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  1. Article: Perivascular epithelioid cell tumor (PEComa) of the liver. An extremely rare diagnosis.

    Perán Fernández, Cristóbal / de Paco Navaro, Ángel / Castañer Ramón-Llin, Juan / Bertelli Puche, Julia / Sánchez Espinosa, Alberto

    Revista espanola de enfermedades digestivas

    2023  Volume 115, Issue 6, Page(s) 348–349

    Abstract: Hepatic PEComa are tumors that show perivascular epithelioid cell differentiation. Scarcely published, its management is based on small case series and currently its treatment of choice is surgical resection. We present a clinical case of a 74-year-old ... ...

    Abstract Hepatic PEComa are tumors that show perivascular epithelioid cell differentiation. Scarcely published, its management is based on small case series and currently its treatment of choice is surgical resection. We present a clinical case of a 74-year-old woman who underwent surgery at our hospital for a benign hepatic PEComa.
    MeSH term(s) Female ; Humans ; Aged ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/surgery ; Perivascular Epithelioid Cell Neoplasms/diagnostic imaging ; Perivascular Epithelioid Cell Neoplasms/surgery
    Language English
    Publishing date 2023-05-05
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2023.9558/2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Aortoesophageal fistula as a fatal complication of esophageal perforation.

    Crespo Álvarez, Elena / Giménez Francés, Clara / Navarro García, Inmaculada / Perán Fernández, Cristóbal / Gijón Román, Cecilia / Gómez Molina, Beatriz / Casado García, Virginia / Vázquez Rojas, José Luis

    Revista espanola de enfermedades digestivas

    2023  Volume 115, Issue 4, Page(s) 211–212

    Abstract: Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The ... ...

    Abstract Aortoesophageal fistula is a very rare cause of upper gastrointestinal bleeding, however its interest lies in the high mortality rate associated with it. Due to this, early diagnosis and treatment of this entity is essential to increase survival. The typical symptoms known as the Chiari´s triad are only present in 45% of reported cases. We present the case of a patient with upper gastrointestinal bleeding due to an aortoesophageal fistula as well as the importance of endoscopic use for its differential diagnosis.
    MeSH term(s) Humans ; Esophageal Perforation/diagnostic imaging ; Esophageal Perforation/etiology ; Vascular Fistula/complications ; Vascular Fistula/diagnostic imaging ; Esophageal Fistula/etiology ; Esophageal Fistula/complications ; Gastrointestinal Hemorrhage/complications ; Aortic Diseases/etiology ; Aortic Diseases/complications
    Language English
    Publishing date 2023-02-27
    Publishing country Spain
    Document type Case Reports ; Journal Article
    ZDB-ID 1070381-0
    ISSN 1130-0108 ; 0212-7512
    ISSN 1130-0108 ; 0212-7512
    DOI 10.17235/reed.2023.9479/2023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Transanal irrigation as a therapeutic option for patients with incontinence and severe chronic constipation refractory to first-line treatment.

    Valero Soriano, María / Carrasco Prats, María Milagros / Perán Fernández, Cristóbal / Calero García, Purificación / López Morales, Pedro / Giménez Francés, Clara / Jiménez Moreno, Isabel María / Albarracín Marín-Blázquez, Antonio

    Cirugia espanola

    2022  Volume 101, Issue 9, Page(s) 587–593

    Abstract: Introduction: The aim is to evaluate the utility of transanal irrigation such as treatment of incontinence and severe chronic constipation which is refractory to first-line therapy, and to assess its impact into the symptomatology and quality of life.!## ...

    Abstract Introduction: The aim is to evaluate the utility of transanal irrigation such as treatment of incontinence and severe chronic constipation which is refractory to first-line therapy, and to assess its impact into the symptomatology and quality of life.
    Methods: Observational retrospective study of patients with incontinence and chronic constipation that had initiated transanal irrigation in two hospitals of the region. We collect sociodemographic variables, comorbidity, previous treatments, tests, parameters and incidences during the irrigation, and punctuation in the Cleveland Clinic Incontinence and Constipation Scores and EuroQol-5D Quality Of Life Scale before and after the treatment.
    Results: 40 patients, 20 with incontinence and 20 with chronic constipation. After an average period of 9 months of treatment, in 14 patients with incontinence we have observed a mean clinical improvement of 7,45 points before-after treatment measured with Cleveland Clinic Incontinence Score, and a mean improvement of 23 points in their quality of life before-after treatment measured with EQ5D Scale (P < .001); and in 16 patients with constipation a mean clinical improvement of 7,6 points before-after treatment measured with Cleveland Clinic Constipation Score, and a mean improvement of 31,5 points in their quality of life before-after treatment measured with EQ5D Scale (P < .001).
    Conclusions: Transanal irrigation is an effective therapy for patients with incontinence and chronic constipation that are refractory to first-line therapies. It's an easy, self-administered and safe procedure. When the patient learns how to use it, the symptomatology and quality of life are improved.
    MeSH term(s) Humans ; Treatment Outcome ; Follow-Up Studies ; Quality of Life ; Retrospective Studies ; Fecal Incontinence/therapy ; Constipation/therapy ; Constipation/etiology
    Language English
    Publishing date 2022-12-01
    Publishing country Spain
    Document type Observational Study ; Journal Article
    ISSN 2173-5077
    ISSN (online) 2173-5077
    DOI 10.1016/j.cireng.2022.11.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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