Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
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Ulus Travma Acil Cerrahi Derg · May 2023
Case ReportsReport of a case mimicking the acute appendicitis; Small bowel perforation due to olive leaf.
Abdominal pain is one of the most frequent causes of emergency room admissions. Acute appendicitis is the most common surgical pathology in these patients. Foreign body ingestion is a quite rare pathology that takes place in list of differential diagnosis of acute appendicitis. We presented a dry olive leaf ingestion case in this paper.
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Ulus Travma Acil Cerrahi Derg · May 2023
Predictive value of sphericity index and other multidetector computed tomography findings in perforated acute appendicitis.
Early radiological prediction and diagnosis of perforated acute appendicitis remain controversial. In the current study, it was aimed to examine the predictive value of multidetector computed tomography (MDCT) findings in perforated acute appendicitis. ⋯ MDCT findings, namely, appendicolith, free fluid, wall defect, abscess, free air, and RPS involvement are significant findings for perforated appendicitis. With a high sensitivity and specificity, the ASI appears to be a key predictive parameter for perfo-rated acute appendicitis.
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Ulus Travma Acil Cerrahi Derg · May 2023
The use of the extracorporeally prepared hand-made endo-loop technique in laparoscopic appendectomy.
Acute appendicitis is the leading emergency condition among surgical abdominal diseases. The treatment of choice for appendicitis is open or laparoscopic appendectomy. There are different methods for appendiceal stump closure. Laparoscopic ap-pendectomy became more applicable with hand-made endo-loop applications to close the appendiceal stump, especially in state hospi-tals where the resources were limited. This article aims to evaluate the outcomes of patients undergoing laparoscopic appendectomy with the appendiceal stump closure using a hand-made endo-loop. ⋯ One of the most important parameters in the cost of laparoscopic appendectomy is the closure technique of the stump. The cost comes into question much more especially in state hospitals where the resources are limited. Appendiceal stump closure using a hand-made endo-loop is an easy, safe, and cost-effective method.
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Ulus Travma Acil Cerrahi Derg · May 2023
Subgroups and differences of fixation in 3-part proximal humerus fractures.
This study aimed to determine the morphological differences of three-part proximal humerus fractures, the group in which plate screw fixation is most frequently used, and to evaluate the functional and radiological results of the methods applied for different subgroups. ⋯ In this study, the functional scores of grafting stable valgus-impacted fractures and metaphyseal compression of unstable fractures with insufficient medial support were as good as stable 3-part fractures. Considering neer type 3 fractures should be evaluated with their subgroups, and fixation and stability-enhancing solutions specific to the groups are essential.
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Ulus Travma Acil Cerrahi Derg · May 2023
Case ReportsWunderlich syndrome secondary to ureteropelvic junction obstruction.
Wunderlich syndrome (WS) is defined as a rare spontaneous renal hemorrhage. It mostly occurs with concomitant diseases without trauma. It usually presents with the Lenk triad and is diagnosed in emergency departments with the effective use of advanced imaging modalities such as ultrasonography, computerized tomography, or magnetic resonance imaging scanning. ⋯ Early diagnosis is mandatory. Delays in diagnosis and non-energetic approaches can lead to life-threatening situations. In hemodynamically unstable non-malignant cases, the decision for immediate treatment, such as angioembolization and surgery, should be taken without hesitation.