Cyanoacrylate embolization of nearly all types of refractory gastrointestinal fistulae is a feasible and harmless technique. Prospective controlled studies are required to support the available evidence.
Background: Linear atrophoderma of Moulin (LAM) is a dermatosis that affects children and adolescents characterized by hyperpigmented and atrophic linear lesions following Blaschko lines. So far, less than 50 cases have been published. Therefore, it is a rare entity with unknown etiology and a chronic and self-limited course. Histologically, it is described as hyperpigmentation of the basal layer without the involvement of the dermis and subcutaneous tissue. No specific treatment exists currently. Localized scleroderma is a chronic and progressive autoimmune connective tissue disorder that affects the skin and adjacent tissues, characterized by abnormal collagen deposition and alteration in elastic fibers, blood vessels, and annexes. No reports have been published on the coexistence of localized scleroderma and LAM. Case report: We describe the case of an 11-year-old male with a clinical diagnosis of linear scleroderma since 5 years of age. Four years later, the patient developed atrophic and hyperpigmented lesions following Blaschko lines in the posterior trunk. A biopsy of both dermatoses was performed: the trunk showed epidermis with hyperpigmentation of the basal layer, and within the dermis, no alteration in the collagen bundles; the forearm biopsy corroborated scleroderma. Based on the clinical-pathological correlation, LAM coinciding with localized linear scleroderma was diagnosed. Conclusions: LAM is an infrequent entity by itself. Moreover, its coexistence with sclerodermiform syndrome has not been reported in the indexed literature.
According to our results, LigaSure could be used to perform laparoscopic sleeve gastrectomy with reduction of staple-line bleeding and, when reinforced with a running suture, it achieves a strength that approaches that of staples plus oversewing.
Se denominan lipomas aquellas lesiones benignas, pertenecientes al grupo de neoplasias mesenquimatosas compuestas por tejido adiposo con o sin cápsula fibrosa u otros elementos histológicos que determinarán sus características físicas. Dentro de las neoplasias benignas se presentan del 13-20% en cabeza y cuello, reportándose 0.5-5% en cavidad bucal, por lo que se considera poco común en la región maxilofacial, siendo más frecuente después de la quinta década de vida, es raro que se presente en pacientes jóvenes o niños. Es por ello que presentamos el reporte de un caso de lipoma en paciente pediátrico, el cual tratamos en el Servicio de Cirugía Maxilofacial Pediátrica del Hospital de Pediatría «Dr. Silvestre Frenk Freud», Centro Médico Siglo XXI.
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