Juvenile Polyp From Symptom to Diagnosis and the Role of Ultrasonography: a Case Report

DergiPark: 819251tmsjAims: Juvenile polyps are the most common intestinal polyps in children, but they are also found relatively frequently in adults. Although colonoscopy and pathologic examinations are essential for the final diagnosis of juvenile polyps, our aim is to show that ultrasound imaging can also reveal the juvenile polyps. Case Report: In a 21-year-old female patient with painless rectal bleeding and abdominal pain, blood tests showed no signs of anemia or infection, but the fecal occult blood test was found to be positive. Ultrasound imaging prior to colonoscopy revealed the juvenile polyp. The polyp was resected during colonoscopy via hot snare polypectomy and then it was pathologically diagnosed as a juvenile polyp. Conclusion: Ultrasonography is not a very common diagnostic tool for colonic polyps, but it may have the potential of revealing a colonic polyp such as a juvenile polyp. This can ease the process of diagnosis

A Rare Cause of Fatty Liver and Elevated Aminotransferase Levels: Chanarin-Dorfman Syndrome: A Case Report

Chanarin-Dorfman syndrome is a rare, inherited metabolic disorder of neutral lipid storage characterized by ichthyosis, lipid vacuoles in leukocytes, and involvement of several internal organs, mostly the liver. Since the initial case was reported by Dorfman in 1974, nearly 50 cases have been reported, and the majority were from Middle East countries. Here, we report a 20-year-old patient with ichthyosis from Turkey, diagnosed as Chanarin-Dorfman syndrome presented with asypmtomatic elevated transaminases and hepatosteatosis, and also briefly review the updated clinical implications and management of this rarely seen syndrome. Prompt diagnosis of this syndrome avoids further unnecessary investigations in patients with ichthyosi

Evaluation of Toilet Habits and Self-Awareness of Constipation Statuses Among Young Adults From Different Faculties At Acibadem University

DergiPark: 889315tmsjAims: To evaluate Acıbadem University students’ self-awareness of their constipation statuses and investigate whether there is an association between consti- pation and prolonged sitting time in the toilet affected by toilet habits. Methods: This cross-sectional study was conducted from March 7 to April 3, 2019, at Acıbadem Mehmet Ali Aydınlar University. The questionnaire consists of 3 parts and a total of 16 questions. The first part asked about the participants’ gender, age, faculty, and school year to collect their demographic information. The second part investigated participants' awareness of constipation and factors affecting constipation. The last part included questions about toilet habits and their sitting time in the toilet. The constipation status of participants was evaluated using the Rome IV Diagnostic Criteria and the self-awareness of participants about their constipation statuses was assessed. Results: 293 students from 5 different faculties (Medicine, Pharmacy, Medical Engineering, Nutrition and Dietetics, and Psychology) of Acıbadem University participated in our study. Our results showed that 22.54% of students were appeared to be constipated. Out of all the students, 24.45% of them were unaware that they were constipated. The use of smartphones was the most common toilet habit, and it increased the time spent sitting on the toilet. Constipation was seen at higher rates among students who spent a longer time on the toilet. Conclusion: Our study demonstrated that having toilet habits increased the time spent sitting on the toilet. Our study also found that as the time spent on the toilet increased, the prevalence of constipation among participants increased accordingly. Poor eating habits and sedentary lifestyles of young adults may have a cumulative effect on constipation. Raising public awareness regarding proper defecation routines and limiting toilet habits and sitting time on the toilet seems essential to prevent constipation