4 research outputs found
Popliteal artery injury following traumatic knee joint dislocation in a 14-year-old boy: A case report and review of the literature
Introduction. Posterior knee joint dislocation associated with injury of the
popliteal artery in children is an extremely rare condition. Rapid diagnosis
and treatment are essential for limb salvage and function. Case report. We
reported a 14-year-old boy who suffered traumatic displacement of the right
knee and contusion of the popliteal artery during motorcycle accident. The
diagnosis was confirmed using Doppler and duplex ultrasonography and digital
substraction transfemoral arteriography. The urgent surgical procedure was
performed using posterior approach to the popliteal artery. During the
surgical exploration, rupture of the posterior cruciate ligament associated
with thrombosed popliteal artery have been found. The damaged popliteal
artery was resected and replaced with autologous saphenous vein graft. The
last stage of the procedure was a transosseous femoral fixation of posterior
circuate ligament. A 3-year-follow-up after the surgery demonstrated intact
arterial perfusion and very good function of the knee with a minimal
difference as compared with the contralateral knee. Conclusion. Combined
orthopedic and vascular injuries are very rare in children. They require
combined treatment. [Projekat Ministarstva nauke Republike Srbije, br.
175008
Transitional cell carcinoma in orthotopic ileal neobladder 12 years after radical cystectomy
Introduction. Some cases of secondary adenocarcinoma developing in the replaced bowel segment of urinary diversions have been reported so far. Secondary adenocarcinoma develops 20 years after surgery in about 0.5% of those in whom an ileal segment is used. There have been several reports in the literature describing extensions of transitional cell carcinoma (TCC) from the distal urether into an ileal conduit. Histology of loop tumor in 50% was TCC. The site of tumors in the majority of cases is the area at the uretheral orifices or the stoma. Case report. We presented a rare case of transitional cell carcinoma in an orthotopic ileal neobladder 12 years after radical cystoprostatectomy and ileal neobladder with the substitution by the procedure Camey II. A 65-year-old man with high-grade urothelial carcinoma of neobladder underwent partial resection of neobladder and right nephroureterectomy. Pathological analysis revealed high-grade urothelial carcinoma to the ileal neobladder (G II, Stage T2b). The patient died of laryngeal cancer a year after the surgery. Conclusion. Surgery of tumors in orthotopic neobladders is possible if diagnosed in time. In the presented case surgery resulted only in a decrease in the capacity of the neobladder without having an effect on the continence itself
KIDNEY ALLOGRAFT OBSTRUCTION BY SURGICEL
Surgicel (Johnson & Johnson Medical, New Brunswick, NJ) represents well-known surgical haemostatic material. This report presents a case of a 36-year-old female patient who had postoperative extrinsic kidney allograft obstruction secondary to Surgicel. The patient presented with fever, pain in the perigraft region and hydronephrosis. After diagnostic procedure, a reexploration along with surgical removal of Surgicel was performed. The operative outcome was excellent