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1
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Retroperitoneal hematoma - a rare complication after cervical conization because of cervicoisthmic arteriovenous malformation: a case report

100%
Habek D., Turudić T.
Open Medicine
|
2011
|
vol. 6
|
issue 6
710-712
EN
A rare case is presented concerning retroperitoneal hemorrhage in a 28-year-old patient after a cold knife conization and cervical suture reconstruction. Arteriovenous cervicoisthmic malformation is a risk factor that was identified in a hysterectomy sample.
2
Content available remote

Pseudoacute abdomen in female caused by haematometrocolpos and haematosalpinx because hymen imperforatus: diagnosis and therapy of imperforate hymen

81%
Erman-Vlahović M., Habek D., Vlahović I., Bobić M.
Open Medicine
|
2007
|
vol. 2
|
issue 3
351-355
EN
We present a case of atresia hymenalis in a 12.5 year old female who was admitted to gynecological emergency with a history of severe lower abdominal pains over the course of a few months. Provided are clinical pictures of the “Pseudoacute abdomen”. Upon clinical examination, we found blue, shiny, bulging and imperforated hymen. An abdominal mass was palpated in the vicinity of the navel. Transabdominal ultrasound demonstrated mass filled with thick liquid. “Mercedes hymenal incision” was performed in general anaesthesia. About 1.2 litre of dark, thick blood was removed. Postoperative course was uneventful. The two years of follow-up were characterized with regular psychomotoric development for the age with regular menstrual cycles.
3
Content available remote

Possible feto-maternal clinical risk of the Kristeller’s expression

81%
Habek D., Vuković Bobić M., Hrgović Z.
Open Medicine
|
2008
|
vol. 3
|
issue 2
183-186
EN
The aim of this clinical case study is evaluation of possible intrapartal complication of the uncritical Kristeller’s expression. In this retrospective clinical study, data on seven parturients with significant maternal or fetal intrapartum complications during the second labor stage and Kristeller expression, associated with the maneuver, were analyzed. Data was obtained from patient files: history of delivery delivery room protocol and neonatal reports from two tertiary maternal wards. There were five uterine ruptures that were treated by laparotomy and uterine sutures. Atypical rupture location on the uterine fundus occurred in one case, isthmus rupture in three cases, and rupture of the scar left after a previous cesarean section as a potential risk factor for uterine rupture in one case. Complex uterine cervicoisthmic rupture with incomplete colporrhexis occurred during the delivery of a macrosomic child at an outpatient ward. In one case, unilateral fracture of the tenth and eleventh ribs resolved spontaneously without complications. One case of peripartum trauma, possibly associated with extensive expression was observed in one neonates: cutaneous and subcutaneous hematoma on the back with traumatic unilateral adrenal hemorrhage. Both newborns were monitored, successfully treated, and discharged from the hospital free from complications. In conclusion, in the obstetrics as a high risk profession, a very critical approach should be exercised on choosing this maneuver, which should be reserved for the rare and strictly indicated cases, thereby strictly following the professional rules to avoid generally unnecessary and unpleasant litigation and forensic expertise.
4
Content available remote

Acute abdomen due to bladder perforation in a patient with multiple sclerosis

81%
Habek D., Pavelić-Turudić T., Vukelić M., Mazul-Sunko B.
Open Medicine
|
2013
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vol. 8
|
issue 3
362-363
EN
The authors presented a case report of the acute abdomen with pelvic abscess because bladder perforation in a 21-year-old patient with multiple sclerosis and intermittent catheterization of the urinary bladder.
5
Content available remote

Intrapartal posterior cervicoisthmic uterine rupture

81%
Petrović D., Habek D., Vuković-Bobić M., Vlahović I.
Open Medicine
|
2008
|
vol. 3
|
issue 3
374-376
EN
A case is presented of complete intrapartal rupture of an intact, nonscarred uterus in the cervicoisthmic region in a quadripara without a history of cesarean section or other uterine operation, with dorsoposterior high longitudinal fetal head position.
6
Content available remote

Sudden infant death syndrome and perinatal risk factors

71%
Rožman A., Habek D., Brajnović S., Horvatić E., Jurković I.
Open Medicine
|
2014
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vol. 9
|
issue 2
217-222
7
Content available remote

Ruptured ovarian metastatic malignant melanoma caused acute abdomen

71%
Habek D., Marton I., Bauman R., Prka M., Bobić M.
|
EN
Ovarian metastatic malignant melanoma is a rare form of disseminated malignant melanoma. We present a rare case of acute abdomen due to rupture of ovarian metastatic malignant melanoma seven years after removal of a primary cutaneous malignant melanoma lesion, followed by reexcision of the cicatrix and axillary dissection (Clark III, Breslow IV), one year after osteoplastic parietal craniotomy for removal of recidiv metastatic lesions, and excision of the cutaneous malignant melanoma lesion on the upper leg were performed. During laparotomy because of acute abdomen, 4 L of free liquid (blood and ascites) were evacuated. The right adnexal mass was loose tumor, size 110x75 mm, with rupture on the posterior wall and hemorrhage. Unilateral adnexectomy was performed. Pathohystologic evaluation revealed tumor cells with eosinophilic, clear cytoplasm, intracytoplasmatic melanotic pigment and a great number of mitosis.Immunohistochemical results supported positivity for protein S-100, whereas results for cytoceratin 7, cytoceratin 20, pancytoceratin, epithelial membrane antigen and HMB-45 were negative. Three months after the surgery the patient died due to disseminated cerebral melanoma. An adnexal mass and the history of previous MM should be suspected to be ovarian metastatic malignant melanoma and the patient should be seen by gynecologist at least for active treatment.
8
Content available remote

Refractory shoulder dystocia in term macrosomic newborn with verified complete meningoencephalomyelocele

61%
Habek D., Horvat G., Kulaš T., Janiška I., Stanojević M., Bauman R., Hafner T.
Open Medicine
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2008
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vol. 3
|
issue 1
115-117
EN
The authors presented the birth course, in a primiparous woman with complicated, refractory, high shoulder dystocia, of a macrosomic term-born malformed child (4400/54) with complete occipital meningoencephalomyelocele and microcephaly. After head delivery, high shoulder dystocia occurred that could not be resolved with neither the McRoberts or Resnik maneuver nor with the Woods and Barnum maneuvers, despite recurred tries. Only on third attempt with the Barnum maneuver was the posterior arm released with hand traction, followed by the whole body of the macrosomic baby. The child was transferred to the Neurosurgery department where operative correction was performed, and after the intervention the child died because of respiratory insufficiency. Due to the strict parental decision on pregnancy continuation and prohibition of any obstetric interventions during delivery, unborn child and parturient, as well as the obstetric team, were put into high professional, forensic and ethical risk.
9
Content available remote

Giant vulvar pendulated lypoma in patients with endometrial adenocarcinoma and inoperated giant ventral hernia

61%
Habek D., Gverić T., Barić M., Smiljanić M., Prka M., Tomica D.
Open Medicine
|
2014
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vol. 9
|
issue 2
223-225
EN
A case is presented of a operated giant pedunculated vulvar lipoma weighing 14 kg in a patient with concomitant inoperable giant ventral postoperative hernia, complete diastasis of the anterior abdominal wall musculature and endometrial adenocarcinoma.
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