Assuntos
Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/patologia , Fígado/diagnóstico por imagem , Fígado/patologia , Neoplasias Pulmonares/diagnóstico por imagem , Neoplasias Pulmonares/patologia , Mesotelioma/diagnóstico por imagem , Mesotelioma/patologia , Idoso de 80 Anos ou mais , Biópsia com Agulha de Grande Calibre , Humanos , Biópsia Guiada por Imagem , Masculino , Mesotelioma Maligno , Tomografia Computadorizada Multidetectores , UltrassonografiaAssuntos
Doenças dos Ductos Biliares/etiologia , Doenças dos Ductos Biliares/radioterapia , Neoplasias dos Ductos Biliares/radioterapia , Colangiocarcinoma/radioterapia , Tratamento por Radiofrequência Pulsada/métodos , Idoso de 80 Anos ou mais , Doenças dos Ductos Biliares/diagnóstico por imagem , Humanos , Doença Iatrogênica , Masculino , Cuidados Paliativos , UltrassonografiaRESUMO
Kidney-pancreas transplantation is a valid therapeutic option for patients with insulin-dependent diabetes mellitus. However, vascular complications associated with pancreas transplantation are not uncommon. Herein we have reported a 32-year-old woman with a history of insulin-dependent diabetes mellitus and celiac disease. She underwent liver transplantation for acute hepatitis. After 7 years, the patient developed end-stage kidney disease beginning hemodialysis and being listed for a kidney-pancreas transplantation, which was successfully performed when she was 29 years old with enteric diversion (Roux intestinal loop reconstruction). Five years after kidney-pancreas transplantation, she was admitted to our hospital with serious intestinal bleeding and poor liver function. The ultrasound showed a pattern like a arteriovenous fistula near the head of the pancreas. Computed Tomography was not diagnostic; an arteriogram showed the presence of a mesenteric varix and a mesenteric-caval shunt through the duodenum of the pancreatic graft. The liver biopsy and portal pressure gradient showed portal hypertension and liver cirrhosis. To obtain time a waiting a new liver, the patient underwent percutaneous embolization of the mesenteric varix through jugular access. The procedure was uneventful. The patient was successfully transplanted 2 months later. Pancreas function was always satisfactory.
Assuntos
Diabetes Mellitus Tipo 1/cirurgia , Hipertensão Portal/complicações , Falência Renal Crônica/cirurgia , Transplante de Rim/métodos , Transplante de Pâncreas/métodos , Adulto , Doença Celíaca/complicações , Doença Celíaca/cirurgia , Diabetes Mellitus Tipo 1/complicações , Feminino , Humanos , Hipertensão Portal/cirurgia , Falência Renal Crônica/etiologia , Transplante de Rim/efeitos adversos , Transplante de Fígado/métodos , Transplante de Pâncreas/efeitos adversos , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Varizes/diagnóstico por imagem , Varizes/etiologiaRESUMO
Chronic lung disease (CLD) in children represents a heterogeneous group of many distinct clinicopathological entities. The prevalence of CLD has increased in the past decade because of the more advanced and intensive respiratory support provided for compromised children and additionally the overall improved survival of preterm babies. The disorders which constitute CLD generally have a slow tempo of progression over many months or even years. The most common causes of CLD in children are cystic fibrosis (CF), and other causes of bronchiectasis (such as immunodeficiency, and in the third world, post-infective bronchiectasis, for example, measles), bronchopulmonary dysplasia (BPD) (or lung disease of prematurity), asthma, chronic gastro-oesophageal reflux/aspiration pneumonitis, and constrictive obliterative bronchiolitis.
Assuntos
Pneumopatias/diagnóstico , Displasia Broncopulmonar/diagnóstico , Criança , Pré-Escolar , Doença Crônica , Fibrose Cística/diagnóstico , Humanos , Lactente , Recém-Nascido , Pneumopatias/diagnóstico por imagem , Pneumopatias Obstrutivas/diagnóstico , Imageamento por Ressonância Magnética/métodos , Tomografia Computadorizada por Raios X/métodosAssuntos
Linfangioleiomiomatose/complicações , Linfangioleiomiomatose/diagnóstico , Pneumotórax/diagnóstico , Pneumotórax/etiologia , Adulto , Dor no Peito/etiologia , Diagnóstico Diferencial , Dispneia/etiologia , Feminino , Humanos , Pulmão/patologia , Pulmão/fisiopatologia , Pneumotórax/fisiopatologia , Pneumotórax/cirurgia , Radiografia Torácica , Testes de Função Respiratória , Resultado do TratamentoAssuntos
Doença de Hodgkin/patologia , Doença de Hodgkin/terapia , Pneumopatias/patologia , Pneumopatias/terapia , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Artralgia/diagnóstico , Artralgia/etiologia , Biópsia por Agulha , Análise Química do Sangue , Terapia Combinada , Tosse/diagnóstico , Tosse/etiologia , Fadiga/diagnóstico , Fadiga/etiologia , Febre/diagnóstico , Febre/etiologia , Seguimentos , Doença de Hodgkin/diagnóstico por imagem , Humanos , Imuno-Histoquímica , Pneumopatias/diagnóstico por imagem , Masculino , Radiografia Torácica , Medição de Risco , Índice de Gravidade de Doença , Toracotomia/métodos , Tomografia Computadorizada por Raios XRESUMO
This article focuses on small-parts US in children. The differential diagnosis of cystic neck masses primarily includes lymphangiomas, thyroglossal duct cysts and branchial cleft cysts. Solid masses may be represented from lymphadenopathies, cervical extensions of mediastinal thymus, fibromatosis colli, rhabdomyosarcomas and neuroblastomas. Salivary gland lesions are uncommon in children. Thyroid is best evaluated by US and nuclear scintigraphy. If US shows abnormal thyroid gland, the isotopic scan may be a good complementary method to confirm the diagnosis. Normal parathyroid glands are not visualised routinely by US because of their small size. Parathyroid adenomas are unusual in paediatrics. Ultrasound can be successfully used in the differential diagnosis of the painful scrotum especially with colour flow Doppler. The hallmark of ischaemia is a completely avascular testis. In the paediatric age group, the most common application of US to the musculoskeletal system is the evaluation of the infant hip in the first 6 months of life; however, the refinement of new transducers has further improved the ability of US equipment to evaluate a variety of other musculoskeletal disorders in children, involving tendons, muscles, nerves as well as soft tissue masses. Ultrasound can be a useful screening tool in newborns suspected of having closed spinal dysraphism.