scholarly journals Capabilities of Combined Application of Multislice Linear Digital X-ray Tomography and Ultrasound Examination in Diagnosing Spinal Tuberculous Lesion

2016 ◽  
Vol 8 (4) ◽  
pp. 82-91
Author(s):  
I.V. Shutikhina ◽  
Y.A. Tsybulskaya ◽  
S.V. Smerdin ◽  
N.V. Selyukova ◽  
O.V. Baturin ◽  
...  
Kardiologiia ◽  
2020 ◽  
Vol 60 (1) ◽  
pp. 81-92
Author(s):  
A. Z. Arystan ◽  
Y. T. Khamzina ◽  
V. V. Benberin ◽  
D. V. Fettser ◽  
Y. N. Belenkov

This review focused on ultrasound examination of lungs, a useful complement to transthoracic echocardiography (EchoCG), which is superior to chest X-ray in the diagnostic value. The lung acoustic window always remains open and allows obtaining high-quality images in most cases. For a cardiologist, the major points of the method application are determination of pleural effusion and lung congestion. This method has a number of advantages: it is time-saving; cost-effective; portable and accessible; can be used in a real-time mode; not associated with radiation; reproducible; and highly informative. The ultrasound finding of wet lungs would indicate threatening, acute cardiac decompensation long before appearance of clinical, auscultative, and radiological signs of lung congestion. Modern EchoCG should include examination of the heart and lungs as a part of a single, integrative ultrasound examination.


2021 ◽  
Vol 25 (1) ◽  
pp. 51-56
Author(s):  
Yu. A. Kozlov ◽  
A. A. Rasputin ◽  
K. A. Koval'kov ◽  
S. S. Poloyan ◽  
P. Zh. Baradieva ◽  
...  

Introduction. Pyloric atresia is one of the rarest surgical diseases in newborns. Laparotomy is the most common modality for correcting this abnormality. In modern scientific literature, there is only one report on the endosurgical treatment of pyloric atresia. The case of laparoscopic correction of gastric outlet atresia presented in this study is one more reference to the successful care of this condition.Material and methods. The presented clinical case is a newborn boy in whom a prenatal ultrasound examination at the 31st week of gestation revealed polyhydramnios and an enlarged stomach. The baby’s birth weight was 2660 grams. In the first hours of life, the child showed symptoms of high intestinal obstruction in the form of gastric content vomiting. Postnatal ultrasound and X-ray examination confirmed the diagnosis of pyloric atresia. During laparoscopy, performed on the 2nd day of life, the morphological type of anomaly was examined, and the type I atresia of membranous form was established. A laparoscopic membranectomy with Heineke–Mikulicz pyloroplasty was performed. In the final part of this research, early and late outcomes of the performed surgical treatment were analyzed.Results. The surgery lasted for 70 min. Postoperative period was uneventful. Enteral nutrition started on day 3 after the surgery. A complete enteral diet was possible on day 7. The newborn patient was discharged from the hospital on the 9th postoperative day. Histological examination confirmed the pyloric atresia of membranous type. During 12-month follow-up, no complications associated with the surgical procedure were seen.Conclusion. The described case of laparoscopic treatment of type I pyloric atresia in a newborn expands laparoscopy application in pediatric practice.


Author(s):  
M. V. Макаrоvа ◽  
L. V. Prоklоvа ◽  
G. V. Yavorskaya ◽  
A. V. Yunitcina ◽  
A. Ya. Yakobi ◽  
...  
Keyword(s):  

Author(s):  
S. M. Kolupayev ◽  
N. M. Andonieva

The aim of this study is to investigate the incidence of urolithiasis in kidney transplant recipients and evaluate the potential of using minimally invasive treatment techniques for these patients. Patients underwent ultrasound examination of the transplanted kidney and urinary tract during regular screening. When a concretion was found, multispiral computed tomography was additionally performed to clarify the size, location, and X-ray density of the concretion. We did not perform contrast enhancement to avoid acute kidney damage to the graft. Additionally, all patients underwent a comprehensive examination with the evaluation of clinical tests of blood, urine, biochemical blood analysis (including creatinine, urea, phosphorus, magnesium, calcium, parathyroid hormone). The patients with a stone of up to 5 mm in diameter and X-ray density below 1000 HU were prescribed dynamic follow-up and litholytic therapy. Contact ureterolithotripsy was performed in the patients with stones of more than 6 mm in diameter. We studied the mineral composition of stones after lithotripsy using infrared spectroscopy. According to the results obtained, the detection rate of urolithiasis in kidney transplant recipients was 7.8%. The patients with graft and urinary tract stones showed a significant increase in the level of parathyroid hormone and blood calcium, leukocyturia of varying severity compared to the patients without urolithiasis. After performing contact ureterolithotripsy, the "stone free" state was achieved in all patients and confirmed by a control ultrasound examination on the fifth day after lithotripsy. Infrared spectroscopy of the removed stone fragments demonstrated their mixed mineral composition, the dominant component of which was calcium phosphate. The data obtained point out the possible pathogenetic factors of the formation of urinary stones in kidney transplant recipients are hyperparathyroidism and the resulting hypocalcaemia, as well as urinary tract infection. Contact lithotripsy should be considered as the method of first choice in this group of patients.


2017 ◽  
Vol 73 (10) ◽  
pp. 675-678
Author(s):  
Roman Lechowski ◽  
Rafał Sapierzyński ◽  
Joanna Bonecka ◽  
Magdalena Ostrzeszewicz

In a 9-years-old Labrador retriever, signs of severe weakness and a dark brown colour of urine were observed. During clinical examination, pain of the abdominal cavity and muscles was noted. Abdominal x-ray and ultrasound examination revealed signs of intestinal obstruction. The activity of creatine kinase was 187380 U/l. The diagnosis of acute muscle damage was made. Treatment included antibiotic and analgesic therapy, as well as aggressive fluid infusion. No additional treatments were required, and the dog made a speedy recovery. The rapid and intensive treatment prevented acute renal failure, which is a life-threatening complication of acute rhabdomyolisis. This is the first case of acute idiopathic rhabdomyolysis in a dog in Poland. An early intensive fluid therapy and a critical interpretation of radiological signs of intestinal obstruction are crucial for successful therapy.


2021 ◽  
Vol 29 (1) ◽  
pp. 13-19
Author(s):  
M.Zh. Aliev ◽  
◽  
L.M. Zubekhina ◽  
K.I. Niiazbekov ◽  
N.V. Tushina ◽  
...  

Objective. To evaluate the results and effectiveness of simultaneous operations for echinococcosis of the liver. Methods. Surgical diseases requiring surgical treatment (cholelithiasis: calculus cholecystitis, choledocholithiasis, nodular goiter, ventral postoperative hernia) were detected in 38 patients with echinococcosis of the liver. 23 patients underwent organ-preserving operations for echinococcosis, and 15 patients underwent radical operations, all operations were perfomed in combined with cholecystectomy, choledocholitotomy, thyroidectomy, and herniotomy (coating of a polypropylenemesh for hernia gate).Immediate and remote results were studied. Patients were reexamined 6 months after surgery within a 3-year period. The examination included the checkup, general blood test, liver and kidney tests, an ultrasound examination of the abdominal organs, and a chest x-ray once a year. Results. During theimmediate postoperative period 4 patients out of 38 (10.5%) had complications. After simultaneous operations using organ-preserving methods of echinococcectomy, 2 patients out of 23 (8.7%) had complications (pleuritis, wound suppuration), and 2 - out of 15 had radical operations (bile leakage, pleuritis). All complications had been cured by the time of discharge. The remote results were studied over a period of 6 months to 3 years. 34 patients were examined up to 1 year, 31 - from 1 to 2 years, 26 - from 2 to 3 years. Within the examination and follow-up periods no recurrence of echinoccosis was observed. Conclusion. During simultaneous operations and the echinococcectomy of the liver it is necessary to observe accurately the rules of aparasiticity and antiparasiticity.Simultaneous operations for the liver echinococcosis should be performed according to strict indications and by a highlyexperiencedandqualified surgeon. Patients who have undergone simultaneous operations was asked toundergoa medicalcontrol examination at least once a year. What this paper adds The possibility of performing simultaneous operations for echinococcosis of the liver has been defined. The sequence of operations for echinococcosis in combination with other pathologies requiring surgical treatment has been justified.


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