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кейс №743

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

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

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

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

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.


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.

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08 August 2019

What is medical institution accreditation?

The level of accreditation of a medical institution is the most accurate indicator of the level of services it provides. Accreditation of clinics, hospitals and other medical institutions is one of the most important mechanisms by which the state, international medical organizations, medical tourism associations influence the quality of medical services and the procedure for their provision.

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Representatives of the Medical Tourism Exchange visited two hospitals in Istanbul, Turkey, at the invitation of the partners.

28 March 2019

Recently, representatives of the Medical Tourism Exchange visited Turkish hospitals, the Koc Hospital and the American Hospital, where they could personally see the hospital's capacity, get acquainted with the level of clinics and their most up-to-date diagnostic and therapeutic equipment, communicate with leading doctors of this hospital group and get acquainted with new trends, modern methods of treatment of various diseases.

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Review from Tereshchuk Oksana (mother of little Stephania, who suffers from epilepsy)

12 December 2018

"We returned from the Turkish clinic, now are at home, and can say about our impressions. First of all concerning Stefania - Thank God she doesn"t suffer from seasures after the provided operation. My girl is calm, cheerful, intensely perceives the world around, talks with compositions. Earlier, when she had resistant seizures were only incomprehensible sounds.

What are our impressions from the clinic? As my husband says: "You know exactly for what you pay." Starting from the hall, where everyone greets you with a nice smile, everyone wants to help you, and ending with the fact that you do not need every time to remind nurses that dropping is finished, even if it will be the 03.00 a.m. - exactly that minute she comes in the room. I can not complain about any person that I met in hospital. In restoring the health of my child the main work was done by highly professional team of neurosurgeons.

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Savenko Svitlana, Horlivka, Donetsʹka obl.

08 December 2018

Letter - gratitude to all residents of Ukraine who responded to the call for help Victoria from Horlivka, the Ternopil Medical Tourism Market, the Dnipropetrovsk "Pomagaj" charity fund and all non-indifferent people. THANK YOU!!!!!!!!!!!!! When a loved one is sick in a family, it's a misfortune, and when a little child is a grief. So, in our family there was a double sorrow, after the death of our two-year-old daughter from court, we have a girl with the same syndrome. We do not have the main thing for us. to fall into the spirit, and to look for strong, honest and professional people capable of directing us towards further action. We were fortunate enough to get acquainted with the team of professionals of their business. This is the Ternopil Medical Assistance Company. The staff picked up a clinic in Istanbul, a team of doctors-specialists. We worked with us on a daily basis. After reconciling all the issues with the clinic in Istanbul, Dnipropetrovsk "Pomagaj" charity fund was connected and helped us finance this trip. Thank you very much !!!!!!!. I want to say to every inhabitant of our country. You return to life not only the child and the family, but the whole state because they say: a healthy family is a mighty state.

Saranchuk Iryna, m.Buchach

08 December 2018

My daughter is ill for 9 years - after the transfer of viral encephalitis. A child in a difficult condition, according to doctors, in a vegetative. In Ukraine it is no longer possible to help her, so we turned to the Medical Tourism Market in order to pick up the clinic abroad. Everything was done promptly, the Universete Clinic was selected and our trip was fully planned. Unfortunately, at the last moment, before the departure, my child's condition deteriorated - we were in resuscitation - and after additional consultations with professors, flight was forbidden to us. Nevertheless, we are grateful to you for the services provided and our sincere relationship with us.