- Hormonal Regulation and Hypertension
- Pituitary Gland Disorders and Treatments
- Adrenal and Paraganglionic Tumors
- Vascular anomalies and interventions
- Ocular Infections and Treatments
- Child Abuse and Related Trauma
- Intraocular Surgery and Lenses
- Aortic aneurysm repair treatments
- Abdominal vascular conditions and treatments
- Traumatic Ocular and Foreign Body Injuries
- Parasitic infections in humans and animals
- Spondyloarthritis Studies and Treatments
- Neuroendocrine Tumor Research Advances
- Retinal and Macular Surgery
- Glaucoma and retinal disorders
- Advanced Radiotherapy Techniques
- Abdominal Trauma and Injuries
- Cardiac, Anesthesia and Surgical Outcomes
- Amoebic Infections and Treatments
- Cervical and Thoracic Myelopathy
- Respiratory and Cough-Related Research
- Sarcoma Diagnosis and Treatment
- Restraint-Related Deaths
- Global Health and Surgery
- Magnesium Alloys: Properties and Applications
Hospitais da Universidade de Coimbra
2016-2023
Instituto Português de Oncologia Francisco Gentil
2023
Hospital de Santo António
2023
Centro Hospitalar do Tâmega e Sousa
2023
Hospital de São João
2008-2021
University of Coimbra
2020
University of Lisbon
2012
Hospital São João de Deus
2008
Taeniid species represent relevant pathogens in human and animals, circulating between carnivorous definitive hosts a variety of mammalian intermediate hosts. In Portugal, however, little is known about their occurrence life cycles, especially wild An epidemiological survey was conducted to clarify the role Iberian wolf as host for taeniid species, including Echinococcus spp. Wolf fecal samples (n = 68) were collected from two regions Northern Portugal. eggs isolated through...
Giant cystic pheochromocytoma (>10cm) is rare with only a few cases described in the literature. Preoperative diagnosis very difficult because clinical, biochemical and radiologic finds are usually not consistent pheochromocytoma. Open surgery traditionally gold standard.A 51 year-old male patient resorted to department an adrenal incidentaloma. He was asymptomatic, mild hypertension easily controlled, increased plasma fractionated metanephrines. MRI MIBG scans confirmed presence of right...
Unexplained visual loss after removal of silicone oil from the eye has been described. The purpose this study is to determine incidence unexplained acuity SO and provide possible explanations for phenomenon.This retrospective included patients that underwent vitreoretinal surgery, at Centro Hospitalar São João, between January 2012 October 2018. Inclusion criterion was surgery in which chosen endotamponade SO, followed by exchange with balanced salt solution (BSS) or air. After removal,...
Posterior retroperitoneoscopic adrenalectomy has advantages over transperitoneal technique. However many surgeons prefer the technique because they get a familiar and wider working space. A retrospective analysis of first 10 patients submitted to posterior was conducted. Data collected included: diagnosis, size, operation time, blood loss, conversion rate, morbidity mortality, in-hospital length stay. Compare our outcomes with worldwide bigger series, take conclusions on feasibility...
Posterior retroperitoneoscopic adrenalectomy (PRA) has advantages over transperitoneal approach. A second group of 10 patients is analyzed and compared with the first procedures. Conclusions on feasibility, safety learning curve are taken. retrospective analysis a submitted to PRA was conducted. All functioning non-functioning adrenal tumors <6–8 cm without features malignancy were included. comparison previous cases conducted, results all 20 other surgeons. Pre-operative diagnoses: Conn's...
Diffuse idiopathic skeletal hyperostosis (DISH), also called Forestier disease, is a clinical entity characterized by ossification of the anterolateral ligaments spine. DISH more commonly diagnosed in older males, with an estimated prevalence 42% patients than 65 years. As disease affects predominantly thoracic spine, dysphagia rare presentation this observed only 0.6-1.0% cases. We present case 84-year-old male complaints progressive and foreign body sensation within one year evolution....
Sarcopenia is defined as a progressive loss of skeletal muscle mass and strength related to age comorbidities. Worldwide sarcopenia's prevalence varies between 10-40%, being associated with functional impairment, lower quality life, higher mortality. can be estimated based on age, calf circumference, handgrip (Ishii's formula). Early diagnosis essential because treatment nutritional support rehabilitation programs prevent complications. The aim the study was assess probable sarcopenia in...
Abrikossoff’s tumour or granular cell is a rare entity. Most common locations are the head and neck, with only few cases reported on upper limbs. A 55-year-old man nodular lesion left arm resorted to surgery consultation. Nodule was firm, mobile, painless non-ulcerated. Total excision using Limberg flap procedure performed. Following 3 months of follow-up, patient fine. frequently presented in second sixth decade life as an ulcerated nodule progressive growth. Malignant form rare, metastases...
Fabella Syndrome is a rare cause of posterolateral knee pain caused by mechanical irritation or compression the fabella, sesamoid bone within tendon lateral gastrocnemius muscle. We present case 76-year-old male with one-year history pain, unresponsive to medication and physiotherapy. The exacerbated stair use, localized fabella region was reproduced during ultrasound examination, which also identified fabella. An ultrasound-guided injection corticosteroids local anesthetics provided...
O megaesófago secundário à acalasia é uma causa rara, porém potencialmente fatal de obstrução da via aérea. A etiologia permanece pouco esclarecida. quadro clínico habitual consiste em disfagia, regurgitação, emagrecimento progressivo, sendo que alguns casos a distensão esofágica pode ser assintomática e raros os doentes apresentam como queixa principal estridor dificuldade respiratória. Os autores um caso jovem 19 anos, com tosse, dispneia respiratória, tratamento para asma brônquica....
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...
Cholangitis is a common clinical entity. from hydatid disease far less common. We present case of acute cholangitis caused by cystobiliary communications in patient with disseminated hydatidosis. Treatment such cases usually combined endoscopic and surgical approach. In this case, surgery was contraindicated cholangiopancreatography provided the last source for adequate biliary drainage.
Superior mesenteric artery aneurysms (SMAA) are rare and associated with a high risk of rupture, morbidity mortality. Their clinical presentation is heterogeneous, turning the diagnosis into difficult task-which can delay their treatment. We present case patient SMAA, treated successfully coil embolization.
To describe a positive clinical response of patient with submacular Nocardia abscess due to rapid and efficient treatment. Case report. We case 50-year-old man painless visual decline the left eye. Four years later, he had been diagnosed systemic nocardiosis. Examination eye revealed white mass fluffy borders another smaller lesion, well-defined borders, in inferior temporal vascular arch. A antibiotic treatment SMX-TMP intravenous imipenem single intravitreal injection bevacizumab was...
Splenic injury is frequent in patients with abdominal trauma and delayed splenic rupture yields a poorer prognosis. Patients hemodynamic stability, despite the grade of anatomical injury, can be safely treated by conservative management (observation or angiography/angioembolization), if no other intra-abdominal injuries are found multidisciplinary team (surgeons, interventional radiologists) available. The approach an alternative to surgery its possible complications. In this case series,...
<h2>Abstract</h2><h3>Introduction</h3> : Most of radiation oncology centers rely on set-up skin markings for patient setup during treatment delivery. Permanent dark-ink tattooing is the most popular marking method. COMFORTATTOO a unicentric, randomized trial testing two permanent methods: lancets against an electric pen (Comfort Marker 2.0, CM). One substudy was undertaken to test if using CM translates into cosmesis, fading, or satisfaction benefit compared lancets. <h3>Methods</h3>...
Introduction: Shaken baby syndrome is one of the causes non-accidental injury most difficult to diagnose.Objectives: To characterize patients hospitalized in intensive care unit with shaken syndrome.Material and Methods: Retrospective study admitted at Paediatric Intensive Care Unit from 1 January 1999 31 December 2009.Results: There were eight children syndrome. The mean age was 4.1 months five male. One patient had a history trauma. frequent cause admission epileptic seizures...
Introduction Endogenous endophthalmitis is a rare but devastating ocular infection, resulting from microbial seeding of the eye during bacteremia or fungemia. Among other sources septicemia, intravenous drug abuse significant risk factor, and endogenous should always be thought in any patient with history injectable use, presenting painful vision loss red inflamed eye. Case Description We report case 47-year-old male, consumption, who presented to our emergency department complaining recent...
Hypoglycaemia in the post-operative period is mainly iatrogenic (related to anti-hyperglycaemic drugs), but can be explained by an endogenous hyperinsulinemic state. In context of previous gastrointestinal surgery, a form dumping syndrome mask hypoglycaemia from underlying cause, such as insulinoma. The authors present clinical case male patient who underwent oesophageal surgery for oesophago-gastric junction adenocarcinoma and developed hypoglycaemic symptoms period, caused undiagnosed This...