Diagnosis of chronic pancreatitis and pancreatic cancer at the centre of gastroenterology.

The installment of 4-step diagnostic system led to an improvement of the final diagnosis of chronic pancreatitis and pancreatic cancer. The average time during which pancreatic cancer proceeds from the onset of symptoms to computed tomography or laparotomy shortened considerably due to the application of the system screening procedures as well as of modern imaging techniques.

[Diagnosis and treatment of splenic contusion].

Splenic contusion was revealed in 12% of the sufferers with splenic trauma. The main methods for diagnosis of contusion are computerized tomography and angiography. The treatment is conservative.

[Diagnosis and treatment of sequelae of splenic injury].

Posttraumatic splenolithiasis was diagnosed in 33 patients, late posttraumatic hematoma in 4, posttraumatic splenosis in 4, and posttraumatic thrombophlebitic splenomegaly in 8 patients. The diagnosis of the sequelae of injury to the spleen is based on the case history and results of ultrasonic examination, computerized tomography, scintigraphy, laparoscopy, and angiography. Complicated splenomegaly and hypersplenism are indications for operative treatment of the sequelae of trauma of the spleen.

[Diagnosis and treatment of splenic abscess].

Eight patients with abscesses of the spleen were observed. The clinical picture had no special characteristics. Splenomegaly was not a pathognomonic symptom of the spleen abscess.