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Revista SPMI CaseReports

Informações para nos contactar, mapa e direções, formulário para nos contactar, horário de funcionamento, serviços, classificações, fotos, vídeos e anúncios de Revista SPMI CaseReports, Revista, Rua. Tobis Portuguesa nº8 – 2º sala 7, Lisbon.

A SPMI Case Reports é a revista da Sociedade Portuguesa de Medicina Interna para publicação de casos clínicos e imagens. É uma revista “peer-reviewed”, de acesso livre e indexada na RCCAP.

24/08/2026

📢 𝗢𝘂𝗿 𝗟𝗮𝘁𝗲𝘀𝘁 𝗘𝗱𝗶𝘁𝗶𝗼𝗻 𝗜𝘀 𝗛𝗲𝗿𝗲!
We’re delighted to share the latest edition of SPMI Case Reports, bringing together a diverse collection of challenging cases, rare presentations, and thought-provoking clinical insights across Internal Medicine. 🩺
💡 Also featured is an editorial exploring the evolving landscape of scientific communication with AI.
📖 Discover the full edition and explore the cases!
👉 Read, share, and stay connected with SPMI Case Reports as we continue bringing clinical knowledge and discussion to our community.

29/06/2026

⏳𝗜𝘀𝗰𝗵𝗲𝗺𝗶𝗰 𝗖𝗵𝗼𝗹𝗮𝗻𝗴𝗶𝗼𝗽𝗮𝘁𝗵𝘆 𝗣𝗼𝘀𝘁 𝗟𝗶𝘃𝗲𝗿 𝗧𝗿𝗮𝗻𝘀𝗽𝗹𝗮𝗻𝘁𝗮𝘁𝗶𝗼𝗻: 𝗔 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗖𝗮𝘀𝗲
https://casereports.spmi.pt/index.php/cr/article/view/569

⚠️ When a Successful Liver Transplant Is Not the End of the Story
Ischemic cholangiopathy remains a challenging complication after liver transplantation, with potentially devastating consequences despite appropriate management. This case highlights the insidious nature of ischemic cholangiopathy, which may progress silently before presenting with advanced disease, underscoring the importance of early recognition and timely referral.
👉 Read and share this important contribution to our special issue on vascular liver diseases.

10/06/2026

🧩 𝗧𝗵𝗲 𝗠𝗼𝗺𝗲𝗻𝘁 𝗛𝗩𝗣𝗚 𝗖𝗵𝗮𝗻𝗴𝗲𝗱 𝗼𝘂𝗿 𝗠𝗶𝗻𝗱: 𝗥𝗼𝗹𝗲 𝗼𝗳 𝗟𝗶𝘃𝗲𝗿 𝗛𝗲𝗺𝗼𝗱𝘆𝗻𝗮𝗺𝗶𝗰𝘀 𝗶𝗻 𝗩𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗟𝗶𝘃𝗲𝗿 𝗗𝗶𝘀𝗲𝗮𝘀𝗲
https://casereports.spmi.pt/index.php/cr/article/view/566

🔎 This case follows a 61-year-old man with variceal bleeding, imaging suggestive of cirrhosis, and portal vein thrombosis. However, unexpectedly low liver stiffness and hepatic venous pressure measurements raised important diagnostic questions.
📊 Further investigation, including liver biopsy, revealed porto-sinusoidal vascular disorder (PSVD) rather than cirrhosis, illustrating how careful interpretation of elastography and hemodynamic data can fundamentally change the diagnosis.
💭 A valuable reminder that, even in patients with multiple potential liver disease risk factors, the cause of portal hypertension should never be assumed.
👉 Read and share this instructive case highlighting the importance of looking beyond the obvious in vascular liver disease.

09/06/2026

🧬 𝗖𝗼𝗺𝗽𝗹𝗲𝘅 𝗜𝗻𝘁𝗿𝗮𝗵𝗲𝗽𝗮𝘁𝗶𝗰 𝗩𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗦𝗵𝘂𝗻𝘁𝘀 𝗶𝗻 𝗛𝗲𝗿𝗲𝗱𝗶𝘁𝗮𝗿𝘆 𝗛𝗲𝗺𝗼𝗿𝗿𝗵𝗮𝗴𝗶𝗰 𝗧𝗲𝗹𝗮𝗻𝗴𝗶𝗲𝗰𝘁𝗮𝘀𝗶𝗮: 𝗙𝗿𝗼𝗺 𝗣𝗼𝗿𝘁𝗮𝗹 𝗛𝘆𝗽𝗲𝗿𝘁𝗲𝗻𝘀𝗶𝗼𝗻 𝘁𝗼 𝗛𝗶𝗴𝗵-𝗢𝘂𝘁𝗽𝘂𝘁 𝗖𝗮𝗿𝗱𝗶𝗮𝗰 𝗙𝗮𝗶𝗹𝘂𝗿𝗲
https://casereports.spmi.pt/index.php/cr/article/view/557

Hereditary haemorrhagic telangiectasia (HHT) is a rare vascular disorder that can lead to complex hepatic vascular malformations with significant clinical consequences.
🔶 In this case, a 64-year-old man with genetically confirmed HHT developed symptomatic intrahepatic shunts, resulting in portal hypertension, recurrent gastrointestinal bleeding, and high-output cardiac failure.
💡 Treatment with bevacizumab provided temporary clinical improvement, but disease progression was ultimately marked by refractory ascites, severe malnutrition, sarcopenia, and increasing frailty.
📖 This case highlights the diverse manifestations of hepatic involvement in HHT, the potential role of antiangiogenic therapy, and the importance of considering nutritional status and frailty when making complex management decisions.

01/06/2026

🏆 𝗖𝗲𝗹𝗲𝗯𝗿𝗮𝘁𝗶𝗻𝗴 𝗘𝘅𝗰𝗲𝗹𝗹𝗲𝗻𝗰𝗲 𝗶𝗻 𝗦𝗣𝗠𝗜 𝗖𝗮𝘀𝗲 𝗥𝗲𝗽𝗼𝗿𝘁𝘀 𝟮𝟬𝟮𝟱 🏆
We are proud to announce and recognize outstanding contributions to clinical knowledge, scientific excellence, and editorial dedication to SPMI Case Reports in 2025!

✨ 𝗕𝗲𝘀𝘁 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗖𝗮𝘀𝗲 𝟮𝟬𝟮𝟱
Scrotal Ulcer Due to Lenvatinib During Treatment of Unresectable Hepatocellular Carcinoma || Cecília Moreira, Luís Rocha, Olga Pires, Inês Ferreira Pinho, Jose Presa Ramos
https://casereports.spmi.pt/index.php/cr/article/view/328

🖼️ 𝗕𝗲𝘀𝘁 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗜𝗺𝗮𝗴𝗲 𝟮𝟬𝟮𝟱
From Bone to Tone: Paget’s Disease of the Skull || Rosélia Lima, Guilherme Jesus, Pedro Magalhães
https://casereports.spmi.pt/index.php/cr/article/view/481

📚 𝗥𝗲𝘃𝗶𝗲𝘄𝗲𝗿 𝗼𝗳 𝘁𝗵𝗲 𝗬𝗲𝗮𝗿 𝟮𝟬𝟮𝟱
Daniel Guimarães de Oliveira

These distinctions celebrate the commitment to advancing Internal Medicine through high-quality case reporting, remarkable clinical insight, and rigorous peer review.
👏 Congratulations to all awardees for their exceptional contributions to the scientific and medical community.
Thank you for helping make SPMI Case Reports a growing reference in clinical case discussion and medical education.

28/05/2026

🛰️ 𝗜𝗺𝗮𝗴𝗶𝗻𝗴 “𝗠𝗶𝗻𝗶-𝗔𝘁𝗹𝗮𝘀” 𝗼𝗳 𝗩𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗟𝗶𝘃𝗲𝗿 𝗗𝗶𝘀𝗲𝗮𝘀𝗲𝘀
Seeing Beyond Cirrhosis: The Imaging Clues of Vascular Liver Disease
https://casereports.spmi.pt/index.php/cr/article/view/560

🔍 Vascular liver diseases are rare but important causes of non-cirrhotic portal hypertension, often mimicking cirrhosis in both clinical and radiological presentation. This article explores the central role of imaging in identifying these disorders, highlighting how ultrasound, CT, and MRI provide crucial insights into vascular patency, perfusion changes, and characteristic morphological patterns.
📡 Understanding these imaging signatures is essential for accurate diagnosis, avoiding misclassification, and ensuring appropriate management.
👉 A valuable read for clinicians and radiologists navigating the complexities of vascular liver disease. Read and share with colleagues interested in hepatology and diagnostic imaging.

27/05/2026

🫄 𝗩𝗮𝘀𝗰𝘂𝗹𝗮𝗿 𝗟𝗶𝘃𝗲𝗿 𝗗𝗶𝘀𝗲𝗮𝘀𝗲𝘀 𝗮𝗻𝗱 𝗣𝗼𝗿𝘁𝗮𝗹 𝗛𝘆𝗽𝗲𝗿𝘁𝗲𝗻𝘀𝗶𝗼𝗻 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗶𝗻 𝗣𝗿𝗲𝗴𝗻𝗮𝗻𝗰𝘆: 𝗔 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗖𝗮𝘀𝗲
https://casereports.spmi.pt/index.php/cr/article/view/568

💠Pregnancy in women with portal hypertension presents significant maternal and fetal challenges, requiring careful multidisciplinary management and individualized risk assessment. In this remarkable case, a woman with porto-sinusoidal vascular disorder and portal vein thrombosis developed severe variceal bleeding during pregnancy, refractory to endoscopic treatment. A TIPS procedure was successfully performed, allowing the pregnancy to continue safely and resulting in the delivery of a healthy infant at 38 weeks.
✨ This case highlights the evolving role of interventional management in complex vascular liver disease during pregnancy and the importance of balancing thrombotic and hemorrhagic risks.
⚕️ Read and share this inspiring report of successful maternal and fetal outcomes in a highly challenging clinical scenario.

22/05/2026

🩺𝗦𝘂𝗯-𝗔𝗰𝘂𝘁𝗲 𝗕𝘂𝗱𝗱-𝗖𝗵𝗶𝗮𝗿𝗶 𝗦𝘆𝗻𝗱𝗿𝗼𝗺𝗲
https://casereports.spmi.pt/index.php/cr/article/view/572

A 53-year-old woman presented with abdominal pain and ascites; imaging revealed classic features of Budd–Chiari syndrome, while further investigation uncovered an underlying JAK2-positive prefibrotic myelofibrosis.
🌪️ This case highlights how vascular liver disease may be the first clue to an occult prothrombotic disorder and reinforces the importance of a multidisciplinary diagnostic approach. From portal hypertension to thromboembolic complications, managing these patients requires careful long-term follow-up and individualized treatment strategies.
📌 Read and share this insightful case exploring the complex intersection between liver and hematological disease.

21/05/2026

🩸 𝗣𝗼𝗿𝘁𝗮𝗹 𝗩𝗲𝗶𝗻 𝗧𝗵𝗿𝗼𝗺𝗯𝗼𝘀𝗶𝘀 𝗶𝗻 𝗖𝗶𝗿𝗿𝗵𝗼𝘀𝗶𝘀: 𝗖𝗵𝗮𝗹𝗹𝗲𝗻𝗴𝗲𝘀 𝗶𝗻 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 𝗮𝗻𝗱 𝗔𝗽𝗽𝗿𝗼𝗮𝗰𝗵, 𝗮 𝗖𝗮𝘀𝗲 𝗥𝗲𝗽𝗼𝗿𝘁
https://casereports.spmi.pt/index.php/cr/article/view/567

Portal vein thrombosis (PVT) is a frequent and challenging complication in cirrhotic patients, particularly in advanced disease and liver transplantation candidates. While anticoagulation may improve outcomes, balancing thrombotic benefit against bleeding risk remains a major clinical challenge.
📌 A striking example of the complexity of decision-making in vascular liver disease and the importance of individualized, multidisciplinary management.
👉 Read, reflect, and share with colleagues interested in hepatology and Internal Medicine.

30/04/2026

📚 𝗧𝗛𝗜𝗦 𝗜𝗦 𝗢𝗡𝗘 𝗙𝗢𝗥 𝗧𝗛𝗘 𝗕𝗢𝗢𝗞𝗦
Now Available: Histopathological Atlas of Vascular Liver Disorders
https://casereports.spmi.pt/index.php/cr/article/view/571

We’re proud to share this comprehensive atlas featured in our latest special issue, dedicated to vascular liver diseases. Bringing together detailed histopathological insights and high-quality images, this work is an essential resource for understanding the complexity and diversity of these conditions.

👩‍⚕️ A valuable tool for clinicians, pathologists, and trainees alike - bridging histopathology with clinical practice.
📌 Stay tuned as we highlight key articles from this special edition!
👉 Explore, read, and share with your colleagues!

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