The falciform ligament is a peritoneal fold that extends from the anterior abdominal wall to the liver, which divides the liver into two lobes. Cysts of the falciform ligament are rare and without an ...apparent cause. The range of the symptoms can vary from abdominal pain to asymptomatic patients. Cysts are treated surgically, and resection is used to make a definitive diagnosis.
A 36-year-old female patient was treated at an outpatient facility for epigastric pain that lasted for three months. Abdominal MRI and MSCT were performed to verify a cyst formation in the left liver area of about 12 cm in size. Laparoscopic resection of the cist was performed under general endotracheal anaesthesia.
Falciform ligament tumours can be malignant or benign. Treatment of the cyst includes complete excision and pathohistological diagnosis to rule out malignancy. In most cases reported thus far, excision has been done after laparotomy. In our case, the operation was performed in a less invasive way, laparoscopically.
Laparoscopy can serve as a diagnostic and therapeutic method for cysts of the falciform ligament, both smaller and more significant, that infiltrate the surrounding structures.
•Cysts of the falciform ligament are rare and without an apparent cause.•Some imaging methods such as MRI, MSCT, including abdominal ultrasound, are used to diagnose.•Treatment of the cyst includes complete excision.•Laparoscopy can serve as a diagnostic and therapeutic method for cysts of the falciform ligament.
Šaka je izrazito izložena raznim opterećenjima i ozljedama u svakodnevnim poslovima i aktivnostima pa su stoga i prijelomi kostiju u području šake prilično česte ozljede. Pretežiti mehanizam nastanka ...ove ozljede jest izravni udarac u šaku. Visoka pojavnost prijeloma opravdava propitivanje o mogućoj prevenciji nastanka. Preventivna postupanja moguća su jedino uz poznavanje uzroka i okolnosti nastanka prijeloma. Cilj je ovog rada analizirati okolnosti nastanka i kritična mjesta nastanka prijeloma kostiju šake prema dobnim skupinama. U radu je analizirano 274-ero djece liječene u KBC-u Zagreb s prijelomima šake od 2006. do 2014. godine. U studiji je analizirano 76 djevojčica (28%) i 198 dječaka (72%). Prosječna dob djece iznosila je 11,9 godina. Najviše ozlijeđenih bilo je u dobi od 10 do 13 godina. Na prijelome falangi prstiju otpadalo je 80%, metakarpalnih kostiju 17% te svega 3% na prijelome karpalnih kostiju. Najčešće su se ozljede događale na rekreacijskome mjestu (41%), zatim kod kuće (37%), u školi ili vrtiću (18%) te na ulici ili cesti (4%). Način nastanka ozljede uglavnom je izravni udarac u šaku (76%). U 24% djece uzrok ozljede je bio pad. Sportske su aktivnosti najvažniji uzrok nastanka ozljede kostiju šake u dječjoj populaciji. Izravni udarci u šaku u toku sporta glavni su mehanizam nastanka ozljede. I dječaci i djevojčice najviše stradavaju u dobi od 10 do 13 godina pa je to dobna skupina u kojoj je potrebno najviše djelovati. Preventivno djelovanje potrebno je usmjeriti na ozljede nastale u parkovima, školi i sportskim aktivnostima.
Hand is extremely exposed to various loads and traumas of everyday tasks and activities, resulting in fist fractures being fairly common injuries. The most common mechanism of injury is a direct ...blow. This retrospective study analyzed the data on 274 children admitted for hand fractures at Clinical Hospital Center Zagreb in the period from 2006 to 2014. The study included 76 girls (28%) and 198 boys (72%). The average patient age was 11.9 years and most were between 10 and 13 years of age. Phalangeal fractures accounted for 80%, metacarpal fractures for 17%, and carpal fractures for 3% of all injuries. Most commonly injuries occurred during recreation (4 1%), at home (37%), at school (18%) and in the street (4%). Direct blow was the major cause of injury (76%), and 24% were caused by fall. Injuries during sport activities are the most common cause of the hand fractures in pediatric population and direct blow is the main mechanism of injury. The peak incidence is at the age of 10-13 years in boys and girls, so prevention should be aimed at this age group. Preventive actions should be focused on injuries that tend to occur in parks, schools and during sport activities.
The physical properties of plaster bandages are a very important factor in achieving the basic functions of immobilization (maintaining bone fragments in the best possible position), which directly ...affects the speed and quality of fracture healing. This paper compares the differences between the physical properties of plaster bandages (mass, specific weight, drying rate, elasticity and strength) and records the differences in plaster modeling of fast bonding 10 cm wide plaster bandages, from three different manufacturers: Safix plus (Hartmann, Germany), Cellona (Lohman Rauscher, Austria) and Gipsan (Ivo Lola Ribar ltd., Croatia). Plaster tiles from ten layers of plaster, dimension 10 x 10 cm were made. The total number of tiles from each manufacturer was 48. The water temperature of 22 °C was used for the first 24 tiles and 34 'C was used for the remainder. The average specific weight of the original packaging was: Cellona (0.52 g/cm3), Gipsan (0.50 g/cm3), Safix plus (0.38 g/cm3). Three days after plaster tile modeling an average specific weight of the tiles was: Gipsan (1.15 g/cm3), Safix plus (1.00 g/cm3), Cellona (1.10 g/cm3). The average humidity of 50% for Safix plus and Cellona plaster tiles was recorded 18 hours after modeling, while for the Gipsan plaster tiles, this humidity value was seen after 48 hours. On the third day after plaster modeling the average humidity of the plaster tiles was 30% for Gipsan, 24% for Safix and 16% for Cellona. Cellona plaster tiles made with 34 °C water achieved the highest elasticity (11.75±3.18 MPa), and Gipsan plaster tiles made with 22 °C had the lowest (7.21±0.9 MPa). Cellona plaster tiles made with 34 °C water showed maximum material strength (4390±838 MPa), and Gipsan plaster tiles made with 22 °C water showed the lowest material strength (771±367 MPa). The rigidity and strength of Cellona and Gipsan plaster are higher in tiles made in warmer water, and for Safix plus are higher in tiles made in cooler water. All three types of plaster differentiate in physical properties. The differences in mass and specific weight before and after plaster modeling are minimal. There are greater differences in drying rate, elasticity and strength between the three different plaster materials.
Kapilarni hemangiom testisa iznimno je rijedak tumor. Prikazujemo slučaj testikularnog hemangioma u namjeri da skrenemo pozornost na rijetke benigne neoplazme i poštednu kirurgiju testisa zahvaćenog ...tumorom. Bolesnik je dvanaestogodišnji dječak, koji se prezentirao vodenom kilom i palpabilnim tumorom lijevog testisa. Ultrazvuk skrotuma i testisa pokazuje varikokelu II. stupnja, manji izljev u lijevom skrotumu te hipoehogenu zonu lijevog testisa veličine 5 mm u promjeru. Razina tumorskih markera u serumu (alfa-fetoproteina i beta-korionskoga gonadotropina) bila je u granicama referentnih vrijednosti. Intraoperativno je načinjena biopsija, a brza histološka analiza (na smrznutom preparatu) pokazuje kapilarni hemangiom. Potom je tumor potpuno odstranjen, a testis sačuvan. Klinički, ultrazvučnim nalazom i nalazom magnetske rezonancije hemangiomi se ne razlikuju od malignih solidnih tumora testisa. Intraoperacijska brza patohistološka dijagnoza određuje opsežnost kirurškog zahvata. Enukleacija hemangioma u zdravo tkivo testisa siguran je i opravdan kirurški zahvat.
Fizikalna svojstva sadrenih zavoja bitan su čimbenik u ostvarenju osnovne funkcije sadrenih imobilizacija (zadržavanje ulomaka kosti u dobrom položaju), a time izravno utječu na brzinu i kvalitetu ...cijeljenja prijeloma. U ovom radu mjere se fizikalna svojstva (masa, specifična težina, brzina sušenja, krutost i čvrstoća) i bilježe razlike sadrenog postupka, brzovežućih sadrenih zavoja širine 10 cm triju različitih proizvođača: Safix plus (Hartmann, Njemačka), Cellona (Lohman Rauscher, Austrija) i Gipsan (Ivo Lola Ribar d. o. o., Hrvatska). Sadreno je deset slojeva zavoja u pločice dimenzija 10 × 10 cm. Od svakog proizvoda načinjene su 24 pločice sadrene u vodi temperature 22 °C i isto toliko u vodi temperature 34 °C. Prosječna specifična težina originalnog pakiranja zavoja bila je: Cellona 0,52 g/cm3, Gipsan 0,50 g/cm3, Safix plus 0,38 g/cm3. Tri dana nakon sadrenja prosječna specifična težina pločica bila je: Gipsan 1,15 g/cm3, Safix plus 1,00 g/cm3, Cellona 1,10 g/cm3. Prosječna vlažnost od 50% pločicâ Safix i Cellona trajala je 18 sati, a pločicâ Gipsan 48 sati nakon sadrenja. Treći dan nakon sadrenja prosječna vlažnost pločica Gipsan bila je 30%, Safixa 24%, a Cellone 16%. Najveću krutost imale su pločice sadrenog zavoja Cellona sadrene vodom temperature 34 °C (11,75 ± 3,18 MPa), a najmanju (7,21 ± 0,9 MPa) pločice sadrenog zavoja Gipsan sadrene vodom temperature 22 °C. Sadreni zavoj Cellona, sadren vodom temperature 34 °C, pokazuje najveću čvrstoću materijala (4390 ± 838 MPa), a najmanju (771 ± 367 MPa) pločice sadrenog zavoja Gipsan sadrene vodom temperature 22 °C. Sadrenjem zavoja Cellona i Gipsan u toplijoj vodi (34 °C) pločice su bile veće krutosti i čvrstoće. Pločice Safix plus nemaju ovo svojstvo. Sve tri vrste sadrenih zavoja razlikuju se prema fizikalnim svojstvima. S obzirom na masu i specifičnu težinu prije i nakon sadrenja razlike su minimalne. Prema brzini sušenja, čvrstoći i krutosti postoje veće razlike.
The purpose of this study was to compare the results of body temperature measurements obtained by standard axillary thermometers with the results of infrared tympanic and frontal skin thermometry in ...afebrile children. This study comprises a single-center, prospective comparison trial. A total of 345 afebrile children aged 4 to 16 years hospitalized in the pediatric surgery department for elective surgery were included. One thousand axillary, tympanic and frontal measurements were obtained and compared. We used two different infrared thermometers in this study; one type measured the tympanic temperature, the other the temperature on the forehead. The axillary temperature measured with the glass thermometer was set as the standard. Each patient was exposed to a constant environmental temperature for a minimum of 10 min before simultaneous temperature measurements. The mean-frontal temperature 36.9 ± 0.38 °C was equal to the axillary temperature 36.9 ± 0.16 °C. The mean tympanic temperature was 36.3 ± 0.98 °C. The mean difference between the tympanic and axillary temperatures was -0.4 °C. The tympanic temperature had a threefold greater dispersion than frontal and a fivefold greater dispersion than axillary temperature. The results of this study suggest that the axillary temperature measured with glass thermometer has the least dispersion. Somewhat less reliable is the frontal temperature measured with infrared thermometer. The least reliable is tympanic temperature measurement.
Empijem prsišta nakupljanje je infektivne tekućine u pleuralnom prostoru, a najčešće nastane kao komplikacija bakterijske pneumonije u djece. Bolest ima ubrzan tijek i često već nakon nekoliko dana ...unatoč antibiotskom liječenju ulazi u stadij kada je nužno kirurško liječenje. Nema općeprihvaćenog stajališta kada i koju od kirurških metoda treba primijeniti. Te razlike u liječenju empijema prsišta osobito su izražene u djece. Unatoč razlikama u procjeni faze bolesti i optimalne metode liječenja krajnji su ishodi uglavnom dobri. U radu se analiziraju literaturna zapažanja o učinkovitosti različitih metoda te se opisuju postupci liječenja djece s empijemom prsišta. Opisan je postupak torakoskopske i otvorene operacije prsišta u djece. Iznesena su vlastita zapažanja i iskustva u liječenju empijema prsišta.
Treatment of empyema thoracis in children Antabak, Anko; Tjesić-Drinković, Dorian; Luetić, Tomislav ...
Liječnički vjesnik,
2013 Jan-Feb, Letnik:
135, Številka:
1-2
Journal Article
Recenzirano
Empyema, an accumulation of infected fluid in the thoracic cavity, is commonly secondary to bacterial pneumonia in children. Despite the high prevalence and availability of many medical treatment ...options, there is no general consensus on the optimal management approach, which would lead to full and rapid recovery. Especially, there are the big differences in treatment options for the child with empyema. Regardless of the differences in the procedures, the ultimate outcomes are good. This article reviews the current literature and discusses the important considerations in managing these patients. This paper describes thoracoscopic and open thoracic surgery procedures in children. The authors present their own observations based on years of experience in the treatment of thoracic empyema.
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