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Prenatally diagnosed fetal omphalocele at 11 week gestation - a case report

100%
Protrka Z., Dimitrijevic A., Kastratovic T., Djuric J., Arsenijevic P., Novakovic T., Milosavljevic M.
Open Medicine
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2013
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vol. 8
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issue 4
431-433
EN
Omphalocele is the most common congenital defect of the abdominal wall and in a large percentage of cases it is associated with chromosomal anomalies. In this case report during the regular ultrasound examination at 11 weeks of gestation, omphalocela, whose scope was 90% of fetal abdomen, was diagnosed. Karyotype analysis showed the presence of chromosomal aberrations 47 XX + 18 (Edwards syndrome). After the presentation of the severity of congenital anomalies and characteristic of the Edwards syndrome patient decided to terminate the pregnancy.
2
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A rare case of coexistent intralobar and extralobar pulmonary sequestration

100%
Arsenijevic M., Mitrovic S., Milosavljevic M., Petrovic M., Djurdjevic P., Milisavljevic S.
Open Medicine
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2013
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vol. 8
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issue 1
103-106
EN
In the pathology of respiratory tract, sequestration presents as a non-functional lung tissue with no communication with tracheobronchial tree. It represents a rare congenital bronchopulmonary and vascular malformation, which occurs at a frequency of 0.1 to 6%. Intralobar and extralobar sequestrations are extremely rare congenital anomalies, especially if they occur at the same time in a patient. Proper diagnosis and appropriate surgical therapy, in the absence of associated anomalies, provide an excellent prognosis. In this paper, we are describing the simultaneous presence of intralobar sequestration (ILS) in the lower lobe of the left lung and extralobar sequestration (ELS) which is positioned on the aortic arch, in a 53 years old man. Two years post surgery, there is no recurrence or any patomorphological and functional disorders in the respiratory tract.
3
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Synovial sarcoma of carotid space

100%
Krstic V., Milosavljevic M., Mitrovic S., Azanjac G., Knezevic M., Konstantinovic V., Nedovic J.
Open Medicine
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2012
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vol. 7
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issue 4
497-502
EN
Synovial sarcomas are malignant tumors of mesenchymal origin, extremely rarely located in the area of the head and neck. Histologically they can be monophasic, biphasic or poorly differentiated with numerous differential diagnostic dilemmas. A 54-year-old male with synovial sarcoma of the carotid space is presented. The patient refused suggested postoperative radiotherapy and, nine months after the primary surgery, local relapse was verified. Following surgical resection of the local relapse, postoperative radiotherapy treatment was utilized. Ten months after the second surgery, secondary deposits in the lungs were radiographically confirmed, and local recurrence was noticed again. Treatment was continued with symptomatic therapy and eleven months later patient died. Synovial sarcomas of the carotid space are extremely rare, with complex surgical approaches and pathohistological differential diagnostic dilemmas. Diagnosis requires determination of the immunophenotype of the tumor cells, whereas therapy requires an aggressive surgical approach and postoperative radiotherapy.
4
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Jejunogastric intussusception as complication of gastric surgery

100%
Canovic D., Mitrovic S., Radovanovic D., Milosavljevic M., Zivic Z., Lazić D.
Open Medicine
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2012
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vol. 7
|
issue 1
30-33
EN
Intussusception in adults is a very rare entity that occurs in only 5% of all intestinal obstructions. Most often, in 66% of cases, intussusception is localized to the small intestine, while jejunogastric intussusception is very rare and occurs in 0,1%. Since the first case of jejunogastric intussusception after gastrojejunostomy was described by Bozzi in 1914, fewer than 200 isolated cases of postoperative intussusception after gastric surgery have been reported. Here we present a case of anterograde jejunogastric intussusception, 15 years after radical subtotal gastrectomy with Billroth II anastomosis in a 71-year-old man.
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