Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jan 2012
Case ReportsTraditional Kehr's sign: Left shoulder pain related to splenic abscess.
Kehrs sign was originally described by the German surgeon Hans Kehr (1862-1916). It is a classical example of referred pain: irritation of the diaphragm is signaled by the phrenic nerve as pain in the area above the clavicle. We present a case of a 21-year-old woman admitted to the emergency department with the chief complaint of left shoulder pain related to splenic abscess.
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Ulus Travma Acil Cer · Jan 2012
Effect of epidural anesthesia on anastomotic leakage in colonic surgery: experimental study.
The association between the infusion of continuous epidural anesthesia and the anastomotic strength of colonic anastomosis was examined in an animal model. ⋯ We concluded that the strength of colonic anastomosis may be increased by epidural lidocaine infusion.
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Ulus Travma Acil Cer · Jan 2012
Case ReportsLate-diagnosed bilateral intertrochanteric femur fracture during an epileptic seizure.
Although spontaneous and simultaneous bilateral hip fractures without trauma are seen rarely, epileptic seizures may lead to these fractures. We present an 82-year-old female patient with poor bone quality and a 20-year history of epilepsy. ⋯ An earlier pelvic anteroposterior roentgenogram would be helpful for early diagnosis. It should not be forgotten that bone fractures may be observed without trauma in epilepsy patients.
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Ulus Travma Acil Cer · Jan 2012
Case ReportsA fish bone causing ileal perforation in the terminal ileum.
Foreign body perforation of the gastrointestinal (GI) tract has diverse clinical manifestations, and the correct preoperative diagnosis is seldom made. We report the case of a 69-year-old woman who experienced severe pain in the right iliac fossa. ⋯ Multidetector computed tomography (MDCT) imaging showed the fish bone perforation of the terminal ileum. A high index of suspicion should always be maintained in order for the correct diagnosis to be made.
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The aim of this retrospective study was to evaluate the safety and effectiveness of immediate appendectomy in patients presenting with appendicular mass. ⋯ Immediate appendectomy in appendicular mass is a safe and effective alternative to conservative management.