RESUMEN
Abstract Coronary subclavian steal syndrome is an uncommon cause of angina in patients with a previous coronary artery bypass graft procedure. The patient had chest pain with the exertion of the left upper limb, difference in blood pressure between the left and right arm, occlusion at the ostium of the left subclavian artery. He underwent carotid subclavian bypass surgery that was successful in relieving symptoms. On the other hand, the patient had an embolic stroke related to the procedure and further assessment may be necessary.
RESUMEN
Coronary subclavian steal syndrome is an uncommon cause of angina in patients with a previous coronary artery bypass graft procedure. The patient had chest pain with the exertion of the left upper limb, difference in blood pressure between the left and right arm, occlusion at the ostium of the left subclavian artery. He underwent carotid subclavian bypass surgery that was successful in relieving symptoms. On the other hand, the patient had an embolic stroke related to the procedure and further assessment may be necessary.
Asunto(s)
Síndrome de Robo Coronario-Subclavio , Síndrome del Robo de la Subclavia , Masculino , Humanos , Síndrome de Robo Coronario-Subclavio/diagnóstico por imagen , Síndrome de Robo Coronario-Subclavio/cirugía , Síndrome de Robo Coronario-Subclavio/complicaciones , Síndrome del Robo de la Subclavia/diagnóstico por imagen , Síndrome del Robo de la Subclavia/cirugía , Puente de Arteria Coronaria/efectos adversos , Arteria Subclavia/diagnóstico por imagen , Arteria Subclavia/cirugía , Angina de Pecho/etiologíaRESUMEN
Este trabalho descreve a gemelaridade conjugada tipo onfalópagos em que os métodos de imagem foram essenciais para a definição da fusão anatômica e o diagnóstico de possíveis anormalidades associadas, com o objetivo de conferir o correto planejamento cirúrgico e sobrevida adequada aos pacientes.
This paper reports on the omphalopagus conjoined twins in which imaging methods were essential for defining anatomical connection and diagnosis of possible associated abnormalities with the objective of providing accurate surgical planning and their survival.
Asunto(s)
Humanos , Recién Nacido , Gemelización Monocigótica , Gemelos Monocigóticos , Gemelos Siameses/cirugía , Anomalías Congénitas , Espectroscopía de Resonancia Magnética , RadiografíaRESUMEN
Descrevem-se dois casos de pielonefrite enfisematosa unilateral, forma rara e grave de infecção necrotizante do parênquima renal, em duas pacientes femininas, uma delas diabética e portadora de litíase renal e ureteral à esquerda e a outra com hipertensão arterial sistêmica e ureterolitíase à direita. Os exames de imagem foram importantes para o diagnóstico precoce, avaliação da gravidade e definição prognóstica, além de instituição do adequado manejo terapêutico.
Two cases of unilateral emphysematous pyelonephritis, rare and severe form of necrotizing infection of the renal parenchyma, are described in two female patients, one diabetic and suffering from renal and urethral stones on the left, and the other with arterial hypertension and ureterolithiasis on the right. Imaging tests were important for early diagnosis, assessment of severity and prognostic definition, and institution of appropriate therapeutic management.
Asunto(s)
Humanos , Femenino , Persona de Mediana Edad , Pielonefritis/diagnóstico , Riñón/patología , Abdomen , BiopsiaRESUMEN
O câncer colorretal é uma neoplasia bastante freqüente, sendo responsável por alta morbimortalidade. O principal tipo histológico encontrado é o adenocarcinoma. Geralmente, acomete o segmento distal do reto, e o sigmóide e os sintomas mais comuns resultam de alteração do hábito intestinal. Fístulas êntero-vesicais resultantes de complicações neoplásicas são raras e manifestam-se pouco comumente com fecalúria. Este caso trata-se de um homem pardo, de 44 anos, que teve uma fístula reto-vesical como complicação que levou ao diagnóstico de um adenocarcinoma colorretal. O objetivo deste trabalho é relatar uma manifestação incomum deste tipo de neoplasia, que se apresentou com complicação pouco freqüente no momento do diagnóstico, além de fazer uma revisão na literatura médica sobre o assunto.
The colorectal cancer is a very frequent tumor and it is responsible for a high mortality. The main histological type found is the adenocarcinoma. Usually attacks rectum and sigmoid and the most common symptoms results from the bowels habit disturb. It is very uncommon to initiate with a fistula diagnosed between bowel and bladder. This case is about a 44-year-old man that had a fistula rectourinary and this toke to the diagnosis of a colorectal adenocarcinoma. The objective of this study is to report an uncommon manifestation of this type of neoplasm that showed up with an unusual complication in the moment of the diagnosis. Besides it is a revision of the Medical literature about this subject.