Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2022
Case ReportsBurned-out germ cell tumor presenting with acute abdomen.
Acute abdomen is a serious condition frequently encountered in the emergency departments (ED). There are various etiologies causing acute abdomen, most common being acute appendicitis; however, there are rare causes of acute abdomen as well and one should keep them in mind while handling a patient with unusual clinical features. We herein present a 26-year-old male, with no past medical or surgical history, presenting with acute abdominal pain and distension to the ED. ⋯ However, this is the first case in the literature presenting with duodenal perforation and acute abdomen. Sampling of the retroperitoneal tumor for histopathological diagnosis during the immediate surgical intervention facilitates the diagnostic management in these cases. Although scrotal examination combined with testis tumor marker assessments is essential for optimal patient management, the possibility of a burned-out testicular tumor with normal scrotal examination should always be kept in mind.
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Ulus Travma Acil Cer · Nov 2022
Prognostic effect of Nesfatin-1 on the diagnosis and staging of acute cholecystitis.
Gallbladder diseases are an important health concern affecting approximately 20% of the population in developed countries. Acute cholecystitis is the most common complication of gallstones. The aim of our study is to determine the use of Nesfatin-1, which is an easily applicable and fast resulting and is thought to have an association with inflammatory events, in the diagnosis and grading of acute cholecystitis. ⋯ Nesfatin-1 may guide the clinician for the diagnosis of the disease; however, no significant relationship was found between Nesfatin-1 and the severity or stage of the disease.
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Ulus Travma Acil Cer · Nov 2022
Prevalence of household meat grinder-induced severe hand injuries: A retrospective clinical study.
The aim of the study was to evaluate patients with household meat grinder-related hand injuries who presented to our hospital between 2009 and 2020, investigate the causes of these injuries, and discuss prevention methods. ⋯ There seems to be a lack of research to guide the development of strategies to prevent household meat grinder-related injuries, and this type of injury remains a national health problem. To prevent such injuries, occupational safety should be considered not only in workplaces but also at home, and information should be provided to raise the awareness of the society.
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Ulus Travma Acil Cer · Nov 2022
Effect of glutamine use on the formation of intestinal neomucosa on peritoneal surface in rats.
Short bowel syndrome (SBS) is a clinical condition with high mortality and morbidity, which leads to the lack of absorption of fluids or nutrients necessary for the body due to the decrease in the length of the small bowel (SB). Glutamine is an amino acid essential for the nutrition and proliferation of intestinal mucosa cells. The main aim of the present study was to investigate the effect of glutamine on intestinal neomucosa formation in rats which developed SBS. ⋯ The use of glutamine in patients with SBS may increase surface absorption by increasing neomucosa formation. However, additional studies of large statistical power are needed.
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Ulus Travma Acil Cer · Oct 2022
ReviewOpen versus laparoscopic technique in peptic ulcus perforation, how effective are score systems?Single-center experience and literature review.
One of the most common peptic ulcer complications is perforation (PUP) which also remains an important cause of morbidity and mortality. In this study, it was aimed to compare the results of patients who had similar pre-operative scoring index results (Boey, Charlson Comorbidity Index (CCI) and Mannheim Peritonitis Index (MPI), and type of surgery. ⋯ The laparoscopic method may be used safely in PUP due to the lower post-operative complication rates and known advantages of minimally invasive surgery.