Subject(s)
Chylothorax , Fistula , Thoracic Duct , Thyroid Gland/surgery , Adult , Chylothorax/etiology , Female , Fistula/etiology , Humans , Lymphography , Thoracic Duct/surgerySubject(s)
Laparoscopy , Melanoma/surgery , Retroperitoneal Neoplasms/surgery , Surgery, Computer-Assisted , Tomography, X-Ray Computed , Aged , Humans , Laparoscopy/methods , Male , Melanoma/diagnostic imaging , Melanoma/secondary , Minimally Invasive Surgical Procedures/methods , Retroperitoneal Neoplasms/diagnostic imaging , Retroperitoneal Neoplasms/secondaryABSTRACT
Objetivo: revisión de la casuística de nuestro centro desde la introducción de la radiología intervencionista en el manejo de la hemorragia postparto hace 6 años. Sujetos y métodos: estudio retrospectivo entre 2009 y 2014 en el que se recogen los datos de 18 pacientes. Resultados: la tasa de éxitos en nuestra serie fue del 88,24% y la tasa global de histerectomía tras embolización fue del 11,76%. Conclusiones: la hemorragia postparto complica el 5-15% de los partos y es la causa aislada más importante de mortalidad materna. Existen protocolos individualizados de manejo según el centro, siendo la radiología intervencionista un tratamiento de segunda línea, alternativo a la histerectomía. En nuestro hospital se ha evidenciado una influencia positiva en la disminución de la histerectomía obstétrica. Las complicaciones, aunque infrecuentes, no son despreciables y se precisan estudios a largo plazo que evalúen su impacto en la fertilidad y gestaciones posteriores (AU)
Purpose: To review the patients who presented to our hospital with postpartum haemorrhage and were treated with interventional radiology procedures since the introduction of this technique 6 years ago. Subjects and methods: We collected data from all postpartum haemorrhages treated with arterial embolization at our hospital (n = 18) between 2009 and 2014. Results: Our success rate was 88.24% and the overall rate of obstetric hysterectomy after embolization was 11.76%. Conclusions: Approximately 5-15% of deliveries are complicated by postpartum haemorrhage, which is the most important isolated cause of maternal mortality. There are specific protocols in each centre, interventional radiology being an alternative treatment to hysterectomy. The number of emergency hysterectomies decreased in our hospital after the introduction of the technique. Although infrequent, the complications of this technique are not negligible, and long-term studies are needed to evaluate fertility and the obstetric impact in these patients (AU)
Subject(s)
Humans , Female , Adult , Postpartum Hemorrhage/surgery , Postpartum Hemorrhage , Radiography, Interventional/methods , Radiography, Interventional , Radiology, Interventional/trends , Uterine Artery Embolization/methods , Embolization, Therapeutic/adverse effects , Retrospective Studies , Hysterectomy/methods , Fluoroscopy , Femoral Artery , Oxytocin/therapeutic useABSTRACT
No disponible
Subject(s)
Humans , Female , Pregnancy , Adult , Postpartum Hemorrhage/diagnosis , Postpartum Hemorrhage , Radiology, Interventional/methods , Radiology, Interventional/statistics & numerical data , Radiology, Interventional/trends , Embolization, Therapeutic/methods , Angiography/instrumentation , Angiography/methods , Puerperal Disorders/diagnosis , Puerperal Disorders , Embolization, Therapeutic/trends , Embolization, Therapeutic , Episiotomy/methods , Pregnancy Complications/diagnosisABSTRACT
OBJETIVO: Presentar un caso de una patología rara, como es una malformación arteriovenosa que causa hematuria, que puede suponer una urgencia urológica.MÉTODO: Describimos la historia clínica, la exploración física, las pruebas complementarias realizadas y sus resultados, así como el tratamiento aplicado a un paciente varón adolescente que acude a urgencias por hematuria anemizante sin patología conocida que la justificase.RESULTADOS: Se llega al diagnóstico de fístula arteriovenosa renal congénita y se realiza su embolización percutánea, cediendo la hematuria posteriormente.CONCLUSIONES: Las fístulas arteriovenosas de origen no-traumático son raras y más aún si debutan con macrohematuria. Este es un ejemplo que supuso una urgencia vital y fue posible tratarla mediante embolización percutánea, evitando otros procedimientos más invasivos(AU)
OBJECTIVE: To report a rare case that supposed an emergency. It is a case of hematuria caused by an arteriovenous fistula.METHODS: We describe the background, clinical exploration, complementary exams and their results, as well as the treatment applied in an adolescent with hematuria.RESULTS: Congenital arteriovenous fistula was diagnosed and treated by percutaneous embolization, with immediate stop of the hematuria.CONCLUSION: Non-traumatic renal arteriovenous fistulae are infrequent and even more if they appear with gross hematuria. We present the case of an emergency caused by one of them which was treated by percutaneous embolization, avoiding surgery(AU)
Subject(s)
Humans , Male , Child , Hematuria/etiology , Arteriovenous Fistula/complications , Embolization, Therapeutic/methods , Vascular Malformations/complicationsABSTRACT
We describe a patient who underwent assisted reproduction techniques and was diagnosed with heterotopic cervical pregnancy, and then discuss the management of this entity, which is rare and has no standard protocols. Treatment consisted of intra-arterial methotrexate (50 mg/m(2) body surface area) and simultaneous selective embolization of uterine arteries. The literature is also reviewed to identify other approaches and outcomes.
Subject(s)
Fertility Preservation/methods , Pregnancy, Ectopic/therapy , Adult , Cervix Uteri/diagnostic imaging , Female , Fertilization in Vitro , Humans , Methotrexate/administration & dosage , Methotrexate/therapeutic use , Metrorrhagia/diagnostic imaging , Metrorrhagia/etiology , Metrorrhagia/therapy , Pregnancy , Pregnancy, Ectopic/diagnostic imaging , Pregnancy, Ectopic/pathology , Risk Factors , Smoking , Ultrasonography , Uterine Artery EmbolizationABSTRACT
OBJETIVO: Presentar un caso de una patología rara, como es una malformación arteriovenosa que causa hematuria, que puede suponer una urgencia urológica.MÉTODO: Describimos la historia clínica, la exploración física, las pruebas complementarias realizadas y sus resultados, así como el tratamiento aplicado a un paciente varón adolescente que acude a urgencias por hematuria anemizante sin patología conocida que la justificase. RESULTADOS: Se llega al diagnóstico de fístula arteriovenosa renal congénita y se realiza su embolización percutánea, cediendo la hematuria posteriormente.CONCLUSIONES: Las fístulas arteriovenosas de origen no-traumático son raras y más aún si debutan con macrohematuria. Este es un ejemplo que supuso una urgencia vital y fue posible tratarla mediante embolización percutánea, evitando otros procedimientos más invasivos(AU)
OBJECTIVE: To report a rare case of hematuria caused by an arteriovenous fistula which may be a urological emergency.METHODS: We describe the medical history, physical examination, complementary tests performed and their results, as well as the treatment applied in an adolescent with hematuria.RESULTS: Congenital arteriovenous fistula was diagnosed and treated by percutaneous embolization with immediate stop of hematuria.CONCLUSION: Non-traumatic renal arteriovenous fistulae are rare, even more if they present with gross hematuria. We present a case of a life-threatening emergency caused by one of them the treatment of which was possible by embolization, avoiding surgery(AU)
Subject(s)
Humans , Male , Adolescent , Hematuria/etiology , Arteriovenous Fistula/complications , Embolization, Therapeutic/methodsABSTRACT
OBJECTIVE: To report a rare case of hematuria caused by an arteriovenous fistula which may be a urological emergency. METHODS: We describe the medical history, physical examination, complementary tests performed and their results, as well as the treatment applied in an adolescent with hematuria. RESULTS: Congenital arteriovenous fistula was diagnosed and treated by percutaneous embolization with immediate stop of hematuria. CONCLUSION: Non-traumatic renal arteriovenous fistulae are rare, even more if they present with gross hematuria. We present a case of a life-threatening emergency caused by one of them the treatment of which was possible by embolization, avoiding surgery.
