Pneumoscrotum: an unusual complication of double contrast colon graphy (a case report)

Pnömoskrotum skrotum içinde gaz varlıgı ile ifade edilen bir durumdur. Uygulamalar ve patolojik nedenlerden kaynaklanan pnömoskrotum oldukça az görülür ve aynı zamanda rektal ve kolonik perforasyonların komplikasyonu olarak nadir rapor edilir. Elastikiyetinden dolayı skrotum vücudun basınç havzası olarak düsünülür. Pnömoskrotuma neden olabilecek etiyolojik faktörler; akcigerler, retroperitoneal kaynaklar, cerrahi islemler ya da gaz üretimi yapabilen mikroorganizmalar ile olusan enfeksiyonları kapsamaktadır Pnömoskrotum orofarinks ile diz arasında bir çok hastalık ya da uygulama sonrası ortaya çıkabilen komplikasyonların habercisi olabilir. Skrotumda hava toplanmasını açıklayan çok sayıda mekanizma vardır. Pnömoskrotum için cerrahi ya da konservatif tedavi seçimi tartısmalıdır. Çalısmanın amacı, çift kontrastlı kolon grafisinin nadir bir komplikasyonu olan pnömoskrotum gelisen bir hastayı literatur esliginde degerlendirmektir.Pneumoscrotum is a term used for the expression of the presence of gas within the scrotum. Pneumoscrotum resulting from procedural and pathological causes is an extremely rare occurrence and also rarely reported as a complication associated with colonic or rectal perforation. Because of its elasticity, scrotum is considered to be the pressure basin of the body. Etiologic factors that cause pneumoscrotum include thoracic or retroperitoneal pathologies, surgical manipulations or infection with gas-producing organisms. Pneuomoscrotum may provide clues to a range of diseases or procedure-related complications between the oropharynx and knee.There are multipl pathways to explain air accumulation into scrotum. The choice of conservative or surgical treatment for pneumoscrotum remains controversial In this report a case of pneumoscrotum as an unusual complication of double contrast colon graphy is presente

Gossypiboma: Retained Surgical Sponge after a Gynecologic Procedure

We report on a case of gossypiboma. A 54-year-old woman was admitted to our hospital with abdominal mass. She had undergone a caesarean operation 23 years previously. The mass in the right abdominal quadrant was suspected by abdominal computed tomography and magnetic resonance imaging. The mass was removed by laparotomy excision and the final diagnosis was gossypiboma

Single-Port Transumbilical Laparoscopic Appendectomy: A Preliminary Multicentric Comparative Study in 87 Patients with Acute Appendicitis

Introduction. Laparoscopic appendectomy (LA) has been performed in many approaches such as open, laparoscopic and recently Single Port Access (SPAA). In order to elucidate its potential advantages, we compared the two laparoscopic approaches. Methods. 87 patients were included in a multicentric study for suspected appendicitis in order to perform (SPAA) appendectomy or laparoscopic appendectomy (LA). All outcomes, including blood loss, operative time, complications, and length of stay and pain were recorded prospectively. Results. There were 46 patients in the SPAA group and 41 in the LAG with a mean operative time of 40,4 minutes in the SPAA group and 35,0 minutes in the LA group. Only one patient was converted to an open approach. We described only 2 complications. Pain was graded 2,8 in the SPAA group and 2,9 in the LA group, according to the AVS after 24 hours. Patients in the SPAA Group were more satisfied (7,5 versus 6,9) (P < 0.05). Same results were found for the cosmetic result (8,6 versus 7,4) (P < 0.05). Conclusion. Using the single port approach feasible and safe. The true benefit of the technique should be assessed by new randomised controlled trials

Syndrome of Inappropriate Secretion of Antidiuretic Hormone Cholestasis and Pericardial Effusion Due to Brucellosis Infection: A Case Report

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is an extremely rare complication of infectious diseases. A rare case of brucellosis complicated by syndrome of inappropriate secretion of antidiuretic hormone (SIADH) cholestasis and pericardial involvement is reported. A 27-year-old woman was admitted for fever, abdominal pain, and scleral icterus. Her medical history revealed no recent use of diuretic agents. In addition to cholestasis and elevated liver enzymes, euvolemic hyponatremia, hypouricemia, low plasma osmolality, and high urinary osmolality were also detected. Surrenal and thyroid tests were also within normal range. Echocardiography revealed minimal pericardial effusion with normal cardiac functions. The final diagnosis was SIADH due to Brucellosis. Hyponatremia, cholestasis, and pericardial disease were resolved with effective antibrucellar treatment with streptomycine and doxycycline. After completing treatment of brucellosis, there was not any more evidence of cholestasis and pericardial fluid

Human vascular adhesion proteın-1 (VAP-1): Serum levels for hepatocellular carcinoma in non-alcoholic and alcoholic fatty liver disease

<p>Abstract</p> <p>Background</p> <p>The incidence of hepatocellular cancer in complicated alcoholic and non-alcoholic fatty liver diseases is on the rise in western countries as well in our country. Vascular adhesion protein-1 (VAP-1) levels have been presented as new marker. In our study protocol, we assessed the value of this serum protein, as a newly postulant biomarker for hepatocellular cancer in patients with a history of alcoholic and non-alcoholic fatty liver diseases.</p> <p>Methods</p> <p>Pre-operative serum samples from 55 patients with hepatocellular cancer with a history of alcoholic and non-alcoholic fatty liver diseases and patients with cirrhosis were assessed by a quantitative sandwich ELISA using anti-VAP-1 mAbs. This technique is used to determine the levels of soluble VAP-1 (sVAP-1) in the serum.</p> <p>Results</p> <p>sVAP-1 levels were evaluated in patients with hepatocellular cancer and liver cirrhosis. There was a significant difference in mean VAP-1 levels between groups. Serum VAP-1 levels were found higher in patients with hepatocellular cancer.</p> <p>Conclusion</p> <p>These findings indicate that the serum level of sVAP-1 might be a beneficial marker of disease activity in chronic liver diseases.</p

Ultrasonographic Diagnosis Of Isolated Jejunal Ascaris Lumbricoides

Ascariasis is one of the most common helminthic diseases on earth. Abdominal ultrasonography is usually used for the diagnosis of biliary ascariasis in spite of diagnosis of this infestation is not easy. Two ultrasonographic image of jejunal ascariasis is added to depict clinical situation

Laparoskopik nissen fundoplikasyonu; Nasıl yapalım? Video teknik sunum

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Çalışmamızın amacı; laparoskopik Nissen fundoplikasyonu uyguladığımız hastalarda tekniğimizi ve deneyimimizi video teknik sunumu yaparak meslektaşlarımızla paylaşmaktır

Laparoskopik TEP ve TAPP uygulaması: Doğrular-yanlışlar-sonuçlar

İstanbul Bilim Üniversitesi, Tıp Fakültesi.Amaç: Kasık fıtığı ameliyatları genel cerrahi pratiğinde en sık uygulanan ameliyatlardandır. Açık cerrahide Bassini ile popüler olan teknikten, mesh onarımına kadar onlarca yöntem tanımlanmıştır. 1987 yılında laparoskopik kolesistektomi ile birlikte minimal invaziv girişimler hemen hemen cerrahinin tüm alanlarına uygulanmaya başlanmıştır