Liver actinomycosis mimicking liver tumor

Background. The liver actinomycosis is a rare disease associated with complex differentiation from the liver metastases or hepatocellular carcinoma. Case report. A 50-year old immunocompetent female patient was admitted to the Surgical Department in an exhausted condition, with dyspnea, significant weight loss and intermittent fever in the recent two months. Diagnostic procedures that followed, including abdominal ultrasound and computed tomography led us to the diagnosis of metastatic liver disease of unknown etiology with pleural and pericardial effusion. Intraoperatively, the presence of liver pseudotumor without malignancy in the liver was confirmed. Histological examination confirmed the diagnosis of liver actinomycosis. Prolonged treatment with high dose penicillin was performed and all signs and symptoms resolved completely without further problems. The control abdominal ultrasound finding was normal. Conclusion. Liver actinomycosis has a nonspecific presentation, often mimicking liver tumor. A timely diagnosis as well as a combined surgical and antibiotic therapy is necessary in the treatment of patients with primary disease and prevention of complications

Gastric adenomyoma

Bacground. Gastric adenomyoma is a rare, hamartomatous tumor localized most frequently in the gastric antrum. Review of the available literature shows only sporadic reports or smaller series. Case reports. We presented a 72-year-old woman admitted due to epigastric pain with dyspeptic difficulties. Biochemical parameters and tumor markers were within the referential limits. Diagnostic procedures (upper endoscopy, endoscopic ultrasonography and computerized tomography) revealed an intramural tumor prominence with intact mucosa on the posterior wall of gastric antrum, not accessible for biopsy. Surgical treatment was performed with total extirpation of the tumor. Histopathological examination verified adenomyoma with focal low grade epithelial dysplasia. Cytologic immunophenotype was consistent with smooth muscle stromal and epithelial tumor (CK7 and CK20 ++ immunophenotype). Stromal component revealed low proliferative index (Ki-67 protein immunoexpression level 3%), and p53 less than 0.1% in both epithelial and stromal components. Following the operation, the patient remained in good condition. Conclusion. Uncertain malignant potential of the gastric adenomyoma in the presented case indicates that timely diagnostics with adequate surgical treatment is crucial for an adequate treatment

Finite Element Design of Rotor Permanent Magnet Flux Switching Machine with Arbitrary Slot, Pole and Phase Combinations

A two-dimensional finite element approach for designing RPMFS (Rotor Permanent Magnet Flux Switching) machines is presented in this paper. The proposed method enables fast, accurate and computationally efficient assessment of different RPMFS machine designs with an arbitrary number of rotor poles, stator slots and stator phases. The appropriate stator winding layout is assembled for any feasible slot, pole and phase combination by employing the winding distribution table, which contributes to automating the design process. Based on the proposed method, a program is developed using the Octave FEMM (Finite Element Method Magnetics) toolbox. The program is suited for the use in the design stage, where it is necessary to determine various machine parameters for given core dimensions, terminal voltage constraints and adopted value of current density in the conductors, while taking iron saturation effects into account. Verification was carried out by simulating torque and EMF waveforms for several RPMFS machine designs

A study of pulmonary embolism after abdominal surgery in patients undergoing prophylaxis

AIM: To determine risk factors for pulmonary embolism and estimate effects and benefits of prophylaxis