Publications by authors named "Pablo Vidal Gonzalez"

Background: Carcinoid of the small intestine, is a well-differentiated neuroendocrine tumor that rarely presents with clinical signs. This tumour can be associated with other conditions, such as inflammatory bowel disease, presenting a wide range of symptoms. In some cases they have an aggressive and highly symptomatic behaviour; thus, clinical suspicion must be high to make an early diagnosis.

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Background: Splenic metastases are extremely unusual. The aim of this paper is to review the world experience to date concerning to laparoscopic approach for splenic metastasis, and to report ours at the Hospital de Sant Pau.

Methods: Literature review was carried out and relevant reports on laparoscopic approach to splenic metastasis were obtained.

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Background: Thyroid nodules (TN) are a common problem occurring in 4-7% of the general population. The final objective of a TN study is to determine whether the nodule is benign or malignant. Fine needle aspiration biopsy (FNAB) is accepted as the most appropriate preoperative procedure, but some authors have described undetermined results in 30% (follicular or suspicious lesion).

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Sclerosing mesenteritis or panniculitis is a rare condition characterized by inflammation of the mesentery ranging from an acute to a chronic fibrotic process that can resemble an intestinal malignant neoplasm even though it is benign. Its etiology is unknown, although it is thought to be the result of a nonspecific inflammatory response of the mesentery to an allergic, chemical, thermal, infectious, autoimmune or surgical stimulus. Its natural history is benign and in most cases is self-limited.

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Traumatic rupture of the thoracic aorta is a near-lethal event presenting on-scene mortality rates of 80% and 60-80% perioperatively with an overall survival rate of 15%. Conventional treatment includes thoracotomy with aortic clamping and aortic replacement but this implies high complication and mortality rates with extended inpatient care. Endoluminal treatment has recently become an attractive treatment option with advantages such as lower death and complication rates as well as shorter inpatient care.

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Objectives: To analyze presentation, diagnosis and treatment of islet cell tumors at the ABC Medical Center.

Materials And Methods: Medical records of the 7 patients with endocrine tumors diagnosed between 1995 and 2005 were reviewed and analyzed, with emphasis to clinical, biochemical and radiological characteristics, surgical treatment and outcome.

Results: There were 3 insulinomas, 1 gastrinoma, 1 VIPoma, and 2 non-functioning tumors.

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