[Ultrasonically-guided percutaneous needle biopsy in the diagnosis of malignant abdominal diseases]. / Perkutana iglena biopsija vodjena ultrazvukom u dijagnostici malignih oboljenja u abdomenu.

In 3-year period 340 percutaneous ultrasonographically guided needle biopsies of abdominal organs and tissues were performed in suspected neoprocesses. Positive cytologic results were obtained in 77.6% and histological in 74.8% of patients. These results were obtained thanks to good choice of a bioptic needle and the technique of performing percutaneous needle biopsy under ultrasonographic control and sometimes in combination with radioscopy, too. Experience of both a biopsy performer and a cytologist or histologist with this kind of material is of great importance. Thanks to early histologic diagnosis, made in this way, percutaneous biopsy is classified as a high sensitive method and as such it forces on to be one of the first methods in algorithm of diagnostic procedures. Even the aim of this paper is to point out not only the authors ultrasonographic experience but also reliability, simplicity and safety of percutaneous guided needle biopsies, what excludes the necessity for more difficult and more expensive diagnostic procedures significantly reducing the examination.

[Renal carbuncle (abscess)]. / Karbunkul (apsces) bubrega.

The authors report a case of renal carbuncle at 44 year old women. The patient has been presented with high temperature and strong pain in the left costovertebral angle. Diagnosis was based on ultrasonography, intravenous urography and computed tomography and confirmed by percutaneous punction. The patient has been successfully cured by percutaneous drainage and parenteral application of antibiotics.