Faculty of Medicine

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    FOREIGN BODY INGESTION IN A PEDIATRIC PATIENT
    (Македонско лекарско друштво = Macedonian medical association, 2025-04)
    Siljanovski, Hristijan
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    Foreign body ingestion is a common pediatric emergency, often occurring in children between the ages of 6 months and 6 years. This can result in a wide variety of clinical presentations, with approximately 50% of affected children remaining asymptomatic. Early diagnosis and intervention are crucial to prevent complications. Coins are the most frequently ingested objects, followed by toys, batteries, bones, and other small items. Radiological imaging, particularly radiography, is an essential diagnostic tool to locate the ingested object and determine the appropriate management approach.
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    DIAGNOSIS OF OVARIAN TORSION
    (Македонско лекарско друштво = Macedonian medical association, 2025-04)
    Asllani, Sherimet
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    Ognenoska, Biljana
    Ovarian torsion is a rare but serious condition in young children, often presenting with nonspecific symptoms, leading to diagnostic delays. It is an uncommon but urgent condition in pediatric patients which arises from partial or complete twisting of the ovary and/or fallopian tube, leading to vascular compromise. Early diagnosis is crucial to prevent irreversible ovarian damage.
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    COMPARATIVE ANALYSIS OF ULTRASOUND AND MAGNETIC RESONANCE IMAGING FOR THE EARLY DETECTION OF CRYPTORCHIDISM IN CHILDREN AND ITS CORRELATION WITH ORCHIDOPEXY FINDINGS
    (Macedonian Association of Anatomists and Morphologists, 2024-05-02)
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    Objective: This study aimed to investigate the diagnostic accuracy of ultrasound (US) and magnetic resonance imaging (MRI) in detecting cryptorchidism in pediatric patients and to compare these imaging modalities with classic orchidopexy findings. Materials and Methods: Conducted between 2018 and 2019 at the PHI University Institute of Radiology - Skopje in collaboration with the PHI Clinic for Children's Surgery at the Mother Teresa University Clinical Centre - Skopje, this cross-sectional study included pediatric patients up to 14 years old with suspected cryptorchidism. B-mode ultrasound and MRI, including DW-MRI sequences, were employed for localization of undescended testes. These imaging findings were compared with those obtained from classic orchidopexy, serving as the gold standard. Results: A total of 41 male pediatric patients (≤14 years old) with suspected cryptorchidism were enrolled, with a mean age of 6.76±3.74 years. MRI demonstrated superior detection and visualization of undescended testes compared to ultrasound. Specifically, MRI significantly improved the preoperative diagnostic accuracy, especially in localizing non-palpable undescended testes, when compared to ultrasound. Conclusion: The findings suggest that MRI is more effective than ultrasound in detecting undescended testes in pediatric patients. Furthermore, MRI enhances the preoperative diagnostic accuracy, particularly in localizing non-palpable undescended testes, thereby potentially serving as a recommended imaging modality for this purpose.