RESUMO
Sporadic juvenile polyp of the jejunum is exceedingly rare, reported only once in the English literature. We describe a 3-year-old girl with a long-lasting history of chronic iron deficiency anemia and a delayed diagnosis of jejunal polyp. The lesion was eventually discovered by ultrasonography and successfully resected using a laparoscopic-assisted transumbilical approach.
Assuntos
Pólipos Intestinais/cirurgia , Neoplasias do Jejuno/cirurgia , Laparoscopia/métodos , Anemia Ferropriva/etiologia , Pré-Escolar , Diagnóstico Tardio , Feminino , Hemorragia Gastrointestinal/etiologia , Humanos , Pólipos Intestinais/complicações , Pólipos Intestinais/diagnóstico por imagem , Intussuscepção/complicações , Intussuscepção/diagnóstico , Intussuscepção/cirurgia , Doenças do Jejuno/complicações , Doenças do Jejuno/diagnóstico , Doenças do Jejuno/cirurgia , Neoplasias do Jejuno/complicações , Neoplasias do Jejuno/diagnóstico por imagem , UltrassonografiaRESUMO
Abdominal lymphangioma represents an uncommon congenital anomaly. Herein, we describe an unusual case, which on routine antenatal ultrasonography masqueraded as isolated ascites. Subsequent fetal MRI at 27 weeks' gestation implemented antenatal assessment of the lesion, prompting further investigations and straightforward postnatal treatment. Fetal MRI represents a valuable adjunct to antenatal ultrasonography for the evaluation of cystic abdominal masses.
Assuntos
Neoplasias Abdominais/patologia , Linfangioma/patologia , Imageamento por Ressonância Magnética , Diagnóstico Pré-Natal/métodos , Adulto , Feminino , Humanos , GravidezRESUMO
CONCLUSIONS: The dimensions of the implant receiver and the material used have influenced the surgical approach leading to a reduction in complications. Ultrasonography of the haematoma is useful in the evaluation of dimensions, entity of fluid component and therapeutic options. OBJECTIVE: Haematoma arising in the receiver area is considered a minor complication, nevertheless it can be complicated by infection and/or flap necrosis or fibrosis leading to difficulties in magnetic adherence of the receiver and rarely to explantation of the receiver. The objective of the study was to evaluate the clinical outcome of postoperative haematoma arising after cochlear implant surgery. PATIENTS AND METHODS: This was a retrospective case series of 22 cochlear implant patients who developed post-implant haematoma over the receiver area. Haematoma extension and fluid collection were analysed via ultrasonography, implant type and predisposing factors such as trauma, coagulation disorders and type of skin incision. RESULTS: Patients were divided into four groups on the basis of the main predisposing factor: coagulation disorders (n=7), trauma (n=3), revision surgery (n=6) and haematoma of unknown origin (n=6). The main factors correlated to haematoma onset were coagulation disorder, type of skin incision and flap revision. In all, 21 subjects had complete recovery and the speech perception performance was not compromised over time, while 1 subject (0.3%) with an extensive haematoma due to a pharmacologically induced coagulation disorder required explantation of the device.
