Abstract:
:The purpose of the article is to present the differential diagnostic criteria between pneumobilia (air in the biliary system) and portal vein gas on abdominal x-ray. Differential diagnosis is essential because of its influence on patient management. Two patients are presented, one with pneumobilia and the other with portal vein gas on abdominal x-ray, with review of the relevant literature. Pneumobilia is often iatrogenic and even in cases of cholecystitis it is never a sole indication for emergency surgery. Patients with pneumobilia on abdominal x-ray can always be investigated further. On the other hand, the presence of air in portal vein is in most cases a sign of acute mesenteric ischemia. In adults with abdominal pain indicating intestinal ischemia (pain that is 'out of proportion' to clinical abdominal examination findings), it is an indication for emergency exploratory laparotomy. It is vital to act early when intestinal ischemia is suspected.
journal_name
Acta Clin Croatjournal_title
Acta clinica Croaticaauthors
Rajković Z,Papes D,Altarac S,Arslani Nsubject
Has Abstractpub_date
2013-09-01 00:00:00pages
369-73issue
3eissn
0353-9466issn
1333-9451journal_volume
52pub_type
杂志文章abstract::Rabies is a zoonotic disease (a disease transmitted to humans from animals) that is caused by a virus. The disease affects domestic and wild animals, and is spread to people through close contact with infectious material, usually saliva, via bites or scratches. Rabies is present on all continents with the exception of...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2016.55.01.20
更新日期:2016-03-01 00:00:00
abstract::The aim of the study was to assess the role of serum osteoprotegerin (OPG) as a biomarker in patients with aortic valve stenosis (AS) in relation to heart failure and symptomatic status. This was a case control study, which included 51 patients with AS and 39 control subjects. At the time of study enrolment, detailed ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.22
更新日期:2017-12-01 00:00:00
abstract::We report on three cases of diaphragmatic (Morgagni) hernia with different clinical presentation. It is important to consider the possibility of this rare but potentially very dangerous condition in patients with respiratory problems and pain in the upper abdomen. Before laparoscopy, two different approaches were used...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.02.16
更新日期:2017-06-01 00:00:00
abstract::Histologic and radiologic studies describe intramyocardial fat tissue as a normal finding or as part of cardiac pathology. The role of fat cells within the myocardium is not fully understood. The aim of this study was to assess fat tissue distribution in the myocardium of right atrium (RA) and right ventricle (RV) and...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.01.15
更新日期:2018-03-01 00:00:00
abstract::The prevalence of uterine myomas during pregnancy is estimated to range from 0.3% to 2.6%. Although leiomyomas usually remain asymptomatic, in one often cases they may be complicated. The management of uterine fibroids during pregnancy is largely conservative and surgical removal is generally delayed until post partum...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract::Bleaching agents have effect on chemical/physical and morphological structure of enamel and dentin that must be taken into account when this therapy is used. The aim of this in vitro study was to evaluate the effects of two bleaching agents containing a high concentration of hydrogen peroxide for professional use on h...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::Heart rate variability (HRV) gives information on the sympathetic-parasympathetic autonomic balance. The aim of the study was to analyze sympathovagal balance after acute spinal cord injury (SCI), demonstrated by linear measures in time and frequency domain of HRV and to analyze the effect of corticosteroids on HRV pa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.02.08
更新日期:2016-06-01 00:00:00
abstract::- According to present findings, the impact of particular arterial pressure components on the occurrence of left ventricular hypertrophy (LVH) differs. We sought to determine which individual component of arterial pressure has the greatest impact on the LVH geometric pattern/degree. The study included 192 patients (87...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.04.05
更新日期:2018-12-01 00:00:00
abstract::Cavernous malformations are classified as a group of vascular malformations of the central nervous system. Conservative treatment of brainstem cavernomas is accompanied with poor outcome. Surgery ofbrainstem cavernomas still poses a challenge due to the high risk of neurological damage and respectable morbidity. We re...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-12-01 00:00:00
abstract::The aim of this study was to investigate the correlation of immunohistochemical expression of nm23 gene in colorectal cancer cells with tumor stage according to Dukes, tumor differentiation, occurrence of distant metastases and patient survival. This retrospective study included 100 colorectal cancer patients who unde...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::We investigated concentrations and roles of insulin-like growth factor 1 (IGF-1) and its binding protein (IGF1BP-3), growth hormone (GH), insulin, and markers of insulin resistance and inflammation in acute myocardial infarction (AMI). We aimed to assess any possible association between serum GH/IGF-1 axis following A...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.03.01
更新日期:2016-09-01 00:00:00
abstract::There are many false assumptions, both in the general population and among physicians, regarding the influence of radiation on pregnant patients and the fetus during diagnostic procedures, in spite of scientific facts based on studies. These false assumptions are mostly based on the idea that every diagnostic procedur...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.02.10
更新日期:2016-06-01 00:00:00
abstract::The aim of this study was to evaluate the implementation of the 9th edition of the American College of Chest Physicians (ACCP9) guidelines for prevention of venous thromboembolism in nonsurgical patients in clinical practice in one university and one general Croatian hospital. A retrospective study was conducted at Za...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.12
更新日期:2017-12-01 00:00:00
abstract::Moebius syndrome is a rare nonprogressive congenital neurological disorder with a wide range of severity and variability of symptoms. This diversity is a consequence of dysfunction of different cranial nerves (most often facial and abducens nerves), accompanying orofacial abnormalities, musculoskeletal malformations, ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2016-03-01 00:00:00
abstract::The Bethesda System for Reporting Thyroid Cytopathology from 2009 introduced a new category in thyroid nodule fine-needle aspiration (FNA) findings named atypia of undetermined significance (AUS), which usually appears in around 5% of FNA findings. Our study aimed to assess the utility of AUS finding in determining th...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.02.17
更新日期:2019-06-01 00:00:00
abstract::A rare clinical case of intraplacental intervillous hemorrhage (Kline's hemorrhage) is presented. After delivery of a premature newborn (810 g/35 cm) in 27th week of uncomplicated pregnancy, peripartum observation of the premature placenta (270 g, 16 x 16 x 1.8) suggested multiple intraplacental cavernae with semiflui...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract::The objective of this clinical update, based on recently published literature, was to discuss incidence and characteristics of the most relevant clinical adverse effects associated with local anesthetic and steroid use in regional anesthesia and treatment of acute or chronic pain. A comprehensive review of the English...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2019.58.s1.08
更新日期:2019-06-01 00:00:00
abstract::Helicobacter pylori (H. pylori) is a common problem and a significant cause of chronic gastric inflammation. H. pylori, ongoing gastric inflammation and its severity are the most critical component of precursors of gastric cancer. Hypothetically, every chronic tissue injury activates platelets, and the mean platelet v...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2019.58.04.02
更新日期:2019-12-01 00:00:00
abstract::Thrombolysis with intravenous recombinant tissue plasminogen activator (rtPA) is the first evidence based treatment for acute ischemic stroke, which aims to reduce the cerebrovascular lesion. At University Department of Neurology, Sestre milosrdnice University Hospital, Zagreb, thrombolytic therapy with intravenous rt...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,多中心研究
doi:
更新日期:2009-09-01 00:00:00
abstract::Gallstone ileus with impaction of gallstone in distal duodenum is an extremely rare complication of cholecystolithiasis. Gallstone ileus in itself accounts for less than 1% of these complications with 800 cases described so far. However, there are less than 15 cases described with the impaction of gallstone in distal ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract::Atrial fibrillation is the most common cardiac arrhythmia. It increases the risk of death and thromboembolic events. Vitamin K antagonists reduce these risks. Disadvantages of vitamin K antagonist therapy are narrow therapeutic range and interactions with drugs and food. In a single center prospective study, we enroll...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.04.22
更新日期:2019-12-01 00:00:00
abstract::The aim was to assess whether standard automated perimetry (SAP) and frequency doubling technology (FDT) perimetry are able to detect the effect of diabetes mellitus (DM) on retinal function in DM patients in the early stage of disease and to analyze which method is more specific and sensitive. A randomized cross-sect...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2020.59.01.02
更新日期:2020-03-01 00:00:00
abstract::Unicameral bone cysts (UBC) are benign bone tumor-like lesions. Mostly they are located in the metaphyseal-diaphyseal region of long bones in children and adolescents. The etiology of UBC is still unclear. There is no consensus about the protocol of UBC treatment. The aim of this study was to evaluate the effectivenes...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.03.01
更新日期:2019-09-01 00:00:00
abstract::The finding of osteoarthritis of temporomandibular joint (TMJ) obtained by clinical diagnosis, i.e. manual functional analysis (MFA) and the finding obtained by magnetic resonance imaging (MRI) as the gold standard were compared in 30 patients (mean age 52.6) diagnosed with osteoarthritis, selected out of 140 consecut...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-03-01 00:00:00
abstract::We report a first case of refractory several-hour sinus bradycardia, a rare but already described side effect of intramuscular administration of carboprost tromethamine to induce abortion for medical indication in a patient without cardiovascular and other diseases. After administration of atropine sulfate 3x0.5 mg in...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.02.21
更新日期:2016-06-01 00:00:00
abstract::Chronic wounds on lower extremities most commonly result from chronic venous insufficiency. Chronic leg ulcer impacts the quality of life in a number of ways such as reduced mobility, pain, unpleasant odor, sleep disturbances, social isolation, etc. This study included 100 patients with chronic wounds/lower leg ulcer ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-09-01 00:00:00
abstract::The aim of the study was to assess the situation with implantation of cardiac pacemakers and to critically evaluate the possibility of this method of treatment. The study was conducted from 2001 to 2007. Data on a total of 211 operations were included in the study. There were 121 (57.3%) male patients, mean age 69.7 y...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2008-12-01 00:00:00
abstract::In the past few decades, the survivor rate from childhood cancers has significantly increased due to constant modifications and improvements in treatment protocols, so the estimates are that childhood cancer occurs in 1 per 600 children, and that 1 per 450 adolescents or young adults is a long-term cancer survivor. Ne...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract::- Peripheral nerve injuries in sports are rare. Peripheral nerve injuries in sports are caused by pressure, stretching, or bone fracture. Peripheral nerve injuries are more frequent on upper limbs, and the type of injury is determined by the type of sport. According to Seddon, we distinguish 3 levels of injury: 1) neu...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2018.57.03.20
更新日期:2018-09-01 00:00:00
abstract::Anticoagulant therapy may cause the onset of a spontaneous intramural hematoma of the small bowel, in the jejunum, ileum or duodenum. A 53-year-old woman on therapy with heparin for previous pulmonary embolism was admitted for abdominal pain and vomit. Computed tomography scan visualized an intramural hematoma of the ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2012-09-01 00:00:00