Laparoscopic treatment of a huge mesenteric pseudocyst – case report

Intra-abdominal cysts and pseudocysts are rarely occurring lesions. Their incidence is reported to be 1 per 100 000-250 000hospitalizations. The lesions’ rarity and their mostly asymptomatic development causes troubles in early recognitionand treatment. The patients’ complaints are unspecific and mostly occur when the cysts are enlarged. Sometimesthese entities may cause signs of peritoneal irritation and be the reason for immediate operation. It may happen inthe event of cyst rupture, torsion, haemorrhages into the lesion or signs of compression of neighbouring structures.Many radiological methods are helpful in revealing intra-abdominal cysts. Unfortunately they cannot accurately distinguishthe character of the lesion. The most common surgical procedure of treatment is excision during laparotomy.However, in some cases the laparoscopic approach can be equal to open surgery. This article presents a case ofa young woman with a large intra-abdominal pseudocyst treated with laparoscop

Ultrasound-guided foam sclerotherapy of great saphenous vein with 2% polidocanol – one-year follow-up results

Introduction : Ultrasound-guided foam sclerotherapy (UGFS) of varicose veins is a useful treatment option. It is a relatively safe method in the case of limited, small varicose veins. In theory, a justified concern could be raised that the injection of an active drug into the large superficial venous vessels may potentially cause life-threatening consequences. Aim : To assess the safety and efficacy of UGFS using a 2% solution of polidocanol (Aethoxysklerol 2%) in the case of great saphenous vein incompetence. Material and methods : Fifty-two patients with great saphenous vein incompetence underwent ultrasound-guided foam sclerotherapy. The efficacy criterion was the elimination of reflux measured ultrasonographically and withdrawal or decrease of complaints: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up. Results : Decrease or withdrawal of complaints of chronic venous insufficiency was reported in 96% of cases (50 patients). Disappearance or decrease of varicose veins was noted in all patients (100%). During examination after 12 months, full success of ultrasound was achieved in 38 (73%) cases, and 11 (21%) patients presented a partial desired effect according to the consensus from Tegernsee. Persistence of reflux longer than 1 s in the treated great saphenous vein was reported in 3 (6%) cases. Serious complications, such as deep vein thrombosis, pulmonary embolism, dyspnea, anaphylaxis, or neurological abnormalities, were not recorded. Conclusions : Ultrasound-guided foam sclerotherapy of incompetent great saphenous vein and varicosities with 2% polidocanol was found to be an effective and safe method of treatment during 1 year of observation. However, longer observation is necessary