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. 2006 91 4205 4214 Wakakuri, H., Kahara, T., Shimizu, A., et al.: Giant ovarian cyst in a woman with

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Az ovarialis strumák a petefészek-teratomák kevesebb mint 3%-át adják. Megjelenhet bennük a pajzsmirigy szinte minden betegsége, és előfordulhat malignitás is. A szerzők esetében egy 31 éves nő bal oldali petefészekcisztáját távolították el, amely az ovariumcarcinoma klinikai tüneteit mutatta, úgymint nagy hasi térfoglalás, ascites, emelkedett szérum-CA 125-szint. A szövettani diagnózis benignus struma ovarii volt. A posztoperatív pajzsmirigyműködés normális maradt.

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Despite the variety of hormonal treating regimes used, a proportion of cows with cystic ovarian disease (COD) fail to be cured. The hypothesis of this study was that cyst aspiration would improve the curing rate and/or accelerate the resumption of ovarian activity in affected cows. In four groups of cows the following treatments were administered: Group A (n = 18) only cyst aspiration, Group AGP (n = 19) cyst aspiration and a combination of GnRH and PGF , Group GP (n = 25) only GnRH and PGF , and Group C (n = 15) untreated control. Cysts were aspirated without ultrasonographic guidance, using a new device. All cows from Group AGP responded to treatment, while 5.5% from Group A and 16% from Group GP remained anoestrous (P < 0.05). These refractory cases were re-treated with the AGP protocol and exhibited oestrus within 12.4 ± 1.1 days. The interval from PGF injection to oestrus was significantly reduced in cows treated with cyst aspiration. Until day 80 post partum (pp), 11 of the 15 untreated cows (73.3%) retained the initial cyst and remained anoestrous. It is concluded that persisting cases of COD can be treated by combining aspiration with a hormonal regime. The technique presented here has no complication for the cow, is efficient, easy, safe for the operator, and requires low-cost equipment.

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Acta Veterinaria Hungarica
Authors:
Orsolya Balogh
,
Hedvig Fébel
,
Gyula Huszenicza
,
Margit Kulcsár
,
Zsolt Abonyi-Tóth
,
Tamás Endrődi
, and
György Gábor

The aim of this study was to identify relationships among seasonal differences of fertility, metabolic parameters and appearance of irregular luteal forms in high-yielding dairy cows. Holstein-Friesian cows were put on the Provsynch regimen in winter (n = 10) and in summer (n = 10). Blood sampling (starting 35 days post partum) and rectal ultrasound examinations (starting post insemination) were carried out once a week in each examination period. Metabolic [plasma nonesterified fatty acid (NEFA) and beta-hydroxybutyrate (BHB) levels, ferric reducing ability of plasma (FRAP) and serum beta-carotene] and endocrine parameters [plasma thyroxine (T4), triiodothyronine (T3), insulin-like growth factor (IGF-I) and insulin levels] were measured. In summer, two cows were excluded from the study because of metritis and none of the remaining animals became pregnant, but 6 of the 8 cows had irregular luteal forms (ILF) on their ovaries. In winter, one cow was excluded because of metritis and 6 of the 9 cows became pregnant, while 2 of the 3 open cows had irregular luteal forms. In summer the mean plasma NEFA and BHB concentrations were significantly higher, while serum carotene and plasma IGF-I concentrations were significantly lower than in winter. The high plasma NEFA concentration found in summer seemed to be in association with the lower body condition score (BCS) caused by depressed appetite. In conclusion, statistical analysis supports the hypothesis that increased plasma NEFA and BHB and decreased plasma IGF-I concentrations may result in reduced fertility in summer. These changes may be associated with the more frequent appearance of ILFs and probably have a negative effect on ovarian function and/or oocyte quality.

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Acta Veterinaria Hungarica
Authors:
Orsolya Balogh
,
Ernő Túry
,
Zsolt Abonyi-Tóth
,
John Kastelic
, and
György Gábor

The primary objective of this study was to use macroscopic and histological features of corpora lutea with a cavity and anovulatory cystic ovarian structures, present in 90 pairs of abattoir-derived dairy cow ovaries, as the basis to clarify the nomenclature of ovarian structures. Excluding morphologically normal ovarian fol-licles (antrum < 2 cm, wall < 1 mm), there were 27 fluid-filled ovarian structures. Ovulatory structures > 16 mm in diameter were designated as Group A (cavity ≤ 10 mm and wall > 10 mm) or Group B (cavity > 10 mm and wall < 10 mm). The volume of luteal tissue was less (P < 0.05) in Group B than in Group A, whereas that of a solid corpus luteum (CL) was intermediate (least square means ± SEM: 72 ± 1.92, 11.22 ± 1.57 and 5.84 ± 1.92 cm3, respectively). There was a greater proportion (P < 0.05) of small luteal cells in Group B compared to a solid CL, whereas Group A was intermediate (58.6 ± 5.3, 37.4 ± 5.3 and 44.0 ± 4.4%, respectively). Connective tissue was thicker (P < 0.05) in Group B than in Group A (295.4 ± 46.9 vs. 153.9 ± 38.2 μm). Based on the above-mentioned characteristics and differences, Groups A and B were designated as a CL with a cavity and a cystic CL, respectively. Furthermore, there were three groups of anovulatory ovarian structures. Structures in Group C were termed persistent/anovulatory follicles (overall diameter and wall thickness ≤ 20 and 1–3 mm, respectively). Finally, Groups D and E were designated as a follicle-fibrous cyst and a follicle-luteinised cyst (based on histological structure) for anovulatory structures with an overall diameter and wall thickness of ≥ 20 and ≤ 3 mm, and ≥ 20 and ≥ 3 mm, respectively.

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The second part of the review dealing with the diagnostic radiology of pet and wild birds discusses the indications of radiological examination, the interpretation of radiographs taken of pathological lesions, and the differential diagnosis of such lesions. Radiology has paramount importance in the diagnosis of diseases affecting the skeletal, digestive, respiratory, urogenital and cardiovascular systems. Certain diseases (shortage of grits, ovarian cysts) cannot be recognised without radiography. Other conditions (e.g. Macaw Wasting Disease, renal tumours, egg retention) require this complementary diagnostic method for confirmation of a suspicion based upon the clinical signs. Radiographic examination is also indicated for follow-up of the surgical management of bone fractures and for facilitating the implantation of transponders aimed at individual identification of the birds.

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Orvosi Hetilap
Authors:
Gergő Józsa
,
Gabriella Mohay
,
András Pintér
, and
Attila Vástyán

References 1 Helmrath, M. A., Shin, C. E., Warner, B. W.: Ovarian cysts in the pediatric population. Semin. Pediatr. Surg., 1998, 7 (1), 19

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] 7 Balogh K. Case history of an ovarian cyst. II. Histological structure and evolution history of the ovarian cyst. [Petefészek-tömlő egy esetének kórleírása. II. A petefészek-tömlő szöveti szerkezete

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Orvosi Hetilap
Authors:
Balázs Simon
,
István Berki
,
Huba Zoltán Szabó
,
Zsolt Virág
, and
Péter Lukovich

Absztrakt:

A gastrointestinalis traktus duplikációi ritka, congenitalis elváltozások. 80%-ban 2 éves kor előtt diagnosztizálják őket. A szájüregtől az anusig bármelyik szakaszon előfordulhatnak, de a leggyakrabban az ileum duplikációjával találkozhatunk. Klinikai megjelenésük nem specifikus és rendkívül sokféle lehet, megnehezítve a diagnózis felállítását. Éppen ezért számtalan képalkotó vizsgálat elvégzése ellenére is csupán műtéti, majd patológiai lelet tudja megerősíteni a diagnózist. A 23 éves nőbeteg hasi panaszai miatti kivizsgáláskor bizonytalan kismedencei képletet találtak, amelynek pontos eredete az elkövetkező 6 év során történt számtalan hüvelyi, hasi ultrahang (UH)-, hasi CT- és MR-vizsgálat, kolonoszkópia, laparoszkópia, sebészeti, nőgyógyászati és gasztroenterológiai vizsgálat során sem volt tisztázható: ovarialis cysta, vékonybéltágulat és Crohn-betegség gyanúja merült fel. Az utóbbi miatt megfelelő gyógyszeres kezelésben is részesült, melyre panaszai átmenetileg javultak. A hasi fájdalom, láz miatt készült UH intramuralis tályog lehetőségét vetette fel, ezért akutan ileocaecalis reszekció történt. A patológiai vizsgálat fedezte fel, hogy a beteg panaszainak hátterében az ileum duplikációja állt. Az ismertetett elváltozást rendkívül ritka előfordulása ellenére is érdemes számon tartani a nem tisztázott eredetű ileocaecalis hasűri térfoglalások differenciáldiagnosztikájában. Annak ellenére, hogy felnőtteknél szinte egyetlen leírt esetben sem jutottak diagnózishoz műtét nélkül, felhívja a figyelmet a lassan már feledésbe merülő pontos anamnézisfelvételre és a társszakmák közötti megbeszélések, konzíliumok szükségességére, fontosságára. Orv Hetil. 2018; 159(52): 2217–2221.

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Torquálódott méhfüggelék laparoszkópos ellátása a 32. terhességi héten

Laparoscopic management of adnexal torsion at 32th week of gestation

Orvosi Hetilap
Authors:
Márió Attila Vincze
,
Gábor Németh
, and
Tibor Novák

, Schmidt I, Vámosi I, et al. Peripubertal ovarian cyst torsion, as an early complication of undiagnosed polycystic ovarian syndrome. [Peripubertális petefészekciszta-torzió mint a fel nem ismert polycystás ovarium

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