Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2022
Pituitary apoplexy: An emergent and potential life-threatening complication of pituitary adenomas.
Pituitary apoplexy is an emergent and potential life-threatening complication of pituitary adenomas if not managed properly. The aim of our study is to present our series of pituitary adenomas and to focus on the clinical, radiological, and surgical characteristics of this rare complication. ⋯ Pituitary apoplexy is an important complication of pituitary adenomas. Early diagnosis and surgical intervention provide excellent ophthalmological and hormonal outcomes. Emergent EET approach is crucial for patients with ophthalmological findings and macroadenomas.
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Ulus Travma Acil Cer · Apr 2022
Pre-operative neutrophil/lymphocyte and platelet/lymphocyte ratios are effective in predicting complicated acute cholecystitis
Acute cholecystitis is a severe disease that requires urgent operation in some cases. To select suitable patients for a conservative approach, there is a need for an affordable and reliable marker for determining complication risk. Evaluation of systemic inflammatory markers in combination with other parameters such as white blood cell and the C-reactive protein might help to decide the appropriate treatment option. This study aims to evaluate the diagnostic value of the neutrophil-lymphocyte ratio (NLR) and thrombocyte-lymphocyte ratio (PLR) in determining the risk of complicated acute cholecystitis and to compare with intraoperative and pathological findings. ⋯ Systemic inflammation markers can be used to predict the risk of complicated acute cholecystitis. They are inex-pensive tools that can be used to make surgical decisions, especially in resource scarce environments.
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Ulus Travma Acil Cer · Apr 2022
The predictive value of ischemia-modified albumin in the diagnosis of acute appendicitis: A prospective case-control study.
Surgical planning is critical for ongoing treatment and prognosis of the disease's course after an appendicitis diag-nosis. Ischemia-modified albumin (IMA) has been used as a biomarker for a variety of ischemia-related disorders in the past. The aim of this study is to determine the IMA level in patients with AA and to evaluate its predictive significance. ⋯ Our study shows that IMA values provide significant results in predicting acute appendicitis.
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Ulus Travma Acil Cer · Apr 2022
The role of hematological parameters in distinguishing acute appendicitis from lymphoid hyperplasia.
One of the most misdiagnosed appendicular pathologies is lymphoid hyperplasia (LH) that can be managed con-servatively when identified early and is self-limiting. The aim of this retrospective study was to compare acute appendicitis (AA) with LH in terms of hematological parameters to determine whether there is a hematological predictor to distinguish the two diseases. ⋯ The most predictive complete blood count parameter in distinguishing LH from AA appears to be as white blood cell count.
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Ulus Travma Acil Cer · Apr 2022
Can peritoneal thickening and enhancement be used to determine perforation in patients with acute appendicitis?
Acute appendicitis (AA) is a common cause of abdominal pain in developed countries. In patients with suspected AA, computed tomography (CT) is considered as the gold standard with the highest sensitivity and specificity, and it is also an im-portant modality, especially in patients with complicated AA. In this study, we aimed to evaluate age and laboratory findings, as well as specific CT findings in differentiating between perforated and non-perforated appendicitis. ⋯ Among CT findings, appendix wall defects and peritoneal thickening and enhancement play an important role in detecting perforation.