Introduction Persistent painful unilateral temporal swelling is rarely seen in clinical practice. Antiphospholipid syndrome (APS) is an autoimmune and systemic disorder that causes changes in blood clotting homeostasis, marked by arterial or venous thrombosis, gestational morbidity, and high and persistently positive serum levels of antiphospholipid antibodies (aPL). APS is more common in young women and middle-aged adults, with no preference for race. Among its clinical features, temporal artery thrombosis, associated with headache and temporal and hemifacial edema is extremely rare, with few publications worldwide on this topic. Objective This report aims to present the case of a unilateral painful facial edema due to thrombosis of the superficial temporal artery as an unprecedented manifestation of Antiphospholipid Syndrome. Thus, the only record in the English-language literature surveyed in the Pubmed database in July 2022 highlights the rarity of this APS presentation and the consequent challenge in suspecting the correct diagnosis for adequate treatment. Methods  Case report. Data disclosure was authorized by the patient through an informed consent form. Results A 32-year-old woman was presented with pain in the right temporal region of her face. The pain was intense, daily and continuous, pulsating, without irradiation, which worsened with physical activity and presented partial relief with common analgesics. After 20 days, she developed a right pale temporal edema (Figure 1) associated with a significant worsening of pain and intense right unilateral headache attacks triggered by chewing and speaking. She has a history of deep vein thrombosis in the left lower limb. Physical examination and imaging tests showed significant cold edema of the right temporal region with asymmetry of the temporal muscles, which was extremely painful on palpation and made it difficult to open the mouth. There were no other changes in the general physical... (Too see the complete abstract, please, check out the PDF.)

Introduction: Iatrogenic ureteral injuries (UII) are surgical complications associated with high morbidity, with an incidence ranging from 0.3% to 1.5%, and most commonly observed in gynecological and colorectal surgeries. Objective: To evaluate the factors that influenced LUI in colorectal surgeries and their history of diagnosis and treatment performed. Method: Bibliographic review carried out on the PubMed platform, 29 articles were selected, published between 2005 and 2021. Results: LUI were more frequently observed in the distal ureter and in women. Among the risk factors, the anatomical ones stand out (adherence of the ureter to the peritoneum, similarity with the ovarian ligaments and uterine artery and its proximity to important pelvic structures), anatomopathological (congenital anomalies, pelvic tumors, colorectal cancer, previous surgery and irradiation). pelvic, endometriosis, inflammatory/infectious processes and inflammatory bowel disease) and technical (bleeding in the operative field, advanced tumor, malnutrition and surgeons on a learning curve). As protective factors, right and transverse colon colectomy and, in some studies, videolaparoscopic surgery were identified, the latter not being a consensus. The indication of prophylactic ureteral catheter is not clear in the literature. They are usually indicated in reoperations, large pelvic tumors, laparoscopic surgeries, previous radiotherapy, diverticulitis, occurrence of fistulas, Crohn's disease and obesity. In the immediate suspicion of LUI, careful intraoperative visual inspection and use of retrograde or anterograde ureteropyelography were reported. In late diagnosis, computed tomography with intravenous contrast was the most used exam. In the treatment of LUI, the type of surgical correction depended on the severity and location of the lesion. Conclusion: Colorectal cancer, neoadjuvant radiotherapy and chemotherapy, pelvic recurrence, malnutrition and surgery performed in teaching hospitals were important risk factors for LUI. The use of an adequate and judicious surgical technique and the early diagnosis of ureteral lesions were more decisive factors than the surgical approach used.

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INTRODUÇÃOPadrões que relacionam-se com a estética nasal são essenciais para uma apropriada avaliação préoperatória e programação cirúrgica. As medidas estéticas nasais padronizadas usadas atualmente, no geral, são uma mistura dos ideais artísticos de beleza obtidos por modelos e celebridades de predomínio eurocêntrico. Por não considerarem medidas populacionais nessas mensurações padrões, tais medidas variam conforme nas diferentes populações e permitem uma discrepância entre o desejo do cirurgião plático e o real desejo do paciente com a rinoplastia. Nem todas as pacientes desejam obter um resultado estético conforme tais valores atualmente oferecidos, mas sim um resultado natural, com algumas características que assemelham-se a sua etnia e população de origem. A população brasileira carece de estudos populacionais acerca de suas medidas nasais. OBJETIVOSAvaliar as medidas antropométricas do nariz em pacientes caucasianos na cidade do Rio de Janeiro e comparar tais medidas com os padrões ideias estéticos de Powell & Humphreys. MÉTODOSEstudo transversal, observacional, descritivo, quantitativo e qualitativo à respeito do padrão antropométrico nasal de voluntários caucasianos de 18 a 50 anos de um ambulatório médico. Serão excluídos pacientes com antecedentes de trauma de face e nariz, cirurgia facial prévia e nãocaucasianos. Através de fotografias na vista frontal e lateral serão obtidas as seguintes variáveis: distância intercantal, distância alar, comprimento do dorso nasal, ângulo nasofrontal, ângulo nasolabial e projeção da ponta nasal (método de Goode). Análise estatística será realizada para comparar as medidas obtidas entre os gêneros e com os padrões estéticos ideais. RESULTADOSO estudo contou com a participação de cem voluntários, sendo 50 homens e 50 mulheres. A idade mínima foi de 18 anos e a máxima de 40 anos, com uma média de idade de 22,4 anos. A média de idade dos homens foi de 22,3 anos e das mulheres de 22,4 anos. Os valores médios obtidos na população do Rio de Janeiro foram: ângulo nasolabial de 104,7•; ângulo nasofrontal de 136,2•; Método de Goode de 0,75; relação distância alar (largura) / nasion-pronasion de 1,29; relação distância alar / distância intercantal de 1,33.

Introduction: Due to the rapid spread of Sars-CoV-2 and COVID-19, at the beginning of 2020, the state of a pandemic by the coronavirus was installed and, since then, incessant research is being carried out in order to understand the pathophysiology of the disease and identify possible elements that predispose it. In this context, the association of vitamin D with the installation and progression of COVID-19 has been studied. The justification for the proposal of this work is due to the role of the vitamin in the modulation of the immune system, participating in the synthesis of catelecidin, a peptide that reduces viral replication; activation of defense cells; and the decrease of inflammatory cytokines. Objectives: To evaluate the plasma level of vitamin D, in the active form calcitriol, in individuals with COVID-19. Methods: Through a bibliographic survey in the "PubMed" database, with the keywords "COVID-19, SARS-CoV-2, VITAMIN D, PREVENTION, CONTROL, THERAPEUTIC USE", 146 complete articles were collected and eight were selected that showed the plasma concentration of calcitriol in individuals with COVID-19. Results: Analysis of the eight articles resulted in the identification of plasma levels of calcitriol in 1485 individuals with COVID-19. Of these, 82% had Vitamin D values below the minimum standard reference of 20 ng/mL. Conclusion: Through the descriptive literature review, it was concluded that the low plasma level of vitamin D can be a risk factor for infections by Sars-CoV-2 and an aggravating factor of the clinical picture of COVID-19.