos säo distribuídos conforme idade, sexo e localizaçäo da úlcera. Finalmente, propomos a cirurgia definitiva para um grupo restrito de pacientes