Compartir
array:24 [ "pii" => "S0025775315002146" "issn" => "00257753" "doi" => "10.1016/j.medcli.2015.04.003" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3288" "copyright" => "Elsevier España, S.L.U.. Todos los derechos reservados" "copyrightAnyo" => "2015" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:556" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 494 "formatos" => array:2 [ "HTML" => 19 "PDF" => 475 ] ] "Traduccion" => array:1 [ "en" => array:19 [ "pii" => "S2387020616300547" "issn" => "23870206" "doi" => "10.1016/j.medcle.2016.04.032" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3288" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:556" "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 week</span>" "titulo" => "Sacral rib" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "556" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Costilla sacra" ] ] "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" => 683 "Ancho" => 995 "Tamanyo" => 129428 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Gerard Carbo, Elda Balliu, Pedro Ortuño, Isabel Pelaez" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Gerard" "apellidos" => "Carbo" ] 1 => array:2 [ "nombre" => "Elda" "apellidos" => "Balliu" ] 2 => array:2 [ "nombre" => "Pedro" "apellidos" => "Ortuño" ] 3 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pelaez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0025775315002146" "doi" => "10.1016/j.medcli.2015.04.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002146?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300547?idApp=UINPBA00004N" "url" => "/23870206/0000014500000012/v1_201605120032/S2387020616300547/v1_201605120032/en/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S0025775315002237" "issn" => "00257753" "doi" => "10.1016/j.medcli.2015.04.011" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3297" "copyright" => "Elsevier España, S.L.U." "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Med Clin. 2015;145:e41" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 510 "formatos" => array:2 [ "HTML" => 15 "PDF" => 495 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen de la semana</span>" "titulo" => "Síndrome de Nicolau tras inyección de acetato de glatirámero" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "e41" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Nicolau syndrome after glatiramer acetate injection" ] ] "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" => 1055 "Ancho" => 1585 "Tamanyo" => 153760 ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alejandro Lobato-Berezo, Marcela Martínez-Pérez, Adrián Imbernón-Moya, Miguel Ángel Gallego-Valdés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Alejandro" "apellidos" => "Lobato-Berezo" ] 1 => array:2 [ "nombre" => "Marcela" "apellidos" => "Martínez-Pérez" ] 2 => array:2 [ "nombre" => "Adrián" "apellidos" => "Imbernón-Moya" ] 3 => array:2 [ "nombre" => "Miguel Ángel" "apellidos" => "Gallego-Valdés" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020616300559" "doi" => "10.1016/j.medcle.2016.04.033" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300559?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002237?idApp=UINPBA00004N" "url" => "/00257753/0000014500000012/v1_201512060029/S0025775315002237/v1_201512060029/es/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S0025775315002134" "issn" => "00257753" "doi" => "10.1016/j.medcli.2015.04.002" "estado" => "S300" "fechaPublicacion" => "2015-12-21" "aid" => "3287" "copyright" => "Elsevier España, S.L.U." "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Med Clin. 2015;145:e39-40" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 567 "formatos" => array:2 [ "HTML" => 5 "PDF" => 562 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Editor</span>" "titulo" => "Presentación atípica y diagnóstico tardío en un caso de déficit primario de ácidos biliares" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "e39" "paginaFinal" => "e40" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Atypical presentation and delayed diagnosis in a case of primary bile acid synthesis disorder" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Cristina Garfia Castillo, Javier Manzanares López-Manzanares, M. Teresa García Silva" "autores" => array:3 [ 0 => array:2 [ "nombre" => "Cristina" "apellidos" => "Garfia Castillo" ] 1 => array:2 [ "nombre" => "Javier" "apellidos" => "Manzanares López-Manzanares" ] 2 => array:2 [ "nombre" => "M. Teresa" "apellidos" => "García Silva" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2387020616300535" "doi" => "10.1016/j.medcle.2016.04.031" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616300535?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002134?idApp=UINPBA00004N" "url" => "/00257753/0000014500000012/v1_201512060029/S0025775315002134/v1_201512060029/es/main.assets" ] "es" => array:12 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Imagen de la semana</span>" "titulo" => "Costilla sacra" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "556" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Gerard Carbo, Elda Balliu, Pedro Ortuño, Isabel Pelaez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Gerard" "apellidos" => "Carbo" "email" => array:1 [ 0 => "gercarbo@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Elda" "apellidos" => "Balliu" ] 2 => array:2 [ "nombre" => "Pedro" "apellidos" => "Ortuño" ] 3 => array:2 [ "nombre" => "Isabel" "apellidos" => "Pelaez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Radiología, Institut d’Investigació Biomèdica de Girona (IDIBGI), Institut de Diagnòstic per la Imatge (IDI), Hospital Universitario Dr. Josep Trueta, Girona, España" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Sacral rib" ] ] "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" => 1138 "Ancho" => 1658 "Tamanyo" => 235672 ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Varón de 36 años con clínica de cólico nefrítico derecho asociado a fiebre, leucocitosis, parámetros inflamatorios elevados y alteración de la función renal. La radiografía abdominal (<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>a) mostró varias imágenes radioopacas en la fosa renal derecha indicativas de litiasis renales. Así mismo, se identificó una estructura ósea alargada con aspecto digitiforme dependiente de la porción media y lateral izquierda del sacro. El estudio de TC abdominal (corte axial oblicuo de la pelvis en ventana de partes blandas [<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>b] y reconstrucción volumétrica en 3D [<a class="elsevierStyleCrossRef" href="#fig0005">fig. 1</a>c]) mostró la <span class="elsevierStyleItalic">costilla sacra</span>, de unos 100<span class="elsevierStyleHsp" style=""></span>mm de longitud, originada del ángulo inferolateral izquierdo de S4. Esta presentaba un trayecto descendente oblicuo pasando por detrás de la porción isquiática del acetábulo izquierdo, siguiendo un trayecto anterior y paralelo al glúteo mayor y contactando con el músculo gémino inferior (asterisco) y el tendón del obturador interno (+) homolaterales, con compromiso del trayecto del nervio ciático (cabezas de flecha) a este nivel.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1138 "Ancho" => 1658 "Tamanyo" => 235672 ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/00257753/0000014500000012/v1_201512060029/S0025775315002146/v1_201512060029/es/main.assets" "Apartado" => array:4 [ "identificador" => "64289" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Imágenes médicas" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00257753/0000014500000012/v1_201512060029/S0025775315002146/v1_201512060029/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775315002146?idApp=UINPBA00004N" ]
