ABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Tietze's Syndrome/microbiology , Chest Pain/microbiology , Spondylitis/microbiology , Coronavirus Infections/complications , Candidiasis/microbiology , Risk Factors , Candidiasis/drug therapy , Adrenal Cortex Hormones/therapeutic use , Azithromycin/therapeutic use , Anti-Bacterial Agents/therapeutic use , Ceftriaxone/therapeutic use , Antibodies, Monoclonal, Humanized/therapeutic use , Coronavirus Infections/therapySubject(s)
Lymphoma, Large B-Cell, Diffuse/diagnostic imaging , Positron Emission Tomography Computed Tomography , Sciatic Nerve/diagnostic imaging , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Carboplatin/administration & dosage , Craniospinal Irradiation , Cyclophosphamide/administration & dosage , Cytarabine/administration & dosage , Doxorubicin/administration & dosage , Etoposide/administration & dosage , Humans , Ifosfamide/administration & dosage , Lymphoma, Large B-Cell, Diffuse/drug therapy , Lymphoma, Large B-Cell, Diffuse/etiology , Lymphoma, Large B-Cell, Diffuse/pathology , Male , Middle Aged , Prednisone/administration & dosage , Rituximab/administration & dosage , Salvage Therapy , Sciatic Nerve/pathology , Vincristine/administration & dosageABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Crush Syndrome/complications , Crush Syndrome , Lumbar Vertebrae/abnormalities , Lumbar Vertebrae/pathology , Lumbar Vertebrae , Spine/abnormalities , Spine , Spinal Dysraphism/complications , Spinal Dysraphism , Scoliosis/complications , Scoliosis/diagnosis , Scoliosis , Diagnosis, Differential , Spinal Dysraphism/diagnosisSubject(s)
Diagnostic Errors , Fractures, Compression/diagnosis , Magnetic Resonance Imaging , Musculoskeletal Abnormalities/diagnosis , Osteoporotic Fractures/diagnosis , Spinal Fractures/diagnosis , Thoracic Vertebrae/abnormalities , Diagnosis, Differential , Female , Humans , Middle Aged , Thoracic Vertebrae/injuriesABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Neoplasm Metastasis/pathology , Low Back Pain/etiology , Cyclophosphamide/metabolism , Cyclophosphamide/therapeutic use , Diagnosis, Differential , Neoplasms, Multiple Primary/complications , Neoplasms, Multiple Primary/diagnosis , Neoplasms, Multiple Primary , Biopsy , Magnetic Resonance Imaging/methods , Spine/pathology , SpineABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Panniculitis, Peritoneal/diagnosis , Tomography, X-Ray Computed/methods , Abdominal Pain/etiology , Chronic Disease , Tamoxifen/therapeutic useABSTRACT
En los últimos años se ha extendido el uso de técnicas de cementación vertebral, vertebroplastia y cifoplastia, para el tratamiento del dolor asociado a fracturas vertebrales osteoporóticas. Se han descrito diferentes complicaciones relacionadas con dichos procedimientos, siendo las más frecuentes derivadas de la fuga del material de cementación. El cemento puede extravasarse al sistema venoso vertebral y a través del sistema ácigos y la vena cava alcanzar la circulación pulmonar, produciendo embolismo por cemento. Esta complicación es frecuente, ocurriendo hasta en 26% de los pacientes sometidos a vertebroplastia, pero dado que generalmente no produce repercusión hemodinámica ni clínica este evento suele pasar inadvertido. Sin embargo, se han descrito algunos casos graves e incluso fatales. Presentamos un paciente varón de 74 años, sometido a vertebroplastia por dolor persistente asociado a una fractura vertebral osteoporótica en L3, que presentó una fuga de cemento hacia la vena cava y la arteria pulmonar derecha. Aunque desarrolló un embolismo pulmonar por cemento, el paciente permaneció asintomático y sin complicaciones durante el seguimiento (AU)
In recent years, the use of vertebral cementing techniques for vertebroplasty and kyphoplasty has spread for the treatment of pain associated with osteoporotic vertebral compression fractures. This is also associated with the increased incidence of complications related with these procedures, the most frequent being originated by leakage of cementation material. Cement can escape into the vertebral venous system and reach the pulmonary circulation through the azygous system and cava vein, producing a cement embolism. This is a frequent complication, occurring in up to 26% of patients undergoing vertebroplasty but, since most of the patients have no clinical or hemodynamical repercussion, this event usually goes unnoticed. However, some serious, and even fatal cases, have been reported. We report the case of a 74-year-old male patient who underwent vertebroplasty for persistent pain associated with osteoporotic L3 vertebral fracture and who developed a cement leak into the cava vein and right pulmonary artery during the procedure. Although he developed a pulmonary cement embolism, the patient remained asymptomatic and did not present complications during follow-up (AU)
Subject(s)
Humans , Male , Middle Aged , Pulmonary Embolism/complications , Pulmonary Embolism/diagnosis , Pulmonary Embolism/therapy , Osteoporosis/complications , Osteoporosis/diagnosis , Spinal Injuries/complications , Spinal Injuries/diagnosis , Cementation/adverse effects , Pulmonary Embolism/physiopathology , Pulmonary Embolism , Vertebroplasty/adverse effects , Kyphoplasty , Radiography, Thoracic/methods , /methodsABSTRACT
In recent years, the use of vertebral cementing techniques for vertebroplasty and kyphoplasty has spread for the treatment of pain associated with osteoporotic vertebral compression fractures. This is also associated with the increased incidence of complications related with these procedures, the most frequent being originated by leakage of cementation material. Cement can escape into the vertebral venous system and reach the pulmonary circulation through the azygous system and cava vein, producing a cement embolism. This is a frequent complication, occurring in up to 26% of patients undergoing vertebroplasty but, since most patients have no clinical or hemodynamical repercussion, this event usually goes unnoticed. However, some serious, and even fatal cases, have been reported. We report the case of a 74-year-old male patient who underwent vertebroplasty for persistent pain associated with osteoporotic L3 vertebral fracture and who developed a cement leak into the cava vein and right pulmonary artery during the procedure. Although he developed a pulmonary cement embolism, the patient remained asymptomatic and did not present complications during follow-up.
Subject(s)
Bone Cements/adverse effects , Postoperative Complications/etiology , Pulmonary Embolism/etiology , Vertebroplasty , Aged , Humans , MaleABSTRACT
A 67-year-old female ex-smoker was referred to our hospital after chest radiographs revealed a nonresolving opacity in the right lower lung. Her past medical history was significant for laryngeal cancer. A whole-body positron emission tomography/computed tomography (CT) confirmed an ill-defined fluorodeoxyglucose-avid peribronchial opacity in the right middle and inferior lobes. The CT component of the study showed focal areas of low attenuation within the lung opacity; these focal areas followed fat signal intensity on a magnetic resonance study, confirming the suspicion of exogenous lipoid pneumonia. The patient admitted to applying petroleum jelly (Vaseline) to her tracheostomy in order to moisturize the area around the stoma.
Subject(s)
Laryngectomy , Magnetic Resonance Imaging/methods , Multimodal Imaging/methods , Petrolatum/adverse effects , Pneumonia, Lipid/chemically induced , Pneumonia, Lipid/diagnosis , Positron-Emission Tomography , Tomography, X-Ray Computed , Tracheostomy/adverse effects , Adrenal Cortex Hormones/adverse effects , Aged , Female , Humans , Pneumonia, Lipid/drug therapy , Treatment OutcomeABSTRACT
La colangiopatía portal es el conjunto de alteraciones que pueden aparecer en la vesícula y en la vía biliar en relación con la existencia de una trombosis crónica de la vena porta y el desarrollo de circulación colateral. La obstrucción crónica de la vena porta es una causa frecuente de hemorragia digestiva por varices esofágicas, pero su posible repercusión sobre la vía biliar es menos conocida. Presentamos el caso clínico de un varón con un cuadro de ictericia secundaria a colangiopatía portal, analizando posteriormente la patogenia de esta entidad, los métodos diagnósticos y las diferentes posibilidades terapéuticas disponibles (AU)
Portal cholangiopathy encompasses a group of abnormalities of the biliary system and gallbladder that occur secondary to chronic portal vein thrombosis and collateral venous circulation. Chronic obstruction of the portal vein is a frequent cause of gastrointestinal variceal bleeding, but data on biliary tract abnormalities are limited. We report the case of a male patient with obstructive jaundice secondary to portal cholangiopathy. We describe the pathogenesis of this entity, and the various diagnostic and therapeutic options available
