Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2014
The prognostic value of pro-calcitonin, CRP and thyroid hormones in secondary peritonitis: a single-center prospective study.
Infections and sepsis remain the leading cause of morbidity and mortality in secondary peritonitis. Clinicians are still challenged with the task of finding an early and reliable diagnosis of septic complications. The role of inflammatory markers (Procalcitonin (PCT), C-reactive Protein (CRP) and thyroid hormones in determining the severity of secondary peritonitis was evaluated in this study. ⋯ In the absence of postoperative complications, PCT is a better predictor of outcome than CRP in secondary peritonitis. Our study showed that a low thyroid hormone level can serve as an important prognostic parameter of disease severity in secondary peritonitis.
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Ulus Travma Acil Cer · Sep 2014
Case ReportsSuccessful treatment of a hepatic abscess formed secondary to fish bone penetration by laparoscopic removal of the foreign body: report of a case.
Although foreign body ingestion is a common problem in children, it is also seen among adults. Perforation of the gut by a foreign body, followed by migration of the foreign body to the liver is quite rare. ⋯ Herein, a case of liver abscess caused by a fish bone is reported. To the best of our knowledge, it is the first case in our country.
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Ulus Travma Acil Cer · Sep 2014
Multi-detector angio-CT and the use of D-dimer for the diagnosis of acute mesenteric ischemia in geriatric patients.
There is no specific laboratory method for the diagnosis of acute mesenteric ischemia (AMI). In this study, we aimed to determine the efficacy of the D-dimer test in selected cases prior to multi-detector angio-CT, which is expensive and has side effects. ⋯ D-dimer levels were elevated in the AMI patients. Patients suspected of having AMI with unclear clinical results and patients with D-dimer levels above 1000 ng/ml and AF should undergo further evaluation.
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Ulus Travma Acil Cer · Sep 2014
Case ReportsThe journey of gastric phytobezoar followed by tomography.
Phytobezoars are a rare cause of intestinal obstruction. They are usually present in patients with predisposing factors such as previous gastric surgery, diabetes, and edentulousness. In this case report, an uncommon cause of intestinal obstruction due to the migration of gastric phytobezoar in a patient with no known predisposing factor is reported.
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Ulus Travma Acil Cer · Sep 2014
A practice report of bladder injuries due to gunshot wounds in Syrian refugees.
This study was intended to report our recent experience of bladder injuries due to gunshots in the Syrian conflict and review the literature regarding diagnosis and treatment. ⋯ In war settings, when injuries are often severe and multiple surgical exploration and closure are mandatory, mortality risk is associated with high ISS and low TRISS and RTS values.