RESUMO
Aortoenteric fistula is defined as a communication between the aorta and any adjacent segment of the bowel. It may be primary or secondary. The former occurs de novo in patients with intestinal or vascular diseases, whereas secondary aortoenteric fistula is a rare and dreadful complication of aortic reconstruction with vascular prosthesis. We report a case of a 62-year-old man who presented to the emergency department with acute rectal bleeding. The patient had previous aortoiliac surgery with the utilization of an aorto-bifemoral vascular graft. Diagnosis of secondary aortoenteric fistula was made between the aortoiliac graft and sigmoid colon. After exploratory laparotomy, Hartmann's procedure, excision of the graft, oversewing of the aortic stump, and axilobifemoral bypass were successfully performed. This study reports a rare type of secondary aortoenteric fistula to the left colon, and it describes an unusual and successful surgical treatment.
Assuntos
Aorta Abdominal/patologia , Doenças da Aorta/diagnóstico , Fístula Intestinal/diagnóstico , Doenças do Colo Sigmoide/diagnóstico , Fístula Vascular/diagnóstico , Aorta Abdominal/cirurgia , Aneurisma da Aorta Abdominal/cirurgia , Prótese Vascular/efeitos adversos , Artéria Femoral/cirurgia , Humanos , Artéria Ilíaca/cirurgia , Masculino , Pessoa de Meia-Idade , Complicações Pós-OperatóriasRESUMO
Negative-pressure pulmonary edema after endotracheal intubation is an uncommon and potentially serious complication of patients undergoing general anesthesia for different surgical procedures. We report a case of a healthy 20-year-old male patient with the diagnosis of acute appendicitis. The patient was submitted to appendectomy under general anesthesia and developed negative-pressure pulmonary edema immediately after extubation. The present paper reports this potentially serious complication illustrating the main radiological findings consistent with alveolar hemorrhage in this setting and the treatment performed.
Assuntos
Apendicectomia , Intubação Intratraqueal , Complicações Pós-Operatórias , Edema Pulmonar/etiologia , Adulto , Humanos , Masculino , Edema Pulmonar/diagnóstico por imagem , Edema Pulmonar/terapia , Radiografia , Ventiladores MecânicosRESUMO
PURPOSE: To find out the prevalence of hypertension in employees of the Hospital and relate it to social demographic variables. METHODS: Blood pressure measurement was performed with a mercury sphygmomanometer, using an appropriate cuff size for arm circumference, weight, and height in a population sample of 864 individuals out of the 9,905 employees of a University General Hospital stratified by gender, age, and job position. RESULTS: Hypertension prevalence was 26% (62% of these reported being aware of their hypertension and 38% were unaware but had systolic/diastolic blood pressures of >140 and/or >90 mm Hg at the moment of the measurement). Of those who were aware of having hypertension, 51% were found to be hypertensive at the moment of the measurement. The prevalence was found to be 17%, 23%, and 29% (P <.05) in physicians, nursing staff, and "others", respectively. The univariate analysis showed a significant odds ratio for the male gender, age >50 years, work unit being the Institute of Radiology and the Administration Building, educational level
Assuntos
Pessoal de Saúde , Hipertensão/epidemiologia , Adulto , Índice de Massa Corporal , Brasil/epidemiologia , Métodos Epidemiológicos , Feminino , Hospitais Gerais/estatística & dados numéricos , Hospitais Universitários/estatística & dados numéricos , Humanos , Hipertensão/diagnóstico , Masculino , Pessoa de Meia-Idade , Fatores SocioeconômicosRESUMO
OBJETIVO: Conhecer a prevalência de hipertensão arterial em funcionários de um complexo hospitalar e relacionar com variáveis sócio demográficas. MÉTODOS: Foi medida a pressão arterial com aparelho de coluna de mercúrio e manguito adequado à circunferência do braço, o peso e a altura em amostra de 864 dos 9.905 funcionários do Hospital Universitário estratificada de acordo com sexo, idade e ocupação. RESULTADOS: A prevalência de hipertensão foi de 26% (hipertensão referida = 62% ou pressão sistólica > 140 e/ou > 90 mm Hg no momento da medida = 38%). Dos que referiram 51% estavam hipertensos no momento da medida. A prevalência foi 17, 23 e 29% (p < 0,05) nos médicos, enfermagem e "outros". Análise univariada mostrou "odds ratio" significante para o sexo masculino, idade > 50 anos, unidade de trabalho para o Instituto de Radiologia e Prédio da Administração, escolaridade