Publications by authors named "S Castellanos"

Wandering liver (WL) is an exceptionally rare anatomical variant, scarcely described in the medical literature. This condition is characterized by hypermobility of the liver within the abdominal cavity, resulting from the weakening, laxity, or absence of the liver's suspensory ligaments. This case report describes a 28-year-old male patient with a history of Sashi-Pena syndrome who presented with chronic, nonspecific abdominal pain, in which cross-sectional imaging incidentally revealed WL.

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Objectives: At our institution, level 2 trauma (L2T) activations are primarily managed by pediatric emergency medicine (PEM) physicians, whereas level 1 activations are co-managed by pediatric surgery and PEM. Starting in September 2019, the response to L2T activations due to all-terrain vehicles or motorized cycles (ATVs/MCs) changed to include surgical assessment upon patient arrival due to increased likelihood of significant injuries and need for higher level of care. The impact of PEM/surgery co-management of ATV/MC L2T patients on time to an admission decision is unknown.

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Desmoplastic fibroma of bone is a very uncommon, benign but locally aggressive fibrogenic tumor. This report describes the case of a 45-year-old patient with a massive desmoplastic fibroma of the proximal tibia. A two-staged surgical procedure was successfully performed: wide resection and endoprosthetic reconstruction.

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Population genetic structure of arthropod disease vectors provides important information on vector movement and climate or other environmental variables that influence their distribution. This information is critical for data-driven vector control. In the first comprehensive study of the genetic structure of T.

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Article Synopsis
  • There is currently no standardized grading system for pediatric female genital trauma (PFGT), leading to potential overuse of medical resources based on injury severity. A high-volume trauma center aimed to address this by analyzing treatment patterns and outcomes and developing a new grading system to improve management decisions.
  • A study of 353 female patients under 19 years old with genital trauma revealed that lower-grade injuries (grades 1 and 2) rarely needed surgical repair and primarily utilized local sedation, while higher-grade injuries (grades 5 and 6) typically required more intensive surgical intervention and general anesthesia.
  • The proposed management algorithm recommends minimal surgical intervention for lower-grade injuries and encourages surgical consultation for higher-grade
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