we report a case of a 40 year old man with portal hypertension caused by a splenic arteriovenous fistula that was diagnosed at laparotomy. he presented with bleeding esophageal varices and was initially treated by sclerotherapy. at laparotomy, portal pressure was 40 cmh20 but fell to 20 cm h20 after the fistula was treated with splenectomy. all symptoms disappeared shortly after operation and t...

conclusions in our case the prfg completely resolved a long-standing fistula resistant to exhaustive conservative management. the treatment with prfg has been proved to be effective in the selected cases and it seems that traumatic esophago-cutaneous fistula may be one of these selections. application of fibrin sealant should be considered early in the management of these difficult clinical pro...

BACKGROUND Obstetric fistula is a severe condition which can have devastating consequences for a woman's life. Despite a considerable literature, very little is known about its prevalence. This project was conducted to carry out a situational analysis of fistula services in South Sudan and to pilot test the Key Informant Method (KIM) to estimate the prevalence of fistula in a region of South Su...

A 28-year-old woman presented to the emergency department (ED) for acute respiratory distress from an extended care facility, where she was rehabilitating from a traumatic brain injury (TBI) and remained comatose. On arrival, the patient was tachycardic, with a sinus rhythm on monitor at 140 bpm. She was placed on a ventilator with settings as previously recorded at the nursing home. Blood pres...

© SINPE-GASAPE ABSTRACT: A central venous access is needed in most patients who are candidates for parenteral nutrition. The technology of these devices has changed considerably since their initial use, one of the most recent trends being the delivery of parenteral nutrition through a peripherally inserted central catheter. Usually composed of silicone elastomer or secondor third-generation pol...