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
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.
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Ulus Travma Acil Cer · Sep 2012
Case ReportsBilateral simultaneous anterior obturator dislocation of the hip by an unusual mechanism - a case report.
A case of bilateral simultaneous anterior dislocation of the hip in a 30-year-old female is presented herein. The patient was managed conservatively. Follow-up at two years showed excellent results with no signs of avascular necrosis. The cause and mechanism of injury are discussed, which are different from those of previously reported cases.
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Ulus Travma Acil Cer · Sep 2012
Incarcerated abdominal wall hernia surgery: relationship between risk factors and morbidity and mortality rates (a single center emergency surgery experience).
The aim of the present study was to investigate morbidity and mortality-related risk factors in patients undergoing surgery due to incarcerated abdominal wall hernia. ⋯ Incarcerated abdominal wall hernias are surgical problems with high morbidity and mortality rates. Therefore, surgery should be planned under elective conditions when hernia is detected.
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Ulus Travma Acil Cer · Sep 2012
The value of serum fibrinogen level in the diagnosis of acute appendicitis.
The aim of this study was to investigate the importance of serum fibrinogen level in the diagnosis of acute appendicitis. ⋯ The use of fibrinogen blood level may be a new diagnostic acute-phase reactant in the diagnosis of acute appendicitis. The formulation of a triple test is recommended as criteria in deciding emergency surgery or observation.