Browsing by Author "Alves, Duarte Gil"
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- Anterior Penetrating Neck Injury: A Path to the Cervical SpinePublication . Alves, Duarte Gil; Sousa, Jessica; Ferreira, Vítor; Almeida Pinto, João; Teixeira, NunoWhile rare in incidence, penetrating neck injuries are often life-threatening. When a patient's physiological status is appropriate, the first step in treatment should be a detailed preoperative imaging assessment. Formulating a treatment plan that includes computed tomography (CT) imaging and discussing the surgical approach with a multidisciplinary team before operating allows for a successful selective surgical approach. The authors report the case of a Zone II penetrating injury with a right laterocervical entry wound in which an impaled blade with an inferomedial oblique path pierced deeply into the cervical spine. The blade missed multiple vital structures in the neck, such as the common carotid artery, jugular vein, trachea, and esophagus. The patient underwent a formal neck exploration, and controlled extraction of the blade under direct vision was achieved. Therefore, the author's recommendation for implementing any management algorithm for penetrating neck injuries should rely primarily on a multidisciplinary selective approach.
- Blunt Trauma and Right Diaphragmatic Rupture: Unveiling the ImpactPublication . Alves, Duarte Gil; Sousa, Jessica; Eurico Reis, João; Ribeiro, Rómulo; Calvinho, PauloTraumatic diaphragmatic ruptures are rare, yet blunt injuries tend to be more easily overlooked compared to penetrating trauma. The minimal evidence of external injuries makes a high index of suspicion key for diagnosis. We report the case of a right-sided thoracoabdominal blunt trauma that resulted in a diaphragmatic rupture and fractured rib. Although often approached through a midline laparotomy, a definitive right thoracotomy repair was exceptionally performed since the adjacent peritoneum remained uninjured.
- Hidradenocarcinoma of the Female Breast: A Surgical Approach to a Rare Skin TumorPublication . Alves, Duarte Gil; Araújo, Cláudia; Sousa, Jessica; Lapa, Alexandra; Abreu de Sousa, JoaquimClear-cell hidradenocarcinomas are extremely uncommon sweat gland tumors with a predilection for the head and neck. In the limited number of articles reporting breast involvement, the primary focus concerns this entity's histological and immunohistochemical characteristics. Since hidradenocarcinomas of the breast have the potential to resemble a primary breast carcinoma closely, diagnosis may be challenging. Therefore, the authors report the first case of hidradenocarcinoma of the breast, which features its macroscopic morphology. In addition, to increase physicians' awareness of this rare neoplasm, the article also aims to detail its surgical approach.
- Primary Petit Hernia: From Diagnosis to Open Surgical ApproachPublication . Alves, Duarte Gil; Sousa, Jessica; Rodrigues, Catarina; Silva, Sara; Ribeiro, RómuloLumbar hernias are quite rare, even more so when primary or of spontaneous nature. These defects in the lumbar region demand a comprehensive knowledge of the anatomy of the lateral abdominal wall and paraspinal muscles. Given the proximity of bone structures, they can pose a surgical challenge when trying to achieve an ideal dissection and appropriate mesh overlap. The authors report the case of a primary Petit's hernia that underwent an open anterior surgical approach with the use of a preperitoneal mesh. In addition to the described surgical technique, the article also aims to detail the diagnosis and anatomic classification of this rare pathology.