Ulus Travma Acil Cer
-
This study was planned to evaluate patients with penetrating cardiac injury. ⋯ Non-survivors with penetrating cardiac injury have higher PI, PCTI, PTTI and AAST/OIS scores and they are more severely injured patients comparing to the survivors.
-
Rectus sheath hematoma (RSH) is one of the rare causes of acute abdominal pain. This clinical entity is frequently misdiagnosed and leads to unnecessary surgical intervention. We investigated the critical points of the diagnosis and therapy in preventing these mistakes. ⋯ In elderly patients with acute abdominal pain, infraumblical mass, anemia and history of anticoagulation therapy, RSH should be taken into consideration and USG and CT should be performed. Early and accurate diagnosis helps for a successful medical treatment and prevents unnecessary surgical intervention.
-
Ulus Travma Acil Cer · Jan 2007
Case Reports[Traumatic aneurysm of the superficial temporal artery: a case report].
Superficial temporal artery (STA) aneurysm is rare and usually caused by trauma. In this report, a 23-year-old man who had a left STA pseudoaneurysm which was secondary to blunt trauma and its surgical treatment was presented. A patient was admitted to our clinic with the complaints of a bulge in the left temporal location that had developed almost a month ago subsequent to a fall and headache. ⋯ Angiography revealed pseudoaneurysm originating from superficial temporal artery. Under local anesthesia, temporal artery ligation and aneurysmectomy were performed. Postoperative course was uneventful.
-
The superior vena cava (SVC) syndrome is an uncommon complication due to permanent hemodialysis catheters. Herein we present a case with superior vena cava syndrome resulting from dialysis access catheter placed in the subclavian vein. The patient was admitted with typical signs and symptoms of superior vena cava syndrome. ⋯ Surgical repair consisted of thrombectomy and patch repair of superior vena cava with autologous pericardium. The complaints and symptoms of the patient decreased dramatically following the operation. In view of this case, we do think that creating an early arteriovenous fistula should be kept in mind to minimize the use of dialysis catheter.
-
Ulus Travma Acil Cer · Oct 2006
Case Reports[Longitudinal clival fractures: a report of three cases].
Fractures of the clivus are often associated with severe head trauma and have high mortality rates due to coexisting injury of the adjacent vessels, brain stem and lower cranial nerves. An early diagnosis is often not possible because of adherent problems, high mortality rate and inadequacy of emergency imaging. Diagnosis has recently become easier with high resolution bone window computed tomography studies. In this study, radiological and clinical findings of three patients with longitudinal clival fractures and severe head trauma have been presented and associated injuries and prognostic issues are discussed with reference to the limited number of similar cases in the English literature.