Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2012
Case ReportsPenetrating head trauma with four nails: an extremely rare case.
We present a rare case of self-inflicted penetrating head trauma by a 34-year-old male who hammered four nails into his own head; he had been diagnosed with schizophrenia seven years before. On the physical examination, four nails were observed in the hairy scalp that had been driven into the cranium in the right temporal and parietal areas of the head. No cerebrospinal fluid fistulas were present. ⋯ Under general anesthesia, two nails in the right temporal area were removed by extraction, and the other two nails in the right parietal area were removed through a mini craniotomy. In areas such as the temporal area where the bone is thin, nails can be removed by extraction. However, in areas like the parietal bone where the bone is thick, removal of the nails using this method may not always be possible.
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Ulus Travma Acil Cer · May 2012
Review Case ReportsClosed total (pan-talar) dislocation of the talus with delayed presentation: a rare case report and review of the literature.
Major fractures and dislocation of the talus and peritalar joint are uncommon. We present here a very rare case of injury with delayed presentation of closed total talus dislocation with fractured medial malleolus and posterior talar tubercle fracture. This report analyzes previous reports in the literature and the proposed treatment.
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Ulus Travma Acil Cer · May 2012
Review Case ReportsPyloric atresia associated with epidermolysis bullosa: report of two cases and review of the literature.
The coexistence of pyloric atresia (PA) and epidermolysis bullosa (EB) is a rare but well-known surgical emergency in neonates. PA/EB is described by the association of atresia of the pylorus and bullous lesions on the skin. Ninety one cases have been reported in the literature to date. ⋯ Almost all neonates born with the PA/EB result in a fatal outcome in the first few years. The complications related to EB are usually the cause of death. Even after successful repair of PA, skin lesions lead to death due to infection.
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Ulus Travma Acil Cer · May 2012
Presence of accompanying head injury in patients with maxillofacial trauma.
Patients with maxillofacial fractures are at high risk of accompanying traumatic cranial injuries. Prompt determination of head injury in these patients is crucial for improving patient survival and recovery. ⋯ The patients with multiple facial bone fractures should be investigated with regard to head injury even if they do not have clinical findings.
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We evaluated the data of our patients who experienced rectal injury during radical prostatectomy (RP). ⋯ Primary repair with double-layered suturing is sufficient for the treatment of rectal injuries that occur during RP if they are recognized intraoperatively.