Cyst of the canal of nuck in a two year old girl.

The canal of Nuck is analogous to a patent processus vaginalis in a male, which normally loses its communication to the peritoneal cavity within the first year of life. Failure of obliteration of this tract can result in a hydrocele. We present a rare case of a 2-year-old girl with left-sided groin swelling, diagnosed as inguinal hernia. Patient underwent surgical exploration and establishes definitive diagnosis as cyst of the canal of Nuck.

Recovery of liver function after surgical procedure of penetrative and nonpenetrative liver injury.

AIMS: Determination of degree of liver function damadge after nonpentrative and penetrative injury as well as degree of postoperative recovery of liver function after surgical procedure of penetrative and non-penetrative injury. METHODS: 60 patients were analised by retrospective-prospective study after surgery performed on University-Clinical Centre Tuzla in period from March 2008 to June 2011, out of which 30 of them were surgicaly treated for non-penetrative and 30 for penetrative liver injury. All patients were determined for values of total billirubine, direct billirubine, albumins, aspartat aminotransferasis (AST), alanin aminotransferasis (ALT) in preoperative period and in two weeks of postoperative recovery. In statistical data processing T-test of independent variables was used along with methods of descriptive statistical analysis. the difference on level p < 0,05 is statisticaly significant. RESULTS: Significant difference of values in direct billirubine, total proteins, albumins, AST, ALT was found by analysis of paremeters in liver function in preoperative period and among values in total and direct billirubine, total proterins, albumins, AST, ALT on 7th and 15th postoperative day among tested groups. CONCLUSION: Liver function damaged is larger after non-pentrative liver trauma in comparing to penetrative one. Liver function recovery is longer after surgical procedure of penetrative liver injury in comparing to non-pentrative liver injury.

Surgical treatment and complications of treating pancreatic tumor.

UNLABELLED: Pancreatic tumor is one with the worst prognosis of all cancers, and the tenth most frequent cancer in Europe, making the 3% of all cancers affecting both sexes. Most patients seek treatment when the disease is in its advanced stage and the level for possible resectability is low. Late presentation of the disease is responsible for the short survival period of 6 months and a five-year survival of 0.4 to 5% of patients. At the Clinic for Surgery in Tuzla during period from January 1st 1996, to January 1st 2011, a total of 127 resection surgeries were performed due to malignant tumors. The goal of this study was to show that adequate assessment of operability, proper surgical strategy and modern techniques of creating anastomoses reduces morbidity and mortality, results in fewer postoperative complications and contributes to better surgical results. In our study sample the most common place of tumor location was the head of pancreas, in 69 (59.7%) patients. Men develop this type of cancer more often than women in the ratio of 2:1, while the median age of patients was 62 years. We faced postoperative complications in 37 (29.1%) patients, pancreatic fistula being the most prevalent complication, occurring in 16 (12.6%) patients. Overall early and late postoperative mortality was observed in 12 (9.8%) patients. CONCLUSION: Patients with chronic and hereditary pancreatitis are at a higher risk for developing pancreatic cancer and should be screened for the purpose of early diagnosis. The staging of pancreatic cancer has improved, with the accuracy of 85-90%. Postoperative complications, morbidity, and mortality are significantly reduced (p < 0.05) if the standardized operational procedure is applied and if modern techniques are used to create pancreaticojejunal anastomosis as the anastomosis carrying the highest risk.

Both-sided large abdominoscrotal hydrocele associated with testicles atrophy.

Abdominoscrtoal hydrocele is unusual condition with large scrotal hydrocele, which communicates through narrow inguinal channel with abdominal component. Abdominoscrotal hydrocele is not a benign condition, because complications such as acute appendicitis, testicular dismorphism, ureterohydronephrosis, paratesticular malignity have been described earlier. This case study describes one year old boy with both-sided abdominoscrotal hydrocele. Abdominal masses connected with hydrocele need to induce a suspicion of this condition. Early diagnosis and existing surgical techniques for treatment of this disorder are the key factors in prevention of complications associated to this disorder.

Initial experiences with propranolol treatment of infantile hemangiomas: report of three cases.

Infantile hemangiomas (IH) are common benign tumors in infancy, affecting 5-10% of all infants and they can still cause disfigurement and serious complications depending on their location and size, which can be associated with ulcerations and haemorrhage. Since 2008, propranolol has become the first choice of therapy for complicated IH, compared to conventional approach with systemic corticosteroid therapy as first-line treatment and then interferon or vincristine as second- or third-line therapeutic agents. We report three cases of hemangioma, successfully treated with propranolol. Oral propranolol was given for a period of 6 months with monthly follow up. All cases showed dramatic response without any relapse after stopping the treatment. Propranolol is novel and safe medication for treatment of infantile hemangioma.