Assuntos
COVID-19 , COVID-19/epidemiologia , Humanos , Pacientes Internados , Reunião/epidemiologia , SARS-CoV-2Assuntos
Asma/terapia , Doença Aguda , Agonistas de Receptores Adrenérgicos beta 2/uso terapêutico , Broncodilatadores/uso terapêutico , Quimioterapia Combinada , Serviço Hospitalar de Emergência , Glucocorticoides/uso terapêutico , Humanos , Ipratrópio/uso terapêutico , Masculino , Hemissuccinato de Metilprednisolona/uso terapêutico , Pessoa de Meia-Idade , Oxigenoterapia , Terbutalina/uso terapêuticoRESUMO
Two new applications of the endo-GIA technique are presented for endoluminal intrarectal resection of benign or malignant tumors of the lower or middle part of the rectum. These procedures allow resection of sessile lesions with a large implantation base. Depending on the pathology and the type of implantation, resection can either be total or via the musculosa. Results have been good with this simple procedure which allows total tumor resection and an uneventful post-operative period.
Assuntos
Neoplasias Retais/cirurgia , Instrumentos Cirúrgicos , Idoso , Humanos , Masculino , Métodos , Pessoa de Meia-IdadeRESUMO
An original treatment of caustic rectal stenosis due to abuse of analgesic suppositories is presented. The stenosis had been excluded by distal colostomy during 2 years before reconstruction of the circuit was attempted. Anatomically, the stenosis appeared as a complete diaphragm which could be recanalized by an EEA stapler for circular anastomosis, installed in two sites: endoluminal from the colostomy and perineal. After a 2-year follow-up, the anatomical and functional results are satisfactory.
Assuntos
Queimaduras Químicas/complicações , Cáusticos/efeitos adversos , Reto/lesões , Idoso , Queimaduras Químicas/cirurgia , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Feminino , Humanos , Métodos , Reto/cirurgia , Supositórios , Grampeadores CirúrgicosAssuntos
Doença Hepática Induzida por Substâncias e Drogas/etiologia , Ciproterona/análogos & derivados , Adenocarcinoma/tratamento farmacológico , Idoso , Idoso de 80 Anos ou mais , Antineoplásicos/intoxicação , Doença Hepática Induzida por Substâncias e Drogas/mortalidade , Ciproterona/intoxicação , Ciproterona/uso terapêutico , Acetato de Ciproterona , Humanos , Masculino , Neoplasias da Próstata/tratamento farmacológicoRESUMO
The protein C system is essential in limiting the activation of coagulation in vivo. We report on a 29 year old woman with Budd-Chiari syndrome and occlusion of the inferior vena cava who presented with acute liver failure. She was successfully treated with an emergency mesoatrial shunt. Eight months after surgery, she has no ascites and normal liver function. She had a low concentration of plasma protein C on admission to hospital and during the follow up. Protein C deficiency subsequently was found in her father and two sisters, who were asymptomatic. Hereditary protein C deficiency should be considered in patients with Budd-Chiari syndrome.