prikaz prve stranice dokumenta Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice
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Scientific paper - Case study
Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice
Medicina Fluminensis : Medicina Fluminensis, 52 (2016), 2; 238-240. urn:nbn:hr:184:080466
Grebić, Damir; Tomašić, Ana-Marija; Pirjavec, Aleksandra

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Grebić, D., Tomašić, A. M. & Pirjavec, A. (2016). Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice. Medicina Fluminensis : Medicina Fluminensis, 52. (2), 238-240. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:080466

Grebić, Damir, et al. "Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice." Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, 2016, pp. 238-240. https://urn.nsk.hr/urn:nbn:hr:184:080466

Grebić, Damir, Ana Marija Tomašić and Aleksandra Pirjavec. "Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice." Medicina Fluminensis : Medicina Fluminensis 52, no. 2 (2016): 238-240. https://urn.nsk.hr/urn:nbn:hr:184:080466

Grebić, D., Tomašić, A. M. and Pirjavec, A. (2016) 'Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice', Medicina Fluminensis : Medicina Fluminensis, 52(2), pp. 238-240. Available at: https://urn.nsk.hr/urn:nbn:hr:184:080466 (Accessed 26 April 2024)

Grebić D, Tomašić AM, Pirjavec A. Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice. Medicina Fluminensis : Medicina Fluminensis [Internet]. 2016 June 01 [cited 2024 April 26];52(2):238-240. Available at: https://urn.nsk.hr/urn:nbn:hr:184:080466

D. Grebić, A. M. Tomašić and A. Pirjavec, "Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice", Medicina Fluminensis : Medicina Fluminensis, vol. 52, no. 2, pp. 238-240, June 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:080466. [Accessed: 26 April 2024]

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Metadata
Title (croatian)Intermitentne klaudikacije uzrokovane velikim intramuskularnim lipomom natkoljenice
Title (english)Intermittent claudication caused by a large intramuscular lipoma of the thigh
AuthorDamir Grebić
AuthorAna-Marija Tomašić
AuthorAleksandra Pirjavec
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Surgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (croatian)
Cilj: Cilj je ovog rada prikazati rijedak slučaj velikog intramuskularnog lipoma natkoljenice s kompresijom velikih krvnih žila donjeg ekstremiteta. Prikaz slučaja: 72-godišnji muškarac palpirao je čvrstu formaciju na medijalnoj strani desnog bedra. Iz anamneze se doznaje da je u posljednja četiri mjeseca patio od intermitentnih klaudikacija u desnoj potkoljenici. Pacijent nije imao faktore rizika za aterosklerotsku bolest perifernih arterija nogu. Učinjeni su laboratorijski nalazi koji su bili unutar referentnih vrijednosti. Fizikalnim pregledom otkrivena je tumorska formacija, pomična u odnosu na okolno tkivo, koja je zauzimala gotovo cijelu medijalnu stranu bedra. Ultrazvučni pregled ukazao je na tumor mekog tkiva dimenzija 27 × 20 cm. Doplerov ultrazvuk pokazao je smanjen protok u arterijama potkoljenice i njihovim granama, dok je protok kroz femoralnu arteriju bio uredan. Pacijent je potom podvrgnut citološkoj punkciji tumorske tvorbe te je time potvrđen tumor mezenhimalnog podrijetla. Nakon učinjene dijagnostike pacijent je podvrgnut operativnom zahvatu odstranjenja tumorske tvorbe. Intraoperativno se utvrdilo da tumor svojom veličinom i položajem komprimira krvne žile natkoljenice. Tumor se u cijelosti ekstirpirao iz aduktornog kanala. Patohistološkom dijagnostikom potvrđen je intramuskularni lipom. Postoperativni tijek protekao je uredno i rana je uredno cijelila. Pacijent više nije imao bolove u nozi u vidu intermitentnih klaudikacija. Kontrolni dopler ultrazvuk pokazao je uredan protok krvi kroz poplitealnu arteriju i njene ogranke. Zaključak: Prikazali smo rijedak slučaj pacijenta s velikim intramuskularnim lipomom te potencijalno mogućim uzrokom intermitentnih klaudikacija.
Abstract (english)
Aim: To present a case of a very rare large intramuscular lipoma of the thigh with compression on blood vessels of the lower extremity. Case report: A 72-year-old man felt a formation on the medial side of his right thigh. From his medical history, it was found out that within the last four months he suffered from intermittent claudication. The patient did not present risk factors for atherosclerotic disease. Laboratory test results were normal. During the physical examination, a non-fixed tumour was found consuming almost the entire medial side of the thigh. An ultrasound examination indicated a soft tissue tumour, dimensions 27×20 cm. A Doppler ultrasound showed reduced flow in the popliteal artery and its branches, while the flow through the femoral artery was normal. A biopsy was performed which confirmed a mesenchymal tumour. Surgery was performed next and the tumour was extirpated from the adductor canal. During the operation it was confirmed that by its size and mass, the tumour compromised adjacent blood vessels. Pathohistological diagnosis confirmed an intramuscular lipoma. Postoperatively, the patient had no pain in the leg while walking. A follow-up Doppler ultrasound showed regular flow through the popliteal artery and its branches. Conclusion: This case report presented a patient with a rare, huge atypical intramuscular lipoma as a potential cause for intermittent claudication.
Keywords (croatian)
Keywords (english)
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis : Medicina Fluminensis
Numberingvol. 52, no. 2, pp. 238-240
p-ISSN0025-7729
URN:NBNurn:nbn:hr:184:080466
Publication2016-06-01
Document URLhttp://hrcak.srce.hr/158623
Type of resourceText
Access conditionsOpen access
Terms of useLicence In copyright icon
RepositoryRepository of the University of Rijeka, Faculty of Medicine
Created on2017-04-21 10:22:30