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  1. Article: Rare Combination of Chyloperitoneum Secondary to Primary Small-Bowel Volvulus.

    Galvão, Diogo / Bettencourt, Rui / Soares, Ana Cláudia / Bagnari, Inês / Bonança, Joana

    Cureus

    2024  Volume 16, Issue 2, Page(s) e53379

    Abstract: Chylous ascites is the exudation from lymphatic content to the peritoneum and is a rare situation that mostly occurs following medical causes like neoplasms or cirrhosis. However, trauma to the lymphatic system due to compression by masses or altered ... ...

    Abstract Chylous ascites is the exudation from lymphatic content to the peritoneum and is a rare situation that mostly occurs following medical causes like neoplasms or cirrhosis. However, trauma to the lymphatic system due to compression by masses or altered anatomy can be a trigger too. We describe a rare combination of a primary small bowel volvulus in a young healthy adult causing chylous ascites. Obstruction caused by a primary small bowell volvulus can re-arrange the lymphatics anatomy increasing their flow pressure which can lead to rupture and leak. This is an emergent scenario that needs to be addressed quickly because of bowel ischaemia. CT scan is the gold standard to expedite diagnosis and go to surgical treatment. Although it can be an impactful finding, treatment of the cause behind chylous ascites results in complete resolution without any bowel resection.
    Language English
    Publishing date 2024-02-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2747273-5
    ISSN 2168-8184
    ISSN 2168-8184
    DOI 10.7759/cureus.53379
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Trauma Associado às Touradas à Corda nos Açores: Um Estudo Transversal.

    Vieira, Bárbara / Taranu, Viorel / Vieira, Ana / Soares, Duarte / Soares, Ana / Silva, Anaísa / Galvão, Diogo / Bagnari, Inês / Melo, Débora / Pimentel, Fernando / Sousa, José / Martins, Lisandra / Pinheiro, Luís / Vargas, Marília / Reis, Óscar / Valente, Sofia / Bettencourt, Rui / Oliveira, Teresa / Mora, António

    Acta medica portuguesa

    2024  Volume 37, Issue 4, Page(s) 267–273

    Abstract: Introduction: The aim of the study was to describe trauma injuries associated with rope bullfights in the Azores, Portugal, regarding the cause of the incident, trauma mechanism, most affected anatomical areas, and injury severity.: Methods: Two-year ...

    Title translation Trauma Injuries Associated with Rope Bullfights in the Azores: A Cross-Sectional Study.
    Abstract Introduction: The aim of the study was to describe trauma injuries associated with rope bullfights in the Azores, Portugal, regarding the cause of the incident, trauma mechanism, most affected anatomical areas, and injury severity.
    Methods: Two-year cross-sectional study in the local hospital with prospective data collection. Patients who were consecutively admitted to the local hospital's emergency department with trauma injuries from the bull's direct impact or from falls either during the bull's escape or when handling the rope, were included. Data on general demographics, lesion characteristics, treatments, need for hospitalization and mortality were collected.
    Results: Fifty-six incidents and 80 trauma injuries were identified. The main cause of trauma was the bull's direct impact (37; 66.07%) and the mechanism of injury was blunt trauma in all patients (100%; 56). Head and neck injuries (27; 33.75%) were the most common. The median Injury Severity Score at the emergency department admission was 4. Major trauma was noted in five patients (8.92%). Ten patients (17.85%) needed hospitalization with a median hospital stay of seven days. Three of the 10 hospitalized patients (30%) were previously admitted to the intensive care unit. Surgery was performed in six patients (10.71%).
    Conclusion: The main cause of trauma was the bull's direct impact, and the mechanism of injury was blunt trauma. The most affected anatomical areas were the head and neck. These findings are a wake-up call to the impact of these events regarding the economic costs they entail, the costs for the health of the local population, the safety measures currently implemented and the availability of the necessary means to treat these patients.
    MeSH term(s) Humans ; Male ; Animals ; Cattle ; Cross-Sectional Studies ; Azores ; Hospitalization ; Length of Stay ; Wounds, Nonpenetrating ; Retrospective Studies
    Language Portuguese
    Publishing date 2024-03-07
    Publishing country Portugal
    Document type English Abstract ; Journal Article
    ZDB-ID 603078-6
    ISSN 1646-0758 ; 0870-399X
    ISSN (online) 1646-0758
    ISSN 0870-399X
    DOI 10.20344/amp.19440
    Database MEDical Literature Analysis and Retrieval System OnLINE

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