Multiplane transesophageal echocardiography for multiclinical dilemmas.

Introduction: Transesophageal echocardiography was introduced 4 decades ago. Its use have had very limited clinical indication. Now it has become very useful clinical tool.

Follow-up of acute aortic dissection.

Introduction: Aortic dissection is a tear in the wall of the aorta. It is a medical emergency. If left untreated the mortality rate is extremely high.

Colposcopy and cytodiagnosis in the prevention of cervical malignancies.

Background: The aim of this study was to establish the value of cytology, colposcopy, and pathohistology in the prevention of cervical malignancies.

Methodology: A prospective study involving 750 patients hospitalized in the Obstetric-Gynecologic department during the period between January 2008 to January 2009 for different reasons in whom cervical dysplasia were noted on speculum examination or who showed typical clinical symptoms, direct biopsy was also obtained from 117 patients.

Results: 272 of the 750 patients (36.

Echocardiographic diagnosis of divided right atrium-cor triatriatum dextrum.

First reported in 1868, cor triatriatum, that is, a heart with 3 atria (triatrial heart), is a congenital anomaly in which the left atrium (cor triatriatum sinistrum) or right atrium (cor triatriatum dextrum) is divided into two parts by a fold of tissue, a membrane, or a fibromuscular band. As far as division of the morphologically left atrium (cor triatriatum) is a recognized clinical and surgical entity. Division of the right atrium (prominence of the eustachian and thebesian valves) is recognized pathologically, but is rare.

Ecthyma gangrenosum in a patient with acute leukemia.

Ecthymagangrenosum (EG)is a rare condition with characteristic clinical appearance of red maculae that progresses to a central area of necrosis surrounded by an erythematous halo. The most frequently it is caused by Pseudomonas bacteriaemia in neutropenic patient. The authors presents a patient with acute myloblastic leukemia M4 type in whom in relapse EG caused by Pseudomonas aeruginosa was found.

Echocardiographic measurements of normal fetal pulmonary artery and pulmonary branches and comparison on fetuses with congenital diaphragmatic hernia.

Objective: Congenital diaphragmatic hernia is one of the severe congenital pulmonary anomaly (PA) associated with pulmonary hypoplasia, pulmonary sequestration and severe respiratory distress. The aim of this study was to present difference between measurements of the size of fetal pulmonary artery and pulmonary branches (PB) in normal growth fetuses and comparison with the same in fetuses with congenital diaphragmatic hernia (CHD). Measurements were done by echocardiography.

Propofol vs isoflurane anesthesia-incidence of PONV in patients at maxillofacial surgery.

Purpose: Prophylaxis of PONV (postoperative nausea and vomiting) is important for maxillofacial surgery. Vomiting is particularly unpleasant for the patient and undesirable as it may be detrimental to the operative area. The aim of this study is to compare the incidence of PONV after propofol with that after isoflurane anesthesia.

Value of trans-oesophageal echocardiography as a method of encouraging patients with chronic atrial fibrillation to use anticoagulation therapy.

Background: Despite the indisputable role of anticoagulation therapy for atrial fibrillation (AF) patients at risk for stroke, anticoagulants remain under-used in everyday clinical practice. We assumed that by performing trans-oesophageal echocardiography (TEE) on patients with AF who were not on anticoagulation treatment prior to the procedure, and by explaining to them the TEE images obtained, as well as the possible consequences of these findings, we could convince patients to start anticoagulation therapy. The main objective of the study was to assess the examined patients' adherence to warfarin therapy over a two-year period.

Missed abortion and application of misoprostol.

Background: Spontaneous abortion is categorized as threatened, inevitable, incomplete, complete, or missed. Abortion can be further categorized as sporadic or recurrent. By definition, a missed abortion is an in utero death of the embryo or fetus before the 20th week of gestation with retained conception products.

Colposcopy and cytodiagnosis in the prevention of cervical malignancies.

Background: Worldwide, cervical cancer is the fifth most frequent malignant disease in women, ranking third, after endometrial and ovarian cancer, among malignant diseases of the female genitalia. Sexual activity early in adolescence and promiscuity have been confirmed as risk factors. The aim of this study was to establish the value of cytology, colposcopy, and pathohistology in the prevention of cervical malignancies.

A pin in appendix within Amyand's hernia in a six-years-old boy: case report and review of literature.

Introduction: Presence of vermiform appendix (non-inflamed or inflamed) in inguinal hernia is called Amyand's hernia in honor to surgeon C. Amyand who published the first case of perforated appendicitis within inguinal hernia in a boy caused by ingested pin. This presentation of foreign body Amyand's hernia appendicitis is very rare, and here we present such a case.

Cases of poisoning with organophosphates treated at the University Clinical Centre of Kosova.

Everywhere today, poisonings present a significant and continuous increase of incidence in illness. Poisonings with organophosphates are more and more often. We do not have accurate statistics for this problem.

Electrical Burn Injuries. An Eight-year Review.

Electrical injuries are very aggressive pathological lesions with heavy functional and aesthetic consequences. The primary cause of their gravity is the progressive tissue necrosis that occurs with the continuous extension of wound necrosis, even leading to loss of the entire injured extremity. The goal of this study is to analyse the role of the inefficiency of the electric energy system in the incidence of electrical injuries in Kosovo during the period December 2000 to 2007 suffered by a total number of 182 patients treated in the Department of Plastic and Reconstructive Surgery, Pristina, Kosovo.

Alternating esotropia and surgical correction in both eyes.

Strabismus is an eye deviation, when both eyes cannot be directed at the same time towards the object that is being viewed. Strabismus is observed in approximately 25% of children under 3 years of age, and in approximately 3% of all children. There were 77 patients involved in this study, with Esotropia alternans, that had surgical operations at the Ophthalmology Clinic, University Clinical Centre of Kosova (UCCK), from 2005-2006.

Colposcopic changes based on number of sexual partners, births, and contraceptives use.

Objective: The aim of this study was to determine the role of colposcopy and cytodiagnosis in the early detection of pathological changes in the uterine cervix and the association between the number of birth, sexual partners and colposcopic changes and cytological atypia.

Material And Methods: Colposcopic changes in the cervix in relationship to number of births, abortions, and number of sexual partners were determined based on data from examinations performed at the Obstetric-Gynecologic Clinic in Prishtina, Kosovo during 2006 and 2007. The 500 examined patients were categorised in several groups.

Treatment of enterocutaneous fistula with total parenteral feeding in combination with octreotide: a case report.

Introduction: The diagnosis and classification of fistulas based on anatomy, physiology and etiological criteria is the first important stage, conservative treatment consists on patient's stabilization. Finally, on complicated cases, when spontaneous closure fails, specific surgical approach should be applied.

Case Presentation: A 50 years-old women patient underwent four surgical interventions from the bowel gangrene, caused from the superior mesenteric vein thrombosis consequences.

Intussusceptions as acute abdomen caused by Burkitt lymphoma: a case report.

Introduction: Burkitt's lymphoma is a highly malignant, aggressive and rapidly growing B-cell neoplasm, which has low long-term survival rates. The abdomen is the most frequent onset site of non endemic Burkitt's lymphoma. Symptoms are often misleading and make diagnosis difficult.

Ruptured rudimentary horn pregnancy at sixteen weeks.

Pregnancy in a non-communicating rudimentary horn is very difficult to diagnose before it ruptures, leading to life -threatening intraperitoneal hemorrhage. A 22-year-old second gravida patient presented at the Emergency Center of the University Clinical Center of Kosova with a 16-week history of amenorrhea and acute onset of severe abdominal pain. She was resuscitated and taken for an emergency laparotomy under general anesthesia.

Predictors of increased left ventricular filling pressure in dialysis patients with preserved left ventricular ejection fraction.

Aim: To study the left and right ventricular function and to assess the predictors of increased left ventricular (LV) filling pressure in dialysis patients with preserved LV ejection fraction.

Methods: This study included 63 consecutive patients (age 57+/-14 years, 57% women) with end-stage renal failure. Echocardiography, including tissue Doppler measurements, was performed in all patients.

Independent and incremental prognostic value of Doppler-derived left ventricular total isovolumic time in patients with systolic heart failure.

Background: A prolonged total isovolumic time (T-IVT) has been shown to be associated with worsening survival in patients submitted to coronary artery surgery. However, it is not known whether it has prognostic significance in patients with chronic systolic heart failure (HF).

Aim: To determine the prognostic value of T-IVT in comparison with other clinical, biochemical and echocardiographic variables in patients with chronic systolic HF.

Simultaneous laparoscopic cholecystectomy and removal of an intrauterine device translocated to the right subdiaphragmal region: a case report.

Introduction: Intrauterine devices are often accompanied by various complications, of which the uterine perforation constitutes the most dangerous one.

Case Presentation: We present a case of a 41-year-old woman complaining of right upper quadrant pain. She had an intrauterine device inserted 12 years earlier without regular follow-up.

Management of child with acute airway obstruction: a case report.

Introduction: Laryngotracheobronchitis is a rare, but in severe cases may lead to laryngeal edema progressing to complete closure of the subglottis within a few hours, without prompt treatment.

Case Presentation: We present the case of acute airway obstruction caused by laryngotracheobronchitis in a 6-year-old boy, initially misdiagnosed and treated as foreign body aspiration. The treatment of airway obstruction in the child was managed with algorithm used in our institution.

Subtotal resection and omentoplasty of the epidermoid splenic cyst: a case report.

Introduction: Nonparasitic splenic cysts are uncommon clinical entity and because of it, there is no information regarding their optimal surgical treatment.

Case Presentation: A 41-years-old female with incidentally diagnosed nonparasitic splenic cyst which initially was asymptomatic. After two years of follow up, the patient underwent surgery; subtotal cystectomy and omentoplasty as an additional procedure.

Factors associated with pathologic colposcopic and cytologic changes in 500 clinically asymptomatic women.

Objective: To determine the role of cytologic and colposcopic diagnosis in the early detection of pathologic cervical changes and the effect of the number of births, a history of abortion, the number of sexual partners, and contraceptive use on pathologic colposcopic and cytologic changes.

Method: The 500 study participants were seen at the Obstetric-Gynecologic Clinic of Prishtina, Kosovo, in 2006 and 2007. They were assigned to 5 groups of 100 according to number of births, a history of abortion (whether spontaneous or induced), and total number of sexual partners, but the use of contraceptives was also analyzed.

Persistent ventricular asynchrony after coronary artery bypass surgery predicts cardiac events.

Aim: The aim of this study was to identify echocardiographic LV systolic and diastolic measurements that predict clinical events post-coronary artery bypass graft (CABG) surgery.

Methods: We collected data from 27 patients (age 70 +/- 7 years) who underwent elective CABG, before and within 6 weeks after surgery. LV systolic function was assessed by conventional echocardiographic parameters.