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5.
An Med Interna ; 15(11): 594-6, 1998 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-9882858

RESUMO

Splenoportal thrombosis may appear in subclinical way and it necessary te make a differential diagnosis with other pathologies-more common, like inflammatory of infection, processes conditions in which a decrease in portal-flow take place, space compromise or hypercoagulability conditions. Hear we present two cases with this pathology, and we make an extensive differential diagnosis, the final diagnosis was reached through a bone marrow aspirate, with the outcome of essential thrombocytosis.


Assuntos
Veia Porta , Veia Esplênica , Trombocitemia Essencial/complicações , Trombose Venosa/etiologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
7.
Rev Esp Enferm Dig ; 80(5): 307-10, 1991 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-1768468

RESUMO

Presentation of 55 patients aged more than 65 years, appendectomized with the diagnosis of acute appendicitis. After histological study, we saw 6 normal cecal appendixes (10.9%), so the real number of acute appendicitis operated was 49 out of 435 (11.2%) interventions. The clinical history was typical in most of the patients and, nevertheless, we noticed a diagnostic delay greater than 24 hours in 31 (63.2%), and greater than 48 hours in 17 patients (34.6%). We verified the existence of a high percentage of perforated appendicitis (36.7%) closely related to a long evolution time, not being able to show, in the group studied, an increase of early appendix perforations in comparison with the rest. These results suggest that the high morbidity of acute appendicitis in old patients is due, to a great extent, to a delay in the performance of the appendectomy.


Assuntos
Apendicite/cirurgia , Doença Aguda , Idoso , Idoso de 80 Anos ou mais , Apendicectomia , Apendicite/complicações , Feminino , Humanos , Perfuração Intestinal/etiologia , Perfuração Intestinal/cirurgia , Masculino , Complicações Pós-Operatórias/epidemiologia , Ruptura Espontânea , Fatores de Tempo
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