ABSTRACT
One anastomosis gastric bypass (OAGB), the third most commonly performed procedure worldwide, has shown excellent results in terms of weight loss and resolution of comorbidities compared with other bariatric surgeries. However, its use remains limited in various parts of the world due to postoperative complications. After the efficacy of this procedure was established, the focus of treatment shifted toward resolving postoperative complications. Protein-energy malnutrition after OAGB is one of the main issues that needs to be addressed. There are several operative options for patients who require revision surgery including reversal and conversion to Roux-en-Y gastric bypass (RYGB). The conversion from OAGB to RYGB is a feasible method that has shown excellent results when performed by experts in the field. Here, we present the case of a woman with symptoms of acute obstruction secondary to OAGB who underwent conversion to RYGB under emergent conditions.
ABSTRACT
Histoplasmosis is a zoonotic systemic mycosis caused by Histoplasma capsulatum. We report a case of a female canine, 4 years old, presenting multifocal lymphadenitis and skin and gingival lesions, in Ecuador. Based on cytological, histopathological, histochemical analyses, fungal culture and DNA sequencing of the ITS region of the fungus, the diagnosis confirmed the presence of H. capsulatum as the agent of infection. The treatment plan included ketoconazole with a satisfactory outcome.
ABSTRACT
A síndrome de May-Thurner consiste na compressão extrínseca da veia ilíaca comum esquerda pela artéria ilíaca comum direita, podendo ocasionar trombose venosa profunda e graus variados de insuficiência venosa crônica. O objetivo deste relato de caso é demonstrar os diversos aspectos relacionados ao diagnóstico e conduta em uma pacientes portadora da sindrome de May-Thurner, com diagnóstico inicial pela ultrassonografia abdominal com Doppler e submetida à angioplastia com implante de stent, com resultados satisfatórios.
