scholarly journals Organ-preserving operation in case of massive testicular rupture

2019 ◽  
Vol 20 (4) ◽  
pp. 52-58
Author(s):  
T. Kh. Nazarov ◽  
I. V. Rychkov ◽  
K. E. Trubnikova ◽  
A. S. Lepekhina ◽  
Kh. U. Khaknazarov
Keyword(s):  
Blood Flow ◽  
Clinical Case ◽  
Clinical Observation ◽  
Color Doppler ◽  
Traumatic Injury ◽  
Blunt Injury ◽  
Hormonal Status ◽  
Lower Pole ◽  
Testicular Rupture ◽  
The Right

The objective is to present a clinical case of blunt trauma of the scrotum with a massive testicular crush. The presented nosology, methods of diagnosis and surgical treatment is highlighted.Clinical case. Patient, 18 years old, was admitted to the clinic with acute symptoms and complaints of pain and increased size of the right part of the scrotum. Questioning revealed that 48 hours prior the patient received a blunt injury of the scrotum. Ultrasound of the scrotal organs showed that in the right part of the scrotum testicle is not clearly differentiated, in the lower pole hypoechogenic signal is observed, no blood flow was evident using the color Doppler mode, but examination of the upper pole showed weak blood flow, the epididymis was partially differentiated. Hematocele was observed. The diagnosis of injury of the scrotal organs was confirmed, traumatic injury of the right testicle. Emergency surgery was performed: necrotized areas of the lower pole of the testicle were resected, plastic sealing of the upper pole of the right testicle to the epididymis was performed. Postoperative period was free of complications. The patient was discharged on day 6 after the surgery. Control ultrasound after 3 months showed that the right testicle was smaller, its echostructure was homogenous, blood flow in the testicular parenchyma was observed. Hormonal status, blood testosterone levels, ejaculate parameters were normal.Conclusion. The presented clinical observation confirms that organ-sparing interventions for massive crush injury of the testicle with minimal volume of viable tissue are possible but patient’s age and time after injury should be taken into account.

scholarly journals A Case of Ovarian Torsion Which Led to Abortion

2021 ◽  
Author(s):  
Athar Rasekhjahromi ◽  
Sahand Goodarzi ◽  
Navid Kalani
Keyword(s):  
Blood Flow ◽  
Abdominal Pain ◽  
Color Doppler ◽  
Ovarian Torsion ◽  
Simultaneous Occurrence ◽  
Pelvic Ultrasound ◽  
Triplet Pregnancy ◽  
Vaginal Pain ◽  
History Of ◽  
The Right

Ovarian torsion occurs in 10%-22% of pregnant women, and miscarriage occurs in 11%-22% of all pregnancies, both of which are known as gynecological emergencies. The simultaneous occurrence of these two cases is rare. The present study reports a case of ovarian torsion and simultaneous abortion. In this case report, we present a 28-year-old woman in her third pregnancy with a history of two miscarriages. She was referred with an 18-week triplet pregnancy, vaginal pain and bleeding from the previous day, and colic abdominal pain with five episodes of nausea and vomiting. Upon admission to the hospital, despite performing cerclage at 13 weeks, labor pains begin, and 15 minutes later, the amniotic sac ruptures, and all three fetuses are expelled. Due to the persistence of colic pain and moderate tenderness in the lower right quadrant of the abdomen, pelvic ultrasound is reported, which shows an increase in echo parenchyma and the size of the right ovary compared to the left ovary. Doppler ultrasound showed decreased ovarian blood flow, which led to laparotomy with suspected ovarian torsion. The right ovarian peduncle had complete torsion, and the ovary appeared dark. The peduncle of ovarian torsion was opened and preserved. The patient was discharged two days after surgery and after re-color Doppler ultrasounds, which indicated ovarian blood flow.

Color Doppler Ultrasound Evaluation of Internal Jugular Vein Before Radical Neck Dissection

2019 ◽  
Vol 9 (2) ◽  
pp. 371-375
Author(s):  
Zhiyong Chen ◽  
Binshan Zha ◽  
Yan Li ◽  
Yongchao Chen
Keyword(s):  
Blood Flow ◽  
Neck Dissection ◽  
Color Doppler ◽  
Radical Neck Dissection ◽  
Venous Drainage ◽  
Color Doppler Ultrasound ◽  
Sitting Position ◽  
Section Area ◽  
Cerebral Venous Drainage ◽  
The Right

Objective: There is a great controversy about whether the internal jugular vein (IJV) should be retained during radical neck dissection. In this study, the right and left IJV under different body position were observed by color Doppler ultrasound, in order to provide a experimental basis for the preservation of IJV in neck dissections. Methods: A total of 40 patients with thyroid cancer undergoing radical neck dissection were examined in this study. The hemodynamic data such as section area, velocity, and volume of blood flow were measured by Doppler in supine and sitting position under quiet breath. Results: In supine position, the cross sectional area, the velocity and the blood flow volume in the right side were 58%, 23% and 91% more than left side respectively. The right side advantage, symmetrical, and left side advantage of IJV was in 65%, 25%, and 10% of patients. The blood flow of bilateral IJV was 74% of total cerebral outflow. The IJV predominate, balanced type, and no-IJV predominate cerebral venous drainage was in 73%, 23% and 5% of patients. In sitting position, the section area, the velocity and the blood flow volume in the right side were 29%, 35% and 56% more than left side respectively. The right side advantage, symmetrical, and left side advantage of IJV was in 45%, 45%, and 10% of patients. The blood flow of bilateral IJV was 23% of total cerebral outflow. The balanced type and no-IJV predominate cerebral venous drainage was in 23% and 78% of patients. Conclusions: There are side advantage of IJV. With quiet breathing, IJV is not the main pathway of cerebral venous drainage in sitting position. The preoperative ultrasound is useful to design the individualized surgical approach for the radical neck dissections.

scholarly journals Salvage of Necrotic-Appearing Limb after In Utero Endoscopic Lysis of Constriction Bands

2017 ◽  
Vol 07 (02) ◽  
pp. e74-e78 ◽  
Author(s):  
A. Chon ◽  
B. Chen ◽  
W. Burkhalter ◽  
R.H. Chmait ◽  
M. Abdel-Sattar
Keyword(s):  
Blood Flow ◽  
Lower Extremity ◽  
Color Doppler ◽  
Lower Extremities ◽  
In Utero ◽  
Postnatal Life ◽  
Amniotic Band ◽  
Constriction Band ◽  
The Right ◽  
And Function

AbstractWe report a case of amniotic band syndrome complicated by constriction bands and marked distal swelling of both lower extremities. Color Doppler interrogation of the right lower extremity revealed complete lack of blood flow below the level of the constriction. Upon fetoscopic survey, the right lower extremity beyond the constriction band appeared dusky red and discolored with desquamation, consistent with a necrotic appearance. The constriction bands were cut in utero using endoshears, thereby allowing restoration of blood flow on postoperative day 1. The patient was counseled extensively regarding the possibility of limb dysfunction or amputation. However, the baby was born with functional lower extremities, and at 21 months of age, the child was cruising and jumping on his own. This case demonstrates that there is unique plasticity in fetal limb recovery after a severe ischemic injury that is not otherwise seen in postnatal life. Reperfusion of the necrotic-appearing limb resulted in restoration of appearance and function without apparent deleterious effects on the fetus. We believe the favorable outcome in this case was likely due to timeliness of the in utero lysis of amniotic bands and the plasticity of fetal healing.

scholarly journals CLINICAL CASE OF SEVERE INTENSIFICATION OF BLOOD FLOW IN THE CONJUNCTIVA OF THE EYEBALL ONE DAY PRIOR TO THE ONSET OF INTERMEDIATE UVEITIS

2021 ◽  
Vol Volume 2 (Spring,2021) ◽  
pp. 10-12
Author(s):  
Rasim. V.Hajiyev, MD, PhD
Keyword(s):  
Blood Flow ◽  
Anterior Uveitis ◽  
Clinical Case ◽  
Vision Loss ◽  
Posterior Uveitis ◽  
Intermediate Uveitis ◽  
The Right

Purpose: A clinical case is presented of posterior uveitis inapatientwhoreceivedasubconjunctivalinjectionofKenalog. This finding was revealed during the course of adailyassessmentofconjunctivalmicrovascularhemodynamics.Methods:Slitlampbiomicroscopyoftheconjunctivalmicrovasculaturewasperformedbeforeandaftertheemergenceofintermediateuveitisina28-year-oldman.Result: A case of acute vision loss and the occurrence ofintermediate uveitis of the right eye is described in a patientwhopreviouslyreceivedKenalogadministeredsubconjunctivally to treat mild anterior uveitis, which waswithoutvisualimpairment.Dailymonitoringoftheconjunctival microvasculature revealed that the blood flowrate of the right eye considerably increased after Kenalogadministrationthedaybeforepatientvisiondeterioratedand posterioruveitiswithopacityofthevitreousbodyoccurred.The extent of the pronounced intensification ofblood flow wassurprising.Conclusion:The emergence ofacute intermediate uveitisfollowing Kenalog administration was preceded by a severeincrease in bloodcirculation in theconjunctivalvesselsofthe eye, which decreased one day after a severe decrease invisualacuity. It is suggested that this increase in blood flowprecedingpathologymaybeacharacteristicofanyinflammatoryprocessthatoccursinthehumanbody

scholarly journals Case of dental restoration by materials not permitted for use in medical practice

2021 ◽  
Vol 7 (1) ◽  
pp. 48-50
Author(s):  
Evgeny A Nikolaychuk ◽  
Andrei K. Iordanishvili ◽  
Evgeny Kh. Barinov
Keyword(s):  
Medical Practice ◽  
Dental Care ◽  
Clinical Case ◽  
Clinical Observation ◽  
Dental Treatment ◽  
Dental Restoration ◽  
Filling Material ◽  
Bodily Harm ◽  
Periodontal Inflammation ◽  
The Right

Introduction: In recent years, endodontic dental treatment associated with periodontal inflammation in the provision of emergency and planned dental care is not provided with the appropriate standard and quality. Clinical case: Clinical observation is done to a patient suffering from exacerbation of chronic periodontitis, who underwent restoration of 2.6 teeth with light-cured filling material 15 years ago, and intraroot pins of which are made of materials that are not approved for medical practice use. Conclusion: The use of inappropriate material in medical practice for tooth restoration gives the patient the right to seek for material and moral compensation for bodily harm.

scholarly journals PRIMARY HYPERPARATHYROIDISM ACCOMPANIED BY RECOVERY OF PARATHYROID BLOOD FLOW THREE MONTHS AFTER SPONTANEOUS PARATHYROID HEMORRHAGE

2020 ◽  
Vol 6 (6) ◽  
pp. e322-e325
Author(s):  
Nobuhiro Nakatake ◽  
Sunao Matsubayashi ◽  
Takeshi Hara ◽  
Shinya Satoh ◽  
Hiroyuki Yamashita
Keyword(s):  
Blood Flow ◽  
Primary Hyperparathyroidism ◽  
Color Doppler ◽  
Spontaneous Remission ◽  
Lesion Size ◽  
Acute Onset ◽  
Blood Biochemistry ◽  
Intact Pth ◽  
Permanent Improvement ◽  
The Right

Objective: The objective of this report was to describe an unusual case of emerging primary hyperparathyroidism (PHPT) accompanied by recovery of parathyroid blood flow 3 months after spontaneous parathyroid hemorrhage. Methods: Neck images and laboratory tests including serum calcium and parathyroid hormone (PTH) were performed to evaluate parathyroid hemorrhage. Pathologic findings after parathyroidectomy are also presented. Results: A 58-year-old woman developed acute onset of neck pain and swelling with ecchymosis. Computed tomography showed a right paratracheal hematoma-like lesion behind the thyroid. Ultrasound (US) of the neck revealed a round, hypoechoic nodule measuring 27 × 25 × 18 mm in the right lower thyroid pole without vascular flow. Blood tests showed a corrected calcium of 9.3 mg/dL (normal, 8.7 to 10.3 mg/dL), and intact PTH of 68 pg/mL (normal, 10 to 65 pg/mL). Intact PTH measurement in fine-needle aspirate of the lesion was 339 pg/mL, confirming parathyroid origin. Repeat US after 3 months showed a remarkable decrease in lesion size with significant blood flow. Blood biochemistry showed a corrected calcium of 10.9 mg/dL, and an intact PTH of 237 pg/mL. She eventually underwent parathyroidectomy, and pathologic examination revealed parathyroid adenoma with a tiny thrombus. Conclusion: Spontaneous remission of PHPT after parathyroid hemorrhage has been known to occur sporadically, a phenomenon referred to as autoparathyroidectomy. Although spontaneous remission with permanent improvement of PHPT may be observed, PHPT can recur in the relative short term after parathyroid hemorrhage, and so follow-up blood biochemistry surveillance is necessary. Also, evaluating parathyroid blood flow using color Doppler US might be useful in verifying the recurrence of PHPT.

scholarly journals Color Flow Doppler Echocardiography in Healthy Racing Pigeons (Columba livia f. domestica) and the Evidence of Physiological Blood Flow Vortex Formations

2020 ◽  
Vol 7 (2) ◽  
pp. 60
Author(s):  
Marko Legler ◽  
Lajos Koy ◽  
Norbert Kummerfeld ◽  
Michael Fehr
Keyword(s):  
Blood Flow ◽  
Pulse Repetition Frequency ◽  
Color Doppler ◽  
Columba Livia ◽  
Doppler Imaging ◽  
Color Flow ◽  
Chamber View ◽  
Flow Vortex ◽  
The Right ◽  
Ventricular Filling

In avian medicine, Doppler sonographic techniques are used to visualize and estimate blood flow in the heart. In the literature there is a lack of standardized studies of the use of color Doppler flow on healthy avian species. For this purpose, we examined blood flow in the heart in the four-chamber view of clinically healthy awake racing pigeons (n = 43) by color flow Doppler sonography. With this technique the diastolic and systolic blood flow in the heart chambers and the heart valve regions were well visualized. However, the pulse repetition frequency must be adapted to the specific blood flow velocities of the heart region to be measured to reduce aliasing in higher velocities and to visualize blood flow of lower velocities. With the help of color Doppler imaging in the four-chamber view, typical physiological atrial and ventricular blood flow vortex formations were visualized in the avian heart for the first time. In the left ventricle an asymmetric vortex ring in the passive and active ventricular filling, in the right ventricle a great counter-clockwise blood vortex in the active ventricular filling, in the left atrium a vortex clockwise, and in the right atrium counter-clockwise were observed. The knowledge of these physiological blood flow vortices is important to identify pathological blood flow.

scholarly journals Successful treatment of patient with thoracoabdominal injury with heart and esophageal trauma (clinical case).

2020 ◽  
Vol 12 (1) ◽  
pp. 85-87
Author(s):  
Aleksandr I. Babich ◽  
Aleksandr N. Tulupov ◽  
Sergey Sh. Taniya ◽  
Andrey E. Demko
Keyword(s):  
Minimally Invasive ◽  
Operating Room ◽  
Successful Treatment ◽  
Clinical Case ◽  
Clinical Observation ◽  
Video Laparoscopy ◽  
The Right ◽  
Esophageal Trauma

The article presents a case of treating the patient with extrapleural thoracoabdominal injury with heart and esophageal trauma. Examination of the patient in a shock trauma operating room, the use of minimally invasive technologies (thoracoscopy, laparoscopy) allowed to choose the right treatment tactics, timely identify all injuries and eliminate them. The presented clinical observation demonstrates the feasibility of using video thoracoscopy and video laparoscopy in hemodynamically stable patients with penetrating thoracoabdominal wounds to detect damage to the heart and esophagus.

scholarly journals A clinical case of surgical treatment of calyx diverticulum in a 12-year-old child

2021 ◽  
Vol 24 (6) ◽  
pp. 413-416
Author(s):  
A. A. Oganisyan ◽  
S. G. Vrublevskij ◽  
A. S. Vrublevskij ◽  
R. Yu. Valiev ◽  
I. S. Ahmetzhanov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Observation ◽  
Left Kidney ◽  
Rational Approach ◽  
Differential Diagnostics ◽  
Cystic Kidney ◽  
Pediatric Practice ◽  
Plasma Ablation ◽  
The Right

Introduction. Calyx diverticulum is a rather rare pathology in pediatric practice. In the structure of cystic kidney malformations, it amounts up to 12-15%. In most cases, the disease is asymptomatic. To make a differential diagnostics and to define a technique for surgical treatment, computed tomography or magnetic resonance imaging are used. Currently, puncture-sclerotic method and endosurgical (laparoscopic, retroperitoneoscopic) one can be successfully applied. The main purpose of this clinical observation is to illustrate that little-traumatic laparoscopic access to the kidney and plasma ablation of the diverticulum epithelial lining can be used to have successful outcomes.Material and methods. The authors describe a clinical case of renal cavities in a 12-year-old boy - calyx diverticulum of the right kidney and a cyst of the left kidney - which were successfully treated with a combined approach when puncture and laparoscopic corrections were used depending on lesion’s chracteriatics.Conclusion. A rational approach and substantiation of the applied surgical technique with plasma ablation of calyx diverticulum cavity allowed to obtain good results - cavity size was reduced and renal parenchyma was preserved what is important for future organ functioning.

Clinical case of periostitis in pregnant women complicated by sepsis

2020 ◽  
pp. 61-63
Author(s):  
S. Sh. Kakvaeva ◽  
M. A. Magomedova ◽  
A. N. Dzhalilova
Keyword(s):  
Pregnant Woman ◽  
Multiple Organ Failure ◽  
Pregnant Women ◽  
Organ Failure ◽  
Clinical Case ◽  
Clinical Observation ◽  
Infectious Agent ◽  
Modern Medicine ◽  
Multiple Organ ◽  
Number Of Patients

One of the most serious problems of modern medicine is sepsis. The number of patients undergoing this complication is 20–30 million (WHO) annually and has no tendency to decrease. Sepsis is characterized by severe multiple organ failure due to a violation of the response of the macroorganism to an infectious agent. Moreover, it is dangerous with high mortality. Sepsis often develops in patients with immunodeficiency conditions, which primarily include pregnant women. The article presents a clinical observation of a case of periostitis in a pregnant woman complicated by a septic state.

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