Browsing by Author "Cabral-Ribeiro, J"
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- Acute segmental renal infarction due to factor V LeidenPublication . Cabral-Ribeiro, J; Sousa, L; Calaza, C; Santos, AOBJECTIVE: Renal infarction is rare and has variable clinical presentations causing diagnostic difficulties. Although most renal infarctions are caused by an obvious thromboembolic factor some are only explained by hereditary or acquired thrombophilia. The authors present a case of segmental renal infarction associated with factor V Leiden. METHODS/ RESULTS: A 48-year-old man presented with right flank pain that was unresponsive to analgesia for renal colic. CT scan was performed revealing a partial renal infarction. The etiologic study was only positive to factor V Leiden. In spite of the diagnosis and treatment it resulted in atrophy of the affected renal area. CONCLUSIONS: Renal infarction can be a presentation of thrombophilia that should be searched in the absence of an obvious embolic factor. Renal CT scan is the best way to a rapid diagnosis and treatment.
- Ascitis post-histerectomía: retraso en el diagnósticoPublication . Oliveira, MJ; Cabral-Ribeiro, J; Mendes, MG; Santos, ARMujer de 35 años enviada para histerectomíatotal de emergencia por hemorragiapuerperal tras una cesárea urgentepor rotura prematura de la bolsa de lasaguas (35 semanas).
- Endometrioma suburetralPublication . Cabral-Ribeiro, J; Pérez García, D; Martins-Silva, C; Ribeiro-Santos, AEndometriosis is a common disease affecting mostly women in childbearing age. It usually involves the internal pelvic organs but occasionally can present in unusual locations. We report on a 32-year-old nulliparos female presenting with a suburethral painful mass causing obstructive voiding symptoms; she had also a long history of dismenorreia, perimenstrual pelvic pain, urinary tract infections, disúria and dispareunia. The diagnostic work-up revealed a suburethral cystic lesion consistent with a complicated urethral diverticulum or a suburethral endometrioma. Complete surgical excision confirmed an endometriotic cyst. The differential diagnosis of this rare suburethral location of endometriosis with other vaginal cysts is discussed.
- Presentación rara de ureterocele intravesical bilateralPublication . Cabral-Ribeiro, J; Santos, ARVarón, de 48 años, sin antecedentes patológicos deimportancia. Acude al Servicio de Urgencia pordolor lumbar derecho asociado a hematuria macroscópica,interpretado como un cólico renal, confirmadopor ecografía renal que documentó ureterohidronefrosisligera y litiasis uréter proximal.
- Splenosis. A diagnosis to be consideredPublication . Cabral-Ribeiro, J; Silva, CM; Santos, ARThe term splenosis applies to the autotransplanted splenic tissue resulting from seeding in the context of past splenic trauma or surgery. We report a 42-year-old man with a history of splenectomy observed for an incidentally found retrovesical mass thought to be an ectopic testicle. The abdominal laparotomy revealed multiple focuses of pelvic splenosis. As splenosis can be diagnosed through specific imaging studies one should always consider it in differential diagnosis of a mass discovered years after splenic surgery or trauma.
- Tumor neuroendocrino primario del riñónPublication . Cabral-Ribeiro, J; Sousa, L; Ribeiro-Santos, A