O objetivo deste estudo foi investigar o uso dos adesivos etil-cianoacrilato e butil-cianoacrilato com o náilon monofilamentar, comparativamente , na síntese da pele de ratos. Trinta e dois ratos foram distribuídos em três grupos: A, B e C. Estes grupos foram divididos em dois subgrupos, para estudo no sétimo e no décimo-quarto dia pós-operatório. Foram efetuadas no abdome do rato, duas incisões longitudinais e paralelas distando cada uma delas um centímetro da linha mediana, sendo uma do lado direito e a outra do lado esquerdo. Em todos os grupos a síntese da incisão do lado direito, foi realizada com pontos separados de náilon 5-zeros, sendo este considerado o grupo controle (C). Nos animais do grupo A, a síntese do lado esquerdo foi realizada com etil-cianoacrilato (Super Bonder) e nos animais do grupo B, a síntese foi realizada com butil-cianoacrilato (Histoacryl). No sétimo e no décimo-quarto dia pós-operatório, o aspecto macroscópico da cicatriz não mostrou diferença significante.No aspecto microscópico.os grupos B e C foram melhores do que o A. Os resultados demonstraram que a síntese com o adesivo sintético é eficaz, mais rápida, indolor e com bons resultados estéticos.
IntroductionMediastinal masses in pediatric patients are very heterogeneous in origin and etiology. In the first decade of life, 70% of the mediastinal masses are benign whereas malignant tumors are more frequent in the second decade of life. Among the mediastinal masses, lymph nodes are the most common involved structures and could be enlarged due to a lymphoma, leukemia, metastatic disease, or due to infectious diseases as sarcoidosis, tuberculosis and others.Case presentationWe report a case of a 13-year-old Caucasian girl who came to the emergency room with a history of intermittent fever, weight loss and night sweating for at least 1 month. A radiologic image work-up presented an anterior and posterior mediastinal mass. The 18F-fluorodeoxyglucose positron emission tomography presented a high maximum standard uptake value, which directed our decision for mediastinal biopsy for diagnostic elucidation. Histologic examination described the mass as granulomatous tuberculosis. The patient was treated with anti-tuberculosis therapy and developed a full clinical recovery.ConclusionsThe present case report demonstrates that a bulky mediastinal lymphadenopathy detected on 18F-fluorodeoxyglucose positron emission tomography is not always a malignant lesion, and in countries where tuberculosis is endemic, this etiology should not be forgotten during clinical investigations. There is a need for more accurate cut-off values for this technology; meanwhile, the further investigation of patients with bulky mediastinal masses with procedures such as the open biopsy is indispensable.
Abdominal tumors are one of the most common types of pediatric cancer. Therefore, they should always be included in the differential diagnosis of abdominal masses. Here, we present the case of a child whose initial hypothesis of diagnosis contemplated this possibility. Later, it was demonstrated that the abdominal mass found was secondary to a common parasitosis. A 2-year old, moderately malnourished and pale white boy was referred with a history of a rapidly growing, well-limited, middle abdominal mass. The mass was 10 by 3 cm, hard and poorly movable, apparently involving both abdominal rectus muscles. A complete resection was performed, revealing an abdominal wall abscess, with intense eosinophilic proliferation, secondary to a local and intense reaction to innumerous Ascaris lumbricoides eggs. Extra luminal infestations with Ascaris, that usually form peritoneal granulomas have been previously described. However, neither external trauma nor fistula, that could explain the superficial presence of the eggs, was found. This description reinforces the relevance of infectious diseases within the differential diagnosis of abdominal masses, particularly in areas with high prevalence of parasitic infestations.
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