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D Iliescu

Publications and source records attributed to D Iliescu.

At least 19 recordsLinked to original sources
PubMed2004

Double renal arteries originating from the aorta.

From a study of renal vascularization, we present 54 cases of double renal arteries supplying one kidney and originating from the aorta. Of the 54 cases, 42 were unilateral, showing a left predominance (25 cases), three of them with triple renal arteries on the opposite side. In six cases we encountered bilateral double renal arteries. Most often, the supplementary renal artery originated from the lateral side of the aorta (58%). Examination of the renal approach showed that in 28 cases the supplementary renal artery entered the kidney through the hilum (proper supplementary renal artery), in 16 cases it was inferior polar, in five cases it was superior polar and in five cases the supplementary renal artery terminated in two branches, equal in caliber, one polar and the other hilar, thus showing a combined character, identical with the manner of termination of the main renal artery. In most of the samples the supplementary renal artery ended with a bifurcation inside the kidney, either into the renal sinus (proper supplementary renal artery) or inside the renal parenchyma (polar supplementary renal artery). The course of the double renal arteries showed multiple variations: retroureteral passage of the supplementary renal artery (6 cases), right supplementary renal artery passing anterior to the inferior vena cava (5 cases), crossed course of the double renal arteries (5 cases). Double renal arteries may coexist with other uro-vascular variations, such as: double renal veins on the same side (4 cases) or on the opposite side (3 cases), double ureter on the same side (2 cases) or on the opposite side (1 case), persistence of the fetal renal lobulation on the adult kidney (3 cases) and genital artery originating from the supplementary renal artery (3 cases).

Adult↗
PubMed2003

Morphological aspects of the inferior suprarenal artery.

The study was performed on 120 cases, and evaluated the origin, caliber at the origin, course, place of termination and distribution of the inferior suprarenal arteries, together with their point of entry into the glandular parenchyma. Most often, the inferior suprarenal artery originated from the trunk of the renal artery, prior to its terminal division. Other possible origins were: as a terminal branch of the renal artery, from one of the terminal branches of the renal artery (most often from the anterior division and rarely from the posterior one), as a common trunk with the superior polar renal artery, from a supplementary renal artery (more often from the superior and rarely from the inferior one), directly from the aorta, either as an individual branch, as a common trunk with the superior polar renal artery or as a common trunk with the middle suprarenal artery. Rarely the inferior suprarenal artery may originate from the genital artery or, also very rarely, from the celiac trunk, either individually or as a common trunk with the middle suprarenal artery. Usually, the inferior suprarenal arteries originating from the aorta or the renal artery have a larger caliber than those from other arterial sources. Most often, we found two or three arterial branches as inferior suprarenal arteries, so we may speak of inferior suprarenal arteries or an inferior suprarenal arterial pedicle.

Adult↗
PubMed2003

"Horseshoe kidney" in an ectopic position. A case report.

We present a case study of a horseshoe kidney, harvested from a 68-year-old patient who died suddenly from rupture of an aneurysm of the ascending aorta. The kidney was ectopically placed, its isthmus corresponding to the terminal aorta. The two kidneys were unequal in size, the right kidney being larger than the left. We discovered four renal arteries, two on the right and two on the left side, and four renal veins, one left, one middle and two on the right side. The isthmus was blood supplied by the left and the right inferior renal arteries while the venous blood was collected by the left and middle renal veins.

Aged↗
PubMedDate not supplied

[Deep liver wound treated by internal compression with Blakemore catheter].

High incidence of polytraumas of different etiology determines special problems of treatment, the emergency surgeon frequently facing serious and complex injuries the most frequently in unstable patients and therefore difficult to be treated. This paper presents the case of a 19 years old patient, victim of a heteroaggression; clinical examination reveals an unique abdominal wound, surgical procedure showed a liver lesion with massive hemoperitoneum. Authors expose a series of emergency procedures principles for unstable patients and also an unusual method in the treatment of a liver wound. Actually, this method means catheterization of the liver wound with a Blakemore catheter. The esophageal balloon is full fill to make a positive pressure on this wound. Good evolution of the case justifies this method to be used as an alternative procedure to other haemostatic methods (liver resections, hepatic artery ligature etc.).

Adult↗
PubMedDate not supplied

[Synchronous sigmoid and superior rectal resection and left hepatic lobectomy extended to Spiegel lobe for a sigmoid cancer with hepatic metastasis. Case report].

The recent developments of surgical technologies allowed the achievement of some standardized interventions with anatomical and functional visa, which based on the improvement of anesthesia and intensive care, and not least by elaboration of efficient chemotherapy protocols, determined new horizons in the treatment of advanced cancers. This work presents a case witch was hospitalized at the Department of Hepatic Surgery, of City Hospital from Timişoara for a colorectal cancer stage IV (T3N1M1), with hepatic metastasis localized at the left hepatic lobe (II and III segments) and Spiegel lobe. A surgical intervention was performed, when in the same operating time was practiced a sigmoid and superior rectal resection (Hartmann) and also a left hepatic lobotomy extended to the first segment. The post operating evolution of the patient was favorable and also after fourth month from the surgery, when no signs of relapse were established at reevaluation.

Adenocarcinoma↗
PubMedDate not supplied

[The limits of surgery in the treatment of the icteric patients due to pancreatic head cancer].

Aim is to present the limits of surgery, determined by the dimension of the tumor and vascular invasion, in the treatment of the icteric patients with pancreatic head cancer. This paper is a retrospective study realized in Timisoara City Hospital, Surgery Clinic, on 68 patients, hospitalized for icteric syndrome due to pancreatic head cancer. Surgery was performed in 66 patients: 4 (6%) pancreaticoduodenectomy, Whipple modified technique, 62 (94%) palliative surgery which consists in a biliodigestive shunt associated with a gastroenterostomy, and 2 patients were not operated. In palliative treatment, 10 (15%) patients had complications and 3 (4.5%) died within 1 month after surgery. In the case of the patients with duodenopancreatectomy, there was no morbidity or mortality. Survival after one year was 0% in palliative treatment and 100% in pancreaticoduodenectomy. In icteric patients due to pancreatic head cancer, the possibility of pancreaticoduodenectomy without vascular resection is reduced (6%). Modified Whipple technique was imposed by the dimensions of the tumor (more than 3 cm) and vascular invasion, determining in the first place, the dissection of the vascular tree: portal, mesenteric, caval; and pancreaticoduodenectomy was performed only if there was no invasion.

Carcinoma↗
PubMedDate not supplied

[Liver trauma. Experience of Surgical Department, City Hospital Timişoara].

The present paper analyzes the liver trauma, underlying efficient diagnostic methods and treatment approaches. Liver trauma is frequent in Surgical Emergency Units and it is a challenge for the surgeon who has to deal with diagnosis and treatment problems and also to treat the associated lesions. The study analyzes 49 cases of liver trauma admitted in Emergency Surgery Clinic from Timisoara City Hospital between January 1995 and April 2005. A very good trained team specialized in liver surgery but also a multidisciplinary team is very important in liver trauma.

Adult↗
PubMedDate not supplied

[Bronchoscopy in thoracic trauma].

Thoracic trauma often bears difficult problems of diagnosis and treatment. This paper reports 87 procedures on 20 severe thoracic injured patients, who have also suffered multiple injuries, to whom was performed bronchoscopy. These cases were regarding gender, age, traumatic cause, associated injuries and dynamic endo-bronchial aspect. There are detailed technique used in bronchoscopy and bronchoscopic suction, additional diagnostic procedures, technical tips, incidents and are also reported close and follow up results in these cases. We discuss indications of bronchoscopy and broncho-aspiration in thoracic trauma from diagnostic and treatment point of view. Conclusions underline major role of bronchoscopy in the management of severe thoracic trauma.

Adolescent↗