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кейс №743
Diagnosis:

Congenital malformations. Cavernous transformation of the portal vein. Portal hypertension, prehepatic form.
Varicose veins of the esophagus, II grade, stomach I grade
Erosive gastrophy. Congestive duodenopathy.
Status post endoscopic ligation of varicose veins of the esophagus. Splenomegaly. Hypersplenism. Status post re-bypass surgery(07/06/16).
Congenital malformations of the vessels of cerebrum. Vein of Galen aneurysm.
Occlusion hydrocephalus. Status post surgery.
Asthenic syndrom. Mixed tremor

Case description:

18.04.19 esophagogastroduodenoscopy nr. 849-850 0.9 cm in. The esophagus is freely passable. Cardiac orifice is 34 cm, completely shut. On the area of 17-34 cm, linear, nodular varicose veins are visualized, which partly decreases with insufflation. Mucous membrane over veins with vascular vessels in the lower part. Scars from previous ligation are visualized. In the fasted stomach moderate amount of secretion with bile admixture in small amaount. In sub-cardiac orifice of small curvature, fragments of varicose veint to 0.3 - 0.4 cm in diameter which are continuation of the veins of the esophagus are visualized. Mucous membrane of a stomach is hyperemic, edematous. In the area of the body and the antrum, flat surface erosions without fibrin. Mucous membrane of the duodenum is swollen, hyperemic. On the varicose veions of the esophagus there 4 ligatures on spiral are made, without complications.

кейс №742
Diagnosis:

Mr signs of osteochondropathy of the head of the right femur (Perthes disease), stage III-IV, moderately pronounced synovitis of the right hip joint.

Case description:

On radiographs (dated 03/27/2019) of the right hip joint, the head of the femur is flattened and deformed (secondary deformation due to axial load); The X-ray articular cleft is enlarged (dilation of the articular space), subchondral sclerosis of the endplate of the acetabular articular roof is expressed. In the head of the right femur, a cystic enlightenment with a sclerotic rim is determined; without clear contours, it overlooks the contour (the resorption zone is somewhat heterogeneous, data on perifocal resorption are not obtained). Bone exostosis is noted on the right in the projection of the asymmetric small skewer (n / a change).


On the MR tomogram series (dated 03/27/2019), the articular surface of the head of the right femur is flattened in the central regions, the fragment of the hypointensive MR signal at T1 VI, 0.9x0.8x0.5 cm in size, limited from the main bone by the rim of increased MR is determined at this level signal. In comparison with MRI from 03.10.2018, the contours of the fragment became more outlined. In the cavity of the right hip joint is determined by moderate fluid accumulation. The acetabulum and their cartilaginous lips are not changed. Articular cavity of normal width. The articular cartilage of the left femoral head is not changed. Focal pathological changes in the intensity of the MR signal from the structure of the pelvic bones in the visible course were not detected. Data for the presence of pathological changes in the intensity of the MR signal in the muscles in the visible course was not detected.

case №741
Diagnosis:

End stage renal disease (ESRD), chronic pyelonephritis, bilateral hydronephrosis – ureterohydronephrosis.

Concomitant diagnosis: extremely high creаtinin level, ascites, nephritis, neurogenic bladder, calculous cholecystitis, splenomegaly, visceroptosis, chronic pancreatitis in the exacerbation phase - necrotic pancreatitis, arterial hypertension, severe anemia, pancreas cyst.

Case description:

A man (25 years old) has a - congenital kidney disease.

Because of the dysfunction of the kidneys, other organs have failed to function and the pancreas and urinary bladder appear to be in poor condition. Doctors say that before transplantation of the kidney requires treatment of other organs (pancreas and bladder).

The laparoscopic repair of the right pyelourethral segment was held in 2017.

The deterioration of health took place in the fall of 2018. Notices weakness, instability of blood pressure.

12.11.2018 - completed operation - Formation of arterio-venous fistula in n / 3 left forearm. Postoperative period without features.

10.12.2018 - the patient was given the setting of the dialysis catheter. Since December 2018, he regularly (three times per week) attends sessions of hemodialysis.

The situation is not improving. It's getting worse.

case №740
Diagnosis:

Osteochondrosis, spondyloarthrosis, spondylosis deformance of the thoracic spine.

Concomitant diagnosis: Mediolateral ossified Th9-Th10 spinal disk herniation with dural sac and spinal cord compression. Myelopathy of the thoracic region. Lower flaccid paraplegia. Functional disorders of pelvic organs. Neurogenic urinary bladder. Chronic pyelonephritis.

Case description:

Admission complaints: leg weakness and numbness (more expressed in right leg). According to information provided by the patient, it is known that there is a moderate pain in the thoracic spine for approximately 3 years. Leg weakness appeared in December, 2017. Conservative treatment was not effective.

Clinical findings: patient is fully conscious (15 points according to Glasgow Coma Scale – GCS). Pupils D=S. Face is symmetrical. Active movements and sensation of upper limbs are preserved. The muscle strength of legs is slightly decreased (more expressed in right leg). Lower flaccid paraparesis is moderately expressed. Ambulation is partially impaired. According to the findings of lumbar spine MRI examination (conducted on 24/3/18) there is the evidence of mediolateral Th9-Th10 spinal disk herniation with dural sac deformation, 3 mm spinal canal narrowing and compression of the spinal cord with increased local signal intensity because of myelopathy. Electrocardiography (EKG) and Chest X-ray examination are conducted. Physician consultation.

After clinical follow-up examination which was performed on 06/4/2018 patient underwent the surgery: partial mediolateral Th9-Th10 hernia excision with left posterolateral approach. Patient exhibits increased postoperative manifestations of myelopathy including lower flaccid paraplegia, bilateral anesthesy of superficial types of sensation at the level of Th9 dermatomes. Functional disorders of pelvic organs including involuntary urination. Due to the presence of ossified ligamentum flavum and ossified right-sided Th9-Th10 spinal disk herniation residues the follow-up thoracic computer tomography was performed on 07/4/2018. Decompressive Th9-Th10 laminectomy was performed on 07/4/2018. The conservative treatment (medicaments and kinetotherapy continued in Neurosurgical Department. Lower flaccis paraplegia still exhibited. Bilateral anesthesy of superficial types of sensation at the level of Th9 dermatomes noted. Elements of Th9 dermatome deep sensation from the left side. Functional disorders of pelvic organs including involuntary urination exhibited. Healing of the surgical wound by first intention. Consultation with urologist. The treatment of pyelonephritis clinical exacerbations given. Findings of the thoracic MRI examination dated 24/4/2018, demonstrated the signs of Th9-Th10 decompressive laminectomy, myelopathy, bone fragment at the anterior surface of the dural sac (anteroposterior size – 3mm, sagittal size is 9mm) with a mild compression of dural sac. Anteroposterior diameter of the spinal cord at the level of the most severe stenosis is up to 6 mm.

case № 734
Diagnosis:

Diabetes mellitus, I st type. Diabetic nephropathy. Dysfunction of the gallbladder, pancreatic type. Chronic pancreatitis. Chronic cholecystitis. Gastroduodenitis.

Case description:

Date of birth - 18.02.1990 


In 2012 in patient was diagnosed pancreatitis and cholecystitis. The disease was treated in hospital - were given diet advices and medicamentations which accelerate discharge of bile. In 2014 became pregnant. The pain intensified, but the medications during pregnancy were not intended, because of the harm to the fetus. During pregnancy was diagnosed - preeclampsia, the patient had expressed swelling, pain in the gallbladder and pancreas, which irradiated to the back. The patient passed blood tests for glucose level - glucose during pregnancy was normal. 13.05.2015 by cesarean section, the baby was born with weight 6300 grams. In delivery house the patient passed blood tests for glucose level - indexes were normal. After birth, the patient felt not good - maintained pain in the gallbladder and pancreas, decreased acuteness of vision. Also observed inflammatory reaction of axillary lymph nodes. The patient appealed to the hospital - but doctors could not explain her health worsening. 4 months after delivery the condition of the patient was not satisfactory - at that time patient passed analysis for glycated hemoglobin - the result was 9.7% (norm - up to 6.2%). Stationary to the patient was scheduled insulin - Novorapid (short-acting insulin) 4-6 Units and Lantus (insulin long-acting) 10-12 Units. On the background of this treatment and detoxification i /v therapy patient's condition improved - improved vision, lymph nodes decreased in size. In the hospital patient passed ultrasound examination of abdomen- gallbladder has S- shape.
Currently the patient complains on pain in the pancreas and gallbladder, which irradiates to the back, bitter taste in the mouth, digestive disorders, a significant increase in blood glucose in the absence hypoglycemia in the night. Last patient was treated from 11.10.2015 to 21.10.2015.


Concomitant diseases - pyelonephritis, tonsillitis.


Currently takes drugs - Novorapid (short-acting insulin) Lantus (insulin prolonged action), allohol (choleretic, dry bile) Pancreatin 8000, fish fat.


Wishes of the patient - treatment in the country with a minimum of visa documents for travel in the fastest time, with the availability of qualified professionals who are able to conduct a full examination, to establish correct diagnosis and proper treatment. Consider a few variants.

News

We sincerely congratulate you on the upcoming holidays!

30 December 2019

We are grateful to our partner clinics for providing quality medical care to our patients. We are proud that our partners perform unique operations, thereby saving the lives of our patients. We are grateful to everyone for their trust, we believe that the Medical Tourism Exchange project will be useful to you in the future.
We wish everyone in the New Year good health, peace of mind and joy, peace, happiness, prosperity and prosperity! May your relatives and friends be always with you, and prosperity, love and prosperity reign in your homes.
Best regards, Medical Tourism Exchange Team

 

The story of one case, which can't rejoice. $40K against $120K

30 December 2019

P.S. The mother of a sick child from Chernivtsi region approached us on the recommendations of people. The child has a rare disease Moyamoya. At the time of treatment, they underwent an examination at an Israeli clinic and were on hand bill for further treatment, the total amount of which was about $ 120,000. Having read the documents provided to us by the parents, it was obvious to us that the invoice was issued by the mediator, not by the clinic. After that, our team set out to find the best value for money treatment for little Anna. By posting this case on our online platform http://marketmedtour.com/, we received several offers that were almost half cheaper than the bill received by parents in Israel. The parents were provided with all the suggestions. They were skeptical of the offerings from Turkey's clinics (due to their lack of awareness of medicine in the country). But they still decided to listen to our expert recommendations about what in the future they have not regretted ever. The parents were surprised by the quality, value and conditions of the medicine.

Thank God the most difficult operation was successful.

We attach the photo below

Read more ...

Recently, contracts have been concluded with clinics - Koç University Hospital and American Hospital

30 August 2019

Koç University Hospital became operational in September 2014 as a research and training hospital. As of 2016, the hospital has increased its capacity to 404 single inpatient rooms and 73 intensive care units (366 adult and 111 pediatric in total). With 13 Operating Rooms, and 14 Intervention Rooms, more than 4.000 operations have been performed. Thourghout 2016, Koc University Hospital has delivered care to approximately 6.000 inpatients and 65.000 outpatients, more than 1.600 being international patients.

Read more ...


Reviews

History of patient with chordoma

21 January 2020

Periodic headaches bothered P. Oleg for about 4 years. And only after so much time the diagnosis was made - the chondroid chordoma of the middle cranial fossa with spreading to the posterior cranial fossa and Oleg was operated on in Kiev. During the control MRI, it was recorded that the tumor remained in place almost completely and there is a need for another neurosurgical operation.

By the way, chordoma is a slowly progressive bone cancer that occurs mainly in the base of the skull or sacral region. This is a rare tumor that is diagnosed with a frequency of 1-3 cases of the disease per 1,000,000 people per year. There are different points of view regarding the classification of this tumor: through its slow growth and the relative rarity of metastasis outside the local area of primary formation, some sources call it benign. However, the location of the tumor limits its treatment and often leads to complications, the tumor is prone to repeated relapses - therefore, this tumor is classified as malignant more and more often in most medical sources. Through the location of the chordoma, it often affects, compresses, or spreads to neighboring areas, such as nerves, arteries, and the spinal cord.
Surgery is currently the main treatment for chordoma. Complete resection (removal of the entire tumor) during the first operation provides the best opportunities for long-term control and recovery.

Relatives of Oleg, before contacting us, independently tried to find a clinic and specialist for him. An offer of $ 50,000 came from Israel, $ 70,000 from Germany, $ 45,000 from the USA, but relatives had to pay $ 115,000 for hospitalization. We managed to find the best option in Turkey for $ 30,000. This amount included directly conducting surgical intervention, the whole range of necessary examinations, preoperative preparation, etc.

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Tatiana Gutsulyak's story (mothers of little Anna)

23 December 2019

P.S. The mother of a sick child from Chernivtsi region approached us on the recommendations of people. The child has a rare disease Moyamoya. At the time of treatment, they underwent an examination at an Israeli clinic and were on hand bill for further treatment, the total amount of which was about $ 120,000. Having read the documents provided to us by the parents, it was obvious to us that the invoice was issued by the mediator, not by the clinic. After that, our team set out to find the best value for money treatment for little Anna. By posting this case on our online platform http://marketmedtour.com/, we received several offers that were almost half cheaper than the bill received by parents in Israel. The parents were provided with all the suggestions. They were skeptical of the offerings from Turkey's clinics (due to their lack of awareness of medicine in the country). But they still decided to listen to our expert recommendations about what in the future they have not regretted ever. The parents were surprised by the quality, value and conditions of the medicine.

Thank God the most difficult operation was successful.

We attach the photo below

Read more ...

Reviews from Elya's parents

28 January 2019

DREAMS COME TRUE ..... you just have to BELIEVE. Finally, we managed to go to the University Hospital (Turkey) for examination, this was made possible thanks to the Medical Tourism Market and our Beloved Dad, who made us such a long-awaited gift for St. Nicholas !!!

Our daughter, Evelintsi, is 5 years old, after an unsuccessful operation in 6 months, she started having convulsions with which we struggle all the time .... and ... unfortunately we cannot cope in Ukraine.

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