[The value of the ultrasonography and computed tomography in diagnosis and monitoring of treatment of renal abscesses in children]. / Wartosc ultrasonografii i tomografii komputerowej w rozpoznawaniu i monitorowaniu leczenia ropni nerek u dzieci.

A retrospective study of 14 patients from 2 to 13 years old with renal abscess was performed. We evaluated the diagnostic value of ultrasonography (US) and computed tomography (CT) in diagnostic investigation and treatment of renal abscess, which have changed during the past ten years from classic surgical treatment to percutaneous drainage. US and CT have revealed the diagnosis by showing a hypoechogenic or hypodense mass in all 14 patients. All had an intensive course of antibiotic treatment. In 10 of them the abscess were drained percutaneously by US guided drainage. Percutaneous drainage was unsuccessful in 2 patients, who subsequently underwent classic surgical exploration, incision and drainage for uncontrolled infection. We conclude that US and CT greatly facilitate the diagnosis and permit the percutaneous drainage of renal abscess in paediatric age group, which benefits from this minimally invasive therapy.

[Pleural hernia of an esophageal graft--late postoperative complication]. / Przepukliny oplucnowe sztucznych przelyków--odlegle powiklania pooperacyjne.

Pleural hernia of the oesophageal substitute from pedicled intestinal segment is one of the late postoperative complications. 13 cases of patients with oesophagus reconstructed because of lye ingestion stenosis are presented. Problems concerning diagnosis and treatment of pleural hernia are analysed. Eight patients with minor symptoms were treated conservatively. Five patients were operated, two of them from acute necrosis of the substitute. Necrosis was caused by incarceration of the bowel and torsion of the mesentery. Elective operative treatment consisted of reduction of hernia sac contents, closing of the hernia orifice, chest drainage and temporary gastronomy. In patient operated as an emergency cases necrotic part of substitute was removed. This resulted in oesophageal exclusion in the neck, creating gastronomy. Chest drainage was also performed.

[Radiologic diagnosis of the knee ligaments]. / Diagnostyka radiologiczna aparatu wiezadlowego kolana.

The X-rays diagnostics of the knee joint is based in a large extend on roentgenological diagnostics. All intra-articular injuries make a lot of diagnostic problems. In suspicion of an injury of a ligament system of the knee joint function films are the main examination. But NMR is the most efficient picture examination of those injuries.

[Algodystrophy--Sudeck syndrome]. / Algodystrofia--zespól Sudeck'a.

Modern views are presented on the development of algodystrophy illustrated with own material with a detailed description of characteristic cases. In the whole material of 175 patients, four age groups, and two groups according to trauma site (hand and foot) were isolated. All patients were subjected to clinical, X-ray, and some to radioisotope examinations. Greatest number of cases of algodystrophy was found in the age group over 60 years which confirmed the observations of other authors. On the basis of the presented material the authors think that of greatest importance are early diagnosis, treatment with of greatest importance are early diagnosis, treatment with analgesics, blood flow improving drugs, and salmon calcitonin, and rehabilitation treatment. It seems also that treatment with magnetic field may be beneficial--however, too small material of patients makes general conclusions impossible.

[Radiologic evaluation of changes occurring in bone under the influence of gentamycin-septopal]. / Radiologiczna ocena zmian zachodzacych w kosci pod wplywem Gentamycyny-Septopalu.

On the basis of several-year experience it was acknowledged that in treatment of chronic blood-derived and traumatic inflammations of bones the introduction of chains of Septopal to treatment was an obvious progress. The changes occurring in the bones of the patients for whom Septopal was left for good in the marrow cavity under the influence of antibiotic were evaluated. The observation included 89 patients for whom X-ray examinations were made many times in various intervals. Initially the chains of antibiotic were surrounded with a thin layer of connective tissue, and after several new-generating osseous tissue grew into them. In none of the observed cases any reaction indicating recoil of the carrier of the antibiotic was noticed.