Current Articles

A Case of Cervical Rib Diagnosed by Ultrasonography

A cervical rib is a rare skeletal anomaly that develops from the seventh cervical vertebra and is seen in 0.5-2% of the population. It is often asymptomatic and rarely can cause thoracic outlet syndrome. In this case report, a four-year-old girl with a painless swelling in the right supraclavicular region on clinical examination and has a cervical rib that is diagnosed by ultrasonographic evaluation is presented.

Accepted: 06.04.2022

Intussusception Due to Ectopic Gastric Mucous Meckel Diverticulum

Meckel's diverticulum is one of the congenital anomalies of the gastrointestinal system. It occurs as a result of the intrauterine failure of the vitelline canal in 5-7 weeks. While it is a pathology that often presents with ileus and bleeding in childhood, can cause life-threatening complications and sometimes is operated for acute abdomen, it can rarely be detected during radiological imaging or laparotomy in adults . Here, a 19-year-old male case who presented with acute abdomen and was diagnosed as ileus as a result of intussusception due to meckel diverticulum with ectopic gastric corpus mucosa is presented by reviewing the literature.

Accepted: 02.04.2022

Cesarean Scar Ectopic Pregnancy

Pregnancy in the previous cesarean (hysterotomy) scar is one of the rare forms of ectopic pregnancy. It can be seen once in 2000 pregnancies. It has become more common with the increase in cesarean rates. In this case report, a 38-year-old, gravida 3, parity 2 female patient with a cesarean scar pregnancy which is diagnosed by ultrasonographic evaluation is presented.

Accepted: 02.04.2022

The Effects of Tocilizumabi Intravenous Immunoglobulin and Methylprednisolone, Which are Anticytokine Drugs Used in the Treatment of Cytokine Storm in Critical Covid-19 Patients Hospitalized in the Intensive Care Unit, on the AP-Lung Images of the Patients

We aimed to show the effects of tocilizumab, intravenous immunoglobulin and methylprednisolone, which are used in the treatment of cytokine storm in critical Covid-19 patients hospitalized in the intensive care unit, on the images of AP-Lung radiographs of the patients. We divided the patients into 3 groups as Group 1 (Tocilizumab: 2X400mg 3 doses IV n=87), Group 2 (Intravenous immunoglobulin: 0.4g/kg/day 5 days IV n=70), Group 3 (Methylprednisolone: 3 x 80 mg IV for 3 days, then tapered by 1 dose every other day. n=70). Patients who were not vaccinated against the SARS-Cov-2 virus were selected. The thorax tomography section of the patients taken at the time of admission to the hospital, and the AP-Lung X-ray on the 7th day before and after anticytokine treatment are given in Table 1. Minimal improvement in infiltrates on chest radiographs was coded as positive, minimal worsening was coded as negative, and no change was coded as neutral. There was no statistically significant difference between the groups in the AP-Lung images on the 7th day after the end of anticytokine therapy (p=0.308). Critical Covid-19 patient, tocilizumab, intravenous immunoglobulin, methylprednisolone, AP-Lung X-ray.

Accepted: 01.04.2022

Successful Treatment of Acute Cholecystitis and Pericholecystic Abscess with Percutaneous Cholecystostomy and Percutaneous Drainage in an Elderly Patient

Acute cholecystitis can be defined as an inflammatory disease of the gallbladder. The most common cause is gallbladder stones, which is more common in elderly patients and may cause mortality and morbidity. Removal of inflammation with medical treatment and elective cholecystectomy after about 4-6 weeks and emergency cholecystectomy are the treatment methods that can be preferred and percutaneous cholecystectomy can be preferred as an alternative treatment method that can be performed under local anesthesia, especially in elderly patients who have additional diseases and cannot tolerate general anaesthesia.

Accepted: 08.01.2022

Hidden Threat in the Black Sea; Rip Currents and Drowning Risk: Case Report

Drowning in water is a condition experienced mainly by accident and caused by suicide or murder, where respiratory failure happens because of being exposed to fluids. While drowning mostly occurs due to the inability to swim, rip currents are among the significant reasons. Effective interventions, including early rescue, respiratory tract safety, and oxygen support, increase survival chances. In this case report, it was aimed to emphasize that mortality and morbidity can be reduced by the correct and effective management of drowning patient at the scene and in the emergency service, based on the case of drowning, which was a 61-year-old male who was brought to the emergency service with the unconscious and a deep acidosis clinic.

Accepted: 07.11.2021

Association of Tethered Cord Syndrome and Type I Split Cord Malformation

Tethered cord syndrome is a group of disorder that progressive neurological, urological and orthopedic dysfunction may appear due to tethering of the distal spinal cord by congenital or acquired causes. Rarely it can be iniatially asymptomatic and subsequently manifest serious neurological sequele. Consideration of cutaneous signatures such as lumbosacral hypertrichosis, cutaneous capillary hemangiomas, sinus tracts, midline skin appendages and lipomas may be the clue of occult tethered cord syndrome in asymptomatic period. Split cord malformations are rare form of occult spinal dysraphism in childhood. Split cord malformations are characterized by septum that cleaves the spinal canal in sagittal plane within the single or duplicated thecal sac. It may remain asymptomatic or cause neurological, urological and orthopedic complaints. Preventing the development of these problems depends on the early diagnosis and treatment of malformation. In this study, we aimed to present magnetic resonance imaging findings of Tethered cord syndrome and Type 1 Split cord malformation in a 3-year-old girl who presented to our hospital with lumbosacral hypertrichosis.

Accepted: 24.09.2021

Bilateral Lower Extremity Amelia: Case Report

Amelia is the complete absence of a limb. This anomaly can be isolated or as part of multiple congenital anomalies. It is a rare condition and its etiology is mostly unknown. The aim of this study is to present a case with bilateral lower extremity amelia at 24 weeks of gestation in antenatal period.

Accepted: 24.09.2021

Current Articles

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