RESUMO
On May 16, 1914, The Lancet Journal published a paper by Romuald Weglowski, a Polish-born professor of Moscow University, entitled "Malignant tumours of bones: a new method in conservative operative treatment." The idea of biological resection presented in the paper consisted in thermocoagulation of the apparently cancerous part of a bone with a jet of steam. According to the author, dead bone rid of live malignant cells reconstructed itself quickly, which helped to preserve the functionality of the organ without considerable limitations. The events of the First World War, political changes in tsarist Russia and the recovery of independence by Poland greatly complicated Weglowski's professional career. We thought it would be interesting to present the life story of the great Polish surgeon in the context of his own method of bone cancer treatment, which without doubt marked the beginning of Polish orthopaedic oncology aimed at limb-saving surgery.
Assuntos
Neoplasias Ósseas/história , Neoplasias Ósseas/cirurgia , Cirurgiões Ortopédicos/história , Ortopedia/história , Oncologia Cirúrgica/história , História do Século XIX , História do Século XX , Humanos , PolôniaRESUMO
We report the case of successful endovascular treatment of large saccular aneurysm of SVC in a patient with vascular malformation of right hand and chest. Considering the high risk of surgery, the patient was referred for percutaneous intervention. Venography showed communication between the aneurysm and SVC, just below brachiocephalic confluence. That is why the decision of balloon-protected transcatheter thrombin injection was made. Selective catheter was placed in the aneurysm and balloon occlusion catheter in SVC. Both catheters were withdrawn right after thrombin injection. During follow-up, aneurysm slightly enlarged in early observation and after a year shrinkage was observed.
Assuntos
Aneurisma/terapia , Embolização Terapêutica/métodos , Radiografia Intervencionista/métodos , Trombina/uso terapêutico , Veia Cava Superior/diagnóstico por imagem , Aneurisma/diagnóstico por imagem , Oclusão com Balão/métodos , Cateterismo/métodos , Seguimentos , Humanos , Masculino , Flebografia/métodos , Medição de Risco , Fatores de Tempo , Resultado do Tratamento , Veia Cava Superior/anormalidades , Adulto JovemRESUMO
The paper reports a rare case of an 18-year-old woman with Klippel-Trenaunay syndrome, whose multi-phase multi-slice CT revealed diffuse colorectal hemangioma. The patient presented symptoms of consumption coagulopathy (Kasabach-Meritt syndrome) and intense collateral circulation in the course of portal hypertension. The CT lesions and possibilities of multiformat and 3D volume rendering reconstructions are presented. To our knowledge, this is the first report of diffuse hemangioma of the colon and rectum in a patient with KTS detected with multi-slice CT.
