Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2012
Case ReportsSpontaneous migration of a retained bullet within the brain: a case report.
Gunshot injury to the head is usually mortal, and spontaneous migration of a retained bullet is rare. We report the case of a 23-year-old man with a spontaneously migrated bullet within the brain. Cranial computerized tomography (CT) indicated that the bullet was lodged deeply in the left parietal region. ⋯ Management of the retained bullet was controversial. Removal of a deep-seated bullet may cause additional neurological deficit, but migration of a retained bullet may cause damage to vital structures, producing significant neurological damage. We proposed that the bullet in the brain should be removed if it could be reasonably accessed without causing additional neurological damage.
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Ulus Travma Acil Cer · Sep 2012
Comparative StudyComparison of topical zinc oxide and silver sulfadiazine in burn wounds: an experimental study.
We aimed to compare the effects of topical zinc oxide and topical silver sulfadiazine in the treatment of partial-thickness burn wounds. ⋯ In this experimental burn study, zinc oxide was more effective than silver sulfadiazine in terms of epithelization, dermis maturation and scar formation.
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Ulus Travma Acil Cer · Sep 2012
Case ReportsThe hidden devil: unexpected retained knife in the chest wall.
We report a 52-year-old woman presenting with stab wounds on her back and upper extremities. A knife retained in her chest wall was not discovered in the emergency department. ⋯ We suggest that patients undergo computed tomography (CT) scanning whenever a penetrating wound cannot be explored adequately or the trauma surgeons are unable to perform detailed examinations on the injured patients. The CT images could delineate the course and severity of the penetrating injury, and decrease the risk of a retained foreign body.
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Ulus Travma Acil Cer · Sep 2012
Case ReportsA rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct.
Previous abdominal surgery is the most common cause of mechanical small bowel obstruction. However, in patients with no abdominal surgery history, it is difficult to diagnose and treat. ⋯ In adults, intestinal obstruction due to persistent omphalomesenteric duct is an extremely rare circumstance. We report a 42-year-old male patient presenting with omphalomesenteric duct remnant causing small bowel obstruction.
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Ulus Travma Acil Cer · Sep 2012
Clinical Trial[The role of blood S100B and lactate levels in minor head traumas in children and adults and correlation with brain computerized tomography].
In this study, we aimed to set levels of blood S100B and lactate and to determine any correlation with brain computerized tomography in minor head traumas in children and adults. ⋯ According to our results, in minor head traumas, the determination of elevated serum S100B and lactate levels cannot take the place of clinical examination and the use of cranial CT. Although the patients in our study group had minor head trauma, we do not consider S100B and lactate to be reliable markers for estimating progression.