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  • Author: Mircea Mărginean x
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Geographical and Human Impact Elements Influence on the Fish Fauna of the Olteţ River (Romania)

ABSTRACT

A white spot regarding the fish fauna of the upper and middle Olteṭ River was covered and the significant changes appeared in this respect and in the lower course were identified. In general the passing of the river from one type of geographical/relief type unit to another, induce the changing of the ichthyological zone and the increasing of the fish species number. There where this natural situation did not appear is because different human impact causes create unnatural variations in fish communities’ compositions and individuals’ number. The presence of a various human impact especially downstream the mountain area makes to exist here a relative unbalanced fish fauna structure, in comparison with the mountainous sector. Overall, the geographical and human impact elements, and a result of them, the self cleaning capacity of river, are main driving forces which induce the fish fauna composition variability.

Open access
Simultaneous Extrahepatic Portal and Iliac Veins Thrombosis After Abdominal Surgery - A Case Report and Review of Literature

Abstract

Introduction: Extrahepatic portal vein thrombosis (EPVT) is the most frequent cause that leads to portal hypertension in non-cirrhotic patients. This condition is related to systemic and local risk factors (such as inflammatory lesions, injuries to portal venous system by surgery, vascular procedures).

Case presentation: A case of extended extrahepatic portal vein thrombosis and simultaneous thrombosis of left common iliac vein and inferior vena cava, appeared after abdominal surgery in a hypertensive, diabetic, 50 y.o. man is presented. An acute episode of abdominal pain was interpreted as an emergency and a surgical (initially laparoscopic and then open) procedure was planned in order to perform an appendectomy. Discharge diagnosis was hemoperitoneum secondary to iatrogenic rupture of sigmoid mesocolon provoked by trocar manipulation. Repeated imaging studies performed later revealed the thrombosis of portal vein with extension into right portal branch associated with superior mesenteric thrombosis and free-floating thrombus into left common iliac vein extended towards inferior vena cava. Surgical manoeuvres are considered as triggers of these thrombotic events. After 4 weeks of parenteral anticoagulation a partial recanalization of thrombi was identified, without bleedings.

Conclusions: Acute EPVT needs a carefully management. Case is linked to abdominal surgery and requires prolonged anticoagulation related to simultaneous portal and iliac vein thrombosis. Associated conditions (hypertension and diabetes mellitus) must have an appropriate approach. After our knowledge this is the first case published in literature.

Open access