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"documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Gastroenterol Hepatol. 2022;45:708-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Primary retroperitoneal amyloidosis – A challenging diagnostic" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "708" "paginaFinal" => "709" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Amiloidosis retroperitoneal primaria – Un desafío diagnóstico" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 979 "Ancho" => 1405 "Tamanyo" => 173111 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Axial-view computed tomography (A, unenhanced phase; B, arterial phase; C, portal phase; D, bone window) showing irregular massive thickening with calcification in the retroperitoneum (arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Claudia-Gabriela Moldovanu, Thibaut Zver" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Claudia-Gabriela" "apellidos" => "Moldovanu" ] 1 => array:2 [ "nombre" => "Thibaut" "apellidos" => "Zver" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570521002442?idApp=UINPBA00004N" "url" => "/02105705/0000004500000009/v1_202211031708/S0210570521002442/v1_202211031708/en/main.assets" ] "en" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image of the month</span>" "titulo" => "Floating membranes in PAIR" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "710" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Moinak Sen Sarma, Surender Kumar Yachha" "autores" => array:2 [ 0 => array:4 [ "nombre" => "Moinak" "apellidos" => "Sen Sarma" "email" => array:1 [ 0 => "moinaksen@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Surender Kumar" "apellidos" => "Yachha" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Membranas flotantes visualizadas durante PAIR" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 544 "Ancho" => 1250 "Tamanyo" => 84730 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed tomography showing large cyst in liver with water-lily sign (arrow) and areas of central hypoattentuation (daughter cysts). (B) PAIR procedure showing floating membranes (arrow).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Visualisation of hydatid membranes in a liver cyst during intervention is a rare image. We present a 10 year old boy presented with progressively enlarging lump in right hypochondrium with intermittent fever for last 4 years. Serology and computed tomography (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) were suggestive of liver echinococcosis (water-lily sign). The patient was a candidate for PAIR (puncture, aspiration, injection and re-aspiration) procedure. A whirl of floating membranes were seen during the aspiration phase (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Scoleces were visible on microscopic examination of the fluid. 300<span class="elsevierStyleHsp" style=""></span>ml of 20% hypertonic saline was injected. Patient responded to the radiological intervention and 3 months of oral albendazole therapy. He remains asymptomatic till 60 months follow-up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 544 "Ancho" => 1250 "Tamanyo" => 84730 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Computed tomography showing large cyst in liver with water-lily sign (arrow) and areas of central hypoattentuation (daughter cysts). (B) PAIR procedure showing floating membranes (arrow).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/02105705/0000004500000009/v1_202211031708/S0210570521002223/v1_202211031708/en/main.assets" "Apartado" => array:4 [ "identificador" => "93594" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imágenes del mes" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/02105705/0000004500000009/v1_202211031708/S0210570521002223/v1_202211031708/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210570521002223?idApp=UINPBA00004N" ]
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