0000000000352655
AUTHOR
Dan Bratu
Gastro-Intestinal-Stromal Tumors (GIST) – An Unexpected Finding in Two Cases
Abstract Being considered a rare form of malignant neoplasm, stromal tumours are part of sarcomas group, they account for ~5% of all sarcomas (1), which develop from the supporting tissues of the body and have as a starting point special cells located in the wall of the gastrointestinal tract, called interstitial cells - described by Cajal. Although this type of tumour formations poses the problem of diagnosis, when it is made early and surgical and oncological treatment is prompt, the prognosis improves considerably.
A case of Fitz Hugh Curtis syndrome mimicking an acute abdomen
Fitz Hugh Curtis syndrome, also known as acute perihepatitis, associates pelvic inflammatory disease with the presence of Chlamydia trachomatis or Neisseria gonorrhoeae as the main causative pathogens.
 Symptomatology is a nonspecific one. Right upper quadrant pain, fever, nausea and vomiting are the most commonly encountered symptoms.
 Imaging data are also nonspecific and often show intra-abdominal changes with no particularity.
 As it is difficult to suspect Fitz Hugh Curtis syndrome upon first impression, laparoscopy and direct visualization of the peritoneum and liver adhesions are needed in the diagnostic process. The specific aspect of the fibrinous strands can raise t…
Pringle maneuver during open partial nephrectomy for renal tumors
Introduction. Sparing kidney tissue is important because studies show that patients who have their entire kidney removed are more likely to suffer from chronic kidney disease after surgery than patients who received a kidney-sparing partial nephrectomy. The aim of study is to show the effectives of Pringle maneuver for clamping renal pedicle in order to minimize warm ischemia during open partial nephrectomy. Material and method. We retrospectively analyzed 34 patients diagnosed with cT1 renal tumors between 2012 and 2016 and underwent open partial nephrectomy in Sibiu Urology Department. During the surgery we perform clamping of renal pedicle with Satinsky clamp or with the Pringle maneuver…
Intramuscular Abdominal Wall Endometriosis, an Unusual Finding for General Surgeon
Abstract Defined as the ectopic development of uterine tissue outside the uterine cavity, endometriosis is an increasingly common condition that can lead to various complications from chronic pain syndrome, infertility, obstruction due extrinsic compression to malignancy of endometriosis foci. Extrapelvic positioning of endometriosis is rare, diagnosis can be difficult both clinically and imaging, and treatment does not always ensure the absence of recurrences.