Revista medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti din Iaş̧i
-
Rev Med Chir Soc Med Nat Iasi · Oct 2006
Case Reports[Prenatal diagnostic of congenital unilateral hydronephrosis with megaureter--a case presentation].
Unilateral mild hydronephrosis with ureteral dilatation is a condition that can be detected by careful prenatal ultrasound examination. We present such a case, in a 26 year pregnant woman with hereditary antecedents (mother with Ombredan disease). The fetal ultrasound at 34 weeks indicated a left anechogenic sinuous image, identified as dilated ureter, and connected to a grade 2 hydronephrotic kidney. ⋯ After birth, reassessment was favourable, and at 1 year follow-up the child was in good condition, and the kidney functional. We conclude that this case is a unilateral congenital megaureter, of probably obstructive origins, with a mild hydronephrosis. A good outcome was suggested by the late diagnostic, unilateral condition, and normal fetal ultrasound description regarding morphology, biometry and amniotic fluid.
-
The negative pressure achieved in the hemi thorax in the case of lung pneumonectomy has consequences on the mediastinum organ statics. This condition results through the other lung expansion. These changes are common, but rare in adult lung pneumonectomy. ⋯ Taking this into consideration the authors present the case of a young woman with right lung pneumonectomy, an intervention made in childhood, at ten years old. After sixteen years of evolution a serious mediastinum re-shuffle was discovered, the heart was moved in the right hemi thorax, with a dextrocardia like aspect. This case is interesting because it raises positive and differential diagnosis problems--dextrocardia, associated disorders, serious complications.
-
Cerebral-vascular events represent a major cause of mortality worldwide. Resulting respiratory complications are common and possibly composing a marker of severe neurological disorder. Cheyne-Stokes respiration is a disorder characterised by recurrent central apnoeas during sleep, alternating with a crescendo-decrescendo pattern of tidal volume, thus constituting an additional burden to the patient. In this paper the authors review the physio-pathological background, clinical presence and latest therapy-related data on Cheyne Stokes respiration in stroke patients.
-
Rev Med Chir Soc Med Nat Iasi · Oct 2005
Review[Differentiated thyroid cancer--peculiar morphological and clinical forms].
The most common clinical presentation of differentiated thyroid cancer (DTC), consisting of papillary and follicular adenocarcinoma (with their histological variants), is the solitary thyroid nodule. A review of the literature is performed in order to describe particular forms of DTC, in terms of incidence, diagnosis and treatment: occult carcinoma, carcinoma on aberrant thyroid tissue, "functional" thyroid carcinoma and familial non-medullary carcinoma. A particular interest is shown to the coexistence of malignancy with benign thyroid diseases, such as goiter, hyperthyroidism and Hashimoto's thyroiditis, as well as parathyroid adenoma. In conclusion, the authors emphasize that the association of carcinoma with benign thyroid conditions is not rare and it substantiate an aggressive approach in regard to diagnosis and treatment, increasing the indication for surgery and, moreover, for total thyroidectomy.
-
Rev Med Chir Soc Med Nat Iasi · Oct 2005
[Checking a model of cardiac segmentation of the left half of the heart].
The present work is aimed to study the distribution of the coronary arteries to the left ventricle; 120 fresh and prepared human hearts harvested from healthy individuals of both sexes aged 4 to 78 have been used. The denomination of the cardiac segments is the one used by Liberato, Didio & Rodrigues in 1983. Starting from this model, we sought for sustaining or invalidating arguments. ⋯ The segments are separated by intersegmental planes whose position depends of the degree of development of each cardiac segment. No significant differences were observed in what concerns the extension of the cardiac segments and the position of intersegmental planes in relation to sex. The segments can be totally independent or slightly dependent to the blood supply of the neighbouring segments.