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Gastric Gist as Cause of High Digestive Hemorrhage

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Journal of Biosciences and Medicines 2019年第1期7卷 42-47页

作者： vinicius moreira paladino Thiago Sande Miguel vinicius Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Carolina Galvao Teixeira Caroline Guida Babinski Nayrton Kalys Cruz dos Anjos Caio Marcus de Andrade Lopes Daniel Almeida da Costa The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil Faculty of Medical Sciences and Health of Juiz de Fora Juiz de ForaBrazil

Introduction: Gastrointestinal stromal tumor (GIST) occurrence is uncommon and usually manifested by nonspecific signs and symptoms, which hinders its reasoning as a diagnostic hypothesis. The objective is to report a case of female GIST with curative treatment through video-laparoscopy with partial gastrectomy. Case report: A 61-year-old female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) emergency room, with a sudden onset of upper gastrointestinal bleeding with hemodynamic instability. After stabilization, she was admitted for diagnostic investigation, showing sub-epithelial lesion of antrum in upper digestive endoscopy (UDE) and solid-cystic mass in the gastric antrum to computed tomography (CT). The conduct was the video laparoscopy surgical approach with partial gastrectomy. The histopathological and immunohistochemical aspects of the surgical specimen showed a gastrointestinal stromal tumor (GIST) in a gastric antrum of low grade of malignancy, positive e-Kit and mycotic index (50 cga) Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology, but the clinical picture was not the most incident. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

关键词： Gastrointestinal Stromal Tumor Gastrointestinal Hemorrhage Immunohistochemistry

Secondary Syphilis in Man: Prozone Effect

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Journal of Biosciences and Medicines 2018年第2期6卷 1-8页

作者： Nayrton Kalys Cruz dos Anjos Daniel Almeida da Costa Thiago Sande Miguel Livia Cristina de Melo Pino Sebastiao Celio Horta Coelho Filho Debora Trindade Martins vinicius Sande Miguel Bruna Sande Miguel Fernando Antonio Galvao Pereira Jr vinicius moreira paladino Faculdade de Medicina de Valenca Rio de JaneiroBrazil Universidade Unigranrio Rio de JaneiroBrazil

Introduction: Syphilis consists in a systemic infect contagious pathology with a chronic character. The etiological agent consists of an anaerobic spirochete bacterium, Treponema pallidum. Laboratory diagnosis can be made through a direct investigation of the etiologic agent or non-treponemal (VDRL) and treponemal (FTA-Abs) serological tests. False-negative results are rare. Objectives: The present report presents a rare case of a man with a secondary syphilis syndrome who was initially undiagnosed due to the prozone effect, since he presented VDRL in low titers, and was later confirmed with a new diluted serum sample and VDRL and FTA-Abs, which were positive. Conclusion: A close look should be given to patients who, although the clinical condition is compatible, complementary exams may not be, and clinical cases should be carefully evaluated so that the patient is not treated late.

关键词： Secondary Syphilis Prozone Effect Treponema pallidum

Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report

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Journal of Biosciences and Medicines 2018年第3期6卷 26-30页

作者： vinicius moreira paladino Thiago Sande Miguel Bruna Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Junior Carolina Galvao Teixeira Caroline Guida Babinski Naryrton Kalys Cruz dos Anjos Daniel Almeida da Costa Debora Trindade Martins Bruno Fonseca dos Santos The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil Suprema medical School Juiz de ForaBrazil

Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.

关键词： Mesenteric Adenitis Appendicitis Case Report

Splenectomy in Patient with Splendid Cysts

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Journal of Biosciences and Medicines 2018年第5期6卷 120-125页

作者： Viní cius moreira paladino Thiago Sande Miguel Dé bora Trindade Martins Nayrton Kalys Cruz dos Anjos Fernando Antonio Galvã o Pereira Junior Marcia Machado Galvã o Pereira Carolina Galvã o Teixeira vinicius Sande Miguel Bruna Sande Miguel Daniel Almeida da Costa The Medical School at the Center of Higher Education of Valen& amp ccedil a Valen&amp amp ccedil a Brazil Suprema Medical School Juiz de Fora Brazil Universidade Grande Rio Medical School Rio de Janeiro Brazil

Introduction: Splenic cysts are uncommon and usually do not generate signs and symptoms, being diagnosed by incidental findings. Case report: A 35-year-old, female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) presenting episodes of vomiting and abdominal pain in the left hypochondrium. She was hospitalized for diagnostic investigation. Computed tomography showed the splenic cyst. The procedure was the surgical approach by laparotomy with splenectomy. Histopathological confirmed the diagnosis. Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology and clinical features. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

关键词： Splenectomy Splendid Cysts Abdominal Pain