ABSTRACT
La hemoptisis y hemorragia pulmonar son infrecuentes en edad pediátrica pero pueden presentarse como una emergencia respiratoria de riesgo vital o bien ser manifestación de patología grave. Se describe el caso de una niña de 11 años que presentó 4 episodios de 50ml en 48h de sangre roja brillante, sin antecedentes de patología respiratoria recurrente ni traumatismos. Una evaluación mediante radiografía de tórax, broncoscopia y angiotomografía computarizada (angio-TC) fundamentan el diagnostico del origen de la hemorragia. La angio-TC objetivó como fuente de la hemoptisis una arteria bronquial hipertrofiada con origen anómalo en el arco aórtico adyacente a la arteria subclavia derecha aberrante. El tratamiento se realizó mediante embolización selectiva del vaso sangrante con microesferas de polivinilo de 500-700μm y la resolución fue satisfactoria. No hubo complicaciones. La embolización de arteria bronquial es un procedimiento eficaz y las complicaciones son infrecuentes en manos expertas (AU)
Hemoptysis and pulmonary hemorrhage are rare pathological entities in childhood, however, both can be life threatening respiratory emergencies and can signify potentially serious underlying intrathoracic disease. We report an 11 year old female who had four episodes of hemoptysis (50mL of bright red blood within 48hours) without previous recurrent respiratory problems. The assessment by chest radiography, bronchoscopy and computed tomography (CT) was needed to diagnose the nature of the problem and to indicate the site and extent of the bleeding. The CT angiography of the thorax showed a right bronchial artery hypertrophy, abnormally originated from the aortic arch, next to an aberrant right subclavian artery. The bleeding was successfully controlled by right bronchial arterial embolization with 500-700μm polyvinyl alcohol (PVA) microspheres. The course was uncomplicated. The bronchial artery embolization is effective in controlling hemoptysis and complications are uncommon in the hand of an experienced operator (AU)
Subject(s)
Humans , Female , Child , Hemoptysis/complications , Bronchial Arteries/abnormalities , Hemothorax/complications , Choristoma/complications , Angiography , Embolization, TherapeuticABSTRACT
Hemoptysis and pulmonary hemorrhage are rare pathological entities in childhood, however, both can be life threatening respiratory emergencies and can signify potentially serious underlying intrathoracic disease. We report an 11 year old female who had four episodes of hemoptysis (50 mL of bright red blood within 48 hours) without previous recurrent respiratory problems. The assessment by chest radiography, bronchoscopy and computed tomography (CT) was needed to diagnose the nature of the problem and to indicate the site and extent of the bleeding. The CT angiography of the thorax showed a right bronchial artery hypertrophy, abnormally originated from the aortic arch, next to an aberrant right subclavian artery. The bleeding was successfully controlled by right bronchial arterial embolization with 500-700 µm polyvinyl alcohol (PVA) microspheres. The course was uncomplicated. The bronchial artery embolization is effective in controlling hemoptysis and complications are uncommon in the hand of an experienced operator.
Subject(s)
Bronchial Arteries/abnormalities , Hemoptysis/etiology , Bronchial Arteries/diagnostic imaging , Child , Embolization, Therapeutic , Emergencies , Female , Hemoptysis/therapy , Humans , Radiography , Severity of Illness IndexABSTRACT
Presentamos el caso de un recién nacido con trombosis venosa renal, con buena evolución clínica y radiológica. Se describen los hallazgos patológicos obtenidos por diferentes técnicas de imagen. La ecografía Doppler es el método de exploración de elección y, aunque con la resonancia magnética se consiguen buenas imágenes diagnósticas, debe quedar reservada para aquellos casos en los que los hallazgos de la ecografía Doppler no fueran concluyentes (AU)
We present a newborn patient with renal vein thrombosis with a good clinical and radiological evolution, describing the pathological features obtained by several imaging tools. Doppler ultrasound is the imaging method of choice, even although magnetic resonance gives excellent diagnostic findings it should be reserved for those cases where the Doppler findings are inconclusive (AU)
Subject(s)
Humans , Male , Infant, Newborn , Venous Thrombosis/complications , Venous Thrombosis , Ultrasonography, Doppler , Magnetic Resonance Imaging/methods , Echocardiography, Doppler, Color/instrumentation , Echocardiography, Doppler, Color/methods , Biomarkers/analysisABSTRACT
No disponible
Subject(s)
Humans , Infant , Male , Shock, Hemorrhagic/complications , Shock, Hemorrhagic/diagnosis , Brain Ischemia/complications , Brain Ischemia/diagnosis , Fever/complications , Diagnosis, Differential , Hemodiafiltration/methods , Hemodiafiltration/trends , Acidosis/complications , Acidosis/diagnosis , Echoencephalography/methods , Anuria/complications , Anuria/diagnosis , Hypercalcemia/complications , Hypercalcemia/diagnosisABSTRACT
We present a newborn patient with renal vein thrombosis with a good clinical and radiological evolution, describing the pathological features obtained by several imaging tools. Doppler ultrasound is the imaging method of choice, even although magnetic resonance gives excellent diagnostic findings it should be reserved for those cases where the Doppler findings are inconclusive.
Subject(s)
Magnetic Resonance Imaging , Renal Veins , Thrombosis/diagnosis , Ultrasonography, Doppler , Humans , Infant, NewbornSubject(s)
Appendectomy , Appendicitis/diagnosis , Postoperative Complications/diagnosis , Adolescent , Humans , MaleABSTRACT
No disponible
Subject(s)
Male , Child , Humans , Appendicitis/complications , Appendicitis/diagnosis , Appendicitis/surgery , Appendectomy/methods , Appendectomy/trends , Laparotomy/methods , Tomography, Emission-Computed/methods , Appendicitis , Fever/diagnosis , Fever/etiology , Pain/diagnosis , Abdomen/pathology , Abdomen/surgery , Abdomen , Gastric Stump/pathology , Gastric Stump/surgery , Gastric StumpABSTRACT
Perinatal arterial stroke is a significant cause of neurological deficit, including mental retardation, delayed motor development, epilepsy, and severe cognitive impairment. Most strokes occur in term neonates, due to thromboembolism from an intracranial or extracranial vessel associated with a risk factor such as asphyxia at birth and heart, hematological or infectious diseases. An association with instrumental delivery has not been clearly demonstrated, although several cases have been described in the literature. The incidence of stroke in the perinatal period is estimated to be 1/4000 term neonates per year. We describe three new cases of stroke in term neonates with instrumental delivery and describe the etiopathogenesis, diagnosis and outcome of this entity.
Subject(s)
Birth Injuries/complications , Stroke/etiology , Brain/pathology , Delivery, Obstetric/adverse effects , Humans , Infant, Newborn , Magnetic Resonance Imaging , Male , Obstetrical Forceps/adverse effects , Stroke/diagnosisABSTRACT
El infarto arterial perinatal representa una importante causa de déficit neurológicos que incluyen retraso mental, del desarrollo motor, epilepsia y defectos cognitivos graves. La mayoría de los infartos ocurren en recién nacidos a término, por un tromboembolismo desde un vaso intracraneal o extracraneal asociado a un factor de riesgo tal como asfixia al nacimiento, enfermedades cardíacas, hematológicas o infecciosas. La asociación con el parto instrumental no ha sido claramente demostrada, aunque existen casos descritos en la literatura especializada. La incidencia en el período perinatal se estima en uno de cada 4.000 recién nacidos a término y año. Se describen tres nuevos casos en recién nacidos a término con antecedentes de parto instrumental y se revisa la etiopatogenia, el diagnóstico y la evolución de esta entidad
Perinatal arterial stroke is a significant cause of neurological deficit, including mental retardation, delayed motor development, epilepsy, and severe cognitive impairment. Most strokes occur in term neonates, due to thromboembolism from an intracranial or extracranial vessel associated with a risk factor such as asphyxia at birth and heart, hematological or infectious diseases. An association with instrumental delivery has not been clearly demonstrated, although several cases have been described in the literature. The incidence of stroke in the perinatal period is estimated to be 1/4000 term neonates per year. We describe three new cases of stroke in term neonates with instrumental delivery and describe the etiopathogenesis, diagnosis and outcome of this entity
Subject(s)
Male , Infant, Newborn , Humans , Birth Injuries/complications , Stroke/etiology , Stroke/diagnosis , Delivery, Obstetric/adverse effects , Magnetic Resonance Imaging , Obstetrical Forceps/adverse effects , Telencephalon/pathologySubject(s)
Appendicitis/complications , Liver Abscess/etiology , Child , Female , Humans , Portal VeinABSTRACT
No disponible
Subject(s)
Female , Child , Humans , Appendicitis/complications , Liver Abscess/ethnology , Portal VeinABSTRACT
La mielitis transversa aguda es una enfermedad medular inflamatoria aguda caracterizada por disfunción aguda o subaguda motora, sensitiva y autonómica. La incidencia es baja, estimándose en 1-4 casos por 106 habitantes/año y en nuestro medio esta patología es excepcional, habiéndose comunicado la mayoría en pacientes inmunodeprimidos. Se describen dos nuevos casos en niños inmunocompetentes y se revisa la etiopatogenia, el diagnóstico y la evolución de esta entidad (AU)
Subject(s)
Male , Infant , Child, Preschool , Humans , Myelitis, Transverse , Medication Errors , Medication Errors , Acetaminophen , Immunocompetence , Drug Overdose , Analgesics, Non-Narcotic , AcetaminophenABSTRACT
Acute transverse myelitis is an acute inflammatory medullar disease characterized by acute or subacute motor, sensory and autonomic dysfunction. The incidence is low and is estimated at 1-4 cases/10(6) inhabitants per year. In Spain, the disorder is exceptional and most reported cases have occurred in immunodepressed patients. We describe two new cases of transverse myelitis in immunocompetent children and review the etiopathogenesis, diagnosis and outcome of this disorder.
Subject(s)
Myelitis, Transverse , Child, Preschool , Humans , Immunocompetence , Infant , Male , Myelitis, Transverse/diagnosis , Myelitis, Transverse/etiologySubject(s)
Encephalomyelitis/virology , Epstein-Barr Virus Infections , Acute Disease , Female , Humans , InfantABSTRACT
No disponible
