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1
artículo
Publicado 2016
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Gestational trophoblastic disease is a proliferative disorder of trophoblast cells. Choriocarcinoma is the most aggressive type due to its rapid vascular invasion and metastasis formation. We present three rare cases of choriocarcinoma. Three women 30, 47, and 44 years old respectively were admitted for vaginal bleeding and vaginal tumor as main complaints with different presentations of the disease and past medical history; various and rare metastases were found. We report these cases because of their rarity and aggressive pathology, showing a wide clinical spectrum, unusual presentations and the need for early diagnostic and optimal treatment.
2
artículo
Publicado 2023
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Cedecea lapagei is a gram-negative, non-encapsulated, facultative anaerobic bacterium that has been reported in only a few cases with varying clinical presentations, drug susceptibility, and treatment since its first isolation in 1981. This study aimed to describe a case report of C. lapagei in Peru and systematically review the documented case reports of individuals infected with C. lapagei. A 59-year-old man who had become bedridden with Parkinson’s disease and had epilepsy presented with a 1-week history of fever and sore throat and was admitted. Physical examination revealed an obtundation state and abolished vesicular murmur in the right hemithorax. During hospitalization, the patient was diagnosed with various infections, including tuberculosis, for which he received broad-spectrum antibiotics. In the absence of clinical improvement, a urine culture was performed showing C. lapag...
3
artículo
Publicado 2020
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Phlegmasia cerulea dolens (phlebitis, cyanosis, pain) is a rare severe form of deep venous thrombosis, caused by obstruction of the vein flow of the lower limb (usually) with severe cyanosis and circulatory compromise which affects collateral vessels, unlike Phlegmasia alba dolens not compromise collateral vessels. It is characterized by sudden onset of pain, because an increase of the venous pressure, that can lead to pulselessness and gangrene. Is unfrequently in daily medical practice, so the diagnosis is important to avoid gangrene. We present three cases of patients attended with this disease. Diagnosis was confirmed by clinic and imaging; we present the evolution and medical treatment that was performed.
4
artículo
Publicado 2015
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The basic health needs of women are manifested from childhood and are influenced by nutrition, socioeconomic status and sex role (the role assigned by society) and the environment. Under these assumptions, reproductive health is closely linked to the basic and fundamental rights of the person. According to WHO, health is a state of complete physical, mental and social well being and not merely the absence of disease. According to this universal principle, reproductive health means: everyone has the right to reproduce and regulate their fertility, with the full knowledge of the personal and social consequences of their decisions and also has free access to the media that implanted; Women must be able to carry out necessary pregnancy and childbirth safely and that the end result is satisfying and family welfare; the couple should be able to have sex, free relations means unwanted pregnancy...
5
artículo
Publicado 2016
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Fetus in fetu is a rare condition, which has fewer than 200 cases reported to date. It is mainly located in the retro peritoneum; but it can occur at other levels. Treatment is always surgical and early detection and extraction allows clinical improvement and the successful development of the affected child. We report the case of an 18 month infant who is carried by her mother to medical appointment due to low weight for that age. In the physical exam, doctor found mass in the left hypochondrium and epigastrium and a total abdominal ultrasound is requested. Ultrasound reports findings relating to right hydronephrosis, and excretory urography and a CT with contrast reveals fetus parasite located in retro peritoneum. The infant is taken to surgery for lysis of peritoneal adhesions, resection of retroperitoneal tumor, and ureterolysis nephropexy. After this, the infant presented good evolut...
6
artículo
Publicado 2016
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Sacrococcygeal teratoma is the most common teratoma in the neonatal period. Fetal and neonatal mortality is high due to its large size. The case of a 27 year-old patient, 25 weeks gestation, who was admitted to the Perinatal Maternal National Institute with the diagnosis of sacrococcygeal teratoma is reported. During her hospitalization there was absence of fetal heartbeats. Delivery was vaginal and the patient did not present any complications; she was discharged in 24 hours.
7
artículo
Publicado 2015
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Ballantyne syndrome or mirror syndrome is a rare entity with the classic triad of fetal hydrops, generalized maternal edema and placentomegaly. There is high perinatal morbidity and mortality. The case of a 26 year-old with 25 weeks of gestation hospitalized at Instituto Materno Perinatal emergency for leg edema and decreased fetal movements is reported. Fetal hydrops and placentomegaly were diagnosed by ultrasound. Preeclampsia and fetal death occurred during hospitalization. Following vaginal delivery there was rapid improvement of symptoms and the patient was discharged 48 hours postpartum.
8
artículo
Publicado 2015
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Ballantyne syndrome or mirror syndrome is a rare entity with the classic triad of fetal hydrops, generalized maternal edema and placentomegaly. There is high perinatal morbidity and mortality. The case of a 26 year-old with 25 weeks of gestation hospitalized at Instituto Materno Perinatal emergency for leg edema and decreased fetal movements is reported. Fetal hydrops and placentomegaly were diagnosed by ultrasound. Preeclampsia and fetal death occurred during hospitalization. Following vaginal delivery there was rapid improvement of symptoms and the patient was discharged 48 hours postpartum.
9
artículo
Publicado 2023
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The main origin of amelogenesis imperfecta (AI) is a genetic alteration inherited by a family member which affects the dental enamel of the teeth of a person with this condition in various ways. The present clinical case from the Teaching Dental Clinic of the Peruvian University Cayetano Heredia is of a 6-year 5-month-old male child who came to the dental office accompanied by his father and 8-year-old sister, diagnosed with the same AI condition. The comprehensive treatment proposed for this patient was determined by radiographic and clinical examinations and consultations with specialists in different areas. The purpose of this publication was to report a case and describe possible clinical approaches.
10
artículo
Publicado 2020
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Background. Cervical ectopic pregnancy is the implantation of the embryo in the lining of the endocervical canal lining. It represents less than 1% of all ectopic pregnancies. Case description: We report two patients who come to the emergency room for transvaginal bleeding. The diagnosis of cervical ectopic pregnancy was made by transvaginal ultrasound (7- and 8-weeks' gestation). Treatment was started with methotrexate (28-year-old patient) and methotrexate-folinic acid (35-year-old patient). Due to the increase in human chorionic gonadotropin hormone, it was decided to perform an abdominal hysterectomy (28-year-old patient) and McDonald-type cervical curettage-cerclage (35-year-old patient). There were no complications after surgery in both patients. Conclusions: The treatment of cervical ectopic pregnancy is controversial. The most appropriate therapy should be chosen to preserv...
11
artículo
Publicado 2021
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Background: Case reports and case series are essential sources of knowledge; however, they only provide low-quality scientific evidence. These studies are common in the medical field because they allow to formulate new hypotheses and to report new and rare pathologies in a structured way and complications or adverse drug events. Hence, the primary objective of a case report or case series is contributing to the scientific knowledge. To publishing these studies, it is recommended to follow the CARE statement's recommendations to guarantee a structured report with a minimum of pertinent and relevant information to make a clear and precise interpretation of the findings. This review aims to provide a scientific writing guide for case reports and case series and maximize their publicity in indexed peer-reviewed journals.
12
artículo
Publicado 2024
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Infectious sacroiliitis is a rare condition that is sometimes diagnosed late due to the poor specificity of the symptoms. In addition, imaging techniques such as scintigraphy, tomography, and nuclear magnetic resonance are required to assess the extent and severity of the lesions. If early diagnosis and treatment are made, the clinical evolution is satisfactory and leaves no sequelae. Clinical case: the case of an 83-year-old female patient is presented, with a history of ischemic cerebrovascular disease, high blood pressure, type 2 diabetes mellitus and urinary tract infection, who presented with moderately intense colic-like abdominal pain, afebrile, and reported that at the time After getting up from his chair he felt weakness in his left side. On admission, hypertensive, febrile with T°: 38°C SatO2: 98% with FiO2: 0.4. On physical examination, there was edema in MMII with pitting (...
13
artículo
Publicado 2024
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Introduction: Hepatic ectopic pregnancy (HEP) is an extraordinarily rare form of extrauterine implantation, associated with a high risk of hemorrhagic complications and maternal mortality. Case presentation: This case illustrates the clinical presentation, diagnosis, and management of a 30-year-old patient with complicated HEP. The diagnosis was confirmed through abdominal ultrasound, revealing a viable fetus implanted in the right hepatic lobe. Due to hemodynamic instability, an urgent laparotomy was performed with hepatic resection and in situ management of the placenta, combined with methotrexate therapy to prevent complications related to residual placental tissue. Conclusion: The reported experience underscores the importance of early diagnosis using advanced imaging and a multidisciplinary approach to reduce morbidity and mortality in critical conditions. It provides key evidence f...
14
artículo
Publicado 2024
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Introducción: El embarazo ectópico hepático (EEH) es una forma extraordinariamente rara de implantación extrauterina, asociada con un alto riesgo de complicaciones hemorrágicas y mortalidad materna. Presentación de caso: Este caso ilustra la presentación clínica, diagnóstico y manejo de una paciente de 30 años con EEH complicado. El diagnóstico se confirmó mediante ecografía abdominal, identificando un feto viable implantado en el lóbulo hepático derecho. Ante la inestabilidad hemodinámica, se realizó laparotomía urgente con resección hepática y manejo de la placenta in situ en terapia combinada con metotrexato para prevenir complicaciones asociadas al tejido placentario residual. Conclusión: La experiencia reportada refuerza la importancia del diagnóstico temprano con imagenología avanzada y un enfoque multidisciplinario para reducir la morbimortalidad en condicio...
15
artículo
Publicado 2022
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There is a variety of epithelial, mesothelial, and soft tissue tumors that can develop in the testicular and paratesticular area. We present the case of a patient with a right paratesticular tumor that was diagnosed as paratesticular mammary myofibroblastoma. It is important to emphasize the embryonic origin variety for the development of these tumors, as well as having a timely diagnosis for treatment and decisive follow–up.
16
artículo
Publicado 2009
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Modern dental care and use of antibiotics for treatment of oral infections have made that head and neck odontogenic infections will be uncommon. To avoid acute airway obstruction, dentists must be able to recognize and treat fastly this condition. Here, we report a clinical case of a male 51 years old patient with a head and neck deep infection caused by surgical removal of the right mandibular third molar. It is showed clinical characteristics, diagnostic criteria and treatment of such infections.
17
artículo
Publicado 2009
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Modern dental care and use of antibiotics for treatment of oral infections have made that head and neck odontogenic infections will be uncommon. To avoid acute airway obstruction, dentists must be able to recognize and treat fastly this condition. Here, we report a clinical case of a male 51 years old patient with a head and neck deep infection caused by surgical removal of the right mandibular third molar. It is showed clinical characteristics, diagnostic criteria and treatment of such infections.
18
artículo
Publicado 2019
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Paraganglioma is an extra-adrenal neuroendocrine neoplasia derived from neural crest precursors that arise in association with autonomic ganglia. Also called extraadrenal pheochromocytomas, these tumors are defined by their anatomical site and whether they are hormonally functional. Paragangliomas are rare neoplasms of the female genital tract and may be located in the ovaries, uterus or cervix. Those that appear in the vulvovaginal region are extremely rare. Clinical manifestations depend on unregulated catecholamine secretion and location. Diagnosis is based on morphological and immunohistochemical findings. Surgical resection is the primary treatment for this tumor as it does not respond to chemotherapy and radiotherapy. Due to its low frequency and nonspecific symptomatology, diagnosis may be difficult. We present a case of primary vulvovaginal paraganglioma.
19
artículo
Publicado 2009
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This is a case reporta case of Pemphigus Foliaceus in a 34 year-old male referred to the Arzobispo Loayza Hospital, which was evaluated and subjected to different examinations for diagnosis and treatment. Pemphigus Foliaceus is included in the blistering diseases, which is considered a chronic and relatively benign variety of pemphigus, where the patient's general condition is affected very little. It is considered as an autoimmune disease of unknown etiology that is characterized by deposition of auto-antibodies: Immunoglobulins and complement to the intercellular junctions. As any heafth professional, the dentist must have knowledge of the clinical and general mouth to help in the differential diagnosis of the disease.
20
artículo
Publicado 2021
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Eruption cysts are benign lesions of soft tissue that appear on the mucosa of a tooth shortly before its eruption. These may go away on their own, but if they hurt, bleed, or become infected, they may require surgical treatment to expose the tooth and drain its content. We will present a case of an eruption cyst at the level of pieces 5.5 and 6.5 whose treatment was surgical in order to expose the crowns of the teeth. The objective of this article is to present the most relevant aspects related to this developmental alteration in order to achieve a correct diagnosis and provide an adequate treatment.
