Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2013
Review Case ReportsUse of radiofrequency ablation for controlling liver hemorrhage in the emergency setting; report of two cases and review of the literature.
Active liver hemorrhage with hemodynamic instability is a serious situation often requiring surgical intervention. The most common causes of hepatic bleeding are trauma and tumors of the liver parenchyma: mainly hepatocellular carcinoma and adenoma. Liver hemorrhage from blunt trauma or spontaneous tumor rupture is sometimes difficult to control with traditional methods and postoperative complications are frequent. ⋯ No recurrence of the hemorrhage or any side effects associated with the RF system were recorded postoperatively. RF system is an effective strategy for achieving hemostasis in patients with active liver hemorrhage. In cases of bleeding liver tumors, RFA could also be helpful in synchronous tumor elimination, maximizing the chances of longer term survival.
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Ulus Travma Acil Cer · Mar 2013
Case ReportsMultiple magnet ingestion resulting in small bowel perforation: a case report.
Foreign body ingestion is a common clinical situation that is primarily diagnosed by emergency clinicians. Most foreign bodies can be evacuated without difficulty. Although rare, magnets that reach the lower intestinal tract may cause complications such as intestinal fistula formation, perforation, volvulus or appendicitis. ⋯ The ileal portion containing the magnet toy was seen folded over itself forming a blind loop. The patient was discharged uneventfully in the 7th postoperative day. Our case highlights a well known fact that foreign body ingestion in children may not have eye witnesses and should be taken into consideration when evaluating children with abdominal pain.
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Ulus Travma Acil Cer · Mar 2013
Case ReportsA rare complication of aortobifemoral bypass operation: internal herniation.
Intestinal brids are most common cause of postoperative ileus although there are various cause of ileus after abdominal operation. On the other hand internal herniation is a rare cause of ileus after abdominal operations. Diagnosis of this hernias are important because of strangulation and necrosis of its content due to circulatory disturbance. In this case report, we publish a patient with ileus due to a greft which has been used in a previous abdominal surgery for abdominal aort aneurysm.
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Ulus Travma Acil Cer · Mar 2013
Case ReportsIntestinal stenosis from mesenteric injury after blunt abdominal trauma in children: case reports.
The incidence of mesenteric injury after blunt abdominal trauma (BAT) has increased in recent years; however, relatively little attention has been paid to instances of its sequelae, especially in childhood. We present three children who had post-traumatic intestinal stenosis (PIS). A history of BAT was obtained in all. ⋯ In our opinion, large MH may pose an increasing risk of narrowing in the adjacent intestine at different time points. Therefore, if there is a large MH at laparotomy after BAT, it should be evacuated and the bleeding halted. For the differential diagnosis, typical BAT should be investigated carefully in cases presenting with intermittent colic abdominal pain and/or partial intestinal obstruction findings.
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Many burns that occur in the first two decades of life are accidental and preventable. The aim of this study was to determine the demographic features, mortality, and other factors associated with pediatric burns in Istanbul, Turkey. ⋯ Scalding was found to be the most important cause of burns and flame-related mechanisms resulted in the highest mortality rate among children. Only a specific preventive program for changing the traditional habits of Turkish parents would reduce burn injuries among children.