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1.
Oncogene ; 36(5): 667-677, 2017 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-27375021

RESUMO

The transdifferentiation of epithelial cells toward a mesenchymal condition (EMT) is a complex process that allows tumor cells to migrate to ectopic sites. Cadherins are not just structural proteins, but they act as sensors of the surrounding microenvironment and as signaling centers for cellular pathways. However, the molecular mechanisms underlying these signaling functions remain poorly characterized. Cadherin-6 (CDH6) is a type 2 cadherin, which drives EMT during embryonic development and it is aberrantly re-activated in cancer. We recently showed that CDH6 is a TGFß target and an EMT marker in thyroid cancer, suggesting a role for this protein in the progression of this type of tumor. Papillary thyroid carcinomas (PTCs) are usually indolent lesions. However, metastatic spreading occurs in about 5% of the cases. The identification of molecular markers that could early predict the metastatic potential of these lesions would be strategic to design more tailored approaches and reduce patients overtreatment. In this work, we assessed the role of CDH6 in the metastatic progression of thyroid cancer. We showed that loss of CDH6 expression profoundly changes cellular architecture, alters the inter-cellular interaction modalities and attenuates EMT features in thyroid cancer cells. Using a yeast two-hybrid screening approach, based on a thyroid cancer patients library, we showed that CDH6 directly interacts with GABARAP, BNIP3 and BNIP3L, and that through these interactions CDH6 restrains autophagy and promotes re-organization of mitochondrial network through a DRP1-mediated mechanism. Analysis of the LIR domains suggests that the interaction with the autophagic machinery may be a common feature of many cadherin family members. Finally, the analysis of CDH6 expression in a unique cohort of human PTCs showed that CDH6 expression marks specifically EMT cells. and it is strongly associated with metastatic behavior and worse outcome of PTCs.


Assuntos
Caderinas/metabolismo , Carcinoma/metabolismo , Carcinoma/patologia , Neoplasias da Glândula Tireoide/metabolismo , Neoplasias da Glândula Tireoide/patologia , Autofagia/fisiologia , Carcinoma Papilar , Transição Epitelial-Mesenquimal , Humanos , Metástase Neoplásica , Transdução de Sinais , Câncer Papilífero da Tireoide
2.
Expert Rev Mol Diagn ; 16(9): 975-85, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27348706

RESUMO

INTRODUCTION: The increasing incidence of cutaneous melanoma and the still limited effective treatments available for this disease represent a major health problem and a great challenge for research. The raise of the "omics" era and the development of new techniques to explore phenotypic heterogeneity are helping to decipher the mechanisms at the basis of melanoma heterogeneity. AREAS COVERED: We reviewed the most recent publications about the biology of cutaneous melanoma, to provide an overview of the most recent insights into the complexity of this tumor and their potential impact in the clinical settings. Expert commentary: Starting from the first attempts to provide a molecular classification of melanoma, it has been evident that this tumor represents a widely heterogeneous disease. This complexity and the multivariate nature of melanoma represent a major obstacle in developing the best management strategies for patients.


Assuntos
Melanoma , Técnicas de Diagnóstico Molecular , Neoplasias Cutâneas , Animais , Humanos , Melanoma/diagnóstico , Melanoma/genética , Melanoma/metabolismo , Melanoma/patologia , Técnicas de Diagnóstico Molecular/métodos , Técnicas de Diagnóstico Molecular/normas , Técnicas de Diagnóstico Molecular/tendências , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/genética , Neoplasias Cutâneas/metabolismo , Neoplasias Cutâneas/patologia
4.
J Eur Acad Dermatol Venereol ; 29(2): 387-390, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24393566

RESUMO

BACKGROUND: In the context of amelanotic melanoma, little is known on the genetic or molecular background that determines the onset of this peculiar phenotype of melanoma and its sites of metastatic spread. However, it appears that amelanotic melanomas frequently lack BRAF mutations. OBJECTIVE: To report the genetical analysis of one case amelanotic melanoma developing oral metastasis. METHODS: The BRAF mutational status of the primary lesion was assessed by both Sanger sequencing and pyrosequencing. RESULTS: Both methodologies showed changes in three nucleotides: C1796T; G1798A and T1799A. These mutations should result in a rare double aminoacid substitution in codons 599 and 600 of the BRAF protein (BRAF T599I/V600K). CONCLUSION: This unusual mutation was associated with an uncommon clinical phenotype of the primary tumour and with an unusual site of metastatic spread. In the lack of comparable data, a potential association between the unusual mutation and clinical findings remains a matter of further studies.


Assuntos
Melanoma/genética , Neoplasias Bucais/secundário , Mutação , Proteínas Proto-Oncogênicas B-raf/genética , Neoplasias Cutâneas/genética , Adulto , Humanos , Masculino , Melanoma/patologia , Neoplasias Cutâneas/patologia
5.
Animal ; 8(5): 786-91, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24548668

RESUMO

Thymol is the most common molecule in thyme and has been proposed as an oral alternative to antibiotics in the feed of pigs and broilers. The knowledge of the in vivo physiological effects of thymol on tissues is limited, particularly its impact on the gastric mucosa, where it is primarily absorbed when it is orally supplied. In this study, thymol (TH, 50 mg/ kg BW) or a placebo (CO) was introduced directly into the stomach of 8 weaned pigs that were slaughtered 12 h later and sampled for gastric oxyntic and pyloric mucosa. The analysis of whole transcript expression was performed using Affymetrix© Porcine Gene 1.1 ST array strips. Affymetrix Transcripts IDs were associated with 13 406 human gene names based on Sus scrofa Ensemble. Gene Set Enrichment Analysis was performed, comparing TH and CO pigs. For each gene set, the normalized enrichment score (NES) was defined as significant when the false discovery rate % was <25 and the P-value of NES was <0.05. In response to TH, 72 and 19 gene sets were significantly enriched in the oxyntic and pyloric mucosa, respectively. Several gene sets involved in mitosis and its regulation ranked near the top, primarily in the oxyntic mucosa; the gene set DIGESTION ranked first and ninth in the pyloric and oxyntic mucosa, respectively. Within this group, somatostatin (SST), SST receptors, peptide transporter 1 (SLC15A1) and calpain 9 (gastrointestinal tract-specific calpain) were the most strongly upregulated genes. Thymol reduced the enrichment of 120 and 59 gene sets in the oxyntic and pyloric mucosa, respectively. Several gene sets related to ion transport and channeling and aqueous pores across membranes, including short transient receptor potential (TRP) channel 4, potassium voltage-gated channel members 1 and 2, and ryanodine receptors 2 and 3, were less enriched. The downregulation of these genes sensitive to thymol in vitro could depend on the thymol dose and contact with the gastric tissues that causes an adaptive response with their reduced activation. Conversely, the activation of the TRPA1 gene (ranked 1072 and 128 among all the genes in the oxyntic and pyloric mucosa, respectively) indicates the involvement of another TRP-regulating cellular calcium storage. In conclusion, the stimulation of gastric proliferative activity and the control of digestive activity by thymol can influence positively gastric maturation and function in the weaned pigs. These properties should be considered in addition to thymol's antimicrobial properties when supplementation of this molecule in feed is evaluated.


Assuntos
Anti-Infecciosos/administração & dosagem , Suplementos Nutricionais , Mucosa Gástrica/efeitos dos fármacos , Regulação da Expressão Gênica/efeitos dos fármacos , Suínos/fisiologia , Timol/administração & dosagem , Animais , Cálcio da Dieta/metabolismo , Digestão/genética , Mucosa Gástrica/metabolismo , Masculino , Desmame
6.
J Anim Sci ; 90 Suppl 4: 128-30, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23365305

RESUMO

Knowledge on porcine bitter and fat taste receptors and on their expression in gastrointestinal tract of pigs is scarce. We searched for the presence of porcine homologous sequences for 13 human transcripts of bitter and fat taste receptors in ENSEMBL and National Center for Biotechnology Information databases. For taste 2 receptor (TAS2R) 8, alignment was not observed; for TAS2R13 and TAS2R46 the porcine predicted sequence aligned with several other human bitter genes. For 7 genes for bitter taste (TAS2R1, TAS2R3, TAS2R7, TAS2R9, TAS2R10, TAS2R16, and TAS2R38) and for 3 genes for fat taste (GPR40, GPR43, and GPR120), a full homology for exon sequences was found and primers were designed by Primer3. These 7 genes were amplified with real-time PCR and verified on agarose gel in 5 gastrointestinal segments of weaned pigs: oxyntic (ST1), pyloric (ST2), and cardiac to oxyntic transition mucosa (ST3), jejunum (JEJ), and colon (COL). Suitability of mRNA was verified by amplifying RPL4 and HMBS2 genes. Each bitter taste gene was detectable on agarose gel in at least 1 subject of all the gastrointestinal segments except for TAS2R3 and TAS2R38 that were never detected in ST1 and COL, respectively. The inspection of bitter taste genes amplification curve indicated that the expression was in general very low. GPR43 and GPR120 were present in all segments from all pigs. Expression was not detected for GPR40. Data also indicate that colon is the preeminent tract where fat detection by GPR120 takes place (P < 0.001). The presence of gene expression for several chemosensing receptors for bitter and fat taste in different compartments of the stomach confirms that this organ should be considered a player for the early detection of bolus composition.


Assuntos
Ração Animal/análise , Suínos/fisiologia , Paladar/fisiologia , Fenômenos Fisiológicos da Nutrição Animal , Animais , Dieta/veterinária , Gorduras na Dieta , Regulação da Expressão Gênica/fisiologia , Masculino , Sensação , Paladar/genética
7.
J Anim Sci ; 90 Suppl 4: 275-7, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23365354

RESUMO

The ability of a yeast cell wall (YCW)-based product (SENTIGUARD C; Nutriad) to inhibit the enterotoxigenic Escherichia coli F4ac (ETEC) adhesion on the brush border of porcine intestinal villi was tested. The ETEC suspensions were preincubated with 2 batches of the product (A and B) at different concentrations (10, 5, and 0.5%, wt/vol) or with their filtrates (AF and BF) and then with intestinal villi susceptible to ETEC adhesion. In all the trials, ETEC suspensions were also preincubated with egg yolk (E) immunized against ETEC to assess the maximum inhibition of the adhesiveness or directly with the villi [control group (Con)] to verify the maximum adhesiveness of the pathogen. For each treatment, 20 different villi were observed, brush border measured, and the adherent pathogens counted. A scanning electron microscope analysis was used to confirm the ability of ETEC to adhere on the YCW. The E treatment significantly reduced the pathogen adhesion on the villi compared with the C group in all the trials (P < 0.001). Both batches of SENTIGUARD C significantly reduced the pathogen adhesion on the villi compared with the C group at the concentration of 10 and 5% (P < 0.001) but not at the concentration of 0.5%. The BF did not significantly reduce the ETEC adhesion whereas the AF significantly increased bacterial adhesion (P = 0.015). The microscopy results confirm the ability of ETEC to adhere on YCW. Taken together, our results indicate the ability of the SENTIGUARD C to contain the intestinal infection from ETEC in young pigs with the affinity of ETEC to YCW.


Assuntos
Aderência Bacteriana/efeitos dos fármacos , Escherichia coli/efeitos dos fármacos , Escherichia coli/fisiologia , Intestinos/microbiologia , Saccharomyces cerevisiae/citologia , Suínos , Animais , Parede Celular , Escherichia coli/ultraestrutura , Feminino , Intestinos/fisiologia , Masculino
8.
Meat Sci ; 89(4): 478-85, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21680104

RESUMO

This study aimed to investigate the genes PPARGC1A (peroxisome proliferator-activated receptor gamma-coactivator 1A) and CAPNS1 (calpain small subunit 1) as candidate genes affecting meat quality traits in pigs. Four polymorphisms were identified in PPARCG1A and three in CAPNS1. The PPARGC1A polymorphism c.1288T>A was associated with pH and cooking loss in a F2 Duroc×Pietrain experimental cross (DuPi, n=313) and with pH values in Italian Large White (ILW, n=380) and Italian Landrace (ILA, n=158) populations (P<0.05). The CAPNS1 polymorphism c.429A>C was associated with pH and conductivity in DuPi and with meat color in ILA (P<0.05). PPARGC1A mRNA expression associated with drip loss (P<0.01) and the same tendency was found for CAPNS1 (P=0.06). The promoter methylation profiling suggested that methylation is not involved in CAPNS1 expression regulation. In conclusion, porcine PPARGC1A and CAPNS1 genes may affect meat quality traits, with breed-specific differences, and they could be used as markers for the improvement of meat quality in pigs.


Assuntos
Calpaína/genética , Carne , Polimorfismo de Nucleotídeo Único , Suínos/genética , Fatores de Transcrição/genética , Animais , Calpaína/metabolismo , Culinária , Ilhas de CpG/genética , Metilação de DNA , Regulação da Expressão Gênica , Frequência do Gene , Marcadores Genéticos , Genótipo , Concentração de Íons de Hidrogênio , Músculo Esquelético/química , Fenótipo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Fatores de Transcrição/metabolismo
9.
Meat Sci ; 88(4): 694-700, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21450414

RESUMO

This study aimed to detect variability in CAST, CAPN1 and CAPN3 porcine genes and to investigate the effect of CAST and CAPN1 polymorphisms on the activity of native and autolyzed µ-calpain and m-calpain, measured from 1 to 72 h post-mortem in Longissimus dorsi (LD) muscle of 30 pigs. Effects of polymorphisms on meat quality parameter such as pH, color and drip loss were also evaluated. Samples carrying CAST EU137105:g.76,872AA genotype showed higher autolyzed µ-calpain activity 24 and 72 h post-mortem, as well as lower drip loss values. Expression of CAST, CAPN1 and CAPN3 was assessed in LD muscles divergent for shear force. Higher CAST and CAPN3 expression was found in LD with high shear force (P<0.2), confirming a direct role for calpastatin but not for calpain 3 in meat tenderization. In conclusion, CAST gene affected post-mortem activation time of calpain and drip loss.


Assuntos
Calpaína/metabolismo , Expressão Gênica , Carne/análise , Proteínas Musculares/genética , Músculo Esquelético/metabolismo , Polimorfismo de Nucleotídeo Único , Animais , Proteínas de Ligação ao Cálcio/genética , Proteínas de Ligação ao Cálcio/metabolismo , Calpaína/genética , Genótipo , Proteínas Musculares/metabolismo , Suínos
10.
Meat Sci ; 88(4): 631-7, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21420243

RESUMO

This study investigated the lipid droplet coat proteins perilipin 1 (PLIN1) and perilipin 2 (PLIN2) localization in pig skeletal muscle and their relationship with intramuscular fat (IMF) content. PLIN1 and PLIN2 proteins were immunostained in semimembranosus muscle cross-sections from two groups of samples divergent for IMF and the gene expression was quantified. PLIN1 localized in the periphery of intramuscular adipocytes, whereas PLIN2 localized within myofibers with high lipid content. The high IMF group showed higher total cross-sectional area of PLIN1-stained adipocytes compared with the low IMF group (P<0.05), while the cross-sectional area and percentage of PLIN2-positive myofibers did not differ between IMF-divergent groups. This suggested that IMF content is mainly determined by extra-myocellular lipids. At mRNA level, PLIN2 expression was higher in high IMF muscles (P<0.05). The results indicate for the first time that in pig muscle PLIN1 and PLIN2 proteins are localized in correspondence with extra and intra-myocellular lipids, respectively.


Assuntos
Gorduras/análise , Expressão Gênica , Hibridização Genética , Músculo Esquelético/metabolismo , Fosfoproteínas/metabolismo , Adipócitos/metabolismo , Animais , Western Blotting , Proteínas de Transporte , Europa (Continente) , Masculino , Perilipina-1 , Fosfoproteínas/genética , RNA Mensageiro/isolamento & purificação , RNA Mensageiro/metabolismo , Suínos
11.
Science ; 290(5493): 953-5, 2000 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-11062120

RESUMO

We report the discovery of a transient equivalent hydrogen column density with an absorption edge at approximately 3.8 kiloelectron volts in the spectrum of the prompt x-ray emission of gamma-ray burst (GRB) 990705. This feature can be satisfactorily modeled with a photoelectric absorption by a medium located at a redshift of approximately 0.86 and with an iron abundance of approximately 75 times the solar one. The transient behavior is attributed to the strong ionization produced in the circumburst medium by the GRB photons. The high iron abundance points to the existence of a burst environment enriched by a supernova along the line of sight. The supernova explosion is estimated to have occurred about 10 years before the burst. Our results agree with models in which GRBs originate from the collapse of very massive stars and are preceded by a supernova event.

12.
Mol Biol Evol ; 15(11): 1472-80, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12572610

RESUMO

The present paper reports on a molecular study based on 12S rRNA and 16S rRNA mitochondrial genes partly sequenced in 13 species of western Mediterranean gobies, three of which are strictly freshwater-dwelling. A total of 867 bp were aligned and used for the phylogenetic reconstruction. Two major lineages were identified, one clustering the sand gobies in a monophyletic clade. Relationships among taxa based on sequence analysis only partly match those based on morphological criteria, suggesting that the latter are somehow insufficient to correctly establish phylogenetic relationships within this family. The results provide evidence for a multiple independent evolution of the freshwater lifestyle in Knipowitschia and Padogobius lineages. On the basis of the present results, it is uncertain whether the freshwater preference within the genus Padogobius originated twice independently in P. nigricans and P. martensii or only once in their common ancestor. Estimation of the ages of the two major lineages of this group of fish with a molecular clock (in combination with the construction of a linearized tree) suggests that they are much older (at least 40 Myr) than previously thought. Thus, there should be no correlation between their diversification and the Miocene-Pliocene geological events, including the so-called Messinian salinity crisis, which occurred about 10 MYA and is believed to have played a role in their evolution. Alternatively, these gobies would have an evolutionary rate at least fourfold faster than those of other vertebrates.


Assuntos
Água Doce , Perciformes/fisiologia , Água do Mar , Animais , Evolução Molecular , Itália , Mar Mediterrâneo , Dados de Sequência Molecular , Perciformes/classificação , Perciformes/metabolismo , Filogenia , RNA/genética , RNA Mitocondrial , RNA Ribossômico/genética , RNA Ribossômico 16S/genética , Água do Mar/efeitos adversos , Análise de Sequência de RNA , Especificidade da Espécie
13.
Boll Soc Ital Biol Sper ; 69(10): 633-40, 1993 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8198805

RESUMO

In the present study biopsies were analyzed, taken from the left shoulder of a patient who, according to the radiological diagnosis, was suffering from calcific periarthritis. In both optical and electronic microscopy the mineralogical observations showed crystalline aggregations, while the chemical analysis, carried out with an Edax EDS spectrophotometer, confirmed the presence of Ca and P in them, in the ratio typical of biological apatites. The histological observations clearly indicate a change in the metabolism of the tissues present. In the samples observed the damage to the muscular tissues is easily seen while the connective tissue, though apparently less compromised, shows the presence of numerous calcifications whose damage cannot be revealed solely through histologic observations. The authors, linking the structural histologic alterations observed to the presence of hydroxyapatite granules as well as to the patient's painful symptoms, believe all these observations are the result of a chronic process.


Assuntos
Artrite/patologia , Calcinose/patologia , Pirofosfato de Cálcio/análise , Durapatita/análise , Articulação do Ombro/patologia , Adulto , Artrite/diagnóstico por imagem , Artrite/metabolismo , Biópsia , Calcinose/diagnóstico por imagem , Calcinose/metabolismo , Doença Crônica , Tecido Conjuntivo/química , Tecido Conjuntivo/patologia , Cristalização , Feminino , Humanos , Microscopia Eletrônica de Varredura , Músculos/química , Músculos/patologia , Radiografia , Recidiva , Articulação do Ombro/química , Articulação do Ombro/diagnóstico por imagem , Líquido Sinovial/química
14.
Eur Respir J ; 2(8): 731-2, 1989 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2806495

RESUMO

Forty one cases of laryngeal tuberculosis, accounting for 0.8% of all cases of tuberculosis observed in 1975-1985, are evaluated. The mean age was 53 yrs, the male/female ratio 9:1. In all cases current or earlier pulmonary tuberculosis was noted. The laryngeal sites affected were, in order of frequency: true vocal cords, epiglottis, false cords and laryngeal ventricles, arytenoid and interarytenoid area, subglottic area. The patients were usually treated with isoniazid, rifampicin, ethambutol for 6-12 months. Two cases required excision of laryngeal lesions. The results of chemotherapy were good.


Assuntos
Tuberculose Laríngea/epidemiologia , Feminino , Humanos , Itália/epidemiologia , Masculino , Pessoa de Meia-Idade , Tuberculose Pulmonar/epidemiologia
16.
Pediatr Med Chir ; 9(3): 263-6, 1987.
Artigo em Italiano | MEDLINE | ID: mdl-3671130

RESUMO

Total IgE cord serum levels were measured in 200 newborns in the Hospital of Viadana-Bozzolo and familial allergic conditions were investigated in all the cases. In a 6 month follow up study attention was focused on the development of atopic symptoms. The sensibility, specificity and predictive value of the total IgE cord serum levels are discussed and the introducing of preventive measures in the at risk newborns is also questioned.


Assuntos
Dermatite Atópica/imunologia , Sangue Fetal/análise , Imunoglobulina E/análise , Dermatite Atópica/diagnóstico , Dermatite Atópica/genética , Humanos , Recém-Nascido , Anamnese , Valor Preditivo dos Testes , Radioimunoensaio
17.
Minerva Med ; 77(45-46): 2159-62, 1986 Nov 30.
Artigo em Italiano | MEDLINE | ID: mdl-3025779

RESUMO

Data are presented on 15 cases of invasive tracheobronchial tumours subjected to cryotherapy in 1984-85. The technique is indicated in patients who cannot be given surgical or radiation treatment and in cases of asphyxial syndrome requiring faster deobstruction than is obtainable with radiation treatment.


Assuntos
Neoplasias Brônquicas/cirurgia , Criocirurgia , Neoplasias da Traqueia/cirurgia , Adenocarcinoma/cirurgia , Adolescente , Adulto , Idoso , Broncoscopia , Carcinoma de Células Pequenas/cirurgia , Carcinoma de Células Escamosas/cirurgia , Criocirurgia/métodos , Feminino , Humanos , Leiomiossarcoma/cirurgia , Neoplasias Pulmonares/cirurgia , Masculino , Pessoa de Meia-Idade
18.
Pediatr Med Chir ; 6(5): 617-20, 1984.
Artigo em Italiano | MEDLINE | ID: mdl-6535122

RESUMO

Aberrant left pulmonary artery (vascular sling) indicates the vascular anomaly in where the left pulmonary artery arises from the right pulmonary artery, passes over the right mainstem bronchus, loops to the left and courses between the trachea and esophagus to the left hilus. Almost invariably respiratory symptoms result from compression of the trachea and right mainstem bronchus by the anomalous vessel as well as by associated tracheobronchial defects. A case is reported. The distinctive radiologic features include anterior indentation of the barium esophagogram and a characteristic pulmonary angiogram. Surgery is the only resolutive treatment for symptomatic patients, but results are often poor owing to associated intracardiac defects and intrinsic tracheobronchial anomalies.


Assuntos
Doenças do Recém-Nascido/etiologia , Artéria Pulmonar/anormalidades , Insuficiência Respiratória/etiologia , Feminino , Humanos , Recém-Nascido , Artéria Pulmonar/diagnóstico por imagem , Artéria Pulmonar/cirurgia , Radiografia
19.
Pediatr Med Chir ; 6(3): 435-7, 1984.
Artigo em Italiano | MEDLINE | ID: mdl-6533591

RESUMO

The traumatic intramural hematoma of the duodenum is the result of contusion of the retroperitoneal portion of the duodenum. This lesion occurs most frequently in children and can result in complete obstruction of the second and third portion of the duodenum.


Assuntos
Duodenopatias/etiologia , Hematoma/etiologia , Pré-Escolar , Duodenopatias/complicações , Duodenopatias/diagnóstico , Hematoma/complicações , Hematoma/diagnóstico , Humanos , Obstrução Intestinal/etiologia , Masculino , Ferimentos não Penetrantes/complicações
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