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Carmen Mihalache

Publications and source records attributed to Carmen Mihalache.

2 recordsLinked to original sources
PubMedDate not supplied

[Diffuse hepatic hemangiomatosis--case report].

Hemangiomatosis of the liver is growing in the last decades, because of the abdominal imaging progresses: brain CT scan, MRI. In the presented case, the onset was with symptoms and biochemical disorders characteristic for acute viral hepatitis, with negative serological markers for the A and B hepatitis viruses. The persistence of the clinical symptoms and of the hepatic and biliary retention tests, determined the abdominal echography; which orient the diagnosis to vascular tumour with liver metastasis. Intraoperatively was found: diffuse hemangiomatosis of the liver. The patient didn't benefit from liver transplantation and died due to subfulminant hepatic failure.

Adolescent↗
PubMedDate not supplied

[Traumatic injuries to the spleen in adults].

The management of splenic injuries is still controversial, with an increasing trend toward non-operative treatment. The aim of this study was to assess for patients with splenic traumatic injuries, the treatment methods, the factors contributing in selecting appropriate management and the patients outcomes. Between 1994 and 2003, 77 patients were admitted and treated in our hospital for splenic traumatic injuries. There were 69 blunt (89.61%) and 8 penetrating injuries (10.38%). Nineteen patients were initially proposed for non-operative treatment, eventually only 5 patients (16.49%) were successfully treated (success rate 26.31%). Splenic conservation was used in 6 patients (7.79%; success rate 100%) and splenectomy on 66 patients (85.71%). Indications for laparotomy were: hemodynamic instability (35 patients), peritonitis (9 patients) and the presence of hemoperitoneum and splenic injury (22 patients). Overall mortality was 7.79%, with 4 deaths in splenectomy group and 2 deaths in proposed non-operative group. In conclusion, conservative treatment of splenic injuries can be performed with good results and an increasing number of patients can be treated in this way. For this purpose are necessary a perfect selection of the patients, a surgeon skilled in conservative splenic techniques and good techniques facilities.

Adolescent↗