Aim: to analize computed tomography data while planning autotransplantation of the liver for advanced alveococcosis.Materials and Methods.A retrospective analysis of the results of multidetector computed tomography of the abdomen and retroperitoneal space of 7 patients with advanced liver alveococcosis was made in order to plan autotransplantation. Besides a description of the location and size of parasitic lesion for each patient relationship with main vessels was evaluated - the inferior vena cava, hepatic and portal veins, hepatic arteries, and the presence of extrahepatic component. The vessel assessed as involved in the pathological process not only in case of clear invasion, but also with abutment because of infiltrative growth of alveococcus. The accuracy of the method was estimated by comparison with the intraoperative data.Results.The data of computed tomography while the planning of liver autotransplantation coincided with the intraoperative data in all examined patients. The main criteria indicating the need for this type of surgical intervention was the involvement of the retrohepatic part of the inferior vena cava to the caval gates inclusive and/or hepatic veins. With extrahepatic spread of parasitic masses it is possible to affect not only the surrounding organs, but also the main vessels, for example, with growth in the hepatic-duodenal ligament. Thus, in one patient during the operation, the occlusion of artery hepatica propria was confirmed. In two cases of recurrence of the parasitic process after rightsided hemihepatectomy, the almost identical pattern of involvement of the liver resection surface, inferior cava and portal veins, diaphragm, adrenal gland in combination with a extent adhesive process in the right subdiaphragmal space.Conclusions.CT scan data allowed to correctly plan the volume of operative intervention – autotransplantation of the liver – in all the examined patients. It is of interest to evaluate the accuracy of the method on a larger group of patients.

Purpose: to evaluate the possibilities of MDCT and MRI in planning evisceration with locally advanced pelvic tumors. Materials and methods. A retrospective analysis of the results of MDCT and MRI of the pelvic organs was made in 13 patients (29 studies) who underwent evisceration. To evaluate the information content of the methods intraoperative data were used as a reference. In this article we analyzed the relationship of the primary or recurrent tumor in total with the 117 pelvic organs and structures in MDCT and with the 101 in MRI. Results. In all cases on the basis of the received information the right decision was made about the possibility and the need for pelvic evisceration. The number of matches results of MDCT and MRI with intraoperative data in assessing tumor involvement of organs and structures of the pelvis in most cases exceeded 70 %. MRI results are broadly consistent with those of foreign authors. However, we did not find in the literature articles, which would have focused on the possibilities of MDCT in the evaluation of locally advanced tumors in the planning of evisceration Conclusions. The results demonstrated the value of using MDCT and MRI in planning evisceration. Identified trends require further research on a larger group of patients.

A clinical description of a 28-year-old man with spinal and bulbar muscular atrophy diagnosed on the basis of the CAG-trinucleotide expansion in the gene coding androgen receptor is presented. He exhibited skeletal muscles and tongue fasciculations, gynecomastia, increased serum testosterone and creatine kinase levels. The peculiarities of the case were the gynecomastia under the age of 7, development of fasciculations at the age of 11 and appearance of hard muscle stiffness with delayed muscle relaxation after voluntary contraction at the age of 15, which resembled typical myotonia. Electromyography showed few signs of mild without myotonic discharge, contrasting with giant motor unit potentials and reduced recruitment. The cause of myotonia-like symptom without myotonic discharge as a feature of skeletal muscles disorder is discussed with the modern view of spinal and bulbar muscular atrophy as a multisystem genetic pathology.

Acute herpetic encephalitis is a brain injury caused by herpes simplex virus, usually type 1 (HSV-1), at least of type 2 (HSV-2). Occurs as an acute infectious disease caused by the development of brain tissue necrosis and accompanied by cerebral and focal symptoms of central nervous system. This clinical observation gives an idea of the possibilities of research methods used in herpes encephalitis. Powered by clinical observation of the patient with herpes encephalitis and the results of studies such as computed tomography, magnetic resonance imaging, clinical and laboratory methods. The use of computed tomography and magnetic resonance imaging in the detection of changes of the brain makes it possible suspect in most cases to confirm the diagnosis of encephalitis earlier laboratory and clinical research methods, and promptly appoint antiviral therapy, to trace the dynamics of changes in the course of the therapy, which determines the selection of the appropriate treatment policy and prognosis of the disease.

Poster: ECR 2014 / C-0011 / Computed tomography and radiography in the diagnosis of necrotizing pneumonia by: Z. V. Sheykh , A. P. Dunaev, A. Arablinskiy, N. S. Drebushevskiy, V. N. Yakovlev, V. G. Alekseev, A. I. Dunaeva, O. O. Grigoreva, A. N. Bashkov; Moskow/RU