Aqui pode conhecer as candidaturas selecionadas pelo júri do Prémio de Imagem Endoscópica 2024 para votação pelos sócios.
Passando pelas imagens com o cursor serão identificados os vencedores.
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More than recreation – a rare case of cannabinoids effects
Andrea Silva; Margarida Ferreira; Pedro Figueiredo
Centro Hospitalar e Universitário de Coimbra
A 66-year-old male was admitted in emergency room for syncope followed by seizures. Electrocardiogram revealed complete heart block justified by the presence of benzodiazepines and cannabinoids in urine analysis. Meanwhile, he presented hematemesis and hematochezia. Esophagogastroduodenoscopy revealed severe mucosal edema and ulcerated lesions in stomach and duodenum, suggestive of acute ischemia. Abdominal computed tomography showed a patent celiac trunk and thickening of the gastric wall and gastric pneumatosis. Arterial vasospasm has been documented and involved in some of the most serious complications of cannabinoids abuse. The hypothesis more likely for these alterations was vascular spasm triggered by substance consumption.
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