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Ultrasound-guided percutaneous aspiration of adventitial cysts in the occluded popliteal artery – clinical results and MR findings at 5-year follow-up

100%
Rosiak G., Milczarek K., Cieszanowski A., Rowiński O.
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issue 70
212-216
EN
Cystic adventitial disease is a rare disorder that occurs in peripheral arteries. Calf claudication caused by compression of the popliteal artery is a typical presentation of this disease. This is a report of two cases of occluded popliteal artery decompression by percutaneous ultrasound-guided cyst aspiration. In both cases, decompression of the artery was achieved with a significant decrease in the size of adventitial cysts and restoration of flow. Both patients reported complete resolution of symptoms and no calf pain 5 years after the procedure. MR findings and resolution of symptoms in these two patients show the efficacy of percutaneous adventitial cyst aspiration in a 5-year follow-up.
PL
Torbielowate zwyrodnienie przydanki to rzadka choroba naczyń obwodowych. Typowym objawem jest chromanie przestankowe (podudzia) powodowane przez ucisk na tętnicę podkolanową. Przedstawiamy opis dwóch przypadków dekompresji niedrożnej tętnicy podkolanowej w mechanizmie ucisku za pomocą przezskórnej aspiracji treści torbieli pod kontrolą ultrasonografii. W obu przypadkach osiągnięto dekompresję tętnicy z istotnym zmniejszeniem objętości torbieli przydanki i przywróceniem przepływu w naczyniu. U obu pacjentów uzyskano doraźne ustąpienie objawów, a dobry wynik zabiegu utrzymał się w 5-letnim okresie obserwacji. Obrazy kontrolne rezonansu magnetycznego i zniesienie objawów u obu pacjentów potwierdziły skuteczność przezskórnej aspiracji torbieli przydanki. Artykuł w wersji polskojęzycznej jest dostępny na stronie http://jultrason.pl/index.php/wydawnictwa/volume-17-no-70
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Adrenal Tumors - Diagnostics and the Factual Situation

64%
Krajewska E., Toutounchi S., Fiszer P., Cieśla W., Pogorzelski R., Bednarczuk T., Cieszanowski A., Łoń I., Skórski M.
Polish Journal of Surgery
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2012
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vol. 84
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issue 4
208-213
EN
The study presented three cases of patients diagnosed with adrenal tumors subject to surgical intervention during the past 6 months in our Department. The patients presented with radiological diagnostic difficulties, as to the character and location of the primary tumor.The aim of the study was to demonstrate differences between radiological examination results and the factual situation observed during the adrenalectomy. In all the presented cases patients' were subject to laparoscopic intervention. In two cases conversion to open surgery was necessary. The histopathological results of the surgically removed samples were as follows: leiomyoma, myoperycytoma and pheochromocytoma. In selected cases imaging examinations might be of limited value, especially when determining the character and location of the primary lesion of the adrenal gland.
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