Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2021
Review Case ReportsThe role of portoenterostomy in the treatment of patients with multiple bile duct trauma: Case series and review of the literature.
Hepaticojejunostomy is a challenging and complex procedure to be administered with the confidence, in conditions which contain a large number of bile duct damaged by benign pathologies or major bile duct trauma. ⋯ Portoenterostomy can be performed as a salvage procedure in cases where multiple biliary tracts occur and hepaticojejunostomy is inadequate. PE can be safely used in selected cases that had benign pathologies, major bile duct trauma, in the presence of intense fibrosis, inflammation, very thin bile ducts and more fragile tissues in the liver hilum. PE should be performed in centers with surgeons experienced in hepatobiliary surgery. However, to better understand the efficacy of PE, large multicentric clinical series and patient follow-up are required.
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Ulus Travma Acil Cer · May 2021
Meta AnalysisDiagnostic accuracy of magnetic resonance imaging for acute appendicitis during pregnancy: A systematic review.
The purpose of this study was to present a systematic review and meta-analysis of the diagnostic accuracy of magnetic resonance imaging (MRI) in the diagnosis of acute appendicitis in pregnant women. ⋯ MRI showed overall high accuracy for diagnosing acute appendicitis in pregnant women. Therefore, it is a good diagnostic tool as a first-line imaging method for suspected appendicitis in pregnant women.
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Ulus Travma Acil Cer · May 2021
Association of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios with in-hospital mortality in the early phase of severe trauma.
This study aimed to examine the relationship between the immediate and early complete blood count-based scores and prognosis in trauma patients. ⋯ Lower NLR and PLR at 6 h after ED arrival were associated with in-hospital mortality in cases of severe trauma.
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Ulus Travma Acil Cer · May 2021
Diagnostic and prognostic significance of inflammatory parameters in acute diverticulitis: A retrospective cohort study.
The optimum biochemical or hematological marker to determine diagnosis and severity of acute diverticulitis has not been established. We aimed to compare the utility of hematological parameters in the diagnosis and severity of acute diverticulitis. ⋯ NLR and platelet-lymphocyte ratio can serve as useful biomarkers for the differential diagnosis and severity in acute diverticulitis.
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Subcutaneous facial emphysema is a well-known consequence of oral and maxillofacial traumatic injury. In some rare cases, the subcutaneous air collection could spread through the retropharyngeal and paralatero-cervical spaces, reaching the mediastinum. A 55-year-old man was presented to the emergency room after a blast injury caused by a blown truck tire while trying to change tires. ⋯ He had no complications on clinical follow-up following hospital discharge. The development of pneumomediastinum after oral or maxillofacial trauma is rare. Nevertheless, given the mortal complications that may develop, clinicians should keep pneumomediastinum in mind in the differential diagnosis.