Idiopathic weight loss due to an entero-enteric fistula from a gossypiboma retained for 27 years

Gossypiboma refers to a mass formed around surgical instruments or materials left in the body postoperatively. The occurrence of gossypibomas remains an important problem, despite improvements in surgical procedures and operating room facilities. The clinical presentation of gossypiboma can vary depending on the host response. This report describes a case of abdominal gossypiboma after splenectomy. A 48-year-old man who had undergone splenectomy 27 years ago was admitted to our clinic suffering from non-specific symptoms for 2 weeks. He was cachectic, but laboratory test results were normal. Abdominal ultrasonography and computed tomography revealed a mass in the left hypochondrium. An entero-enteric fistula and an encapsulated foreign body (surgical compress) were detected during an exploratory laparotomy, and the foreign body was removed. Preventing gossypibomas is very important because of their potential to create medico-legal problems and increase mortality and morbidity. Therefore, forgotten surgical material should be considered in all patients with a surgical history, and surgery should be performed carefully. © 2018 Turkish Surgical Association

Relationship between the levels of normal conus medullaris and body mass index in the turkish adult population

Objective

Left ventricular hydatid cyst presenting with acute ischemic stroke: Case report

PubMedID: 15337971Cardiac hydatid cysts are rarely seen. The presentation of an acute stroke secondary to embolization from a cardiac hydatid cyst is also rare. We report a young boy with left ventricular hydatid cyst who presented with acute ischemic stroke

Detection of recurrent and primary acquired cholesteatoma with echo-planar diffusion-weighted magnetic resonance imaging

PubMedID: 22583684Objective: To evaluate the diagnostic value of echo-planar diffusion-weighted magnetic resonance imaging in pre-operative detection of suspected primary acquired, residual and/or recurrent cholesteatoma.Materials and methods: Fifty-eight chronic otitis media patients with suspected cholesteatoma were thus evaluated two weeks pre-operatively, and divided into group one (41 patients, no previous surgery, suspected primary acquired cholesteatoma) and group two (17 patients, previous surgery, scheduled 'second-look' or revision surgery for suspected residual or recurrent cholesteatoma). Patients' operative, histopathology and radiological findings were compared.Results: Cholesteatoma was found in 63 per cent of group one patients and 58 per cent of group two patients at surgery. Histopathological examination of surgical specimens indicated that imaging accurately predicted the presence or absence of cholesteatoma in 90 per cent of group one (37/41; 23 true positives, 14 true negatives) and 76 per cent of group two (13/17; seven true positives, six true negatives). Three patients in both groups were false negative diagnoses and one patient in both groups was a false positive. The sensitivity, specificity, and positive and negative predictive values of echo-planar diffusion-weighted magnetic resonance imaging of cholesteatoma were respectively 88, 93, 95 and 82 per cent in group one and 70, 85, 87 and 66 per cent in group two.Conclusion: Echo-planar diffusion-weighted magnetic resonance imaging is a valuable technique with high sensitivity and specificity for cholesteatoma imaging. © Copyright JLO (1984) Limited 2012

Neurosyphilis: Various presentations [Nörosifiliz: Farkli prezantasyonlari]

Neurosyphilis develops in about 5% of untreated patients infected with Treponema pallidum. The spirochete disseminates systemically hours to days after inoculation. Early invasion of the central nervous system can be seen in infected patients without symptoms. Here we present three patients with varying complaints, diagnosed with neurosyphilis during diagnostic work-up. The patients had diplopia, headache and blurred vision, numbness and thinning in the feet. (Turkish Journal of Neurology 2012; 18:168-72)

Earliest Date for Milk Use in the Near East and Southeastern Europe Linked to Cattle Herding

Near Eastern Archaeolog