Repositório Científico da Unidade Local de Saúde de Santo António

Scientific Repository of the ULS Santo António

The Unidade Local de Saúde de Santo António (ULS de Santo António) was established in February 1, 2023 by the merger between Centro Hospitalar Universitário do Porto and Hospital Magalhães Lemos

The Centro Hospitalar Universitário do Porto (CHUPorto) was established in October 1, 2007 as the result of the joint of three hospitals in the city of Porto: Hospital Santo António, Hospital Central Especializado de Crianças Maria Pia and Maternidade Júlio Dinis, which also allied in 2011, the Hospital Joaquim Urbano and the Centro de Genética Médica Doutor Jacinto Magalhães in 2013.

Its mission is to provide health care to the population and to stimulate and develop complementary research, education and training activities.

The creation of the repository aims to gather, preserve, and disclose in digital format, the scientific production of CHUPorto's professionals, contributing to a better visibility in the community.

Email repositorio.defi@chporto.min-saude.pt

Recent Submissions

Perinatal clinical case

Publication . Alves, Marta; Branco, Liliana; Lopes, Andreia; Pereira, Bárbara

A 16-day-old male was observed at the Emergency Department for a right cervical mass noticed on the same day by the parents, with no other associated symptoms. He was a fullterm child, delivered by vacuum extraction, with an uneventful perinatal period. At the time of physical examination, a cervical mass was palpable in the inferior portion of the right sternocleidomastoid muscle, in association with ipsilateral torticollis. Cervical ultrasound revealed a fusiform thickening of the sternocleidomastoid muscle, with well-defined, hypoechoic margins, confirming the diagnosis of fibromatosis colli. Parents were instructed to adopt positioning measures and physical therapy was initiated, with clinical resolution by seven months of age. Fibromatosis colli is the most severe presentation of congenital muscular torticollis. Although typical clinical findings usually enable the diagnosis, cervical ultrasound is useful to confirm muscular origin of the mass. Torticollis in the opposite direction of the mass, spinal deformities, abnormal eye movements, or other abnormal neurological findings

2018-12-31Text

Open access

Imaging clinical case

Publication . Martins, Cristiana; Ferreira, Jorge; Pereira, Gabriela

Introduction: Acute hemorrhagic edema of infancy (AHEI) is a rare and benign leukocytoclastic vasculitis, frequently misdiagnosed. Case report: A twelve-month-old boy presented with a seven-day history of coryza and cough associated with lowgrade fever and the sudden appearance of a purpuric rash over the left lower limb. It progressed to an annular purpuric rash, with well-defined edges, on the face, limbs, ears, buttocks, and scrotum, with right tibiotarsal joint edema. Mild thrombocytosis was detected on laboratorial investigation. Patient was treated with a two-day course of oral betamethasone, with clinical improvement. No complications were reported within three weeks of follow-up. Discussion: AHEI has a sudden onset and a benign, self-limiting course. This report may be a helpful reminder to discriminate AHEI from other, more serious diseases, avoiding exhaustive and unnecessary investigation.

2018-12-31Text

Open access

Dermatology clinical case

Publication . Brandão, Pedro; Falcão-Reis, Inês; Rodrigues, Cátia; Ferreira, Vânia; Sá, Isabel

Ulcus Vulvae Acutum or Lipschütz ulcer is a rare cause of acute vulvar ulcer that usually affects young, non-sexually active women and consists on the sudden emergence of vulvar ulcers some days after an influenza-like syndrome, usually caused by Epstein-Barr virus. Despite its exuberant presentation, such ulcers are benign and self-limited. Diagnosis is clinical and treatment, symptomatic. Lesions typical resolve within a few weeks, leaving no scars. The authors describe the case of a 17-year-old, sexually active female adolescent with Lipschütz ulcers.

2018-12-31Text

Open access

Arthrogryposis multiplex congenita affecting a monochorionic diamniotic twin pregnancy

Publication . Brás, Rafael; Veloso, Helena; Moleiro, Maria; Rodrigues, Sofia; Inocencio, Gonçalo; Mota, Céu; Soares, Gabriela; Rodrigues, Maria Céu; Braga, Jorge

Arthrogryposis multiplex congenita is a clinically and etiologically heterogeneous group of diseases characterized by presence of contractures involving at least two different body areas. It is observed in one in every 3000−5000 live births. A case of singleton arthrogryposis in a spontaneous monochorionic diamniotic twin pregnancy is reported. Diagnosis was established after morphological ultrasound. There were no further complications during pregnancy. After cesarean delivery, diagnosis of amyoplasia involving the four limbs was confirmed. Newborn is currently undergoing motor rehabilitation. The higher risk of singleton arthrogryposis in monochorionic twin pregnancies is documented and appears to be related with vascular changes early in the course of pregnancy. In amyoplasia, some degree of disability and dependency is expected, even with postnatal rehabilitation.

2018-12-31Text

Open access

A rare case of pediatric volvulus caused by a persistent omphalomesenteric cyst

Publication . Valpaços, Catarina; Costa, Mariana; Figueiredo, Suzana; Silva, Ana Raquel; Correia-Pinto, Jorge; Osório, Angélica

A persistent omphalomesenteric duct is one possible cause of small-bowel volvulus, a rare cause of acute abdomen in children. A four-year-old child was admitted to the Emergency Department with abdominal pain and incoercible vomiting, with neither abdominal guarding nor relevant abnormalities revealed in complementary diagnostic exams. Due to a significant clinical deterioration over a 48-hour observation period, the child was transferred to a tertiary hospital with pediatric surgery. An abdominal ultrasound revealing severe bowel distension and increased abdominal free fluid warranted an exploratory surgery, which identified a voluminous omphalomesenteric duct cyst. When symptomatic, treatment of this condition is consensual and consists of surgical excision of the anatomical abnormality, either by laparoscopy or conventional surgery. The latter was performed. Conclusion: A persistent omphalomesenteric duct is a rare condition that generally requires a high level of clinical suspicion for diagnosis to be made, being most commonly detected during surgery. Associated complications and mortality rates are high, and a timely intervention is key, since surgical removal is the only treatment option.

2018-12-31Text

Open access