Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2013
Case Reports[Residual pellet in fetal brain tissue following a gunshot injury to a pregnant woman: a case report].
Vital functions and the effect of injuries on quality of life are important from a viewpoint of causation in willful injury crimes committed against a pregnant woman. In such conditions, which should be evaluated separately in criminal law and compensation law, permanent losses of organ function that may negatively affect the woman's fertility, the features of permanent functional impairments and premature birth of the fetus can be additive factors for the indemnification amount. ⋯ While the mother was living a healthy life, the significant problem of the child in the first four-year period of his development was hyperactivity. Evaluating the effect of the frontal lobe lesion on the psychiatric findings of the child is important.
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Ulus Travma Acil Cer · Jul 2013
Case ReportsAn extremely rare appendiceal anomaly: horseshoe appendicitis.
Appendiceal anomalies are extremely rare malformations that are usually found in adult populations as an incidental finding. Agenesis and duplication of the appendix have been well documented, but we know of only three reported cases of a horseshoe appendix. ⋯ While appendectomy was being performed with a standard approach, the distal tip was seen to communicate with the cecum by another stump, or "horseshoe appendix". The aim of this report is to share our experience with this extraordinary finding.
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Ulus Travma Acil Cer · Jul 2013
Effects of combined and individual use of N-methyl-D aspartate receptor antagonist magnesium sulphate and caspase-9 inhibitor z-LEDH-fmk in experimental spinal cord injury.
We investigated the individual and combined effects of magnesium sulphate, which is an N-Methyl-D aspartate receptor antagonist (NMDA), and z-LEHD-FMK, which is a caspase 9 inhibitor, on the genesis of secondary injury in a rat spinal cord injury model. We aimed to minimize the effects of secondary injury in spinal cord trauma by choosing these two agents which served to block the two major mechanisms of cell loss, apoptosis and necrosis. ⋯ We have found no difference between the individual and combined uses of MgSO4 and z-LEHD-FMK in the prevention of secondary injury; however, there were better histological results in the treatment groups compared to trauma and control groups which gives us hope for future investigations.
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Ulus Travma Acil Cer · Jul 2013
[Effects of abdominal adhesion-preventing 4% icodextrin solution on healing of bowel anastomoses].
We aimed to introduce the efficiency of 4% icodextrin solution on preventing adhesions and its effect on anastomotic healing, together with biochemical parameters. ⋯ Based on our results, 4% icodextrin solution evidently decreased the formation of adhesion without negatively affecting the anastomotic healing. We also reported herein the biochemical and histopathological results and adhesion scores.
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Ulus Travma Acil Cer · Jul 2013
Case ReportsBouveret syndrome: evaluation with multidetector computed tomography and contrast-enhanced magnetic resonance cholangiopancreatography.
Cholecystenteric fistula is one of the rarest complications of biliary lithiasis, with a frequency of less than 1%. Bouveret syndrome is a gastric outlet obstruction produced by gallstone(s) located in the distal stomach or proximal duodenum. The route of gallstone migration to the bowel is most commonly via a cholecystoduodenal fistula; however, fistulization of the stomach is a rarer variation. ⋯ We also evaluated the biliary system with CE-MRCP physiologically. In conclusion, when biliary lithiasis and ileus are detected in plain radiography, the first-line diagnostic tool should be MDCT. In complicated cases or when biliary obstruction is suspected, CE-MRCP can give important morphological and physiological information regarding the whole abdomen and biliary system.