Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2010
Case ReportsComplex lumbosacral fracture-dislocation with pelvic ring disruption and vertical shear sacral fracture: a case report of late presentation and review of the literature.
Combination of lumbosacral junction injury with closed vertical shear sacral fracture and disruption of the symphysis pubis is a very rare pattern of injury, particularly with a late presentation. To our knowledge, the complexity of such a lumbosacral injury with pelvic fractures, which was presented with a chronic condition, has never been addressed or identified in the previous literature. We aimed to demonstrate a case with a late presentation of a complex lumbosacral fracture-dislocation, pelvic ring disruption and a vertical shear sacral fracture with neurological deficits and to emphasize the difficulties in the management in this case and the operative technique used for the definitive treatment. ⋯ At one year after surgery, the clinical result was satisfactory with almost complete correction of a deformity and solid posterolateral fusion. The patient had partial recovery from the preoperative neurological deficit. We report herein a patient with a very unusual complex spondylo-pelvic injury pattern with late presentation, which required meticulous planning of management, imaging, and surgical technique before definitive treatment.
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Spontaneous rectus sheath hematoma (RSH) is an uncommon and frequently misdiagnosed cause of acute abdominal pain. The purpose of this study is to present our experiences in the diagnosis and treatment of spontaneous RSH. ⋯ Spontaneous RSH must be suspected in patients with advanced age who are using anticoagulation medications and present with acute abdominal pain. Early diagnosis permits conservative management and avoids unnecessary surgical interventions.
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Primary epiploic appendagitis is a rare, self-limiting inflammatory disease of epiploic appendices of the colon. Although treatment options do not include surgery, it sometimes mimics acute abdominal diseases for which surgery is required for treatment. We present the computed tomography findings of this rare disease in our case report. ⋯ Abdominal computed tomography workup showed a mass lesion with fat density in the anterior neighborhood of the descending colon, with a hyperdense rim. Antibiotic treatment was started after radiological assessment as primary epiploic appendagitis. Clinical healing was seen on the ninth day from the onset of symptoms.
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Ulus Travma Acil Cer · Sep 2010
Factors affecting mortality and morbidity in emergency abdominal surgery in geriatric patients.
The purpose of the present study was to determine the factors affecting morbidity and mortality in geriatric patients undergoing abdominal surgery. ⋯ In order to decrease the postoperative mortality rate in geriatric patients, precaution should be taken beforehand to avoid surgical complications. By carrying out elective surgery in geriatric patients, the likelihood of common causes of acute abdomen, such as acute cholecystitis and incarcerated hernia, can be reduced.
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Ulus Travma Acil Cer · Sep 2010
Genitourinary injuries following road traffic collisions: a population-based study from the Middle East.
The epidemiology of trauma to genitourinary (GU) organs following Road Traffic Collisions (RTC) is not well-studied, especially in the Middle East. ⋯ This is the first population-based study of GU injuries following RTC from the Middle East. Patients with GU organ injury tend to have more severe trauma compared to other patients. The incidence of GU injuries following RTC in the current study appears to be higher than that reported in the West.