Browsing by Author "Gjocaj, Curr"

Now showing 1 - 3 of 3

Hepato - Cephalic Index as a Predictor of Intrauterine Growth Restriction
(AAB College, 2025-07-16) Gjocaj, Curr
Aim: The aims of this study were to compare ultrasound fetoplacental parameters and to calculate Hepato-Cephalic Index (HCI) as a new predictor of IUGR. Methods and material: A clinical prospective study was conducted and included 120 pregnant women divided in two groups: non IUGR group included healthy pregnant women (n=60) and IUGR group included pregnant women with preeclampsia and IUGR (n=60). Outcome measures were following ultrasound fetoplacental parameters in fetuses with IUGR and non IUGR: Fetal Liver Length (FLL), Femur Length (FL), Biparietal Diameter (BPD), Placental Maturation by Grannum, Amniotic Fluid Index (AFI) and Hepato-Cephalic Index (HCI). Sonography was carried out by probe 3.5 Mhz type MINDRAY DC 7. Results: The mean of maternal age was 30.0±6.1 years in women with preeclampsia and IUGR and 28.1±5.1 years in healthy pregnant women, p > 0.05. There was a statistically significant difference in values of: FLL (p < 0.001), FL (p = 0.004), BPD (p < 0.001), AFI (p < 0.001), HCI (p < 0.001) between IUGR and non IUGR groups. The most of women with preeclampsia and IUGR had grade III of placental maturation (48.3%). There is a significant association between the placental maturation and the diagnosis, p < 0.001. There was a statistically significant difference in body mass of newborns between IUGR and non IUGR groups, p < 0.001. Conclusion: In a fetus with IUGR in preeclampsia there is a reduction in FLL, FL, BPD, AFI and HCI and there is a early maturation of the placenta. By measurement of fetoplacental ultrasonic parameters of liver, pregnant women will experience prediction of risk pregnancy (preeclampsia with IUGR) due to hypoxia.
MENINGIOMA IN PREGNANCY AND PERINATAL OUTCOMES
(AAB College, 2025-07-16) Gjocaj, Curr
A pregnancy is categorized as with high-risk when the mother is diagnosed with any tumor in the brain. Meningiomas are tumors that take origin from the arachnoid villi and produce a globoid or discoid mass. Meningiomas account for approximately 38 percent of all intracranial tumors in females and 20 percent in males. They are usually localized in parasagittal areas, convexities of the cerebral hemispheres, the olfactory groove, and the lateral wing of the sphenoid. Most meningiomas are diagnosed in women between 30 and 50 years old. For meningiomas diagnosis are used; MRI, CT, and very rarely angiography. Tumors in the brain can be; typical or benign, atypical, anaplastic or malignant. 88-94% of meningiomas are benign tumors. During pregnancy, MRI is most recommended for the diagnosis and evaluation of brain meningiomas. We report the management of a 26-year-old woman patient diagnosed with olfactory groove meningioma, who has been subjected to one bifrontal craniotomy and gross total resection (GTR) (Simpson grades I/II), on week 33 of gestation, without any complications as during surgery that lasted 6 hours, as well as during pregnancy and childbirth.
Presentation of the Diverticulum of the Caecum, Cause of the Acute Abdomen
(AAB College, 2025-07-16) Gjocaj, Curr
Solitary caecal diverticulum is an uncommon entity and therefore it is difficult to diagnose except during surgery exploration. It is extremely difficult to differentiate it preoperatively from acute appendicitis. We report a case of an enlarged colon segment, presenting macroscopically as tumor diverticulum in a 27-year-old female patient, presenting with a 2 day history of a severe abdominal right lower quadrant pain with accompanying anorexia, nausea, vomiting and high body temperature. After clinical assessment, laboratory examination, X-ray, and CT are performed, the indication for surgical treatment is set.