Перед выпиской я повторил и УЗИ и КТ: киста уменьшилась, скажем, в 10 раз, а в левой почке уменьшился гидронефроз и появились признаки её функционирования.

Приложение

Приложение

Я когда-то мечтал дожить до 2000 года и хотя бы одним глазком посмотреть на 3-е тысячелетие… Господь мне разрешил – и я увидел! Одно из чудес 3-го миллениума – Интернет. Поскольку публикация моя ставит целью образование молодых хирургов России, я позволил себе привести для них несколько примеров общения русского деда из африканского буша с профессорами хирургии в Чили, Уругвае, США, Израиле и т. д. Как говаривал Миша Горбачёв: «Это ж уму недостижимо!»

-– Original Message – From: Karen D. To: Sent: Saturday, September 03, 2005 6:47 PM Subject: Re: Another neglected blunt abd trauma Slava, The only thing that needs to be done currently is drainage of the pseudocyst. There is no way that you can do a cyst-anything-ostomy at one week so it will either have to be percutaneously drained or openly drained. I would opt for percutaneous. I cannot imagine that you could safely go in and do a formal distal pacreatectomy in the middle of that mess…although I have reached into the pseudocyst and pulled out an intact but necrotic section of dital pancreas once. Leave the kidney alone for now. Karen

-– Original Message –

From: Karen D.

To: <surginet@…>

Sent: Saturday, September 03, 2005 6:47 PM

Subject: Re: Another neglected blunt abd trauma

Slava,

The only thing that needs to be done currently is drainage of the pseudocyst. There is no way that you can do a cyst-anything-ostomy at one week so it will either have to be percutaneously drained or openly drained. I would opt for percutaneous. I cannot imagine that you could safely go in and do a formal distal pacreatectomy in the middle of that mess…although I have reached into the pseudocyst and pulled out an intact but necrotic section of dital pancreas once. Leave the kidney alone for now.