Actualización del diagnóstico y tratamiento de los aneurismas de aorta abdominal inflamatorios / Update in diagnosis and treatment of inflammatory abdominal aortic aneurysm

Los aneurismas de aorta abdominal inflamatorios son una entidad diferente de los aneurismas de aorta ateroscleróticos. Esta entidad se caracteriza por el engrosamiento de la pared aórtica, está asociada a fibrosis retroperitoneal y a adherencias de los órganos circundantes, como los uréteres y la vena cava. Suele afectar a varones sexagenarios y fumadores, y la clínica típica es una tríada consistente en dolor abdominal, fiebre y elevación de la velocidad de sedimentación eritrocitaria. El angio-TC es el gold standard en el diagnóstico, ya que permite la visualización del aneurisma, con una hipertrofia de tejidos blandos periaórticos. En los últimos años se ha propuesto el tratamiento endovascular como una opción eficaz. Sin embargo, la cirugía abierta realizada por cirujanos expertos puede ser una buena solución en casos seleccionados, ya que además permite tratar el atrapamiento ureteral. Con este artículo queremos hacer un repaso sobre la última evidencia en diagnóstico y tratamiento de esta entidad

Inflammatory abdominal aortic aneurysm is a distinct type of abdominal aortic aneurysm. This disease usually affects men in their 60's, with tobacco use as usual finding. Periaortic wall thickness with retroperitoneal fibrosis, and adhesion to adjoining organs such as ureters or inferior vena cava, are also common findings. Clinical symptoms found in this disease are as follows: abdominal or back pain, fever, and elevated erythrocyte sedimentation rate. Computed tomography scan with contrast enhancement is the gold standard for the diagnosis, showing an infrarrenal aortic aneurysm with a soft tissue inflammatory rind. In the past few years endovascular treatment has been proposed as an effective option. However, open surgery performed by expert surgeons may be a good solution in selected cases, since it also enables ureteral entrapment to be treated. A review of the latest evidence in the diagnosis and treatment of this condition is presented in this article

Infección de prótesis aortobiilíaca tras bacteriemia polimicrobiana. A propósito de un caso / Aorto-bi-iliac graft infection after polymicrobial bacteremia: Presentation of a case

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Coexistencia de hemangioma y malformación capilar. ¿Asociación fortuita o algo más? / Coexistence of hemangioma and vascular malformation: A fortuitous association or something else?

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Pulsed dye laser treatment for facial flat warts.

The facial flat wart is not only a contagious viral disease, but also a cause of a distressing cosmetic problem. Although there are many therapeutic options, including salicylic acid, imiquimod, cryotherapy, retinoids, intralesional immunotherapy, and topical 5-aminolevulinic acid photodynamic therapy among others, no monotherapy has been proved to achieve complete remission in every case. Treatment with pulsed dye laser (PDL) seems to be a promising therapeutic option. To assess the efficacy and safety of PDL in a series of patients with viral flat warts on the face, in this prospective study, 32 patients were treated with PDL at 595-nm wavelength, a laser energy density of 9 or 14 J/cm(2) with a spot size of 7 or 5 mm, respectively, with air cooling and a pulse duration of 0.5 millisecond. A complete response was noted in 14 patients (44%), and an excellent response was observed in 18 patients (56%) with 1-year follow-up, with only four recurrences. No significant side effects were reported except intense transitory purpuric response. We consider that PDL is a good option of treatment for flat warts on the face due to its good clinical results, fast response, and low incidence of side effects.

Dolor abdominal súbito durante un viaje en avión: pienso en lo más frecuente, pero, ¿y si se trata de una entidad infrecuente? / Sudden abdominal pain during an airplane flight: what if the horse turns out to be a zebra?

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Mujer joven sin factores de riesgo cardiovascular, con clínica de claudicación intermitente / A young woman without cardiovascular risk factors with symptoms of intermittent claudication

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