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Biomedical subjects

C Benlloch

Publications and source records attributed to C Benlloch.

6 recordsLinked to original sources

[Neonatal intravaginal testicular torsion in an undescended testis].

We report a case of intravaginal testicular torsion with an unusual debut in a 30 day old patient which had undescended testis. We emphasize the need of a complete physical exploration of the child that go to the emergency service with inspecific symptoms of abdominal pain, and supposing the hemiscrotum was empty, is essential to reject a torsion of a cryptorchidic testicle. An immediate surgery is necessary in order to diagnose and treat this disturbance.

Cryptorchidism↗

[Differentiated thyroid carcinoma in childhood: multicenter review of the club of pediatric oncology].

The club of paediatric oncology of the Sociedad Española de Cirugía Pediátria conducted a retrospective and multicentric study on differentiated thyroid carcinoma in children. Seventeen cases from four hospitals were reviewed. Initial surgery in all cases consisted of partial or total thyroidectomy, associated in 76% of cases by cervical node removal. In 6 patients (35%) tumoral mass relapsed and 13 cases (76%) hypothyroidism was observed as a post-surgical sequela (in one patient, furthermore dysphonia and hypoparathyroidism persisted). Total survival rate in the series is 100%; one patient is currently diagnosed of node relapsed and remaining patients are disease-free. A diagnostic protocol based on echography, gammagraphy and biopsy is proposed. Oncology surgery i.e. tumoral and healthy tissue resection with node removal in one operation is recommended. With this approach, although we tend to place the patient in hypothyroidism and therefore susceptible to substitutive therapy, the multiple relapses observed in the review would be avoided. Prolonged follow-up guarantees early diagnosis of possible tumoral recurrence.

Adolescent↗

[Mesenteric and omental cysts. Apropos of 2 cases].

Two cases of abdominal lymphatic cysts are described, one had an omental origin , and the other arose from jejunal mesentery. Both patients presented with non-specific abdominal pain, and a vague clinical picture. Diagnosis was made through echography findings, which were unmistakable .

Abdominal Neoplasms↗

[Characteristics of patients who do not use primary care services].

OBJECTIVE: To determine the proportion of patients who do not consult their doctor for one year time and to investigate their characteristics, to determine of they are different from patients that do consult. METHODS: This is a prospective study, with a follow-up of one year in the city of Valencia, Spain. The patients included were all registered in a general practitioner's list, 1473 subjects. We took every day all the patients that consulted: home visits were excluded, and so were visits from patients that did not belong to our territory, patients of another general practitioner's list and all patients under 14 years. We included patients attended without citation. We counted the number of visits for each subject, and their age and gender, presence of hypertension, diabetes, hyperlipidemia, chronic respiratory disease, HIV/Aids and health problems that limit their autonomy. RESULTS: 46.3% of patients did not consult, 48.7% made between 1 and 14 visits, and 4.9% 15 visits or more (high utilization is defined as the average plus 2 standard deviations). Among the subjects that did not consult, there were significantly less women, they were younger and had less chronic problems than the patients that consulted and these ones less than high users. CONCLUSIONS: The percent of subjects that did not use primary care medical consultations is 46.3% in one year; they were more frequently men, young people and persons without chronic health problems.

Adolescent↗