Publications by authors named "Daniel Rivera-Alonso"

4 Publications

  • Page 1 of 1

Acute portal vein thrombosis in mild cholecystitis. A consequence of coronavirus disease 2019 infection?

Cir Cir 2021 ;89(3):399-402

Department of General Surgery and Digestive System, Hospital QuirónSalud Sur, Alcorcón. Madrid, Spain.

La infección por el virus SARS-CoV-2 provoca, además de cuadros respiratorios graves, episodios trombóticos en múltiples localizaciones debido a una mala regulación de la respuesta inmune. Presentamos el caso de un paciente con colecistitis incipiente que desarrolló trombosis portal aguda sin ningún otro antecedente salvo haber pasado de forma asintomática una infección por COVID-19. Dado que esta complicación es extremadamente infrecuente en pacientes sin factores predisponentes ni infecciones graves, consideramos que la infección por COVID-19 pudo ser un factor desencadenante de la trombosis portal y debemos de tenerlo en cuenta de cara al manejo y tratamiento de futuros casos similares.

Severe acute respiratory syndrome coronavirus 2019 infection causes, in addition to severe respiratory symptoms, thrombotic episodes in multiple locations due to dysregulation of the immune response. We present the case of a patient with incipient cholecystitis who developed acute portal thrombosis with no other antecedents except having passed an asymptomatic coronavirus disease 2019 (COVID-19) infection. Since this complication is extremely rare in patients without predisposing factors or serious infections, we consider that COVID-19 infection could be a triggering factor for portal thrombosis and we must take it into account in the management and treatment of future similar cases.
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http://dx.doi.org/10.24875/CIRU.20001044DOI Listing
June 2021

Submucose lipoma as a cause of intestinal intussusception.

Med Clin (Barc) 2021 07 6;157(1):51. Epub 2020 Nov 6.

Servicio de Cirugía General y Aparato Digestivo, Hospital Clínico San Carlos, Madrid, España.

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http://dx.doi.org/10.1016/j.medcli.2020.05.047DOI Listing
July 2021

Thyroid metastases from colorectal cancer 14 years later: A case report and literature review.

Cir Cir 2020 ;88(4):508-510

Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico San Carlos, Madrid, España.

Metastases to the thyroid gland are unusual, especially from a colorectal cancer. We present the case of an 85-year-old female with a history of colon cancer in 2004 treated with surgery, who 14 years later develop dysphonia and dysphagia associated to an elevation of carcinoembryonic antigen. A pathologic thyroid mass was evidenced in a positron emission tomography-computed tomography. The colorectal origin of the mass was confirmed with a biopsy. The patient received surgical treatment doing the right hemithyroidectomy. This entity must be suspected in patients with oncological history and a new thyroid nodule. Surgery is a therapeutic option with either curative or palliative intent.
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http://dx.doi.org/10.24875/CIRU.19001130DOI Listing
May 2021

Cervical thyroid remnant consistent with papillary carcinoma as an incidental finding in a patient with benign total thyroidectomy ten years prior.

Pol Przegl Chir 2019 Jul;92(1):52-54

MD, Hospital Clínico San Carlos, Surgery Department, Complutense University of Madrid, Madrid, Spain.

Background: Differential diagnosis of a cervical lesion corresponding with papillary thyroid carcinoma (PTC) after benign total thyroidectomy can be a real challenge.

Methods: A cervical thyroid remnant compatible with papillary carcinoma was incidentally found ten years after total thyroidectomy for a non-functional multinodular goitre. Histological analysis of fine needle puncture aspiration (FNPA) was highly suggestive for PTC. Surgical excision of the cervical lesion was performed. Specimen study demonstrated a classic variant of PTC contacting a peripheral margin, applying ablative treatment with radioactive iodine postoperatively.

Results: The patient did not present signs of recurrence during follow-up. Small thyroid remnants after benign thyroidectomy are often left behind, although their risk of malignancy is exceptional.

Conclusions: It is important to individualize therapeutic approach when facing this rare entity. We decided to treat the patient by removing the lesion followed by ablation therapy with successful results. PTC: Papillary thyroid carcinoma FNPA: Fine needle puncture aspiration.
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http://dx.doi.org/10.5604/01.3001.0013.2952DOI Listing
July 2019
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