Effect of microalgae and bacteria inoculation on the startup of bioreactors for paper pulp wastewater and biofuel production.

The use of microalgae and bacteria as a strategy for the startup of bioreactors for the treatment of industrial wastewater can be a sustainable and economically viable alternative. This technology model provides satisfactory results in the nitrification and denitrification process for nitrogen removal, organic matter removal, biomass growth, sedimentation, and byproducts recovery for added-value product production. The objective of this work was to evaluate the performance of microalgae and bacteria in their symbiotic process when used in the treatment of paper pulp industry wastewater. The experiment, lasting fourteen days, utilized four bioreactors with varying concentrations in mgVSS/L of microalgae to bacteria ratio (R1-100:100, R2-100:300, R3-100:500, R4-300:100) in the startup process. Regarding the sludge volumetric index (SVI), the results show that the R1 and R2 reactors developed SVI30/SVI10 biomass in the range of 85.57 ± 7.33% and 84.72 ± 8.19%, respectively. The lipid content in the biomass of reactors R1, R2, R3 e R4 was 13%, 7%, 19%, and 22%, respectively. This high oil content at the end of the batch, may be related to the nutritional stress that the species underwent during this feeding regime. In terms of chlorophyll, the bioreactor with an initial inoculation of 100:100 showed better symbiotic growth of microalgae and bacteria, allowing exponential growth of microalgae. The total chlorophyll value for this bioreactor was 801.46 ± 196.96 µg/L. Biological removal of nitrogen from wastewater from the paper pulp industry is a challenge due to the characteristics of the effluent, but the four reactors operated in a single batch obtained good nitrogen removal. Ammonia nitrogen removal performances were 91.55 ± 9.99%, 72.13 ± 19.18%, 64.04 ± 21.34%, and 86.15 ± 30.10% in R1, R2, R3, and R4, respectively.

Assessment of heavy metals bioaccumulation in Silver Birch (Betula pendula Roth) from an AMD active, abandoned gold mine waste.

Acid mine drainage (AMD) is generally outlined as one of the largest environmental concerns, characterized by very low pH value of mine waste, heavy metals and high sulphate content. This extremely hostile environment reduces plant ability to develop and grow. Present study focuses on a silver birch (Betula pendula Roth), a pioneer species that grows on an extremely hostile gold mine waste, to investigate the bioaccumulation of rare metals (thallium (Tl) and indium (In)), as well as nine other more common heavy metals (bismuth (Bi), cadmium (Cd), cobalt (Co), copper (Cu), lead (Pb), manganese (Mn), nickel (Ni), silver (Ag) and zinc (Zn)), and to asses phytoextraction and phytostabilization potential of silver birch. Additionally, parameters determining AMD process and overall contamination (pH, electrical conductivity (EC), sulphates (SO42-), arsenic (As), iron (Fe), oxidation-reduction potential (ORP), turbidity, dissolved oxygen (DO), total dissolved solids (TDS), acidity, hardness, X-ray diffraction (XRD) and radioactivity) were determined in mine waste and drainage water samples. To assess the heavy metals bioaccumulation and mine waste status, statistical geochemical indices were determined: bioaccumulation factor (BCF), pollution load index (PLI), geochemical abundance index (GAI) and exposure index (EI). The results show that silver birch bioaccumulates the essential elements Cu, Ni, Mn and Zn, and the nonessential elements Tl (average BCF = 24.99), In (average BC = 23.01) and Pb (average BCF = 0.84). Investigated mine waste was enriched by Bi, Ag and Cd according to positive values of GAI index. Present research provides a novel insight into bioaccumulation of nonessential heavy metals in silver birches who grow on the extremely hostile mine waste, and they exhibit significant phytoremediation potential.

Treatment of slaughterhouse wastewater by acid precipitation (H2SO4, HCl and HNO3) and oxidation (Ca(ClO)2, H2O2 and CaO2).

The treatment of slaughterhouse wastewater was investigated by both acid precipitations and by oxidation processes. Precipitation tests were developed using three acids (H2SO4, HCl and HNO3) at different operating pH (1-6). A decrease of the precipitation pH led to an increase of the conductivity values of the supernatant. Precipitation processes allowed the removal of chemical oxygen demand (COD) (41-97%), turbidity (56-99%) and total phosphorus (27-56%). Total phenols were removed (15-96%) from pH ≥ 2, depending on the precipitation process. Generally, precipitation processes decreased the hydroxide and bicarbonates species. Additionally, three different oxidation processes were tested at different concentrations (1-15 g L-1): Ca(ClO)2, H2O2 and CaO2. When Ca(ClO)2 and CaO2 were applied, an increase of the supernatant conductivity was achieved. COD removal ≥71% and turbidity elimination in the range of 85-100% were achieved by using oxidation processes. CaO2 was very effective to remove total phosphorus (81-96%). The increase of the oxidant concentration in H2O2 and Ca(ClO)2 oxidation processes led to a decrease in the removal of total phenols and bicarbonates species. Optical density of the microorganism cultures was efficiently eliminated (up to 100%) by oxidation processes. In addition, acid precipitation and oxidation allowed to remove total solids (TS), total volatile solids (TVS), total suspended solids (TSS), ammonia nitrogen, nitrates and biochemical oxygen demand (BOD5). Acid precipitation and oxidation produced sludge rich in organic matter and nutrients (Ca, Mg, P, Cl, Na and K). Despite the high removal efficiencies, a post-treatment following the precipitation and oxidation processes can be required.

Long-term monitoring for conservation management: Lessons from a case study integrating remote sensing and field approaches in floodplain forests.

Implementing long-term monitoring programs that effectively inform conservation plans is a top priority in environmental management. In floodplain forests, historical pressures interplay with the complex multiscale dynamics of fluvial systems and require integrative approaches to pinpoint drivers for their deterioration and ecosystem services loss. Combining a conceptual framework such as the Driver-Pressure-State-Impact-Response (DPSIR) with the development of valid biological indicators can contribute to the analysis of the driving forces and their effects on the ecosystem in order to formulate coordinated conservation measures. In the present study, we evaluate the initial results of a decade (2004-2014) of floodplain forest monitoring. We adopted the DPSIR framework to summarize the main drivers in land use and environmental change, analyzed the effects on biological indicators of foundation trees and compared the consistency of the main drivers and their effects at two spatial scales. The monitoring program was conducted in one of the largest and best preserved floodplain forests in SW Europe located within Doñana National Park (Spain) which is dominated by Salix atrocinerea and Fraxinus angustifolia. The program combined field (in situ) surveys on a network of permanent plots with several remote sensing sources. The accuracy obtained in spectral classifications allowed shifts in species cover across the whole forest to be detected and assessed. However, remote sensing did not reflect the ecological status of forest populations. The field survey revealed a general decline in Salix populations, especially in the first five years of sampling -a factor probably associated with a lag effect from past human impact on the hydrology of the catchment and recent extreme climatic episodes (drought). In spite of much reduced seed regeneration, a resprouting strategy allows long-lived Salix individuals to persist in complex spatial dynamics. This suggests the beginning of a recovery resulting from recent coordinated societal responses to control excessive water extraction in the catchment, highlighting the need for continuing long-term monitoring. The DPSIR framework proved useful as a conceptual tool in analyzing the entire environmental system, while both field and remote sensing approaches complemented each other in quantifying indicator trends, improving the monitoring design and informing conservation plans.

Photodynamic therapy in the coadjuvant treatment of Sporothrix schenckii complex.

INTRODUCTION: Sporotrichosis, a zoonosis caused by animal, mainly cat, scratches or bites, is caused by fungi belonging to the Sporothrix complex. Treatment usually consists in antifungal administration, although treatment failure and hepatotoxicity reports have been noted. Alternative sporotrichosis treatment methods, such as antimicrobial photodynamic therapy (aPDT), may, therefore, be indicated. CASE REPORT: In this context, this study followed a 56-year-old male renal transplanted patient displaying disseminated sporotrichosis, presenting erythematous skin lesions with ulcerated backgrounds and hardened consistency on the nose, oral and scalp. The lesions were present for about 2 months and the patient coexisted with cats. Intravenous amphotericin B administration was initiated, and immunosuppression was suspended. Seven aPDT sessions were also performed in 48 h intervals on the oral lesions, employing 0.01% methylene blue gel as the photosensitizing agent. After the 4th aPDT session, the patient was discharged, amphotericin B administration was suspended, and the treatment was continued with itraconazole, without immunosuppression. Red laser was applied to the oral lesions after the 7th aPDT session. Significant lesion improvement was observed after the final aPDT session and complete palate lesion repair was noted after two red laser sessions. CONCLUSION: These findings indicate that aPDT is a valuable strategy as an adjunct sporotrichosis treatment.

Nitrogen removal from landfill leachate in constructed wetlands with reed and willow: redox potential in the root zone.

This study investigated the effects of reed and willow on bioremediation of landfill leachate in comparison with an unplanted control by measuring redox potential levels in the rhizosphere of microcosm systems in a greenhouse. Plants had a significant influence on redox potential relative to the plant-less system. Redox potential in the reed rhizosphere was anoxic (mean -102±85 mV), but it was the least negative, being significantly higher than in the willow (mean -286±118 mV), which had the lowest Eh. Redox potential fluctuated significantly in the willow rhizosphere during daylight hours, with large decreases in the morning. Levels of NH(4)(+) decreased significantly in the first day of the experiment and remained at similar low levels in all three variants for the next four weeks of the experiment. Following this removal of ammonia significant peaks in NO(2)(-) occurred in the control and reed tanks on the 1st day, and again on 14th day in the control tank up to 13 mg/dm(3). In the willow tank there was also one significant peak of NO(2)(-) in the first week, but only up to 0.5 mg/dm(3). Significant accumulation, within 21 days of NO(3)(-) in all variants was observed, but in tanks with reed and willow the concentration of NO(3)(-) remained significantly lower (<4 mg/dm(3)) than in the unplanted tank (∼35 mg/dm(3)). Final levels of total-nitrogen, nitrate and chemical oxygen demand were considerably lower in the reed and willow tank than in the unplanted tank.

Analysis of constructed wetland performance for irrigation reuse.

Most of the wastewater treatment systems in small rural communities of the Cova da Beira region (Portugal) consist of constructed wetlands (CW) with horizontal subsurface flow (HSSF). It is believed that those systems allow the compliance of discharge standards as well as the production of final effluents with suitability for reuse. Results obtained in a nine-month campaign in an HSSF bed pointed out that COD and TSS removal were lower than expected. A discrete sampling also showed that removal of TC, FC and HE was not enough to fulfill international irrigation goals. However, the bed had a very good response to variation of incoming nitrogen loads presenting high removal of nitrogen forms. A good correlation between mass load and mass removal rate was observed for BOD(5), COD, TN, NH(4)-N, TP and TSS, which shows a satisfactory response of the bed to the variable incoming loads. The entrance of excessive loads of organic matter and solids contributed for the decrease of the effective volume for pollutant uptake and therefore, may have negatively influenced the treatment capability. Primary treatment should be improved in order to decrease the variation of incoming organic and solid loads and to improve the removal of COD, solids and pathogenic. The final effluent presented good physical-chemical quality to be reused for irrigation, which is the most likely application in the area.

Evaluation of the effectiveness of horizontal subsurface flow constructed wetlands for different media.

Two media bed (gravel and Filtralite NR) were tested in a mesocosm to evaluate the removal of organic matter (as chemical oxygen demand (COD)), ammonia (NH4-N), nitrite, nitrate and solid matter (as total suspended solids (TSS)) for a synthetic wastewater (acetate-based) and a domestic wastewater. The use of Filtralite allowed average removal rates (6-16.8 g COD/(m2 x day), 0.8-1.1 g NH4-N/(m2 x day) and 3.1 g TSS/(m2 x day)) and removal efficiencies (65%-93%, 57%-85% and 78% for COD, NH4-N and TSS, respectively), higher than that observed in the experiments with gravel. The applied loads of COD, ammonia, nitrate and TSS seem to influence the respective removal rates but only for the treatment of domestic wastewater with higher correlation coefficients for Filtralite. Regardless the type of media bed and the type of wastewater, nitrate was completely removed for nitrogen loading rates up to 1.3 g NO3-N/(m2 x day). There was no evidence of the influence of nitrate loads on the removal of organic matter.

Treatment of cork boiling wastewater using a horizontal subsurface flow constructed wetland combined with ozonation.

Cork boiling wastewaters (CBW) are strongly coloured complex aqueous solutions with high organic load of biorecalcitrant and toxic nature. The feasibility and efficiency of a CBW treatment process combining ozonation as pre- and post-treatment of a horizontal subsurface flow constructed wetland (HSFCW) was assessed. Over an extended monitoring period of 390 days, two lab-scale HSFCW units were tested; one planted with P. australis (CWP) and one unplanted-control (CWC) operated at average organic loads rates (OLR) of 5 and 10 g COD/m2/d. CWP always outperformed the control unit. The ozonation trials were run at pH values of 8.15-8.21 and 5.39-5.45 (without adjustment) at ozone to COD ratios of 0.25-0.29 and 0.24-0.59 when implemented as pre- and post-treatment, respectively. Average removals (calculated through mass balance basis) were 78-88%, 86-91%, 71-89% and 43-89% for COD, BOD5, Total Phenols (TPh) and colour when ozonation was implemented as post-treatment. For ozonation as pre-treatment, respective figures were 77-80%, 79-92%, 78-85% and 19-73%. Regardless of the treatment scheme and OLR, ozonation was very effective in biodegradability increase (i.e., BOD5/COD) from 0.18 to 0.42 when applied as pre-treatment, and decolourization after the HSFCW increased from 21% to 91% (post-treatment) with respective ozone consumed yields of 67-69% and 72-85%. The best results were obtained for the scheme CWP + Ozonation at OLR of 5.33 g COD/m2/d with COD reductions from 1950 mg/L to 81-88 mg/L in the effluent and TPh from 125 mg/L to 5-6 mg/L at limited ozone amounts of 0.21-0.45 g O3/m2/d.

External Iliac Artery Laceration Caused by Hip Prosthesis Migration.

Hip arthroplasty is a common and safe intervention in orthopedic surgery. However, the proximity of this joint to large vessels makes the occurrence of vascular injury a rare but serious and possibly lethal complication of this surgical technique. Acute vascular injuries in the context of a hip arthroplasty have variable etiologies and clinical presentations, and are more common in revision surgeries and in situations of medial intrapelvic migration and of chronic infection of the hip prosthesis. In the present article, the authors present a case of acute and late major vascular complication in the context of hip arthroplasty revision. The patient developed an acute laceration of the external iliac artery caused by chronic and progressive medial intrapelvic acetabular migration of the hip prosthesis associated with chronic infection.

A spatial stream-network approach assists in managing the remnant genetic diversity of riparian forests.

Quantifying the genetic diversity of riparian trees is essential to understand their chances to survive hydroclimatic alterations and to maintain their role as foundation species modulating fluvial ecosystem processes. However, the application of suitable models that account for the specific dendritic structure of hydrographic networks is still incipient in the literature. We investigate the roles of ecological and spatial factors in driving the genetic diversity of Salix salviifolia, an Iberian endemic riparian tree, across the species latitudinal range. We applied spatial stream-network models that aptly integrate dendritic features (topology, directionality) to quantify the impacts of multiple scale factors in determining genetic diversity. Based on the drift hypothesis, we expect that genetic diversity accumulates downstream in riparian ecosystems, but life history traits (e.g. dispersal patterns) and abiotic or anthropogenic factors (e.g. drought events or hydrological alteration) might alter expected patterns. Hydrological factors explained the downstream accumulation of genetic diversity at the intermediate scale that was likely mediated by hydrochory. The models also suggested upstream gene flow within basins that likely occurred through anemophilous and entomophilous pollen and seed dispersal. Higher thermicity and summer drought were related to higher population inbreeding and individual homozygosity, respectively, suggesting that increased aridity might disrupt the connectivity and mating patterns among and within riparian populations.

Investigation of lab-scale horizontal subsurface flow constructed wetlands treating industrial cork boiling wastewater.

The feasibility and treatment efficiency of horizontal subsurface flow constructed wetlands (HSFCW) was assessed for the first time for cork boiling wastewater (CBW) through laboratory experiments. CBW is known for its high content of phenolic compounds, complex composition of biorecalcitrant and toxic nature. Two lab-scale units, one planted with Phragmites australis (CWP) and one unplanted (CWC), were used to evaluate the removals of COD, BOD, total phenolic compounds (TPh) and decolourization over a 2.5-years monitoring period under Mediterranean climatic conditions. Seven organic and hydraulic loading rates ranging from 2.6 to 11.5 g COD/m2/d and 5.7-9.1 L/m2/d were tested under average hydraulic retention time (HRT) of 5 ±â€¯1 days required due to the CWB limited biodegradability (i.e., BOD5/COD of 0.19). Average removals of the CWP exceeded those of the CWC and reached 74.6%, 91.7% and 69.1% for COD, BOD5 and TPh, respectively, with respective mass removals rates up to 7.0, 1.7 and 0.5 (in g/m2/d). Decolourization was limited to 35%, since it mainly depends on physical processes rather than biodegradation. CBW concentration of nine phenolic compounds ranged from 1.2 to 38.4 mg/L (for the syringic and ellagic acids, respectively) in the raw CBW, with respective removals in the CWP unit ranging from 41.8 to 76.3%, higher than those in the control unit. Despite CBW high concentration of TPhs (average of 116.3 mg/L), the HSFCW reached organic load removals higher than those of conventional biological treatment methods.

External control of fluoridation in public water supply systems in the state of Goiás, Brazil. / Heterocontrole da fluoretação da água de abastecimento público em cidades do estado de Goiás, Brasil.

The addition of fluoride to the public water supply is a method used for reducing tooth decay. In this sense, the control of fluoridation is important for maintaining its efficiency and, at the same time, for avoiding the risk of fluorosis as a result of the consumption of water with excess of fluoride. The objective of this study was to evaluate the adequacy of fluoride levels in the water distributed to populations of the state of Goiás, Brazil. Towards this aim, 5,039 water samples collected between 2011 and 2013 in 225 municipalities of the state of Goiás were analyzed for fluoride level. The results were assessed with regard to season, type of water source and geographic location. Fluoride levels were found to vary between complete absence and 2.5 mg F/L, with 28.2% of the samples being between 0.6 and 0.8 mg F/L, and 39.1% between 0.55 and 0.84 mg F/L. The rainy season produced a greater number of atypical results and higher values than the dry period. The systems supplied by groundwater sources were shown to have a limited control of fluoride concentration compared to systems supplied by surface water sources. Lower concentrations of fluoride were found in samples collected in the North and East Mesoregions of Goiás, with less than 7.5% being between 0.6 and 0.8 mg F/L, which systems are mainly supplied by groundwater sources with fluoride addition .

A adição do flúor na água é um método empregado na redução de cárie dentária. O controle da fluoretação é importante para manter a sua eficiência e, ao mesmo tempo, evitar o risco de ocorrência de fluorose, fruto do consumo de água com flúor em excesso. O objetivo deste trabalho foi avaliar a adequação dos níveis do fluoreto na água distribuída à população do estado de Goiás, Brasil. Foram analisadas 5.039 amostras de água coletadas em 225 municípios de Goiás, entre 2011 e 2013. Os resultados foram analisados por sazonalidade, tipo de manancial e localização geográfica. Ocorreu uma variação entre ausência e 2,5 mg F/L, com 28,2% das amostras entre 0,6 e 0,8 mg F/L e 39,1% entre 0,55 e 0,84 mg F/L. No período de chuva ocorreu um maior número de resultados atípicos e maiores valores quando comparados ao período da seca. Verificou-se que os sistemas abastecidos por água proveniente de mananciais subterrâneos possuem um menor controle de fluoreto quando comparados a sistemas provenientes de mananciais superficiais. Observou-se menores concentrações nas amostras coletadas no Norte e Leste goianos, com menos de 7,5% entre 0,6 e 0,8 mg F/L, para aquelas coletadas de sistemas de abastecimento que utilizam água de manancial subterrâneo com adição de fluoreto, existindo dificuldades na manutenção dos seus teores.

Bilateral knee dislocation with associated bilateral popliteal arterial injury.

Tibiofemoral unilateral knee dislocations are uncommon, making bilateral dislocations even rarer injuries. Knee dislocation is considered one of the most serious injuries that can affect this joint. Associated complications such as popliteal artery injury are responsible for the important morbidity in these patients. The authors report the case of a 52-year-old man with a traumatic bilateral knee dislocation with associated bilateral popliteal arterial injury. His clinical presentation along with radiographic and angiographic findings are described. Surgical and non-surgical treatment and functional outcomes are also reported.

As luxações unilaterais tibiofemurais do joelho são incomuns, o que torna as luxações bilaterais ainda mais raras. A luxação do joelho é considerada um dos ferimentos mais graves nesta articulação. As complicações associadas, tais como a lesão da artéria poplítea, são responsáveis pela importante morbidade observada nesses pacientes. Os autores relatam o caso de um homem de 52 anos com luxação traumática bilateral do joelho associada a lesão bilateral da artéria políptea. O estudo descreve a apresentação clínica e os achados radiográficos e angiográficos. O tratamento cirúrgico e não-cirúrgico e os resultados funcionais também são relatados.

[Decompressive craniectomy for treatment of intracranial hypertension secondary to large ischemic cerebral infarction: analysis of 34 cases]. / Craniectomia descompressiva para tratamento de hipertensão intracraniana secundária a infarto encefálico isquêmico extenso: análise de 34 casos.

UNLABELLED: The large ischemic cerebral infarction (LICI) is a blood supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases. OBJECTIVE: To evaluate the results of a decompressive craniectomy on the treatment of the secondary intracranial hypertension to LICI, comparing to other results of medical literature already published. METHOD: Were analysed 34 patients diagnosed with LICI clinically treated unsuccessfully that needed further on the decompressive craniectomy treatment, for the control of intracranial hypertension. RESULTS: 8 patients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition. CONCLUSION: The factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.

Mucinous cystic neoplasm of the liver

A 55-year-old woman was investigated for occasional epigastric pain and weight loss. T2-weighted abdominal magnetic resonance imaging and magnetic resonance cholangiography revealed a multilocular cyst with multiple septa and a solid component in the liver, measuring 6.1 × 4.8 × 6.5 cm. Given the patient's symptoms and malignant potential, a laparoscopic segmentectomy with partial resection of segments IV B and V was performed to completely remove the cystic lesion, associated with cholecystectomy. Histopathology demonstrated a cyst lined by columnar mucinous epithelium. Therefore, the diagnosis was mucinous cystic neoplasm of the liver. This article presents a case report and literature review of this entity.

[Transspheinoidal transpalatal meningoencephalocele]. / Meningoencefalocele transesfenoidal transpalatina.

Transspheinoidal meningoencephalocele is a rare presentation of dysraphism of the neural tube. It is characterized by the herniation of the neural tissue through a bony defect in the sphenoid bone. The clinical presentation is variable. It may be assymptomatic or it may include an upper airway obstruction, rhinorrhea, meningitis, hypothalamic dysfunction and optic anomalies. The surgical treatment is controversial. We describe the case of a 7-year-old boy who presented a pulsate structure filling the palate, palate digenesis and hypertelorism. The diagnosis of transsphenoidal transpalatal meningoencephalocele was confirmed by a computerized tomography and a magnetic resonance imaging. The child was operated on by the transpalatal/transspheinoidal approach with a good result.

Gut bacterial translocation and postoperative infections: a prospective study in schistosomotic patients.

BACKGROUND: Bacterial translocation (BT) across the intact intestinal mucosal barrier has been postulated as a source of sepsis in susceptible patients, including those with cirrhosis and portal hypertension. This condition has not been studied in hepatosplenic schistosomiasis, wherein portal hypertension and the presence of an immune deficiency state associated with the parasitic disease could predispose to BT into mesenteric lymph nodes (MLN). A study was conducted to determine the prevalence of aerobic bacteria in MLN (bacterial translocation) of patients with hepatosplenic schistosomiasis, and establish a possible association with postoperative infections. METHODS: In a series of 51 patients submitted to surgical treatment of schistosomotic portal hypertension with splenectomy and gastric devascularization, MLN were obtained from each patient at the beginning (MLN1) and at the end (MLN2) of the surgical procedure, and sent for bacteriological analysis. Prospective patient evaluation during the postoperative period correlated positive MLN cultures with infectious complications. RESULTS: The prevalence of aerobic bacteria was 17.6% at MLN1 and 27.5% at MLN2, however, this difference was non-significant (p = 0.24). Bacterial translocation to all MLN was 22.5%. Escherichia coli was the most frequent organism (26.1%, 6/23). The overall incidence of postoperative infections was 19.6% (10/51), with a significant association with the presence of positive cultures of MLN (p = 0.043). CONCLUSIONS: The findings of this study suggest that the presence of aerobic bacteria on MLN as a consequence of BT may play a role in the development of postoperative infectious complications, particularly in schistosomotic patients.

Mesenteric desmoid tumor after Roux-en-Y gastric bypass: a case report

We report the case of a 37-year-old woman investigated for left flank pain 1 year after bariatric surgery (Roux-en-Y gastric bypass). Abdominal computed tomography (CT) revealed a solid intra-abdominal lesion measuring 9.3 × 9.4 × 10.4 cm, compressing adjacent structures with no signs of invasion. Ileocolectomy with partial mesenteric resection was performed. A histopathological and immunohistochemical analysis confirmed the diagnosis of mesenteric desmoid tumor.(AU)