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Article ; Online: Transcervical drainage of abdominal-pelvic abscess after laparoscopic sacrocolpopexy.

García, E García / de Miguel Manso, S / Tejedor, J Gobernado / de Andrés Asenjo, B / Escudero, V Pascual / Martín, J I González

International urogynecology journal

2020 Volume 32, Issue 3, Page(s) 581–585

Abstract: Introduction and hypothesis: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a ... ...

Abstract	Introduction and hypothesis: Abdominopelvic abscess is a serious, but infrequent, postoperative complication of sacrocolpopexy, which a priori requires a second surgery to debride the affected tissue and dry out the infected mesh in addition to a prolonged broad-spectrum antibiotic therapy. Methods: We present two cases of post-surgical abdominopelvic abscesses, treated with conservative management using ultrasound-guided transcervical drainage and prolonged antibiotic therapy. Both patients underwent a favorable evolution without needing the removal of the mesh. Conclusions: Because of the search for new alternatives to avoid mesh removal and the comorbidity associated with a second surgery, transcervical drainage is a treatment to be considered in selected cases.
MeSH term(s)	Abscess/etiology ; Abscess/surgery ; Drainage ; Female ; Gynecologic Surgical Procedures ; Humans ; Laparoscopy ; Pelvic Organ Prolapse/surgery ; Surgical Mesh/adverse effects ; Treatment Outcome
Keywords	covid19
Language	English
Publishing date	2020-07-08
Publishing country	England
Document type	Journal Article
ZDB-ID	1050631-7
ISSN	1433-3023 ; 0937-3462
ISSN (online)	1433-3023
ISSN	0937-3462
DOI	10.1007/s00192-020-04366-6
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Article ; Online: Transverse ileocolic invagination: An infrequent cause of nonspecific abdominal pain in the adult.

de Andrés-Asenjo, B / Gómez-Carmona, Z / Blanco-Antona, F / Beltrán de Heredia-Rentería, J

Revista de gastroenterologia de Mexico (English)

2018 Volume 84, Issue 1, Page(s) 100–101

Title translation	Invaginación ileo-cólica transversa: causa infrecuente de abdominalgia inespecífica en el adulto.
MeSH term(s)	Abdominal Pain/diagnostic imaging ; Abdominal Pain/etiology ; Adenocarcinoma/complications ; Adenocarcinoma/diagnostic imaging ; Cecal Neoplasms/complications ; Cecal Neoplasms/diagnostic imaging ; Colectomy ; Colonic Diseases/complications ; Colonic Diseases/diagnostic imaging ; Colonic Diseases/surgery ; Female ; Humans ; Ileal Diseases/complications ; Ileal Diseases/diagnostic imaging ; Ileal Diseases/surgery ; Intussusception/complications ; Intussusception/diagnostic imaging ; Intussusception/surgery ; Middle Aged ; Tomography, X-Ray Computed
Language	Spanish
Publishing date	2018-04-06
Document type	Case Reports ; Journal Article
ISSN	2255-534X
ISSN (online)	2255-534X
DOI	10.1016/j.rgmx.2018.02.005
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Article: Torsión aguda de bazo errante, causa poco frecuente de abdomen agudo.

de Andrés-Asenjo, Beatriz / Fernández-González, Nuria

Cirugia y cirujanos

2012 Volume 80, Issue 3, Page(s) 283–286

Abstract: Background: Wandering spleen is a rare clinical entity characterized by an anomalous position of the spleen in the abdomen due to impaired splenic ligamentous attachments that produce an elongation of the vascular pedicle. This makes a partial or ... ...

Title translation	Acute torsion of wandering spleen: a rare cause of acute abdomen.
Abstract	Background: Wandering spleen is a rare clinical entity characterized by an anomalous position of the spleen in the abdomen due to impaired splenic ligamentous attachments that produce an elongation of the vascular pedicle. This makes a partial or complete volvulus of the vascular axis more likely. Wandering spleen's clinical presentation is variable--from an asymptomatic patient to one with chronic abdominal pain or an acute abdomen. The most common complication is the acute torsion of the splenic pedicle causing acute abdominal pain. Clinical case: A 30-year-old woman who turned up at the Emergency Department with acute abdominal pain. Diagnostic imaging (ultrasonography and computerized axial tomography) revealed a huge spleen in an abnormal location and without vascularization. An urgent splenectomy was performed. Conclusion: Acute torsion of wandering spleen is a rare cause of acute abdomen, which makes early diagnosis difficult and can result in delayed treatment. This would lead to having to perform a splenectomy. Due to splenic necrosis or infarction, which increases the risk of postsplenectomy sepsis.
MeSH term(s)	Abdomen, Acute/etiology ; Adult ; Female ; Humans ; Splenic Diseases/complications ; Torsion Abnormality/complications ; Wandering Spleen/complications
Language	Spanish
Publishing date	2012-05
Publishing country	Spain
Document type	Case Reports ; English Abstract ; Journal Article
ZDB-ID	730699-4
ISSN	0009-7411
ISSN	0009-7411
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Article ; Online: Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature.

Moreno Racionero, F / de Andres Asenjo, B / Bedate Nuñez, M / Legido Moran, P / Ortega Loubon, C / Rabadán Jimenez, J / Beltran de Heredía Y Rentería, J

Zeitschrift fur Gastroenterologie

2015 Volume 53, Issue 2, Page(s) 115–119

Abstract: Esophageal cancer is a rare disease. In Spain, this tumor is the third most common gastrointestinal malignancy after colorectal and gastric cancer. Esophageal adenocarcinoma metastasizes to the skin with an incidence of 1 %, generally located in the neck, ...

Abstract	Esophageal cancer is a rare disease. In Spain, this tumor is the third most common gastrointestinal malignancy after colorectal and gastric cancer. Esophageal adenocarcinoma metastasizes to the skin with an incidence of 1 %, generally located in the neck, head and abdomen. It usually occurs in the overlying skin of the primary tumor, but may also appear in a distant site, the scalp being the most common place. Although the pathogenesis of esophageal adenocarcinoma is not well known, the existence of genetic alterations, such as the suppressor gene, has been proved and the involvement of oncogene c-erbB-2 amplified. Cytokeratin 20 and 7 are expressed in esophageal adenocarcinoma. Typically, cutaneous metastases from internal malignancy present as firm asymptomatic nodules. These nodules usually occur in multiple arrays on the skin adjacent to the primary tumor; however, they can occasionally become painful spontaneously. The main diagnostic test of esophageal cancer is the upper endoscopy, along with histopathology for confirmation of the tumor. The developments in surgery and the discovery of new cytotoxic agents have considerably decreased the locoregional recurrence. To date, the combination of these treatment modalities for advanced adenocarcinoma revealed that the recurrences mainly occur from hematic spread. Excision of the skin lesions produces pain palliation. In patients diagnosed with esophageal cancer who have responded satisfactorily to treatment with chemotherapy, radiation and surgery while having a long history of remission, and dermatology outpatient visits by the appearance of skin lesions, should make us think among the different differential diagnoses, the possibility of cutaneous metastases.
MeSH term(s)	Adenocarcinoma/diagnosis ; Adenocarcinoma/epidemiology ; Adenocarcinoma/secondary ; Diagnosis, Differential ; Esophageal Neoplasms/diagnosis ; Esophageal Neoplasms/epidemiology ; Humans ; Male ; Middle Aged ; Prevalence ; Risk Factors ; Skin Neoplasms/diagnosis ; Skin Neoplasms/epidemiology ; Skin Neoplasms/secondary
Language	English
Publishing date	2015-02
Publishing country	Germany
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	201387-3
ISSN	1439-7803 ; 0172-8504 ; 0044-2771
ISSN (online)	1439-7803
ISSN	0172-8504 ; 0044-2771
DOI	10.1055/s-0034-1398791
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Article: A porcelain gallbladder and a rapid tumor dissemination.

Gómez-López, Juan-Ramón / De Andrés-Asenjo, Beatriz / Ortega-Loubon, Christian

Annals of medicine and surgery (2012)

2014 Volume 3, Issue 4, Page(s) 119–122

Abstract: Introduction: Porcelain gallbladder is a very rare entity that consists of a calcification of the gallbladder wall, and is associated with carcinoma in 12.5-62% of patients, although recent studies suggest weaker association.: Case report: We ... ...

Abstract	Introduction: Porcelain gallbladder is a very rare entity that consists of a calcification of the gallbladder wall, and is associated with carcinoma in 12.5-62% of patients, although recent studies suggest weaker association. Case report: We describe an 80-year-old woman who presented with colicky abdominal pain in the right upper quadrant, radiating to the back and associated with vomiting. Physical examination revealed jaundice, murphy's sign was negative. Hepatic-biliary tract ultrasound revealed porcelain gallbladder, she was referred to the surgical team for a scheduled cholecystectomy. A month later, she presented diffuse abdominal pain. Imaging studies showed a disseminated process affecting liver's segments, capsule, and hilum; and lungs. An aggressive surgical treatment was dismissed, and was referred to the oncology department. Discussion: There is controversy in the harboring risk of malignancy of the porcelain gallbladder. While it seems that the current data points towards a lower risk of degeneration, it is also demonstrated that patients with gallbladder wall calcifications are indeed statistically at risk of gallbladder cancer. Laparoscopic cholecystectomy has become a safe and efficient approach recommended for patients with gallbladder symptoms directly related or unrelated to gallbladder wall calcifications. In this case, a pathological gallbladder, very quickly evolved into an inoperable tumor with a poor prognosis. Conclusion: This report heightens that with US evidence of porcelain gallbladder, an urgent CT scan should be carried out to assess an underlying malignancy, and a simple cholecystectomy should be done urgently rather than on a routine elective list to prevent possible malignant change if possible.
Language	English
Publishing date	2014-09-16
Publishing country	England
Document type	Case Reports
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1016/j.amsu.2014.09.002
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Article ; Online: Cholecystocolic fistula.

de Andrés Asenjo, Beatriz / González Perea, Jesús / Moreno Racionero, Francisca / Rabadán Jiménez, José

Cirugia espanola

2014 Volume 92, Issue 5, Page(s) e27

MeSH term(s)	Aged, 80 and over ; Colonic Diseases/diagnosis ; Digestive System Fistula/diagnosis ; Female ; Gallbladder Diseases/diagnosis ; Humans ; Intestinal Fistula/diagnosis
Language	English
Publishing date	2014-05
Publishing country	Spain
Document type	Case Reports ; Journal Article
ZDB-ID	730701-9
ISSN	1578-147X ; 0009-739X
ISSN (online)	1578-147X
ISSN	0009-739X
DOI	10.1016/j.ciresp.2013.02.008
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Article ; Online: Benign non-carcinoid neoplasms of the cecal appendix: presentation of 36 cases during the last 17 years in a third level hospital.

Trujillo-Díaz, Jeancarlos J / Ruiz-Soriano, María / de Solórzano-Aurusa, Javier Ortiz / De Andrés-Asenjo, Beatriz / Corrales-Cruz, Daniel / Rentería, Juan P Beltrán-de Heredia

Cirugia y cirujanos

2019 Volume 87, Issue 6, Page(s) 630–635

Abstract: Background: The tumors of the cecal appendix are a rare and heterogeneous group of neoplasms with variable prognosis and evolution, its incidence is very low. Mucinous tumors are defined as a dilated cecal appendix due to an abnormal accumulation of ... ...

Title translation	Neoplasias benignas no carcinoides del apéndice cecal: presentación de 36 casos durante los últimos 17 años en un hospital de tercer nivel.
Abstract	Background: The tumors of the cecal appendix are a rare and heterogeneous group of neoplasms with variable prognosis and evolution, its incidence is very low. Mucinous tumors are defined as a dilated cecal appendix due to an abnormal accumulation of mucin, which may be benign or malign. Within these we find the mucoceles, which according to the latest consensus and classifications no longer include them. In this article we describe our experience in these tumors, we also propose a group to include the mucoceles and we review the literature. Method: Descriptive and retrospective study, analyzing all the surgical pieces of cecal appendix during the last 17 years. Results: We analyzed 4910 surgical pieces. 36 were included in the group of non-carcinoid benign epithelial neoplasms (NEBNC), in this group 16 were low-grade mucinous neoplasms, 14 mucoceles and 6 tubular adenomas. The most frequent presentation's form was simulating an acute appendicitis. Surgical treatment was performed by open approach in 22 cases and by laparoscopic approach in 14 cases. Conclusions: Symptomatic NEBNC can simulate acute appendicitis but in people with a higher mean age, so this diagnostic should be considered in older patients with nonspecific imaging tests. The recommended treatment is always surgical and it can be possible by laparoscopic approach.
MeSH term(s)	Adenoma/surgery ; Adult ; Aged ; Aged, 80 and over ; Appendiceal Neoplasms/surgery ; Female ; Humans ; Male ; Middle Aged ; Mucocele/surgery ; Retrospective Studies ; Tertiary Care Centers ; Time Factors
Language	English
Publishing date	2019-10-18
Publishing country	Mexico
Document type	Journal Article
ZDB-ID	730699-4
ISSN	2444-054X ; 0009-7411
ISSN (online)	2444-054X
ISSN	0009-7411
DOI	10.24875/CIRU.18000777
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Article ; Online: Torsion of the Gallbladder.

Peñacoba, Luis María Merino / de Andrés Asenjo, Beatriz / Gandiaga, Juan García-Castaño / Castillo, Diana Gutiérrez / de Heredia Y Rentería, Juan Beltrán

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

2016 Volume 20, Issue 10, Page(s) 1784–1786

Language	English
Publishing date	2016-04-25
Publishing country	United States
Document type	Journal Article
ZDB-ID	2012365-6
ISSN	1873-4626 ; 1934-3213 ; 1091-255X
ISSN (online)	1873-4626 ; 1934-3213
ISSN	1091-255X
DOI	10.1007/s11605-016-3152-9
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Article: Unusual relationship between skin lesions and esophageal cancer: a case report and review of literature

Moreno Racionero, F. / de Andres Asenjo, B. / Bedate Nuñez, M. / Legido Moran, P. / Ortega loubon, C. / Rabadán Jimenez, J. / Beltran de Heredía y Rentería, J.

Zeitschrift für Gastroenterologie

2015 Volume 53, Issue 02, Page(s) 115–119

Abstract	Esophageal cancer is a rare disease. In Spain, this tumor is the third most common gastrointestinal malignancy after colorectal and gastric cancer. Esophageal adenocarcinoma metastasizes to the skin with an incidence of 1 %, generally located in the neck, head and abdomen. It usually occurs in the overlying skin of the primary tumor, but may also appear in a distant site, the scalp being the most common place. Although the pathogenesis of esophageal adenocarcinoma is not well known, the existence of genetic alterations, such as the suppressor gene, has been proved and the involvement of oncogene c-erbB-2 amplified. Cytokeratin 20 and 7 are expressed in esophageal adenocarcinoma. Typically, cutaneous metastases from internal malignancy present as firm asymptomatic nodules. These nodules usually occur in multiple arrays on the skin adjacent to the primary tumor; however, they can occasionally become painful spontaneously. The main diagnostic test of esophageal cancer is the upper endoscopy, along with histopathology for confirmation of the tumor. The developments in surgery and the discovery of new cytotoxic agents have considerably decreased the locoregional recurrence. To date, the combination of these treatment modalities for advanced adenocarcinoma revealed that the recurrences mainly occur from hematic spread. Excision of the skin lesions produces pain palliation. In patients diagnosed with esophageal cancer who have responded satisfactorily to treatment with chemotherapy, radiation and surgery while having a long history of remission, and dermatology outpatient visits by the appearance of skin lesions, should make us think among the different differential diagnoses, the possibility of cutaneous metastases.
Keywords	Ösophagus ; Krebs ; Barrett-Ösophagus ; Hautmetastasen ; oberen Magen-Darm-Tumoren ; Fallbericht und Literatur ; esophagus ; cancer ; Barrett's esophagus ; skin metastases ; uper GI tract ; case report and literature review
Language	English
Publishing date	2015-02-01
Publisher	© Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	201387-3
ISSN	1439-7803 ; 0044-2771 ; 0172-8504
ISSN (online)	1439-7803
ISSN	0044-2771 ; 0172-8504
DOI	10.1055/s-0034-1398791
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Zs.A 111: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Importancia de los parámetros clínicos y analíticos de la sepsis grave en la uropatía obstructiva.

Bedate-Núñez, María / Moreno-Racionero, Francisca / de Andrés-Asenjo, Beatriz / Díaz-Romero, Juan Manuel / Soto-Rodríguez, José Luis / Torrecilla-García-Ripoll, Juan Ramón / Martín-Martín, Sergio / Rivero-Martínez, María Dolores / Calleja-Escudero, Jesús / De Castro-Olmedo, Carlos / Pascual-Samaniego, Miguel / Calvo-González, Raúl / Valsero-Herguedas, María Esther / Pesquera-Ortega, Laura / Lara-Pérez, Francisco María / Ruano-Mayo, Ana / Zamora-Horcajadas, Álvaro / Natal-Álvarez, Fernando / Legido Morán, Ana Patricia /

Rabadán-Jiménez, José Máximo / Cortiñas-González, José Ramón / Bermejo-Martín, Jesús Francisco

Archivos espanoles de urologia

2020 Volume 73, Issue 4, Page(s) 257–267

Abstract: Introduction: Urosepsis is an underdiagnosed entity with high morbidity and mortality and significant associated costs. The delay in diagnosis leads to an increased risk of multiorgan failure and death. Although its prognosis is better than that of ... ...

Title translation	Relevance of clinical and serum parameters on severe urinary sepsis after renal obstruction.
Abstract	Introduction: Urosepsis is an underdiagnosed entity with high morbidity and mortality and significant associated costs. The delay in diagnosis leads to an increased risk of multiorgan failure and death. Although its prognosis is better than that of other sepsis, the mortality rate is 20 - 40%. Objective: Describe the obstructive uropathy cases (OU) that are complicated by severe sepsis (SS) and identify early biomarkers of SS. Material and methods: Observational and prospective study of 65 patients with urgent high OU. All patients were evaluated at three different times (0, 24 and 48 hours). An SS predictor model has been constructed and a multivariate risk analysis has been carried out. Results: 64.61% (n=42) developed SS (NSS: n=13). The only statistically significant variables in the 3 moments evaluated and that obtained a good area under the curve [AUROC (>0.70)] were the elevation of neutrophils, procalcitonin, and decrease of bicarbonate. At the time of patient admission, the variable that best predicted SS was the elevation of procalcitonin (AUROC:0.919). SS risk factors (p<0.005) were the history of cancer immunosuppression, and/or urinary tract surgeries, complete UO and high blood values of lactate, potassium and decrease of bicarbonate. The potassium-lactate combination on admission predicted SS with a probability function of 0.805. Conclusions: There is an analytical profile maintained over the time characteristic of SS that allows anearly identification of patients with OU subsidiary of been complicated with SS.
MeSH term(s)	Biomarkers ; Humans ; Prognosis ; Prospective Studies ; ROC Curve ; Sepsis ; Shock, Septic ; Urinary Tract Infections
Chemical Substances	Biomarkers
Language	Spanish
Publishing date	2020-05-06
Publishing country	Spain
Document type	Journal Article
ZDB-ID	211673-x
ISSN	0004-0614
ISSN	0004-0614
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