A5079251639- Cardiac, Anesthesia and Surgical Outcomes
- Pediatric Hepatobiliary Diseases and Treatments
- Global Health and Surgery
- Gallbladder and Bile Duct Disorders
- Hip and Femur Fractures
- Diagnosis and treatment of tuberculosis
- Esophageal and GI Pathology
- Thyroid Cancer Diagnosis and Treatment
- Inflammatory Bowel Disease
- Intestinal and Peritoneal Adhesions
- Pelvic and Acetabular Injuries
- Gastrointestinal disorders and treatments
- Healthcare during COVID-19 Pandemic
- Biliary and Gastrointestinal Fistulas
- Diverticular Disease and Complications
- Ovarian cancer diagnosis and treatment
- Biotechnology and Related Fields
- Abdominal Trauma and Injuries
- Colorectal Cancer Screening and Detection
- Foreign Body Medical Cases
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Hernia repair and management
- Education during COVID-19 pandemic
- Cancer Diagnosis and Treatment
- Amoebic Infections and Treatments
Hospital Braga
2022-2024
Hospitais da Universidade de Coimbra
2017-2023
University of Coimbra
2021-2023
Evidence supporting transmural remission (TR) as a long-term treatment target in Crohn's disease (CD) is still unavailable. Less stringent but more reachable targets such isolated endoscopic (IER) or radiologic (IRR) may also be acceptable options the long-term.Multicenter retrospective study including 404 CD patients evaluated by magnetic resonance enterography and colonoscopy. Five-year rates of hospitalization, surgery, use steroids, escalation were compared between with TR, IER, IRR, no...
Follicular thyroid carcinoma is the second most frequent type of well differentiated tumours. It usually confined to gland, however it can metastasize in a later stage disease. Signs and symptoms associated with bone metastasis are rare as first clinical manifestations.An 84-year-old female complained acute paraparesis. Magnetic resonance imaging revealed an extensive intraosseous infiltrating lesion compatible from occult tumour. Biopsy samples were follicular carcinoma. The patient was...
Intraductal radiofrequency ablation (RFA) has been used in the management of malignant biliary obstruction and ampullary neoplasms. Some small studies refer to its role managing benign strictures with some promising results. The complications are not neglectable, namely cholangitis, pancreatitis, bleeding, perforation, although most them can be managed conservatively. There two catheters available. Only ERLA (EndoLumunal Radiofrequency Ablation, Taewoong Medical) catheter control temperature...
A woman in her 20s with a recent diagnosis of Crohn’s disease (CD) affecting the ileocaecal valve was started on adalimumab, after routine tuberculosis (TB) tests were negative. Her abdominal symptoms got worse and she presenting respiratory distress fever. Tomography revealed left pleural effusion, pneumonia peritonitis pelvic abscess. The disseminated TB digestive involvement suggested sputum cultures positive for Mycobacterium . Treatment immunosuppressants discontinued, leading to...
Hepatic abscess due to foreign body is rare. Diagnosis difficult and drainage may not be enough. resection indicated. A 76yo male patient resorted the emergency room because of fever abdominal pain. Abdominal CT diagnosed a hepatic in left lobe fishbone. Percutaneous surgical failed. Laparotomic was necessary. The discharged asymptomatic. Liver usually occur lobe. Drainage removal are mandatory can achieved either by percutaneous or drainage. Resection rarely indicated but sometimes only...
We report the case of a woman in her 40s, with no significant medical history, submitted to laparoscopic cholecystectomy our institution for symptomatic gallbladder lithiasis. On postoperative day 4, she presented emergency room severe abdominal pain and elevated inflammatory markers. Abdominal CT scan revealed mass filled liquid air fossa. Surgical exploration was performed revealing major common hepatic duct iatrogenic injury, which managed using suture over T-tube. Three months after...
A enxaqueca ocupa a 19ª posição no ranking da Organização Mundial Saúde (OMS) de doenças que causam mau desempenho ou perdas dias trabalho, pode apresentar-se forma episódica recorrente
Treatment of postoperative gastric fistula complicated by local and systemic infection is difficult controversial, particularly when treating obese patients with multiple prior surgical procedures. A 41-year-old male patient was transferred to our hospital be admitted in the Intensive Care Unit respiratory failure sepsis, after being submitted bariatric surgery. He had been through four subsequent procedures: 1- a laparoscopic sleeve gastrectomy; 2- an exploratory laparotomy for unproven...