Subject(s)
Endovascular Procedures , Ischemia/therapy , Humans , Iliac Artery , Limb Salvage , Lower Extremity , Retrospective Studies , Stents , Treatment OutcomeABSTRACT
No disponible
Subject(s)
Humans , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/therapy , Arteriosclerosis , Vascular Surgical Procedures , Societies, Medical , SpainABSTRACT
No disponible
Subject(s)
Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/drug therapy , Aortic Aneurysm, Abdominal/surgery , Epidemiological Monitoring/trends , Endovascular Procedures , Tomography, X-Ray Computed , Surgeons/education , Physician's Role , Spain/epidemiologyABSTRACT
No disponible
Subject(s)
Humans , Aortic Aneurysm, Abdominal/diagnosis , Aortic Aneurysm, Abdominal/therapyABSTRACT
A 26-year-old woman presented to the emergency department complaining of left flank pain, and proteinuria and hematuria were detected during urinalysis. A renal ultrasound did not reveal any disorder, and after performing a computed tomography angiography scan, compression of the left renal vein between the superior mesenteric artery and the aorta was seen. This compression is known as Nutcracker syndrome. From among the different treatment options available, it was decided, with patient consensus, to use open surgical management, performing a transposition of the left renal vein to a more distal level in the inferior vena cava. The immediate postoperative care progressed without complications and the symptoms resolved; after 1 year of surveillance, the patient continues to be asymptomatic. Nutcracker syndrome is a rare phenomenon, with few cases described. There are different therapeutic options for the treatment of Nutcracker syndrome, such as open surgery, endovascular treatment, or conservative treatment; because of the low prevalence of this syndrome, there are no sufficiently large series at present or with the necessary long-term surveillance to decide on the most suitable treatment. Distal transposition of the left renal vein in the inferior cava vein has proved to offer good long-term results, and this option offers a higher chance of resolution without the need for as many postsurgery controls as would be required with endovascular treatment.
Subject(s)
Hematuria/etiology , Renal Nutcracker Syndrome/complications , Renal Veins , Adult , Female , Hematuria/diagnosis , Hematuria/prevention & control , Humans , Recurrence , Renal Nutcracker Syndrome/diagnosis , Renal Nutcracker Syndrome/surgery , Renal Veins/diagnostic imaging , Renal Veins/surgery , Tomography, X-Ray Computed , Treatment Outcome , Vena Cava, Inferior/surgerySubject(s)
Humans , Male , Adult , Paracoccidioides/isolation & purification , Paracoccidioidomycosis/drug therapy , Emigrants and Immigrants , Paracoccidioides/immunology , Paracoccidioidomycosis/epidemiology , Remission Induction , Spain/epidemiology , Lung Diseases, Fungal/diagnosis , Lung Diseases, Fungal/drug therapy , Laryngeal Diseases/diagnosis , Laryngeal Diseases/drug therapy , Laryngeal Diseases/microbiology , Itraconazole/therapeutic use , Gingival Diseases/microbiology , Granuloma/diagnosis , Gingival Diseases/diagnosis , Antibodies, Fungal/blood , Antifungal Agents/therapeutic use , Ecuador/ethnology , Granuloma/drug therapy , Gingival Diseases/drug therapy , Granuloma/microbiologySubject(s)
Emigrants and Immigrants , Paracoccidioides/isolation & purification , Paracoccidioidomycosis/drug therapy , Adult , Antibodies, Fungal/blood , Antifungal Agents/therapeutic use , Ecuador/ethnology , Gingival Diseases/diagnosis , Gingival Diseases/drug therapy , Gingival Diseases/microbiology , Granuloma/diagnosis , Granuloma/drug therapy , Granuloma/microbiology , Humans , Itraconazole/therapeutic use , Laryngeal Diseases/diagnosis , Laryngeal Diseases/drug therapy , Laryngeal Diseases/microbiology , Lung Diseases, Fungal/diagnosis , Lung Diseases, Fungal/drug therapy , Male , Paracoccidioides/immunology , Paracoccidioidomycosis/epidemiology , Remission Induction , Spain/epidemiologySubject(s)
Anaplasma phagocytophilum/isolation & purification , Ehrlichiosis/epidemiology , Animals , Bacteremia/microbiology , Bites and Stings/complications , Bites and Stings/microbiology , Czech Republic/ethnology , Ehrlichiosis/diagnosis , Ehrlichiosis/microbiology , Female , Humans , Middle Aged , Spain/epidemiology , Ticks/microbiology , TravelABSTRACT
No disponible