scholarly journals CLINICAL CASE OF TRICHOBEZOAR OF THE STOMACH IN A PREGNANT WOMAN COMPLICATED BY A SMALL CURVATURE PERFORATIVE ULCER

2020 ◽  
pp. 99-103
Author(s):  
L. M. Andreeva ◽  
G. M. Ursol ◽  
S. E. Nemazenko ◽  
V. R. Babich ◽  
S. I. Sidorenko ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Surgical Intervention ◽  
Clinical Manifestations ◽  
Low Frequency ◽  
Gastrointestinal Diseases ◽  
Surgical Pathology ◽  
Healthy Individuals ◽  
X Ray

Summary. The article describes a case of successful treatment of stomach trichobezoar complicated by a perforated stomach ulcer. Purpose of research. Optimization of diagnostics and treatment of acute surgical pathology of the gastrointestinal tract taking into account a rare etiological factor Materials and methods. A clinical case of trichobezoar in a pregnant woman, complicated by stomach perforation. Results and discussion. Attention is drawn to the problems of diagnosis and treatment of rare gastrointestinal diseases that can lead to the development of acute surgical pathology. The awareness of practitioners about the clinic, methods of timely diagnosis, prevention and treatment of this disease was assessed. to solve these tasks, a multidisciplinary approach is required, with the interaction of psychiatrists / psychoneurologists, endoscopists, x-ray diagnostic services and operating surgeons. Conclusions. The low frequency of cases of gastrointestinal bezoars causes a lack of awareness of practitioners with clinical manifestations, complications and treatment methods. Untimely diagnosis of GI bezoar can lead to severe complications that require serious surgical intervention. The probability of bezoars in mentally unbalanced patients suffering from various types of obsessive States is statistically higher than in mentally healthy individuals.

scholarly journals The First Clinical Use of Augmented Reality to Treat Salivary Stones

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Anna Lysenko ◽  
Alexandra Razumova ◽  
Andrey Yaremenko ◽  
Rustam Mirzakhmedov ◽  
Anna Zubareva ◽  
...  
Keyword(s):  
Augmented Reality ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Model Fitting ◽  
Nasal Intubation ◽  
Visualization Method ◽  
X Ray ◽  
Cast Model ◽  
Augmented Reality Technology ◽  
Preoperative Procedures

In this study, we report our first experience of applying the concretion visualization method using augmented reality technology. A clinical case of a new surgical intervention on the parotid salivary gland with the localization of salivary stone in its parenchyma is considered. During additional diagnostics, it was found that the size of the concretion exceeds 5 mm which did not allow us to use the endoscopic technologies. That was the reason for the choice of surgical intervention external access using salivary stone visualization with the help of augmented reality. The preoperative procedures included making the upper jaw cast model, fitting the model and individual mouthguard with an X-ray contrast marker and marker slot. In addition to this, computed tomography of the head and neck using a mouthguard was made. During surgery under general anesthesia with nasal intubation, the mouthguard together with the marker is installed in the patient’s mouth and the surgeon puts on the glasses to visualize the stone image in place of its localization. This method enables to visualize the salivary stone on all surgery stages no matter what type of approach is used or performing hydropreparation. That is why using the augmented reality appears promising and is to be studied further.

scholarly journals 3D design and prototyping in surgical treatment of congenital spine deformities in children: the first experience

2021 ◽  
Vol 18 (1) ◽  
pp. 24-30
Author(s):  
M. A. Gerasimenko ◽  
D. K. Tesakov ◽  
S. V. Makarevich ◽  
D. D. Tesakova ◽  
P. A. Bobrik ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Surgical Intervention ◽  
3D Printer ◽  
Preoperative Preparation ◽  
3D Design ◽  
Full Size ◽  
Anatomical Features ◽  
X Ray ◽  
Spine Deformities

The experience of using the method of 3D design and prototyping is examplified in a clinical case of surgical treatment of a six-year-old patient with kyphoscoliotic deformity of the spine due to congenital malformation of the L1 vertebra. At the stage of diagnostics and preoperative preparation, a created model of the deformed spine was used in the form of a breadboard variant made according to the data of spiral X-ray CT on a 3D printer from a plastic polymer material. The use of the created model of the deformed spine made it possible to additionally visualize and touch the pathological object in full size, to really assess the anatomical features and parameters of the interested vertebral segments and the altered spinal canal, which provided significant constructive assistance in planning surgical intervention and its immediate technical implementation.

Redo surgery for a type A aortic dissection in a pregnant woman with Marfan syndrome: a complex clinical case

Perfusion ◽  
2021 ◽  
pp. 026765912199930
Author(s):  
Federico Martinelli ◽  
Jacopo Manfredi ◽  
Nicola Pederzolli ◽  
Manfredo Rambaldini
Keyword(s):  
Pregnant Woman ◽  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Clinical Case ◽  
Multidisciplinary Approach ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Rare Event ◽  
Type A Aortic Dissection ◽  
Mitral Prolapse

Aortic dissection during pregnancy is a very rare event in the general population but can be fatal to both the mother and the fetus. A rate of dissection as high as 10% was observed in pregnant patients affected by Marfan syndrome. Facing this kind of disease can represent a challenge for the involved physicians because of its rarity. Here we present the case of an aortic dissection in a pregnant woman with Marfan syndrome who previously underwent an open heart surgery for a mitral prolapse. The diagnosis and the treatment of this case, given the mid-term gestational age combined with an increased surgical risk due to the reintervention, required a particular effort by our team. A multidisciplinary approach to the management of this patient was the key to achieve a favorable outcome both for the mother and for the baby.

scholarly journals Splenic artery aneurysms and extrahepatic portal hypertension during pregnancy

2021 ◽  
Vol 26 (4) ◽  
pp. 120-125
Author(s):  
A. E. Markarov ◽  
G. V. Manukyan ◽  
R. A. Musin ◽  
E. A. Kitsenko ◽  
S. V. Apresyan ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Pregnant Woman ◽  
Splenic Artery ◽  
Clinical Case ◽  
Surgical Intervention ◽  
Vena Cava ◽  
Gastric Varices ◽  
Extrahepatic Portal Hypertension ◽  
Cavernous Transformation

Clinical case demonstrates successful treatment of a pregnant woman, who had multiple giant splenic artery aneurysms with a high risk of spontaneous rupture. Pregnancy proceeded along with hereditary thrombophilia, thrombosis and cavernous transformation of the vena cava, extrahepatic portal hypertension, esophageal and gastric varices II–III. The surgical and obstetric tactics, surgical intervention, appropriate salvage and multidisciplinary pregnancy follow-up ensured a successful Cesarean delivery at 38 weeks, saving the life of the child and mother.

Osteosynthesis of the femoral neck in a patient with osteopoikylosis

2021 ◽  
Vol 19 (3) ◽  
pp. 116-118
Author(s):  
Yu. A. BOGOLYUBSKIY ◽  
◽  
A. M. FAYN ◽  
A. Yu. VAZA ◽  
S. F. GNETETSKIY ◽  
...  
Keyword(s):  
Bone Density ◽  
Femoral Neck ◽  
Clinical Case ◽  
Bone Fractures ◽  
Clinical Manifestations ◽  
Cannulated Screws ◽  
Careful Monitoring ◽  
X Ray ◽  
Neck Fracture ◽  
Surgical Aspects

Osteopoikylosis is a rare osteochondropathy that does not have specific clinical manifestations. The literature does not sufficiently cover the issues of surgical aspects of the treatment of patients with bone fractures in this pathology. A clinical case of a femoral neck fracture in a 30-year-old patient with a diagnosis of osteopoikylosis established in childhood is considered. In addition to the fracture, the X-ray examination revealed characteristic changes in the proximal metaepiphyses of the femurs and pelvic bones. The patient underwent osteosynthesis of the femoral neck with cannulated screws. During the operation, a number of features associated with changes in bone density were noted. There were no peculiarities of the postoperative period. Osteosynthesis of the femoral neck in a patient with osteopoikylosis is technically possible. The presence of osteosclerosis foci requires more careful monitoring of the trajectory of the guide spokes.

scholarly journals Syphilis in the practice of doctors of related specialties

2020 ◽  
Vol 96 (6) ◽  
pp. 42-47
Author(s):  
Anna L. Evseeva ◽  
Vera V. Ryabova ◽  
Sergei V. Koshkin ◽  
Olga S. Kovrova
Keyword(s):  
Clinical Case ◽  
Surgical Intervention ◽  
Correct Diagnosis ◽  
Delayed Diagnosis ◽  
Surgical Pathology ◽  
Adequate Treatment ◽  
Early Stages ◽  
Mucous Membranes ◽  
Final Observation ◽  
Clinical Cases

The article presents clinical cases of syphilitic infection from our own practice, which were not recognized by doctors of related specialties at the early stages of the development of the disease. In the first observation, the manifestations of syphilis were regarded as a surgical pathology in the patient, which entailed surgical intervention, which was not necessary as such. The following clinical case demonstrates lesions of the mucous membranes in syphilis, mistakenly recognized by the therapist as streptococcal angina. The atypical hard chancre in the final observation disorientated the surgeon, that led to a delay in the correct diagnosis and, accordingly, in the appointment of adequate treatment. Regardless of the specialty, everyone should not forget about the variety of manifestations of syphilis in all periods. The lack of alertness among doctors of related specialties contributed to the delayed diagnosis and the appointment of specific anti-syphilitic therapy.

scholarly journals THE PATIENT HAS LISTERIOSIS MENINGITIS AT 33-34 WEEKS OF PREGNANCY. THEMULTIDISCIPLINARY SOLUTION

2018 ◽  
Vol 23 (1) ◽  
pp. 30-39
Author(s):  
Larisa G. Sozaeva ◽  
V. B Tetova ◽  
R. E Kuznetsov ◽  
V. Y Samorukov ◽  
L. B Tumgoeva ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Mortality Rate ◽  
Pregnant Women ◽  
High Mortality ◽  
Clinical Case ◽  
Rapid Development ◽  
Newborn Infants ◽  
Clinical Manifestations ◽  
Elderly Persons ◽  
Clinical Awareness

In connection both with the continuing prevalence of the listeriosis disease, and polymorphism of clinical manifestations, as well as the high lethality rate, it is necessary to better understand this problem. Listeriosis infection often affects patients with the weakened immunity, the elderly persons, pregnant women, and newborns. In particular, in pregnant women, the risk of infection with listeriosis is 18 times higher than in the general population. This feature is due to cell-mediated immune suppression in pregnant women and placental tropism of the causative agent of listeriosis L. monocytogenes. The problem of listeriosis during pregnancy includes the maternal, fetal and neonatal disease. Listeriosis in a pregnant woman is usually characterized by a sharp onset, rapid development, and a high incidence, and often it does not take much trouble. Along with this, there are cases of asymptomatic, complicated and atypical variants of the disease, which requires a high degree of clinical awareness of various specialists and the implementation of adequate screening. Fetal listeriosis is characterized by the high mortality rate amounting to up 25-35%, depending on the gestational age at the time of the onset of infection. Clinical manifestations of listeriosis in newborn infants depend on the time and pathway of infection (antenatal or intranatal infection). Neonatal listeriosis can manifest as sepsis or meningitis with severe consequences and high mortality rate (up to 20%). The appropriate treatment of maternal listeriosis is aimed at preventing the fetal disease, it also has important therapeutic value for newborn babies. The empirical use of antibiotics may appear to be ineffective for listeria. Amoxicillin or ampicillin are at the first line of the treatment in pregnant women, alone or in the combination with gentamycin, followed by trimethoprim /sulfamethoxazole. The aim of the work is to summarize the available knowledge about the problem of listeriosis, including the features of the course of the disease during pregnancy, with presenting the example of a clinical case. The article reports a clinical case demonstrating the clinical problem of listeriogenic meningitis in a pregnant woman aged 35 years. Data showing different treatment strategies are also presented.

scholarly journals Clinical case of sharp bowel obstruction during pregnancy for a patient with an extracorporal impregnation and large intergenic interval

2021 ◽  
pp. 77-82
Author(s):  
V.L. Dronova ◽  
◽  
O.I. Dronov ◽  
O.M. Mokrik ◽  
P.P. Bakunets ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Intestinal Obstruction ◽  
Pregnant Women ◽  
Bowel Obstruction ◽  
Clinical Case ◽  
Acute Intestinal Obstruction ◽  
The Body ◽  
Biologically Active ◽  
Surgical Pathology ◽  
Septic Complications

The great importance in the development of acute intestinal obstruction (AIO) is the change in intestinal kinetics during pregnancy. In pregnant women, the rhythmic function of the intestine slows down due to an increase in the threshold of excitability of its receptors to biologically active substances. The article provides an overview of modern literary sources on the problem of acute intestinal obstruction in pregnant women. According to foreign literature sources, the incidence of intestinal obstruction in pregnant women is 1:3600–1:66000, and complications of diseases of the digestive system rank 4th among the causes of maternal mortality during pregnancy — 9%. According to domestic scientific sources, the frequency with which intestinal obstruction occurs in pregnant women is 1:40000–1:50000 births, mortality reaches 35–50%, stillbirth — 60–75%. The development of the disease is caused by physiological changes in the body of a pregnant woman. With increasing gestational age there are changes in the anatomical arrangement of the abdominal organs. From the second trimester of pregnancy, the uterus extends beyond the pelvis and gradually occupies the entire abdominal cavity. The increase in the size of the uterus due to hypertrophy and hyperplasia of muscle fibers, amniotic fluid, fetal growth, leads to increased intraabdominal pressure, displacement of the small intestine and lumbar colon up, thereby creating conditions for compression of intestinal loops, nodules, development. The modern classification, clinic, diagnostics and methods of treatment of this surgical pathology are presented. The author presents his own clinical case of acute intestinal obstruction in a 51-year-old pregnant woman with the sixth desired pregnancy, which occurred as a result of assisted reproductive technologies and a large intergenetic interval. Both surgeon and obstetrician-gynecologist treat intestinal obstruction in pregnant women. Conservative treatment is carried out simultaneously with diagnostic procedures. No effect of conservative therapy for 2 hours is an indication for surgery. The main purpose of surgery is to eliminate the causes of intestinal obstruction and restore bowel function. The scope of surgery is determined in each case individually and depends on the type of AIO and the age of the disease. The chosen tactics of the preoperative period, the volume of surgery, anesthesia and adequate management of the postoperative period can cure acute surgical pathology, maintain the desired pregnancy, avoid the development of obstetric and surgical purulent-septic complications. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: sharp bowel obstruction, pregnancy, extracorporal impregnation, large intergenic interval.

A case of wrong diagnosis of paraesophageal hernia in a patient with a white line hernia

2021 ◽  
pp. 5-15
Author(s):  
Dmitriy Vladimirovich Lukanin ◽  
Grigory Vladimirovich Rodoman ◽  
Alexey Alexeevich Sokolov ◽  
Marina Sergeevna Klimenko
Keyword(s):  
Hiatal Hernia ◽  
Paraesophageal Hernia ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
Functional Tests ◽  
Large White ◽  
White Line ◽  
X Ray ◽  
Hernial Sac ◽  
Wrong Diagnosis

Among all the anatomical variants for the hiatal hernia development, a true paraesophageal hernia is the most rare. The clinical manifestations of this type of hiatal hernia are caused by the infringement of the diaphragmatic crus or by transient obstruction of the esophagus with the development of organic dysphagia. The leading method of instrumental diagnostics of this pathology is contrast x-ray study of the esophagus and stomach with functional tests. The article describes a clinical case of an incorrect interpretation of the symptoms of the disease and the results of EGD in favor of paraesophageal hernia in association with GERD in a patient with a large white line hernia under conditions of migration into the hernial sac of the stomach and duodenum.

scholarly journals A clinical case of bronchoscopic detection and removal of a foreign body from the upper lobar bronchus on the right mimicking lung cancer

2020 ◽  
Vol 98 (8) ◽  
pp. 58-62
Author(s):  
L. V. Telegina ◽  
S. S. Pirogov ◽  
T. I.-A. Tazabaev ◽  
V. E. Khoronenko ◽  
A. S. Vodoleev ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Foreign Body ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Clinical Manifestations ◽  
Cigarette Filter ◽  
X Ray ◽  
Lobar Bronchus ◽  
Long Time ◽  
The Right

Foreign bodies in the respiratory tract are rare in adults. Clinical manifestations include hemoptysis among other signs which requires the examination to detect tuberculosis and lung cancer. The article describes a clinical case that demonstrates the possibilities of endoscopic diagnostics and treatment in the patient with an X-ray negative foreign body (a cigarette filter) that has been in the lumen of the upper lobar bronchus of the right lung for a long time which caused inflammation in the blocked lobe and mimicking endoscopically central lung cancer.

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