RESUMO
Venous thrombosis is a documented complication of oral contraceptives in adolescents and young women. The frequency of thrombosis increases in presence of additional risk factors as e.g. smoking and obesity. This is a case-report of a mesenterial vein thrombosis in a 24 years old woman on low estrogen dose triphasic oral contraceptives combined with smoking and obesity. Wide jejunal haemorrhagic infarction with acute abdomen and volume deficiency shock conducted to diagnosis finally by emergency laparotomy. Wide resection of jejune was required.
Assuntos
Anticoncepcionais Orais Sequenciais/efeitos adversos , Oclusão Vascular Mesentérica/induzido quimicamente , Trombose/induzido quimicamente , Adulto , Anticoncepcionais Orais Sequenciais/administração & dosagem , Feminino , Humanos , Infarto , Isquemia/induzido quimicamente , Isquemia/patologia , Isquemia/cirurgia , Jejuno/irrigação sanguínea , Oclusão Vascular Mesentérica/patologia , Oclusão Vascular Mesentérica/cirurgia , Veias Mesentéricas/efeitos dos fármacos , Veias Mesentéricas/patologia , Veias Mesentéricas/cirurgia , Trombose/patologia , Trombose/cirurgiaRESUMO
Report about a 80 years old woman with a renal carcinoma solitarily metastasized to thyroid 11 years after the resection of primary tumor. A primary clear-cell carcinoma of thyroid gland was ruled out by thyroglobulin-immunohistochemistry.
Assuntos
Carcinoma de Células Renais/secundário , Neoplasias Renais/cirurgia , Nefrectomia , Neoplasias da Glândula Tireoide/secundário , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Células Renais/cirurgia , Feminino , Humanos , Neoplasias da Glândula Tireoide/cirurgia , TireoidectomiaRESUMO
In the fine needle aspiration cytology of the thyroid gland by the moistening of cannule and syringe with heparin or citric sodium rather disadvantages for the evaluation are the result. Artificial changes are most clearly to be seen in heparin. ACD-buffer does indeed not bring about any artefacts, does, however, also not show any provable advantages. In the fine needle biopsy the additives mentioned are entirely avoidable.
Assuntos
Biópsia por Agulha/métodos , Glândula Tireoide/patologia , Citratos , Ácido Cítrico , Heparina , HumanosRESUMO
The statistical investigation of fibrosis of the spleen capsule and of perisplenitis cartilaginea in 444 consecutive autopsy cases revealed a significant correlation between the changes of the spleen capsule and cor pulmonale, but no significant correlation to hypertension was detected. Therefore, fibrosis of the spleen capsule and perisplenitis cartilaginea can be used as a criterion for the postmortem diagnosis of cor pulmonale.