Embolization of splenorenal shunt associated to portal vein thrombosis and hepatic encephalopathy

Hepatic encephalopathy (HE) is a cognitive disturbance characterized by neuropsychiatric alterations. It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts. The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration. Therefore, the embolization of these shunts has been performed to control HE manifestations, but the presence of portal vein thrombosis is considered a contraindication. In this presentation we show a cirrhotic patient with severe HE and portal vein thrombosis who was submitted to embolization of a large portosystemic shunt. Case report: a 57 years-old cirrhotic patient who had been hospitalized many times for persistent HE and hepatic coma, even without precipitant factors. She had a wide portosystemic shunt and also portal vein thrombosis. The abdominal angiography confirmed the splenorenal shunt and showed other shunts. The larger shunt was embolized through placement of microcoils, and the patient had no recurrence of overt HE. There was a little increase of esophageal and gastric varices, but no endoscopic treatment was needed. Since portosystemic shunts are frequent causes of recurrent HE in cirrhotic patients, portal vein thrombosis should be considered a relative contraindication to perform a shunt embolization. However, in particular cases with many shunts and severe HE, we found that one of these shunts can be safely embolized and this procedure can be sufficient to obtain a good HE recovery. In conclusion, we reported a case of persistent HE due to a wide portosystemic shunt associated with portal vein thrombosis. As the patient had other shunts, she was successfully treated by embolization of the larger shunt. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.

Mapeamento geológico-estrutural da Sequência Canto, porção sul do Greenstone Belt do Rio Itapirucu, Bahia

The study area is located in the southern portion of Rio Itapicuru Greenstone Belt, Bahia, where were found rocks that belongs to the Canto Sequence, that comprises felsics and intermediary rocks, beyond metasediments. The studied maps and drill holes help to recognized stratigraphy column that was divided in three mains domains, from the base to the top: andesitics to felsics lavas domain, carbonaceous and metasedimentary domains. The data obtained in mapping and petrography analysis allows classify the area in three deformational phases, Dn, Dn+1, Dn+2. The metamorphism recognized according to the mineralogical associations permitted to classify a progressive regional metamorphism (lower to medium greenchist facies) till biotite zone, falling until chlorite zone due to retrometamorphism. The auriferous mineralizations are mainly related to hydrothermal veins included in the different lithologies, mainly in carbonaceous schists

Caracterização petrográfica das zonas de alteração hidrotermal associadas aos pegmatitos da mina Bom Futuro, Rondônia

The Bom Futuro tin deposit is located in Ariquemes, north-central state of Rondônia. Since its discovery in the late 80s, the tin deposit of Bom Futuro has been explored and considered one of the leading Brazilian producers of cassiterite, exploring it mainly in secondary deposits (placers) in the vicinity of the hill Bom Futuro. The primary mineralization occurs in the contacts between quartz veins and pegmatites with the rocks of the hill and its exploitation has been the goal of new studies in the area. These bodies occur in all rock types of the hill, leading edges of hydrothermal alteration with each rock. The focus of the study is the characterization of hydrothermal alteration through the analysis of the edges of pegmatitic veins intruded on each of the main rock types found on the hill Bom Futuro, which are: biotite gneiss, biotite amphibolite, subvolcanic breccia, topaz leucogranite, topaz leucoriolito and micro melassienito porphyry. The analysis and comparison showed familiarities between the edges of alteration encountered, and possible subdivision into three main zones: the inner zone or the vein itself, intermediate zone or transition zone and the change zone where the passage of hydrothermal features to rocks features is gradual. The cassiterite and sphalerite were found scattered in three zones, however in larger quantities in the intermediate zone, near the contact

Geologia e pesquisa mineral na região oeste do maciço Caritianas, municípios de Alto Paraíso e Itapuã D'Oeste, Rondônia

The granites Rondonianos, located in Rondônia Tin Pronvíncia, the southwestern portion of the Amazonian Craton, have great economic importance due to its large potential metallogenic. These granites stands out Intrusive Suite or Suite Granites Latest Rondônia Rondônia, with approximately 997-998 Ma (Bettencourt et al., 1997, 1999), for their tin mineralization having the largest reserves of this ore from Brazil. These tin mineralization in veins greissen are genetically related to these granites, deposits with different structural styles both within granitic plutons (endogreissen) as the host rocks (exogreissen). The western region of the Massif Caritianas has few published works, and the geology and potential econômicoão that were never fully known, now with the recovery of tin in the world market need new campaigns and prospective discoveries of new deposits

Geologia do alvo e da mina Sol Nascente, município de Rio Crespo, Rondônia

Eight Mesoproterozoic granite suites are recognized in the Rondônia Tin Province, called Serra da Providência Intrusive Suite (1606-1532 Ma), Rio Crespo Intrusive Suite (1500 Ma), St. Anthony Intrusive Suite (1406 Ma), Teotonio Intrusive Suite (1387 Ma ), Santa Clara Intrusive Suite (1082-1074 Ma) and Younger Granites of Rondônia Intrusive Suite (998-974 Ma), represent successive magmatic type A (anorogenic) and the intra-plate basement rocks intruded in the metamorphic complex named Jamari separated into two distinct lithologic associations, a ortogneiss (U-Pb from 1.76 to 1.73 Ga) and a paragneiss (1675 + / - 12 Ma). Tin mineralization are widely found in the Tin Province and are associated with granitic intrusions known Mesoproterozoic more closely with the last two magmatic events, represented by the Santa Clara and Younger Granites of Rondônia. The tin mineralization are of primary and secondary, with the primary form deposits of different structural styles and is presented in the form of endo-or exogreisens, veins, stockworks and pegmatites. The secondary mineralization are related to natural processes of weathering and erosion of primary rocks, leading to placer deposits classified as colluvial, eluvial and colluvial-alluvial. The Target Alvo Sol Nascente is located in the central-eastern Rondônia Tin Province and has basement rocks of the metamorphic-magmatic region represented by Jamari Complex intrusive suites and Sierra Providence and Rio Crespo. The last tectonic event spa in the area was responsible for the intrusion of Younger Granites of Rondônia (São Carlos and Caripuanã Massifis). The anomalous levels of tin, sufficient to operate (Mina Rising Sun), indicate that there was possibly mineralization event, evidenced by pegmatite veins well defined, easily found relatively close to mine. Plaque deposits associated with Quaternary sedimentary sequences can also be observed

Avaliação da pressão liquórica em pacientes obstétricas submetidas à anestesia subaracnoidea que apresentaram cefaleia pós-punção dural

Pós-graduação em Anestesiologia - FMB

Avaliação do processo de reparação tecidual após Exérese realizada com bisturi convencional e bisturi harmônico Harmonic® de necrose induzida em língua de rato: estudo macroscópico e histológico

Pós-graduação em Biopatologia Bucal - ICT

Elementos estruturais relacionados com a mineralização do eoceno - oligoceno entre Mollebamba e Santo Domingo região de Apurimac, sul do Peru

Pós-graduação em Geociências e Meio Ambiente - IGCE

Organisation and tyrosine hydroxylase and calretinin immunoreactivity in the main olfactory bulb of paca (cuniculus paca): a large caviomorph rodent

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

An isolated phlebolith on the lip: an unusual case and review of the literature

Background. Calcified thrombi are a common finding, especially in the pelvic veins. There are generally multiple thrombi, and they are generally associated with vascular malformations. Design. Herein we report a rare case of a single labial phlebolith, not associated with any other vascular lesion. We aim to alert clinicians to the possibility of the occurrence of vascular thrombi in the mouth and to describe the clinical and histological characteristics of such lesions in order to simplify the diagnosis and treatment. Furthermore, we have reviewed the English-language literature published since 1970 reporting oral (including masticatory muscles) phleboliths. Results. Twenty-nine cases of phleboliths have been reported in the literature since 1970. Only three of the reported phleboliths were solitary and not associated with other vascular lesions, as in the case presented here. Conclusion. Although phleboliths not associated with other vascular lesions are not common, clinicians should be aware of the existence of this pathology and include it as differential diagnosis of oral lesions.

Características químico-mineralógicas e cerâmicas da matéria-prima utilizada pelo polo cerâmico de Rio Verde de Mato Grosso, MG

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Farmacocinética da gentamicina em equinos: estudo comparativo das concentrações em plasma e em líquido sinovial na administração intravenosa ou intravenosa regional

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Geologia do depósito de ouro de C1-Santaluz no greenstone belt do rio Itapicuru, Brasil

Pós-graduação em Geociências e Meio Ambiente - IGCE

Orange opals from Buriti dos Montes, Piauí: solid inclusions as genetic guides

As opalas laranjas de Buriti dos Montes (Piauí, nordeste do Brasil) têm propriedades gemológicas que favorecem seu uso como jóias; essas características incluem as cores, transparência, dureza e estabilidade relativamente elevadas. O exótico conteúdo de inclusões sólidas proporciona maior beleza às opalas da região. Essas opalas foram originadas por processos hidrotermais e são encontradas, principalmente, em vênulas e veios nos arenitos do Grupo Serra Grande, seccionados por soleiras e diques de diabásio da Formação Sardinha. Inclusões sólidas, tais como bolhas, agregados botrioidais, dendritos e nódulos, entre outras, consistem, principalmente, de caulinita, hematita/goethita e quartzo e influenciam a composição química das opalas. O zoneamento intenso dos cristais de quartzo e os elevados valores de Ba e Fe sugerem que os depósitos de opala foram formados em ambiente hidrotermal. Os diques de diabásio teriam sido responsáveis pelo aquecimento dos fluidos hidrotermais. Os arenitos, ricos em soluções aquosas, também teriam contribuído com a sílica disponível para a saturação dessas soluções e as fraturas permitiram a migração e aprisionamento dos fluidos hidrotermais, resultando nos veios mineralizados.

Oscilações climáticas Plio-Pleistocênicas e sua influência na prospecção de ouro na área do garimpo do Manelão (PA)

No garimpo do Manelão, o ouro está associado a veios de quartzo encaixados na seqüência metavulcano-sedimentar São Manoel. No período Plio-Pleistoceno, sob um clima úmido, desenvolveu-se sobre a seqüência São Manoel uma cobertura laterítica autóctone e imatura. Essa cobertura residual contém partículas de ouro com elevada pureza, sugerindo processos de lixiviação da liga Au-Ag ou de remobilização e redeposição do Au em ambiente laterítico. Durante o Pleistoceno, o clima tornou-se árido a semi-árido, favorecendo a erosão parcial da cobertura laterítica, através dos processos coluviais associados a enxurradas periódicas. Esse depósito coluvial recobre o perfíl laterítico, destruindo um possível padrão de dispersão geoquímica do ouro supergênico e prejudicando a prospecção geoquímica de superfície. No final do Pleistoceno e início do Holoceno, o clima úmido retorna, juntamente com os processos de intemperismo, formando stone line e latossolos. As coberturas laterítica e coluvial serviram de área-fonte para os aluviões atuais a subatuais do igarapé São Manoel, onde o ouro ocorre livre nos estratos sedimentares mais basais, formando concentrações da ordem de 10 g/ton.