Image of the month
Complete Mammary Necrosis Due to Acenocoumarol
Necrosis mamaria completa por acenocumarol
Carmen Victoria Pérez-Guarinos
, Maria Luisa García-García, Maria de los Ángeles Verdú-Fernández, Jose Luis Aguayo-Albasini
Corresponding author
Servicio de Cirugía General, Hospital Morales Meseguer, Murcia, Spain
Read
2369
Timeswas read the article
616
Total PDF
1753
Total HTML
Share statistics
array:24 [ "pii" => "S217350771500188X" "issn" => "21735077" "doi" => "10.1016/j.cireng.2015.04.001" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1480" "copyright" => "AEC" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Cir Esp. 2015;93:472" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1174 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 860 "PDF" => 303 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0009739X15001475" "issn" => "0009739X" "doi" => "10.1016/j.ciresp.2015.04.004" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1480" "copyright" => "AEC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Cir Esp. 2015;93:472" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1706 "formatos" => array:3 [ "EPUB" => 13 "HTML" => 1341 "PDF" => 352 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">La imagen del mes</span>" "titulo" => "Necrosis mamaria completa por acenocumarol" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "472" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Complete mammary necrosis due to acenocoumarol" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 860 "Ancho" => 995 "Tamanyo" => 158582 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen Victoria Pérez-Guarinos, Maria Luisa García-García, Maria de los Ángeles Verdú-Fernández, Jose Luis Aguayo-Albasini" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Carmen Victoria" "apellidos" => "Pérez-Guarinos" ] 1 => array:2 [ "nombre" => "Maria Luisa" "apellidos" => "García-García" ] 2 => array:2 [ "nombre" => "Maria de los Ángeles" "apellidos" => "Verdú-Fernández" ] 3 => array:2 [ "nombre" => "Jose Luis" "apellidos" => "Aguayo-Albasini" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S217350771500188X" "doi" => "10.1016/j.cireng.2015.04.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217350771500188X?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X15001475?idApp=UINPBA00004N" "url" => "/0009739X/0000009300000007/v1_201509042044/S0009739X15001475/v1_201509042044/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173507715001891" "issn" => "21735077" "doi" => "10.1016/j.cireng.2015.04.002" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1481" "copyright" => "AEC" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Cir Esp. 2015;93:e57" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2530 "formatos" => array:3 [ "EPUB" => 11 "HTML" => 2084 "PDF" => 435 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Inverted-3 Sign of Frostberg Forces to Exclude Malignancy" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e57" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "El signo del «3 invertido» de Frostberg obliga a descartar malignidad" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 669 "Ancho" => 1100 "Tamanyo" => 100830 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Ruiz Pardo, Francisco Sánchez Bueno, Gloria Torres Salmerón, Pascual Parrilla Paricio" "autores" => array:4 [ 0 => array:2 [ "nombre" => "José" "apellidos" => "Ruiz Pardo" ] 1 => array:2 [ "nombre" => "Francisco" "apellidos" => "Sánchez Bueno" ] 2 => array:2 [ "nombre" => "Gloria" "apellidos" => "Torres Salmerón" ] 3 => array:2 [ "nombre" => "Pascual" "apellidos" => "Parrilla Paricio" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X15001487" "doi" => "10.1016/j.ciresp.2015.04.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X15001487?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507715001891?idApp=UINPBA00004N" "url" => "/21735077/0000009300000007/v1_201510010740/S2173507715001891/v1_201510010740/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173507715002069" "issn" => "21735077" "doi" => "10.1016/j.cireng.2014.02.025" "estado" => "S300" "fechaPublicacion" => "2015-08-01" "aid" => "1309" "copyright" => "AEC" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Cir Esp. 2015;93:466-71" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 1165 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 840 "PDF" => 315 ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Comparative Analysis of Video-assisted Thoracic Surgery Versus Open Resection for Early-stage Thymoma" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "466" "paginaFinal" => "471" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Análisis comparativo del abordaje para el tratamiento del timoma estadio <span class="elsevierStyleSmallCaps">i-ii</span>: VATS versus abordaje convencional" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 480 "Ancho" => 642 "Tamanyo" => 53694 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Resection of perithymic fat from right cardiophrenic angle.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Triviño, Miguel Congregado, Jesús Loscertales, Fernando Cozar, Nathalie Pinos, Patricia Carmona, Rafael Jiménez-Merchán, Juan Carlos Girón-Arjona" "autores" => array:8 [ 0 => array:2 [ "nombre" => "Ana" "apellidos" => "Triviño" ] 1 => array:2 [ "nombre" => "Miguel" "apellidos" => "Congregado" ] 2 => array:2 [ "nombre" => "Jesús" "apellidos" => "Loscertales" ] 3 => array:2 [ "nombre" => "Fernando" "apellidos" => "Cozar" ] 4 => array:2 [ "nombre" => "Nathalie" "apellidos" => "Pinos" ] 5 => array:2 [ "nombre" => "Patricia" "apellidos" => "Carmona" ] 6 => array:2 [ "nombre" => "Rafael" "apellidos" => "Jiménez-Merchán" ] 7 => array:2 [ "nombre" => "Juan Carlos" "apellidos" => "Girón-Arjona" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X14001547" "doi" => "10.1016/j.ciresp.2014.02.021" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X14001547?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507715002069?idApp=UINPBA00004N" "url" => "/21735077/0000009300000007/v1_201510010740/S2173507715002069/v1_201510010740/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Complete Mammary Necrosis Due to Acenocoumarol" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "472" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Carmen Victoria Pérez-Guarinos, Maria Luisa García-García, Maria de los Ángeles Verdú-Fernández, Jose Luis Aguayo-Albasini" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Carmen Victoria" "apellidos" => "Pérez-Guarinos" "email" => array:1 [ 0 => "carvickypg@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Maria Luisa" "apellidos" => "García-García" ] 2 => array:2 [ "nombre" => "Maria de los Ángeles" "apellidos" => "Verdú-Fernández" ] 3 => array:2 [ "nombre" => "Jose Luis" "apellidos" => "Aguayo-Albasini" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía General, Hospital Morales Meseguer, Murcia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Necrosis mamaria completa por acenocumarol" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 856 "Ancho" => 995 "Tamanyo" => 164234 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">An 81-year-old woman presented with hypotension, paleness and spontaneous hematoma on the right breast. The patient's medical history included degenerative aortic and mitral valve disease treated with biologic aortic prosthesis, untreated moderate mitral stenosis, and paroxysmal atrial fibrillation, for which she received anticoagulant therapy with acenocoumarol. Lab work showed: Hb 7.9<span class="elsevierStyleHsp" style=""></span>mg/dL, 14,200 leukocytes (82% neutrophils) and INR 12.58. Upon examination, infected necrosis was identified in the right breast, which was suppurative and foul-smelling (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). We debrided the necrotic tissue and took samples for culture (result: <span class="elsevierStyleItalic">Enterobacter cloacae</span> and <span class="elsevierStyleItalic">Corynebacterium</span> spp.). Despite aggressive medical/surgical management, the patient developed multiple organ failure with fatal outcome.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Pérez-Guarinos CV, García-García ML, Verdú-Fernández MÁ, Aguayo-Albasini JL. Necrosis mamaria completa por acenocumarol. Cir Esp. 2015;93:466.</p>" ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 856 "Ancho" => 995 "Tamanyo" => 164234 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009300000007/v1_201510010740/S217350771500188X/v1_201510010740/en/main.assets" "Apartado" => array:4 [ "identificador" => "22956" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009300000007/v1_201510010740/S217350771500188X/v1_201510010740/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217350771500188X?idApp=UINPBA00004N" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 October | 5 | 2 | 7 |
| 2024 September | 15 | 2 | 17 |
| 2024 August | 11 | 5 | 16 |
| 2024 July | 10 | 2 | 12 |
| 2024 June | 10 | 3 | 13 |
| 2024 May | 9 | 2 | 11 |
| 2024 April | 13 | 2 | 15 |
| 2024 March | 18 | 4 | 22 |
| 2024 February | 10 | 5 | 15 |
| 2024 January | 15 | 1 | 16 |
| 2023 December | 12 | 1 | 13 |
| 2023 November | 6 | 3 | 9 |
| 2023 October | 29 | 3 | 32 |
| 2023 September | 12 | 1 | 13 |
| 2023 August | 9 | 1 | 10 |
| 2023 July | 25 | 3 | 28 |
| 2023 June | 17 | 2 | 19 |
| 2023 May | 17 | 2 | 19 |
| 2023 April | 9 | 0 | 9 |
| 2023 March | 11 | 2 | 13 |
| 2023 February | 9 | 5 | 14 |
| 2023 January | 8 | 10 | 18 |
| 2022 December | 24 | 3 | 27 |
| 2022 November | 14 | 10 | 24 |
| 2022 October | 14 | 9 | 23 |
| 2022 September | 14 | 8 | 22 |
| 2022 August | 11 | 7 | 18 |
| 2022 July | 12 | 7 | 19 |
| 2022 June | 9 | 5 | 14 |
| 2022 May | 9 | 5 | 14 |
| 2022 April | 20 | 8 | 28 |
| 2022 March | 21 | 5 | 26 |
| 2022 February | 22 | 6 | 28 |
| 2022 January | 22 | 6 | 28 |
| 2021 December | 36 | 9 | 45 |
| 2021 November | 20 | 5 | 25 |
| 2021 October | 31 | 14 | 45 |
| 2021 September | 29 | 10 | 39 |
| 2021 August | 33 | 6 | 39 |
| 2021 July | 25 | 14 | 39 |
| 2021 June | 28 | 11 | 39 |
| 2021 May | 18 | 7 | 25 |
| 2021 April | 22 | 8 | 30 |
| 2021 March | 16 | 9 | 25 |
| 2021 February | 10 | 6 | 16 |
| 2021 January | 12 | 7 | 19 |
| 2020 December | 9 | 6 | 15 |
| 2020 November | 12 | 3 | 15 |
| 2020 October | 14 | 1 | 15 |
| 2020 September | 12 | 9 | 21 |
| 2020 August | 18 | 9 | 27 |
| 2020 July | 19 | 13 | 32 |
| 2020 June | 18 | 6 | 24 |
| 2020 May | 12 | 8 | 20 |
| 2020 April | 12 | 7 | 19 |
| 2020 March | 10 | 4 | 14 |
| 2020 February | 8 | 3 | 11 |
| 2020 January | 7 | 8 | 15 |
| 2019 December | 13 | 9 | 22 |
| 2019 November | 9 | 2 | 11 |
| 2019 October | 2 | 4 | 6 |
| 2019 September | 7 | 5 | 12 |
| 2019 August | 6 | 6 | 12 |
| 2019 July | 6 | 15 | 21 |
| 2019 June | 25 | 12 | 37 |
| 2019 May | 76 | 48 | 124 |
| 2019 April | 21 | 9 | 30 |
| 2019 March | 4 | 2 | 6 |
| 2019 February | 10 | 6 | 16 |
| 2019 January | 10 | 2 | 12 |
| 2018 December | 11 | 3 | 14 |
| 2018 November | 12 | 3 | 15 |
| 2018 October | 26 | 5 | 31 |
| 2018 September | 5 | 2 | 7 |
| 2018 August | 6 | 0 | 6 |
| 2018 July | 10 | 3 | 13 |
| 2018 June | 5 | 0 | 5 |
| 2018 May | 6 | 2 | 8 |
| 2018 April | 2 | 0 | 2 |
| 2018 March | 16 | 1 | 17 |
| 2018 February | 9 | 1 | 10 |
| 2018 January | 14 | 1 | 15 |
| 2017 December | 9 | 0 | 9 |
| 2017 November | 7 | 1 | 8 |
| 2017 October | 4 | 0 | 4 |
| 2017 September | 10 | 1 | 11 |
| 2017 August | 16 | 2 | 18 |
| 2017 July | 15 | 1 | 16 |
| 2017 June | 28 | 5 | 33 |
| 2017 May | 3 | 1 | 4 |
| 2017 April | 17 | 0 | 17 |
| 2017 March | 14 | 35 | 49 |
| 2017 February | 6 | 1 | 7 |
| 2017 January | 11 | 1 | 12 |
| 2016 December | 16 | 5 | 21 |
| 2016 November | 24 | 2 | 26 |
| 2016 October | 48 | 7 | 55 |
| 2016 September | 39 | 8 | 47 |
| 2016 August | 29 | 2 | 31 |
| 2016 July | 28 | 3 | 31 |
| 2016 June | 39 | 13 | 52 |
| 2016 May | 40 | 7 | 47 |
| 2016 April | 14 | 10 | 24 |
| 2016 March | 25 | 14 | 39 |
| 2016 February | 19 | 8 | 27 |
| 2016 January | 22 | 8 | 30 |
| 2015 December | 35 | 10 | 45 |
| 2015 November | 18 | 6 | 24 |
| 2015 October | 3 | 1 | 4 |
Show all
