Kocevska, Ana

Preferred name

Kocevska, Ana

Official Name

Kocevska, Ana

Main Affiliation

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ACUTE MESENTERIC VENOSUS THROMBOSIS IN A PREGNANT WOMAN
(University Ss. Cyril and Methodius in Skopje, 2023)
Eftimova, Aleksandra
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Shpisikj Pushevska, Anamarija
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Chelebieva, Jasmina
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OBESITY AS A RISK FACTOR FOR ENDOMETRIAL PATHOLOGICAL CHANGES
(University Ss. Cyril and Methodius in Skopje, 2023)
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Shpisikj Pushevska, Anamarija
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Ilievski, Zoran
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Eftimova Kitanova, Aleksandra
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LIGASURE HEMORRHOIDECTOMY (LH) WITH “NEAR BASE“ TECHNIQUE
(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023)
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Jovanovska, Frosina
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Limani, Nimetula
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Mustafova, Alma
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INCIDENTAL HEMATOPERITONEUM IN LAPAROSCOPIC APPENDECTOMY IN PREGNANT PATIENT
(Македонско лекарско друштво = Macedonian medical association/De Gruyter, 2025-04)
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Shurlani, Arben
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Ismaili, Bashkim
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Acute appendicitis is the most common non obstetric emergency in pregnant women and often associated with a late diagnosis and complications such as perforation and fetal loss. We present a case of a 25-year-old primigravida, with epigastric pain radiating to the lower right quadrant that appeared 12 hours before admission, nausea, vomiting, white tongue and foetor ex ore. The laboratory values: WBC 18.000, RBC 4.12, HCT 36.2, CRP 22. Ultrasound examination: fetal biometry corresponded to 7 gestational weeks, positive cardiac activity, a small amount of peritoneal fluid was present in the right paracolic, ileocecal region and in Douglas's space, thickening of the wall of appendix vermiformis, surrounding inflammation of fatty tissue. The patient was observed in the next 6 hours, pain persisted in the lower right quadrant with propagation to the left quadrant. An indication for laparoscopic intervention for acute appendicitis has been made. The patient was placed in the supine position with the first camera and extraction port supraumbilically (10 mm) and the second port (5 mm) suprapubically. On laparoscopic exploration, 200 ml of bloody content was found in the pelvis and the vermiform appendix with reactive changes in the middle part towards the apex. An infundibular paraovarian cyst with a diameter of 20 mm was present on the right fallopian tube. The right ovary was ruptured with bleeding on one side. A third port (5 mm) was placed left pararectally. Aspirated pelvic blood was sent in the laboratory for beta HCG determination and partial resection of the right ovary and appendectomy were performed. After lavage, a Redon drain was placed in the pelvis through the suprapubic port. Postoperative course was normal and the drain was removed on the second postoperative day. Gynecological ultrasound was performed on the third postoperative day, the findings were normal and patient was discharged home.
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Sociodemographic Risk Factors for Gestational Diabetes Mellitus
(Македонско лекарско друштво = Macedonian medical association, 2020-11)
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Borka Kocevska
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ПАТОХИСТОЛОШКИ НАОДИ НА ПРИМЕРОЦИ ОД ФРАКЦИОНИРАНА ЕКСПЛОРАТИВНA КИРЕТАЖА КАЈ ПАЦИЕНТКИ ВО ПОСТМЕНОПАУЗА
(2017-05-12)
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Dimitar Georgiev
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Bashkim Ismaili
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A CASE OF CORNUAL ECTOPIC PREGNANCY SUCCESSFULLY TREATED BY LAPAROSCOPY
(Macedonian Association of Anatomists, 2022)
Dimitar Georgiev
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Bashkim Ismaili
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Cornual pregnancy is a rare type of ectopic pregnancy where the embryo implants in the junction between the fallopian tube and the uterus. Only 2% to 3% of all tubal pregnancies are cornual. Uterine rupture may occur in up to 20% of the cases of cornual pregnancy that progress beyond 12 weeks of amenorrhea, resulting in massive hemorrhage due to high vascularity in this region through the branches of the uterine artery. Despite the availability of modern diagnostic modalities including transvaginal ultrasonography, there is difficulty in the early diagnosis because of its location. We present a case of unruptured cornual ectopic pregnancy in a 40-year- old woman with amenorrhea of 7 weeks. In our case, the diagnosis was made early and laparoscopic cornuostomy with removal of the gestational sac and ipsilateral salpingectomy were performed, followed by laparoscopic repair of the cornuostomy incision. Hemostasis was achieved with electrocoagulation. This caused minimal hemorrhage without intraoperative and postoperative complications.
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A case report of fetal spinal meningomyelocella
(2022-09)
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Bashkim Ismaili
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Dimitar Georgiev
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Neural tube defects are congenital malformations of the CNS resulting from defective closure of the neural tube during early embryogenesis between 3rd and 4th week of intrauterine life. It involves defect in the skull, vertebral column, the spinal cord and other portion of CNS. It occurs about 1 to 5 per 1000 live births. Myelomeningocele is most common and severe form of spina bifida cystica, characterised by protrusion of spinal cord through the open vertebrae into the amniotic fluid. We present a case of a 25-year-old pregnant woman who came into our hospital in the 17th week of pregnancy with characteristic ultrasound signs for the presence of fetal spina bifida. Lumbosacral meningomyelocella was present. The anterior part of the head started to develop ‘‘the lemon sign’’ and cerebellum showed ‘‘the banana sign’’. Dilated lateral ventricle was also present. There was anamnesis for folic acid supplementation starting at 6 weeks of gestation. We performed induction of labour with oxytocine and termination of this pregnancy. The autopsy report showed the presence of spina bifida in the lumbosacral region, with a defect of the skin and the vertebral arches, measuring 1.7 × 1 cm, with protrusion of meninges and the spinal cord.
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A CASE OF A POSTMENOPAUSAL WOMEN WITH DIFFERENTIATED VULVAR INTRAEPITHELIAL NEOPLASIA (dVIN) – HPV INDEPENDANT
(Македонско лекарско друштво = Macedonian medical association, 2025-09)
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Bashkim Ismaili
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Julija Kostadinoska
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Bobi Kirkovski
Introduction: Human papillomavirus (HPV) independent vulvar intraepithelial neoplasia is the precursor lesion of HPV independent vulvar squamous cell carcinoma (SCC). Differentiated vulvar intraepithelial neoplasia (dVIN) is an aggressive lesion with higher potential to become invasive than HPV associated VIN (usual type). It is most common in older women ~60-80 years of age, who have a history of chronic inflammatory dermatoses, lichen sclerosus, lichen simplex chronicus. Case report: A 67 years old woman was referred to the Specialized hospital for gynecology and obstetrics “Mother Teresa” due to the presence of a dark red change of the vulva and itching. On inspection, there was fusion of the anterior commissure and an effaced clitoris. With acetic acid, a vinegar-positive sector was observed at the junction of the commissures with dimensions of 2-3 cm. An indication for a biopsy was established. A pathohistological analysis of a biopsy fragment with a diameter of 0.5 cm was performed. It was partially lined with keratotic stratified squamous epithelium and partially with squamous epithelium showing dyskeratosis and parakeratosis, and the epithelial cells contained prominent nucleoli and showed pathological mitoses in the basal layers. A lympho-plasmacytic inflammatory infiltrate was found subepidermally. Immunohistochemically, the cells showed negative staining for p16 protein and positive for p53 protein. The proliferative marker Ki-67 showed nuclear positivity in the distal two-thirds of the epithelium. The morphological and immunohistochemical characteristics corresponded to a differentiated type of vulvar intraepithelial neoplasia that was HPV independent. The patient was referred to a tertiary healthcare facility where an indication for vulvectomy was established due to the size and location of the change. Conclusion: We like to emphasize the need of performing biopsy of any suspicious lesion of the vulva, especially in older women, because inflammatory changes can be precursors to intraepithelial neoplasia, which can further develop into invasive SCC.
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ПЕРИНАТАЛЕН СКРИНИНГ НА ФЕТАЛНИ МАЛФОРМАЦИИ СО УЛТРАЗВУЧНИ И БИОХЕМИСКИ МАРКЕРИ
(2013-05)
Lazar Kirovski
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Kocevska, Ana

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