The Journal of Bucharest College of Physicians and the Romanian Academy of Medical Sciences

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An Unfortunately Surprise of a Renal Cystic Mass - Case Presentation

2016-04

Ovidiu Bratu, Dragos Marcu, Dan Spinu, Ioana Oprea, Ileana Peride, Dan Liviu Dorel Mischianu

Cystic renal masses represents a pathology that may rise diagnosis and management difficulties. The differential diagnosis of large renal cystic masses should be made with normal renal cysts, hydronephrosis, renal abscess, renal hematoma, morpho-functional demaged kidney or with a renal tumor with necrosis and abscess. [...]

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Upper GI Bleeding with Hemorrhagic Shock Caused by Infectious Esophagitis

2016-04

Daniela Tabacelia, Madalina Ilie, Gabriel Constantinescu, Radu Tincu, Bogdan Popa, Raluca Stanciulescu, Valentin Enache, Dragos Ene

CMV infection in healthy hosts is generally asymptomatic, producing a latent infection with antibodies persisting for months or even years after the recovery. In the population at risk, CMV infection is one of the most frequent opportunistic infection. The most frequent GI manifestation of CMV infection is colitis followed by esophagitis although it can affect all organs. CMV esophagitis has been reported in immunocompromised hosts by conditions like organ transplantation, bone marrow transplantation, in patients with HIV infection and AIDS or other debilitating diseases. [...]

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Comparison of Osteosynthesis Using Plates and Screws Versus Kirschner Wire Fixation for Unstable Metacarpal Fractures: a...

2016-04

Comparison of Osteosynthesis Using Plates and Screws Versus Kirschner Wire Fixation for Unstable Metacarpal Fractures: a Retrospective Clinical Study

Tiberiu Paul Neagu, Ion Cocolos, Mirela Tiglis, Ioana Cristina Grintescu, Mazen Elfarra, Ioana Teona Sebe, Cristian Radu Jecan, Ioan Lascar

Hand surgery is considered to be the biggest challenge for every plastic surgeon. The social value of the hand is appreciated by any individual, butmostly by plastic surgeons which are, par excellence, hand-working persons. When a hand injury is treated you must consider the Hippocratic concept which states that "healing is a matter of time but it is sometimes also a matter of opportunity". The hand forms a functional unit with the forearm which is a high-precision machine, with multiples levers, who has tactile intelligence that ensure its auto-mechanism, being able to grab and maintain, in any spatial position, large and small tools invented by human genius. The hand is both a motor and sensory organ, and in terms of society,it is an organ of defense, an organ of creation and expression. This is why hand surgery is very important, both in medical and social terms, and any research in this domain has one purpose: improving the treatment of hand injuriesin order to obtain functional results closer to the genetic scale of the divine creation. The purpose of this study was to assess different osteosynthesis techniques in order to establish which one is better in matters of functional results. [...]

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Diagnostic Challenges in Atypical Pulmonary Carcinoid

2016-04

Alice Balaceanu, Camelia Diaconu, Florin Andrei, Mazen Elfarra, Gheorghita Aron, Ion Dina

The spectrum of neuroendocrine tumors (NETs) of the lung is wide and heterogeneous, ranging from well-differentiated bronchial neuroendocrine tumors to highly malignant and poorly differentiated small cell lung cancer and large cell neuroendocrine carcinoma. NETs of the lung share both morphologic and immunohistochemical characteristics with neuroendocrine tumors. [...]

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Intrathoracic Anastomotic Leak after Ivor Lewis Esophagectomy: Non-Surgical Management

2016-04

Dragos Ene, Claudiu Stefan Turculet, Teodor Florin Georgescu, Madalina Ilie, Radu Tincu, Mircea Beuran

Esophagectomy is the best therapy for the patients with locoregionally advanced esophageal cancer, but carries serious risks of associated morbidity and mortality. Esophageal anastomotic leak is a severe post-operative complication with a rate of mortality that can reach 60%. Clinical presentations of esophageal anastomotic leaks varies from asymptomatic to severe sepsis and death. The prognosis depends on the duration to diagnosis and the severity of contamination. An anastomotic esophageal leak has a great impact on the length of hospitalization, morbidity, stricture formation and dysphagia. The management of intrathoracic anastomotic leaks include conservative, surgical or endoscopic treatment, but the indication between these options of treatment remains controversial. [...]

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