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1.
J Invest Dermatol ; 141(5): 1219-1229.e11, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33098828

RESUMO

Intercellular adhesion is essential for tissue integrity and homeostasis. Desmosomes are abundant in the epidermis and the myocardium-tissues, which are under constantly changing mechanical stresses. Yet, it is largely unclear whether desmosomal adhesion can be rapidly adapted to changing demands, and the mechanisms underlying desmosome turnover are only partially understood. In this study we show that the loss of the actin-binding protein α-adducin resulted in reduced desmosome numbers and prevented the ability of cultured keratinocytes or murine epidermis to withstand mechanical stress. This effect was not primarily caused by decreased levels or impaired adhesive properties of desmosomal molecules but rather by altered desmosome turnover. Mechanistically, reduced cortical actin density in α-adducin knockout keratinocytes resulted in increased mobility of the desmosomal adhesion molecule desmoglein 3 and impaired interactions with E-cadherin, a crucial step in desmosome formation. Accordingly, the loss of α-adducin prevented increased membrane localization of desmoglein 3 in response to cyclic stretch or shear stress. Our data demonstrate the plasticity of desmosomal molecules in response to mechanical stimuli and unravel a mechanism of how the actin cytoskeleton indirectly shapes intercellular adhesion by restricting the membrane mobility of desmosomal molecules.


Assuntos
Proteínas de Ligação a Calmodulina/fisiologia , Desmossomos/fisiologia , Proteínas dos Microfilamentos/fisiologia , Animais , Caderinas/química , Cálcio/metabolismo , Adesão Celular , Plasticidade Celular , Células Cultivadas , Desmogleína 3/metabolismo , Desmossomos/química , Humanos , Camundongos
2.
Gen Comp Endocrinol ; 258: 109-118, 2018 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-28502741

RESUMO

Tissue-nonspecific alkaline phosphatase (TNAP) is playing a key role in bone calcification, as has been demonstrated in different mammalian species including human and rodents. However, to investigate age-related changes during life history, histochemical demonstration of TNAP is severely hampered, particularly in the elderly, by technical difficulties associated with sectioning calcified tissue. Sufficient fixation must precede decalcification since poorly fixed bone tissue is exposed to the deleterious effects of decalcification reagents. In order to find a method that would allow cryosectioning of bone without loss of TNAP activity, we assessed the efficacy of different fixation reagents regarding the effects on structural integrity and TNAP activity using liver and osseous tissue from younger and older horses. The results of this study reveal that glyoxal-based fixatives sufficiently preserved bone tissue for successful cryosectioning without compromising TNAP activity. The method described combines the demonstration of TNAP activity with optimal preservation of tissue morphology in osseous tissue of younger and even of older mammals. As a model species, we selected horse bones in light of potentially higher similarities to ageing history and lifelong locomotion in humans as compared to other, mostly smaller, experimental model species with a much shorter life span and artificial locomotive activity when kept in cages. This may serve as a basis for future studies addressing the impact of different life traits in iconic, domestic and companion animals, which are often patients in veterinary medicine, as well as for basic research on human physiology and pathologies of the musculoskeletal system.


Assuntos
Envelhecimento/metabolismo , Fosfatase Alcalina/análise , Fosfatase Alcalina/metabolismo , Osso e Ossos/metabolismo , Animais , Desenvolvimento Ósseo/fisiologia , Osso e Ossos/química , Fêmur/química , Fêmur/metabolismo , Fêmur/patologia , Técnicas de Preparação Histocitológica , Cavalos , Humanos , Imuno-Histoquímica/métodos , Fígado/química , Fígado/metabolismo , Fígado/patologia , Modelos Animais
3.
Histol Histopathol ; 32(8): 835-849, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27943232

RESUMO

The tight junction protein claudin-3 is overexpressed in diverse epithelial tumours and is associated with increased survival, progression and motility of tumour cells. Claudin-3 expression profiles are being increasingly used for diagnostic and prognostic tumour classification. Claudin-3 has been identified as a receptor for Clostridium perfringens enterotoxin, which is under consideration for selective lysis of claudin-3-expressing tumours, particularly brain metastases, and other translational medicine uses. However, the localization of claudin-3 in the brain has not been completely elucidated. While claudin-3 in brain tissue adjacent to claudin-3-expressing metastases had been excluded and low or undetectable levels proposed in the CNS, under physiological conditions, in adult human, rat and mouse brains, claudin-3 was exclusively found in choroid plexus epithelium where it is considered an integral component of the blood-cerebrospinal-fluid barrier. We report here the pronounced presence of claudin-3 not only in the nasal region (as described for rat), but also in the mouse olfactory bulb and nerve using immunohistochemistry and Western blot. Claudin-3 was present in the fila olfactoria from the epithelium to the olfactory nerve and in the main and accessory olfactory bulb. We propose that the abundant presence of claudin-3 in the olfactory system, particularly in nerve fibres and the olfactory bulb cone, which we present here, may play a role at the interface of the central and peripheral nervous system, both as barrier and for axonal growth and communication. Thus, claudin-3 should be considered and further explored with regards to treatment approaches addressing the olfactory bulb and nasal region.


Assuntos
Claudina-3/metabolismo , Regulação da Expressão Gênica , Bulbo Olfatório/metabolismo , Junções Íntimas/metabolismo , Animais , Axônios/metabolismo , Barreira Hematoencefálica/metabolismo , Claudina-1/metabolismo , Claudina-2/metabolismo , Claudina-4/metabolismo , Claudina-5/metabolismo , Enterotoxinas/metabolismo , Epitélio/metabolismo , Humanos , Camundongos , Camundongos Endogâmicos C57BL , Mucosa Nasal/metabolismo , Neurônios/metabolismo , Nervo Olfatório/metabolismo , Olfato , Distribuição Tecidual
4.
Histol Histopathol ; 28(12): 1605-11, 2013 12.
Artigo em Inglês | MEDLINE | ID: mdl-23716350

RESUMO

Processing adult human trabecular bone to obtain tissue sections suitable for research or diagnostic purposes has always been challenging, particularly in the preparation of adult bone specimens for advanced immunohistochemistry applications. In contrast to the majority of soft tissues, decalcified bone samples perform poorly under standard paraffin embedding techniques and immunolabeling protocols fail frequently, due to the loss of protein antigenicity observed. We report on a new, PVA based infiltration method that avoids excessive heat exposure to tissue samples during embedding. The developed PVA based infiltration medium provides sufficient structural support to the heterogenic morphology and distinct architecture of subchondral trabecular bone and adjacent articular cartilage. Furthermore, the addition of bovine serum albumin (BSA) to this infiltration solution guaranteed safe attachment of cryosections to glass slides. The protocol allows the preparation of high quality sections of adult human trabecular bone tissues which can be used for both classical histochemical stains and for immunohistochemistry, since protein antigenicity is satisfactorily preserved.


Assuntos
Osso e Ossos , Crioprotetores/farmacologia , Secções Congeladas/métodos , Álcool de Polivinil/farmacologia , Preservação de Tecido/métodos , Idoso , Humanos , Imuno-Histoquímica , Masculino
5.
Int Surg ; 95(3): 221-6, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21067000

RESUMO

The authors performed a total of 237 endolaser treatments for insufficiency of great and small saphenous veins and assessed 5-year results. It was found that this method, especially if performed with a 1470-nm-wavelength laser combined with instrumental removal of some lateral veins, was very effective. It was delicate for patients, and it significantly shortened the length of their work incapacity. The benefits of removal of insufficient veins in a whole leg during a single session with the patient under total anesthesia are stressed.


Assuntos
Procedimentos Endovasculares , Terapia a Laser/métodos , Varizes/cirurgia , Insuficiência Venosa/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Veia Safena , Meias de Compressão
6.
Biophys J ; 99(9): 2831-40, 2010 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-21044580

RESUMO

Many cell cytoskeletons include an aster of microtubules, with the centrosome serving as the focal point. The position of the centrosome within the cell is important in such directional activities as wound closure and interactions of immune cells. Here we analyzed the centrosome positioning as it is dictated by microtubule elasticity alone in a mechanical model of an intrinsically fully symmetric microtubule aster. We demonstrate that the symmetry and the central position of the centrosome are unstable. The equilibrium deviation of the centrosome from the center is approximately proportional to the difference of the microtubule length and cell radius. The proportionality coefficient is 1 in flat cells and 2 in three-dimensional cells. The loss of symmetry is irreversible, and in general, the equilibrium form of the aster exhibits memory of past perturbations. The equilibrium position of the centrosome as a function of the microtubule length exhibits hysteresis, and the history of the length variation is reflected in the aster form. These properties of the simple aster of elastic microtubules must be taken into account in the analysis of more comprehensive theoretical models, and in the design and interpretation of experiments addressing the complex process of cytoskeleton morphogenesis.


Assuntos
Citoesqueleto/fisiologia , Microtúbulos/fisiologia , Modelos Biológicos , Animais , Fenômenos Biomecânicos , Fenômenos Biofísicos , Polaridade Celular/fisiologia , Forma Celular/fisiologia , Centrossomo/fisiologia , Elasticidade , Humanos , Linfócitos/citologia , Linfócitos/fisiologia
8.
Histochem Cell Biol ; 129(3): 289-99, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18197414

RESUMO

As the only barrier between blood and bile compartments hepatocellular tight junctions play a crucial role in cholestasis-induced increase of biliary permeability. The molecular basis of this reversible defect is not known. We, therefore, examined expression, phosphorylation, distribution and colocalization of the junctional proteins occludin, claudin-1-3, ZO-1 and ZO-2 in rats after bile duct ligation and release of ligation. In control rats, claudin-1 and ZO-2 displayed a lobular gradient with highest expression levels in periportal cells, whereas claudin-2 showed a reciprocal distribution. Other proteins were evenly expressed in the liver lobule. Ligation resulted in upregulation of ZO-2 (2.7-fold), ZO-1 (1.4-fold) and occludin (1.2-fold) but not of claudins. Only ZO-2 showed increased phosphorylation. Distribution patterns were unchanged except for a strong accumulation of ZO-2 in perivenous hepatocytes. Colocalization analysis demonstrated that perivenous ZO-2 was the only protein examined revealing strongly increased overlap with occludin and ZO-1, whereas claudins and other proteins displayed a decrease. All changes were partially reversed by release of ligation. We conclude that differential expression of claudin-1-2 and ZO-2 has functional implications for bile formation. The moderately increased ZO-1 and occludin levels account for the known elongation of tight junction strands. The highly increased expression and changed distribution of ZO-2 suggests that ZO-1 is partly substituted by ZO-2, an alteration possibly causing impaired barrier function.


Assuntos
Ductos Biliares/cirurgia , Proteínas de Membrana/metabolismo , Fosfoproteínas/metabolismo , Animais , Western Blotting , Claudina-1 , Claudina-3 , Claudinas , Fígado/metabolismo , Masculino , Proteínas de Membrana/biossíntese , Ocludina , Fosfoproteínas/biossíntese , Fosforilação , Ratos , Ratos Sprague-Dawley , Junções Íntimas/metabolismo , Regulação para Cima , Proteína da Zônula de Oclusão-1 , Proteína da Zônula de Oclusão-2
9.
Electrophoresis ; 28(10): 1508-13, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17427254

RESUMO

In the attempt to separate in a single gel run low- and high-molecular-weight proteins, we present here a multiphasic buffer system designed for this purpose. It avoids the continuous stacking of SDS as it occurs in the 'classical' SDS-PAGE. The system allows complete stacking and destacking of proteins in the 3.5-250 kDa range at acrylamide concentrations as low as 4.5% T (total acrylamide concentration in %) and 2.6% C (degree of cross-linking in %). Taurine is used as the trailing ion in the cathode buffer and in the resolving zone of the gel, and two different counterions (Tris and imidazole) in the stacking zone. The gel system is easy to prepare and, due to the very low acrylamide concentrations, it is ideal for analytical as well as for preparative tasks.


Assuntos
Resinas Acrílicas/química , Eletroforese Descontínua/métodos , Eletroforese em Gel de Poliacrilamida/métodos , Proteínas/isolamento & purificação , Animais , Química Encefálica , Soluções Tampão , Concentração de Íons de Hidrogênio , Indicadores e Reagentes/normas , Fígado/química , Camundongos , Peso Molecular , Padrões de Referência , Taurina , Trometamina
10.
Electrophoresis ; 24(14): 2272-6, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12874859

RESUMO

This study describes an ultrathin-layer sodium dodecyl sulfate (SDS) disc electrophoresis in polyacrylamide gels of a thickness of only 150 microm. By use of 2-amino-2-methyl-1,3-propanediol/glycine instead of traditional Tris/HCl buffer in the resolving phase of the gel, proteins with a wide range of molecular sizes (10 kDa to over 220 kDa) are separated in unusually low-concentrated gels (4%T, 3.3%C). 2-Amino-2-methyl-1,3-propanediol in the resolving part of the gel contributes to stabilization of the pH value at 8.8, while glycine improves destacking as well as separation of small proteins from the bulk of stacked SDS. This method combines both the advantages of conventional slab-gel electrophoresis and capillary gel electrophoresis. It is easy to apply and well suited for all further miniaturization attempts.


Assuntos
Eletroforese em Gel de Poliacrilamida/métodos , Proteínas/isolamento & purificação , Animais , Soluções Tampão , Eletroforese em Gel de Poliacrilamida/instrumentação , Eletroforese em Gel de Poliacrilamida/normas , Géis , Microquímica/instrumentação , Microquímica/métodos , Peso Molecular , Ratos
11.
Histochem Cell Biol ; 119(2): 169-74, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12610736

RESUMO

The distribution pattern of "testis-specific aldehyde dehydrogenase" in mouse tissues was investigated. Because of the broad substrate specificity and the high degree of sequence identity of the large aldehyde dehydrogenase family a specific detection of single isoforms is not possible by histochemical means. Therefore, the technique of native isoelectric focusing was used. Thus, the expression of four to five banded "testis-specific aldehyde dehydrogenase" in the mouse testis was confirmed. However, the activity of this enzyme with the same pattern of multiplicity was found not only in the testis but also in the uterus and in embryonic tissues. At 9.5 and 10.5 days of embryonic development the enzyme activity was restricted to tissues of the embryonic trunk and absent in extracts from cranial tissues. The tissue distribution as well as substrate specificity and isoelectric points indicate that the "testis-specific aldehyde dehydrogenase" corresponds to mouse type 2 retinaldehyde dehydrogenase.


Assuntos
Aldeído Oxirredutases/metabolismo , Testículo/enzimologia , Aldeído Oxirredutases/análise , Animais , Feminino , Focalização Isoelétrica , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Especificidade de Órgãos , Organogênese , Isoformas de Proteínas , Especificidade por Substrato , Testículo/química , Testículo/embriologia , Útero/química , Útero/enzimologia
12.
Proc Natl Acad Sci U S A ; 98(20): 11324-9, 2001 Sep 25.
Artigo em Inglês | MEDLINE | ID: mdl-11572984

RESUMO

The leading edge of motile cells is propelled by polymerization of actin filaments according to a dendritic nucleation/array treadmilling mechanism. However, little attention has been given to the origin and maintenance of the dendritic array. Here we develop and test a population-kinetics model that explains the organization of actin filaments in terms of the reproduction of dendritic units. The life cycle of an actin filament consists of dendritic nucleation on another filament (birth), elongation by addition of actin subunits and, finally, termination of filament growth by capping protein (death). The regularity of branch angle between daughter and mother filaments endows filaments with heredity of their orientation. Fluctuations of branch angle that become fixed in the actin network create errors of orientation (mutations) that may be inherited. In our model, birth and death rates depend on filament orientation, which then becomes a selectable trait. Differential reproduction and elimination of filaments, or natural selection, leads to the evolution of a filament pattern with a characteristic distribution of filament orientations. We develop a procedure based on the Radon transform for quantitatively analyzing actin networks in situ and show that the experimental results are in agreement with the distribution of filament orientations predicted by our model. We conclude that the propulsive actin network can be understood as a self-organizing supramolecular ensemble shaped by the evolution of dendritic lineages through natural selection of their orientation.


Assuntos
Actinas/fisiologia , Actinas/ultraestrutura , Evolução Biológica , Movimento Celular/fisiologia , Modelos Biológicos , Pseudópodes/fisiologia , Actinas/genética , Animais , Queratinócitos/fisiologia , Queratinócitos/ultraestrutura , Matemática , Mutação , Pseudópodes/ultraestrutura , Xenopus
14.
Histochem J ; 32(8): 515-20, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11095078

RESUMO

In rodents, the vaginal epithelium undergoes cyclical changes with an alternating pattern of keratinization and mucification. It has been known for decades that vitamin A and its active form retinoic acid are responsible for normal epithelial homeostasis. However, it has not so far been certain which enzymes catalyze the first and rate-limiting step in retinoic acid synthesis. By means of microdissection and ultrathin-layer gel electrophoresis, alcohol dehydrogenase isoenzyme activity was determined quantitatively in the various layers of the vaginal mucous membrane. It was found that, in the rat, only alcohol dehydrogenase 3 and 4 are expressed. Marked cyclical changes of alcohol dehydrogenase 4 activity in the stratum germinativum of the vaginal epithelium strongly support the assumption that this isoenzyme is responsible for retinoic acid synthesis, and that it is essential for the changes accompanying keratinization and mucification.


Assuntos
Álcool Desidrogenase/metabolismo , Estro , Vagina/enzimologia , Animais , Feminino , Histocitoquímica , Isoenzimas/metabolismo , Ratos , Ratos Wistar
15.
Histochem Cell Biol ; 111(6): 461-6, 1999 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10429968

RESUMO

To elucidate the pattern of lesions in the liver parenchyma after ethanol ingestion, the quantitative distribution profiles of both the cytosolic and the mitochondrial aldehyde dehydrogenase isoenzyme activities were determined by the use of ultrathin-layer electrophoresis. It was found that in human liver parenchyma, both isoforms of aldehyde dehydrogenase are almost homogeneously represented in the liver acinus. These quantitative data are supported by the results of an improved histochemical technique. Moreover, sex differences were not detected either in activity or in the distribution pattern. Consequently, it can be assumed that it is not the activity of total aldehyde dehydrogenase or its isoforms which is responsible for the higher susceptibility of the perivenous zone to alcohol-dependent damage.


Assuntos
Aldeído Desidrogenase/metabolismo , Isoenzimas/metabolismo , Fígado/enzimologia , Família Aldeído Desidrogenase 1 , Aldeído-Desidrogenase Mitocondrial , Eletroforese em Gel de Poliacrilamida , Feminino , Humanos , Masculino , Miocárdio/enzimologia , Tamanho do Órgão , Retinal Desidrogenase
16.
Histochem Cell Biol ; 111(5): 391-7, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10403118

RESUMO

By the use of a newly developed technique of ultrathin-layer electrophoresis, class I and class II alcohol dehydrogenase activity could be demonstrated in microdissected samples of the periportal, intermediate, and perivenous zones of the liver acinus in men and women. It could be demonstrated that both classes exhibit low activity in the periportal zone. From there, a rising gradient in the direction of the perivenous end was apparent. This increase, however, was found to be significant only in women. The analysis of class I alcohol dehydrogenase isoenzymes showed that the expression of alpha-, beta-, and gamma-containing isoforms did not differ in relation to the intraacinar position. The constant proportions of the isoenzymes to the maxima and minima of the total alcohol dehydrogenase activity support the view that the adult liver-specific isoenzyme pattern is determined during postnatal development.


Assuntos
Álcool Desidrogenase/metabolismo , Fígado/enzimologia , Adulto , Eletroforese em Gel de Poliacrilamida , Feminino , Humanos , Isoenzimas/metabolismo , Masculino , Tamanho do Órgão
17.
J Cell Sci ; 112 ( Pt 14): 2277-89, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10381384

RESUMO

Turnover is important for the maintenance and remodeling of the cytoskeleton during the processes of cell morphogenesis, mitosis and motility. Microtubule (MT) turnover is thought to occur by dynamic instability, growth and shortening at distal (plus) ends. Recent observation of MT release from the centrosome and depolymerization from proximal (minus) ends indicates the existence of a minus end pathway. To evaluate the relative contributions of plus and minus end pathways to turnover, we analyzed MT dynamics in a model system, the fish melanophore, a large non-motile cell with a regular radial array of long MTs. MT ends were tracked in digital fluorescence time-lapse sequences and life histories of individual MTs were analyzed using random walk theory generalized to the case of diffusion with drift. Analysis of plus end dynamics gave an apparent diffusion coefficient of D=7.5 microm2/minute. The random walk model predicts that the half-time for turnover driven solely by plus end dynamics will depend strongly on position in the cell. Based on the experimentally determined value of D, turnover of MTs near the center of a typical melanophore of radius 70 microm was calculated to require over 5 hours, a paradoxically long time. To examine MT behavior deep in the cytoplasm, we developed a novel, sequential subtraction mode of image analysis. This analysis revealed a subpopulation of MTs which shortened from their minus ends, presumably after constitutive release from the centrosome. Given the relative slowness of plus end dynamics to turn over the root of a long MT, the turnover of MTs near the cell center is determined primarily by the minus-end pathway. MTs released from the centrosome become replaced by newly nucleated ones. The relative contributions of plus and minus end pathways was estimated from the diffusion coefficient, D, for the plus end, the length distribution of MTs, t he frequency of free minus ends, and the rate of minus-end shortening. We conclude that, in large animal cells with a centrosomally focussed array of MTs, turnover occurs by a combination of plus and minus end pathways, the plus end dominating at the cell periphery and the minus end dominating near the cell center.


Assuntos
Microtúbulos/fisiologia , Animais , Carbocianinas , Diferenciação Celular , Movimento Celular , Peixes , Cinética , Melanóforos/fisiologia , Melanóforos/ultraestrutura , Microscopia de Fluorescência , Mitose , Movimento
18.
Rozhl Chir ; 78(10): 538-9, 1999 Oct.
Artigo em Tcheco | MEDLINE | ID: mdl-10746067

RESUMO

The authors give an account of the interesting clinical development of a primarily erroneously diagnosed and inadequately treated arterial injury caused by a splint. They emphasize the necessity of angiographic examination and truthful recording in the surgical protocol.


Assuntos
Falso Aneurisma/diagnóstico , Traumatismos por Explosões/diagnóstico , Artéria Femoral/lesões , Corpos Estranhos/diagnóstico , Militares , Adulto , Falso Aneurisma/etiologia , Erros de Diagnóstico , Virilha/lesões , Humanos , Masculino
19.
Electrophoresis ; 19(10): 1654-8, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9719541

RESUMO

A highly sensitive electrophoretic technique for the separation of alcohol dehydrogenase isoenzymes by zone electrophoresis in partly rehydrated polyacrylamide gels is described. Five hundred microm thin polyacrylamide gels are polymerized under standardized conditions. After polymerization the gels are washed thoroughly with distilled water to remove any unreacted monomers, catalysts or still soluble polymers. The washed gels are then impregnated with 0.5% Tween 20 and dried. Before electrophoresis the dry gels are rehydrated to a thickness of 250 microm, which makes up 50% of the original gel volume. Rehydration is carried out by use of a degassed buffer solution. This method permits the demonstration of the isoenzymes of alcohol-dehydrogenase class I and II in man and allows quantitative determination.


Assuntos
Álcool Desidrogenase/análise , Eletroforese em Gel de Poliacrilamida/métodos , Resinas Acrílicas , Eletroforese em Gel de Amido , Hidratação , Humanos
20.
Int Surg ; 82(4): 386-8, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9412837

RESUMO

The authors describe a rare case of the development of an extensive false aneurysm of the upper gluteal artery. The injury was caused by a blunt blow and was successfully operated on.


Assuntos
Falso Aneurisma/etiologia , Nádegas/irrigação sanguínea , Nádegas/lesões , Ferimentos não Penetrantes/complicações , Acidentes por Quedas , Idoso , Falso Aneurisma/cirurgia , Humanos , Masculino
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