Hemangiopericytoma in the small intestine: a case report.

Hemangiopericytoma is a rare tumor, mostly composed of pericytes of ramified appearance that are normally found all along the venules and capillaries. An 18-year-old female was admitted on March 17, 1997 to the Department of Infectious Diseases for fever, chills and failure to thrive. Physical examination revealed a palpable tumorous mass in the iliac region on the right. The patient was transferred to the Department of Surgery. Vaginal examination and echotomography of the abdomen and pelvis minor were performed and revealed the presence of an irregular, inhomogeneous tumorous formation of 8 cm in diameter in the pelvis minor, differentially diagnostic right ovary, i.e. acute adnexitis or perityphlitic tumor. After that, small intestine resection, tumor excision in toto, and appendectomy were performed on April 16, 1997. Pathohistological diagnosis was hemangiopericytoma and chronic appendicitis. The biological behavior of this tumor is difficult to predict on the basis of clinical and morphological parameters. In our patient, local tumor excision was not followed by adjuvant therapy. After ten years, the patient is well, healthy and a mother of two healthy children.

[Surgical procedure in the treatment of pertrochanteric fractures]. / Operativni postupak u lijecenju pertrohanternih prijeloma

The authors discuss the problem of treatment of pretrochanteric fractures and emphasize that this type of fracture generally heals well and that it is characterized by fast callus formation. Conservative therapy in coxofemoral plaster often leads to serious complications and has a high mortality rate. Lasting extension according to Russel demands a long hospitalization period and significantly diminishes the number of surgical beds available. Surgical therapy has several advantages: it has far fewer complications and a mortality rate which is only about half as great as in conservative therapy. The authors evaluate their results obtained in 120 cases of pertrochanteric fractures treated surgically as satisfactory. In 106 cases osteosynthesis according to the AO technique and in the remaining 16 cases osteosynthesis using 3 to 4 Kirschner wires percutaneously were performed.