Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)最新文献_第4页

Evaluation of the Effects of Gastro Protect as an Alternative Medicine on Gastritis and Other Gastrointestinal Symptoms. 评估 Gastro Protect 作为替代药物对胃炎和其他胃肠道症状的影响。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2024-04-04 Print Date: 2024-03-01 DOI: 10.2478/prilozi-2024-0006

Dafina Nikolova, Meri Trajkovska, Emilija Nikolovska Trpcevska, Vladimir Andreevski, Kalina Grivceva Stardelova, Vesna Velic

{"title":"Evaluation of the Effects of Gastro Protect as an Alternative Medicine on Gastritis and Other Gastrointestinal Symptoms.","authors":"Dafina Nikolova, Meri Trajkovska, Emilija Nikolovska Trpcevska, Vladimir Andreevski, Kalina Grivceva Stardelova, Vesna Velic","doi":"10.2478/prilozi-2024-0006","DOIUrl":"https://doi.org/10.2478/prilozi-2024-0006","url":null,"abstract":"Introduction: The use of herbal medicine as a part of the Complementary and Alternative Medicine is increasing worldwide. Herbal remedies are used to better different conditions including gastritis.Material and methods: We conducted a prospective randomized control clinical trial on a total sample of 72 patients with gastritis in order to examine the effects of the commercial herbal product Gastro Protect. After 6 weeks of conventional therapy the patients were divided into two groups with 36 patients each. As a continuation of the treatment, Group 1 received conventional therapy + Gastro Protect and Group 2 received conventional therapy + Placebo. We analyzed 14 selected gastrointestinal symptoms, five related to digestive problems, and nine related to stool and bowel problems. For assessing the selected symptoms we used seven point gastrointestinal symptom rating scale (GSRS).Results: The Gastro Protect group had a significantly lower GSRS score (better condition) compared to the Placebo group related to all five selected symptoms of digestive problems as: abdominal pain (p=0.0250), hunger pain (p=0.0276), nausea (p=0.0019), heartburn (p=0.00001), and acid reflux (p=0.0017). The Gastro Protect group, also had a significantly lower GSRS score (better condition) compared to the Placebo group related to three out of nine selected bowel symptoms: rumbling (p=0.0022), abdominal distension (p=0.0029), and gas or flatus (p=0.0039).Conclusion: Gastro protect was effective in treating gastritis and other gastrointestinal symptoms. It was safe for usage and showed almost no side effects. In our study, Gastro Protect reduced the examined gastric symptoms and related examined intestinal symptoms.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"45 1","pages":"51-60"},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Respiratory Distress Syndrome (RDS) in Newborns with Hypoxic-Ischemic Encephalopathy (HIE). 缺氧缺血性脑病 (HIE) 新生儿呼吸窘迫综合征 (RDS)。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2024-04-04 Print Date: 2024-03-01 DOI: 10.2478/prilozi-2024-0003

Sanja Ristovska

{"title":"Respiratory Distress Syndrome (RDS) in Newborns with Hypoxic-Ischemic Encephalopathy (HIE).","authors":"Sanja Ristovska","doi":"10.2478/prilozi-2024-0003","DOIUrl":"https://doi.org/10.2478/prilozi-2024-0003","url":null,"abstract":"Respiratory distress syndrome (RDS) and hypoxic-ischemic encephalopathy (HIE) are frequent causes of death and disability in neonates. This study included newborns between January 2021 and July 2022 at the University Clinic for Gynecology and Obstetrics, Skopje. Up to date criteria for HIE/RDS for term and for preterm infants as well for the severity of HIE/RDS were used in a comprehensive analysis of cranial ultrasonography, neurological status, neonatal infections, Apgar score, bradycardia and hypotension, X-ray of the lungs, FiO2, acid-base status, assisted ventilation and use of surfactant. Three groups were created: HIE with RDS (42 babies), HIE without RDS (30 babies) and RDS without HIE in 38 neonates. All newborns with severe (third) degree of HIE died. Intracranial bleeding was found in 35.7% in the first group and 30% in the second group, and in the third group in 53.3%. The need for surfactant in the HIE group with RDS is 59.5%, and in the RDS group without HIE 84.2%. DIC associated with sepsis was found in 13.1-50% in those groups. In newborns with HIE and bradycardia, the probability of having RDS was on average 3.2 times higher than in those without bradycardia. The application of the surfactant significantly improved the pH, pO2, pCO2, BE and chest X-ray in children with RDS. An Apgar score less than 6 at the fifth minute increases the risk of RDS by 3 times. The metabolic acidosis in the first 24 hours increases the risk of death by 23.6 times. The combination of HIE/ RDS significantly worsens the disease outcome. The use of scoring systems improved the early detection of high risk babies and initiation of early treatment increased the chances for survival without disabilities.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"45 1","pages":"19-30"},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140856805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Internet/Video Gaming: The Relevance of a New Phenomenon in the Youth. 互联网/视频游戏：青少年新现象的现实意义。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2024-04-04 Print Date: 2024-03-01 DOI: 10.2478/prilozi-2024-0001

Nada Pop-Jordanova

引用次数: 0

ALPPS Procedure for the Treatment of Bilobar Multiple Liver Metastasis from Colorectal Cancer: First Case in RN Macedonia. ALPPS手术治疗结直肠癌双叶多发性肝转移：马其顿地区首例

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0053

Rexhep Selmani, Zoran Karadzov, Goran Begovic, Qemal Rushiti, Shaban Memeti, Magdalena G Dimitrova, Tanja Spirovska, Marija Atanasova, Arian Selmani

{"title":"ALPPS Procedure for the Treatment of Bilobar Multiple Liver Metastasis from Colorectal Cancer: First Case in RN Macedonia.","authors":"Rexhep Selmani, Zoran Karadzov, Goran Begovic, Qemal Rushiti, Shaban Memeti, Magdalena G Dimitrova, Tanja Spirovska, Marija Atanasova, Arian Selmani","doi":"10.2478/prilozi-2023-0053","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0053","url":null,"abstract":"Introduction: ALPPS (Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy), is a recently developed procedure, first performed by HJ Schlitt in Regensburg, Germany. The technique developed two stages of hepatectomy. The ALPPS procedure has been introduced to increase the volume of future liver remnant, much more than the other technique, such as PVE (portal vein embolization). The first ALPPS in our country was introduced and performed by our team on May 15th, 2018. Results: The 60-year-old patient was previously operated on for rectal cancer in 2017 at another institution. The operation was performed with anterior resection and the patient was in long term adjuvant chemotherapy. One year after surgery, the patient has multiple bilobar liver metastases and increased tumor markers that led to instant admission to our institution for liver resection. In the first stage, we performed four metastasectomies on the left lobe with right portal vein ligation and transection on the Cantlie line. The second stage was performed after a CT evaluation on the eighth day, with significant hypertrophy on the left lobe. Pathological findings reported ten metastases on the right lobe with a diameter 1-3 cm. The patient was on the long-term chemotherapy, and after one year he had other MS in the IVa segment of the liver. We also performed a metastasectomy. The patient died 32 months after ALPPS. Conclusion: ALPPS is a safe and feasible procedure for the treatment of bilobar liver metastasis from colorectal cancer. It could provide long-term survival for patients.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"97-106"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Current State of Nuclear Nephrology in Modern Medicine. 现代医学中核肾学的现状。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0042

Daniela Miladinova, Tanja Makazlieva, Aleksandra Peshevska, Irena Rambabova-Bushljetik, Daniela Poposka, Venjamin Majstorov, Goce Spasovski

{"title":"The Current State of Nuclear Nephrology in Modern Medicine.","authors":"Daniela Miladinova, Tanja Makazlieva, Aleksandra Peshevska, Irena Rambabova-Bushljetik, Daniela Poposka, Venjamin Majstorov, Goce Spasovski","doi":"10.2478/prilozi-2023-0042","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0042","url":null,"abstract":"Glomerular filtration rate (GFR) is the most reliable parameter of renal function. Regarding the complexity of the gold standard inulin clearance, different estimating equations have been developed with CKD-EPI creatinine equation recommended as the most reliable one. In some clinical situations where creatinine based equations might not be valid, alternative methods are needed. Nuclear medicine methods for measuring GFR with 51Cr EDTA and 99mTc DTPA have been widely used for decades. There are different methodologies for the measurement of kidney function with radiopharmaceuticals: urinary clearance, plasma clearance, multiple plasma sampling, slope intercept, single sample plasma equation, slope only, and the gamma camera-based method. Greater precision of measuring GFR is needed in certain clinical situations. The most common are diagnosis and follow up of chronic kidney disease and definition of the beginning of replacement therapy. The assessment of renal function is also important for potential kidney donors. In recent years, with the introduction of new chemotherapeutic drugs and targeted therapy, oncologic patients treated with nephrotoxic drugs have become more commonly referred for measuring GFR. The monitoring of renal function is important during treatment in order to detect the transformation from reversible acute kidney injury to irreversible chronic kidney disease as well as in the cases of renal insufficiency reduce the dosage and prevent accumulation of the drug and avoid dosage related toxic effects. Assessment of kidney function using measured mGFR will be an important milestone in the creation of more accurate and expanding personalized medicine principle in current onconephrology practice.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"7-16"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anesthetic Chalenges And Managment In Patient With Ataxia- Telangiectasia. 共济失调-远端肌营养不良患者的麻醉难题和处理方法

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0048

Marija Jovanovski-Srceva, Goran Kondov, Andrijan Kartalov, Antonio Georgiev, Igor Kuzmanovski, Bujar Osmani, Mishel Andov, Aleksandra Gavrilovska-Brzanov, Nexhati Jakupi, Marija Stevic, Sinisa Stojanoski

引用次数: 0

The Incidence of Lymphovascular and Perineural Invasion and their Impact on Survival in Patients with Rectal Cancer. 直肠癌患者淋巴管和神经周围受侵的发生率及其对生存期的影响

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0049

Shqipe Misimi, Dajana Cako, Ali İlbey Demirel, Andrej Nikolovski, Cemal Ulusoy, Mehmet Güray Duman

{"title":"The Incidence of Lymphovascular and Perineural Invasion and their Impact on Survival in Patients with Rectal Cancer.","authors":"Shqipe Misimi, Dajana Cako, Ali İlbey Demirel, Andrej Nikolovski, Cemal Ulusoy, Mehmet Güray Duman","doi":"10.2478/prilozi-2023-0049","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0049","url":null,"abstract":"Aim: Lymphovascular Invasion (LVI) and Perineural Invasion (PNI) represent undesirable but still realistic pathological features of rectal cancer, associated with poor prognosis and worse survival. The aim of this study is to assess the incidence of LVI and PNI in patients treated for rectal cancer and the impact of LVI and PNI on patient survival. Material and Methods: This retrospective single center observational study, conducted in the period of 2016-2019, includes patients with rectal cancer treated with/without long-course neoadjuvant chemoradiotherapy (nCRT). Data collection encompassed demographics, tumor characteristics, type of surgery (abdominal perineal rectal resection - APR and low anterior rectal resection - LAR), and LVI/PNI presence. Survival during follow-up was estimated and compared for patients with/without LVI and PNI involvement. Results: A total number of 234 patients (77 females and 157 males) with mean age of 61.3 enrolled in the study. Neoadjuvant CRT was conducted in 170 patients. APR procedure was performed in 67 of them and LAR in 167. LVI presence was noted in 55 (24.4%) and PNI in 77 (34.2%) patients. Mean survival during follow-up was 42.07 months. The use of nCRT influenced on survival (p < 0.033). Patients treated with LAR had better survival outcomes (p = 0.001). Presence of LVI and PNI was associated with a worse prognosis (p < 0.001). Conclusion: PNI was more frequent than the LVI in this study. Patients with nCRT conduction had better overall survival. LVI and PNI presence was associated with poor prognosis in terms of overall survival in patients with rectal cancer.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"73-78"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigation of the Dynamics of Salmonellosis in the Republic of North Macedonia. 北马其顿共和国沙门氏菌病动态调查。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0046

Besim Memedi, Vlatko Tanevski

{"title":"Investigation of the Dynamics of Salmonellosis in the Republic of North Macedonia.","authors":"Besim Memedi, Vlatko Tanevski","doi":"10.2478/prilozi-2023-0046","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0046","url":null,"abstract":"The main goals of this research are to determine the developmental tendency of salmonellosis in the Republic of North Macedonia and to determine the index of dynamics and the rate of decline/increase of salmonellosis in the Republic of North Macedonia. The research covers the period from 01.01.2012 until 31.12.2022. The data used to implement this study were obtained from the Institute of Public Health of the Republic of North Macedonia. The research included 2711 subjects who were sick with salmonellosis from 2012 to 2022. The following statistical methods of work are used: linear trend, dynamic index with a constant base, dynamic index with a variable base (chain index), rate of decline, and rate of increase. The results of the study suggest that in the period 2012-2022, the highest number of patients (n=373) and the highest incidence (18/100000) of salmonellosis were registered in 2018, and the lowest in 2020 (n=119, I=5.8/100000). From the linear trend values, it can be concluded that salmonellosis in the Republic of North Macedonia shows a decreasing tendency. The biggest increase in salmonellosis in the Republic of North Macedonia was in 2015 by 71% compared to 2014. The biggest decrease in salmonellosis in the Republic of North Macedonia was in 2020 by 48% compared to 2019. From the study, it can be concluded that food operators and manufacturers are observing the procedures of the HACCP control system for food safety, leading to a possible decrease in salmonellosis.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"49-55"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictive Admission Risk Factors, Clinical Features and Kidney Outcomes in Covid-19 Hospitalised Patients with Acute Kidney Injury. 19例急性肾损伤住院患者的入院风险预测因素、临床特征和肾脏预后

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0054

Aleksandra Canevska Taneska, Irena Rambabova-Bushljetik, Zaklina Shterjova Markovska, Mimoza Milenkova, Adrijana Spasovska Vasileva, Biljana Zafirova, Vladimir Pushevski, Galina Severova, Lada Trajceska, Goce Spasovski

{"title":"Predictive Admission Risk Factors, Clinical Features and Kidney Outcomes in Covid-19 Hospitalised Patients with Acute Kidney Injury.","authors":"Aleksandra Canevska Taneska, Irena Rambabova-Bushljetik, Zaklina Shterjova Markovska, Mimoza Milenkova, Adrijana Spasovska Vasileva, Biljana Zafirova, Vladimir Pushevski, Galina Severova, Lada Trajceska, Goce Spasovski","doi":"10.2478/prilozi-2023-0054","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0054","url":null,"abstract":"Introduction: In COVID-19 patients, acute kidney injury (AKI) is recognized as a cause of high mortality. The aim of our study was to assess the rate and the predictors of AKI as well as survival among COVID-19 patients. Methods: We analyzed clinical and laboratory admission data, predictors of AKI and outcomes including the need for renal replacement therapy (RRT) and mortality at 30 days. Results: Out of 115 patients, 62 (53.9%) presented with AKI: 21 (33.9%) at stage 1, 7(11.3%) at stage 2, and 34 (54.8%) at stage 3. RRT was required in 22.6% of patients and was resolved in 76%. Pre-existing CKD was associated with a 13-fold risk of AKI (p= 0.0001). Low albumin (p = 0.017), thrombocytopenia (p = 0.022) and increase of creatine kinase over 350UI (p = 0.024) were independently associated with a higher risk for AKI. Mortality rates were significantly higher among patients who developed AKI compared to those without (59.6% vs 30.2%, p= 0.003). Low oxygen blood saturation at admission and albumin were found as powerful independent predictors of mortality (OR 0.937; 95%CI: 0.917 - 0.958, p = 0.000; OR 0.987; 95%CI: 0.885-0.991, p= 0.024, respectively). Longer survival was observed in patients without AKI compared to patients with AKI (22.01± 1.703 vs 16.69 ± 1.54, log rank p= 0.009). Conclusion: Renal impairment is significant in hospitalized COVID-19 patients. The severity of the disease itself is emphasized as main contributing mechanism in the occurrence of AKI, and lower blood saturation at admission is the strongest mortality predictor, surpassing the significance of the AKI itself.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"107-119"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abdominal Wall Endometriosis at the Cesarean Section Scar. 剖腹产疤痕处的腹壁子宫内膜异位症。

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki) Pub Date : 2023-12-18 Print Date: 2023-12-01 DOI: 10.2478/prilozi-2023-0055

Meral Rexhepi, Learta Veliu Asani, Luljeta Mulaki, Kazimir Koprivnjak, Majlinda Azemi

{"title":"Abdominal Wall Endometriosis at the Cesarean Section Scar.","authors":"Meral Rexhepi, Learta Veliu Asani, Luljeta Mulaki, Kazimir Koprivnjak, Majlinda Azemi","doi":"10.2478/prilozi-2023-0055","DOIUrl":"https://doi.org/10.2478/prilozi-2023-0055","url":null,"abstract":"Abdominal wall endometriosis is atypical localization of the extra-pelvic endometriosis with non-specific symptoms and is difficult for diagnosis. Cesarean scar endometriosis (CSE) is the most common type of abdominal wall endometriosis, which usually develops after obstetric operations. We report a case of a 33-year-old woman who had two previous cesarean sections presented with a mass in the subcutaneous tissue of the abdominal wall, approximately 4 cm superior to the Pfannenstiel incision, 5 years after her second lower segment caesarean section. The classic clinical presentation, imaging findings on ultrasonography and computed tomography are analyzed. Treatment with local surgical excision of the mass is discussed. The diagnosis was confirmed with histopathological analysis of the surgical sample. When it comes to the limited painful lesion in the subcutaneous tissue at the cesarean scar, with a pain intensifying during menstruation, the physician should consider cesarean scar endometriosis in women of reproductive age with a history of cesarean section.","PeriodicalId":74492,"journal":{"name":"Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)","volume":"44 3","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0