- Congenital Anomalies and Fetal Surgery
- Vascular Malformations and Hemangiomas
- Gastrointestinal disorders and treatments
- Innovations in Medical Education
- Pectus Deformity Diagnosis and Treatment
- Medical Education and Admissions
- Tumors and Oncological Cases
- Pneumothorax, Barotrauma, Emphysema
- Autopsy Techniques and Outcomes
- Gynecological conditions and treatments
- Intestinal Malrotation and Obstruction Disorders
- Congenital Diaphragmatic Hernia Studies
- Airway Management and Intubation Techniques
- Biliary and Gastrointestinal Fistulas
- Hernia repair and management
- Central Venous Catheters and Hemodialysis
- Ovarian cancer diagnosis and treatment
- Vascular Anomalies and Treatments
- Organ Transplantation Techniques and Outcomes
- Surgical Simulation and Training
- Gallbladder and Bile Duct Disorders
- Vascular anomalies and interventions
- Diverticular Disease and Complications
- Clinical Reasoning and Diagnostic Skills
- Gestational Trophoblastic Disease Studies
Hospitais da Universidade de Coimbra
2018-2022
University of Coimbra
2018-2022
Hospital Braga
2020-2021
Hospital de São João
2015
A questionnaire (Pectus Carinatum Evaluation Questionnaire, PCEQ) was developed to be applied in follow-up of patients with Pectus (PC). After validation the PCEQ, we aimed quantify compliance brace compression and assess factors that could influence this treatment PC. From July 2008 2014, 56 PC were treated Calgary Protocol compressive bracing at Paediatric Surgery Department Hospital São João. Forty (71%) completed questionnaire. The PCEQ divided into four sections: (i) compliance; (ii)...
Pectus excavatum (PE) is the most common abnormality of thoracic cage, whose severity evaluated by extracting three indices (Haller, correction and asymmetry) from computed tomography (CT) images. To date, this analysis performed manually, which tedious prone to variability. In paper, a fully automatic framework for PE quantification CT images proposed, comprising steps: (1) identification sternum's greatest depression point; (2) detection 8 anatomical keypoints relevant assessment; (3)...
An 8-year-old boy visited the emergency department due to bilious vomiting and colicky abdominal pain for 3 days. No past surgical or trauma history was declared. On physical examination child presented with distension global tenderness. The blood tests were normal. Ultrasound negative acute appendicitis CT scan showed a conglomerate of multiple intestinal loops. urgent laparoscopic exploration performed obtain correct diagnosis. exploration, patient had sac on right upper quadrant formed by...
The UK National Student Survey (NSS) is a sound and widely used instrument for assessing students’ academic experiences. We aimed to translate the NSS Portuguese students validate in sample of medical undergraduates. research team translated adapted (NSS-P). survey was administered on an online platform 1,256 final-year at eight schools. A total 329 (69.9% female) replied NSS-P, response rate 26.2%. Confirmatory factor analysis showed that original six-factor structure had adequate fit data....
Abstract Introduction Gallbladder agenesis (GA) is a rare congenital condition, occurring in approximately 40/100.000. It likely due to an embryologic mishap the development of gallbladder bud and can be associated with other variations biliary anatomy. However, liver suffers no functional impairment safely used for transplantation. To best our knowledge, this first case report describing pediatric transplantation (PLT) using graft GA. Case A 10‐year‐old boy methylmalonic aciduria underwent...
This report describes a rare case of isolated fallopian tube torsion (IFTT) in premenarchal 11-year-old girl. The patient presented with subacute abdominal pain, associated nausea and vomiting. Sonographic findings revealed left enlargement free intraperitoneal fluid. Doppler mapping was not unequivocal. During exploratory laparoscopy, large pelvic necrotic mass found to be twisted tube. After detorsion, salpingectomy performed the recovered promptly, showing no complications 3 months post...
LT is the standard of care for many pediatric liver disorders. Although long-term outcomes have improved, some rare complications such as transmission occult donor tumors been reported.An adolescent diagnosed with tyrosinemia was submitted to from a previous healthy due HCC. Almost 8 months after LT, patient presented nodular hepatic lesion. Clinically, he had mild weight loss, lower limb edema, and gynecomastia. Thorax CT found lesions in left lung parenchyma, which showed no increased...
A preterm male newborn, treated in the neonatal intensive care, presented with mild abdominal distension and enlarged inguinal hernias, his second week of life. Plain radiographs showed pneumoscrotum a falciform ligament sign. An exploratory laparotomy was performed, confirming diagnosis spontaneous intestinal perforation. When suspicion gastrointestinal perforation is raised, careful consideration every radiological or clinical sign essential order to achieve early diagnosis. In this case,...
Introduction: There is a high heterogeneity in the structure of postgraduate medical training evaluation worldwide. However, contrast to other countries, there have been no scientific studies final board examination, Portugal. The present study aimed evaluate adequacy examination including its validity as measured by association with school grade average and national seriation examination.Material Methods: Cross-sectional, observational study. We analyzed results on 2439 physicians, across...
Background: Minimally invasive surgery (MIS) is replacing conventional as the "gold standard" in different surgical areas. Although cervical MIS already accepted adult population, its use children still new and controversial. The natural obstacles to this approach are absence of a cavity, with inherent complications creating one artificially, limited existing workspace especially pediatric patients. All endoscopic techniques field neck try live up high cosmetic expectations transoral orifice...
1. Catarina S. Oliveira, MD, MMed* 2. Ines Pessanha, MMed† 3. Liliana Santos, MMed† 4. Marta Machado, MMed* 5. Raquel Zenha, MD* 1. *Department of Pediatrics, Baixo Vouga Medical Center, Aveiro, Portugal 2. †Department Pediatric Surgery, Coimbra Hospital and Universitary Centre, Coimbra, Portugal A 21-day-old boy presents to the emergency department for third time in 24 hours due a 2-day history an umbilical mass noted be draining fluid. The is growing size increasing its drainage....
A teenage boy was admitted due to a thoracic mass with previous respiratory infections. The CT scan showed phleboliths in cystic lesion large draining channels. He also presented mild thrombocytosis, elevated fibrinogen and D-dimer. Arteriogram revealed no abnormal arterial supply but venography proved venous channels as the major components of lesion. most important pedicle embolised. However, 6 months later, reduction size. Surgical resection performed. Anatomopathological study described...
Diaphragmatic Hernia (DH) after Liver Transplantation (LT) is a rare complication with unclear pathophysiology. Among 261 LT, we recognized six DH during the post transplant period (2.30%). All patients had received left lateral segment (LLS) reduced graft. The mean graft weight was 340g graft-to-recipient body ratio (GBWR) of 4.20%. LLS grafts, GBWR > 4%, previous abdominal surgery and direct trauma can be enumerated as potential risk factors for post-LT. These children underwent prompt...