RESUMO
Deep venous thrombosis with pulmonary embolism is considered rare in pediatric population, but a literature review points out this disease more frequent than would be expected in children. The low incidence and the poor consideration of this occurrence in pediatric age group, cause the thromboembolic disease with pulmonary involvement an often missed diagnosis. The illness is usually related to intravenous catheters, surgery, trauma, sepsis, prolonged immobilization, neoplasia, drugs, some congenital or acquired diseases. The Authors report their experience with two pediatric cases of inferior vena cava thrombosis and pulmonary embolism treated with anticoagulant therapy, temporary vena cava filters and locoregional fibrinolysis.
Assuntos
Complicações Pós-Operatórias/terapia , Embolia Pulmonar/prevenção & controle , Trombose/terapia , Filtros de Veia Cava , Veia Cava Inferior , Adolescente , Anticoagulantes/uso terapêutico , Criança , Terapia Combinada , Humanos , Masculino , Complicações Pós-Operatórias/diagnóstico , Embolia Pulmonar/diagnóstico , Embolia Pulmonar/etiologia , Terapia Trombolítica , Trombose/complicações , Trombose/diagnóstico , Ativador de Plasminogênio Tipo Uroquinase/administração & dosagemRESUMO
We report a case of prenatally diagnosed bilateral adrenal cysts. Ultrasonographic diagnosis was made at 35 weeks of gestation and spontaneous resolution was observed by age 6 months. We review the characteristics of adrenal cysts, particularly hemorrhagic lesions, and recommend ultrasonography for followup.