Rozhledy v chirurgii : měsíčník Československé chirurgické společnosti
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A group of 9 patients with a suspected fracture of the hip underwent radiography and subsequently magnetic resonance imaging (MRI) diagnosis. Radiographic findings were in 2 cases negative and in 7 cases the radiographs revealed a fissure or fracture of the greater trochanter. MRI proved a complete pertrochanteric fracture in 1 case, an incomplete pertrochanteric fracture in 8 cases and in all the 9 cases a fracture of the greater trochanter. ⋯ All the 9 patients healed without complications. The authors indicate MR imaging diagnosis in clinically suspected fractures of the proximal femur where the radiographic finding is negative. Fractures with a radiographic finding of a fissure or fracture of the greater trochanter should be examined by MRI that in most cases reveals an occult pertrochanteric fracture.
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The course of acute pancreatitis varies from mild, fortuitous forms to grave, life threatening disease. Approximately 80-90% of all forms are mild with low morbidity and mortality. The rest consist of severe, sometimes even fatal forms with present necrosis. ⋯ In accordance with international recommendations, the only way to meet these requirements is creation of specialized units dedicated to treatment of severe acute pancreatitis e.g. pancreatic units. Authors present their ideas of such pancreatic unit estabilished at their clinic. Professional experiences of authors come from 1350 patients being hospitalized with diagnosed acute pancreatitis throughout years 1990 to 2006.