Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2022
Review Case ReportsA rare cause of acute abdominal pain: Actinomyces infection of colon mimicking a malignant neoplasm due to intrauterine device.
Actinomycosis is a rare, chronic granulomatous disease that is challenging to diagnose because the clinical symptoms and signs are nonspecific. Usage of intrauterine device (IUD) or being immunocompromised is facilitating factors. ⋯ We also provide a review of the literature. Unnecessary surgery can be avoided with the correct diagnosis of granulomatous infectious diseases that can be treated with antibiotics.
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Ulus Travma Acil Cer · Apr 2022
Review Case ReportsComplete mesocolic malposition of the gallbladder: An unusual case report with literature's review.
Anatomic variations and congenital anomalies involving the gallbladder position, shape, and number are frequently encountered on routine abdominal imagings and at surgery. However, most have no clinical significance, but their recognition is important because they may predispose to gallbladder diseases, serve as a potential source of confusion and diagnostic pitfalls for radiologists and surgeons, and increase the risk of inadvertent injury during biliary tract surgery or intervention. We observed an intra-mesocolic gallbladder found unexpectedly during the cholecystectomy in a 65-year-old male patient who was being operated on for acute calculous cholecystitis. ⋯ There was no gallbladder at the normal position. The organ was found embedded deeply within the proximal portion of the transverse mesocolon, and then it was successfully excised. We established the diagnosis of an ectopic gallbladder in mesocolic position.
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Ulus Travma Acil Cer · Apr 2022
Review Case ReportsAn unusual etiology of a scrotal dog bite injury and review of the literature.
Soft tissue injuries from animal bites are encountered occasionally in rural areas, resulting from attacks by, for example, dogs, wolves, horses, donkeys, and cats. The commonly affected body parts include the face, head and neck, nose, ears, hands, arms, and legs. The traumatic exposure of the external genital organs following an animal bite is a highly rare condition. ⋯ No signs of local or systemic infection were noticed at the wound site during follow-up. Post-op-erative recovery was uneventful and the repair performed on the case had a satisfactory outcome. Based on our clinical experience, we believe that reconstruction accompanied by an early prophylactic antibiotherapy can produce satisfactory outcomes in genital defects caused by animal bites.
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Ulus Travma Acil Cer · Mar 2022
ReviewIsolated recto-vaginal septum injury during parturition: Single-center experience.
Traumatic rectal injuries are uncommon and can originate due to various causes. Rectal injuries have a high mor-bidity, regardless of cause, and detection at the time of occurrence is important to prevent fistula formation and/or stoma. In this article, treatment approaches in patients with isolated rectovaginal septum injury without perineal and sphincter injury during sponta-neous vaginal delivery are presented and the current literature is reviewed. ⋯ Rectal examination should be performed simultaneously with a detailed perineal examination after vaginal delivery. For birth-related rectal injuries detected early in appropriate patients, a primary repair without diversion stoma may be the best option.
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Ulus Travma Acil Cer · Nov 2021
Review Case ReportsUnexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review.
Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology. POT is more prevalent in males than females. The diagnosis of POT is challenging, and pregnancy initiates the diagnosis more difficult and essential. ⋯ At this point, diagnostic laparoscopy plays a significant role in the diagnosis and treatment of acute abdominal pathologies in pregnant patients. The diagnosis of a 28-week pregnant woman who was admitted to our emergency department with the aggravation of abdominal pain was not clarified by abdominal ultrasound so the patient was diagnosed with POT by diagnostic laparoscopy. Conservative follow-up plays an important role in pregnant patients, and the poor progress of the patient in both laboratory and physical examination leads diagnostic laparoscopy to an important point when the limitation of imaging methods is added.