Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Jul 2011
ReviewThe experience of military surgeons from a north Afghanistan deployment and lessons for the future.
A military surgeon is a physician who works in a standard clinical field, but who also has to learn to adapt his skills to exceptional circumstances and must cope with special challenges due to his deployment in crisis regions, a fact that is one of the major factors influencing military medical strategy planning. The only certainty is that these special circumstances differ fundamentally from the routine circumstances at the military hospitals of the mother country. The limitations in personnel, equipment and technical resources, the isolation within the deployment region, the lack of a local healthcare system, the specialized aspects of the patients, and the nature of the injuries and diseases represent the main unique challenges.
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Ulus Travma Acil Cer · Jul 2011
Case ReportsUnusual rectal foreign body presenting as intestinal obstruction: a case report.
Colorectal foreign bodies are infrequently encountered, and are mostly associated with increased incidence of homosexuality and anal auto-erotism. The diagnosis may be confirmed by plain abdominal radiographs and rectal examination, but abdominal computerized tomography can be decisive in the further management. ⋯ We report the case of a young adult male who presented in the emergency department with an incarcerated, large, neglected rectal foreign body, a 'bull horn', causing intestinal obstruction. Emergent laparotomy was required for its removal.
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Ulus Travma Acil Cer · Jul 2011
[Factors affecting morbidity in urgent repair of abdominal wall hernia with intestinal incarceration in adults].
The aim of this study was to investigate factors that affect morbidity in adults with incarcerated intestinal hernia of the abdominal wall. ⋯ Patients with comorbid diseases and high ASA scores should be informed about the elevated risk of complications, and scheduled surgery before the development of incarceration should be recommended.
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Ulus Travma Acil Cer · Jul 2011
Case ReportsAn atypical bladder diverticulum presented with recurrent peritonitis: case report.
Bladder diverticula develop from congenital detrusor muscle defect and frequently present with urinary tract infection, which occurs as a result of urinary stasis in the diverticula. Different clinical presentations, such as bladder outlet obstruction, cyanosis of the lower extremities, intestinal obstruction, ureteral obstruction (which may occur due to direct diverticular compression), and peritonitis due to spontaneous rupture of the diverticula, were reported previously. Here, we report a case with the diagnosis of bladder diverticulum that caused recurrent generalized peritonitis without perforation and mimicked perforated appendicitis.
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Spontaneous pneumomediastinum (SPM) is an uncommon, benign, self-limited disorder that usually occurs in young adult males without any apparent precipitating factor or disease. SPM responds extremely well to conservative treatment, without recurrence in the great majority of cases. In this report, two patients who were admitted for SPM are discussed together with the associated literature.