Current Articles

Spontaneous Pneumodiastinum, A Rare Condition in Pediatric Asthma

Spontaneous pneumomediastinium is a rare condition in pediatric patients. It may originate from the trachea, esophagus or organs that may be connected to the mediastinum in the mediastinum. We present a case of pneumomediastinium with subcutaneous emphysema at the age of 4 admitted to our emergency department. A 4-year-old male patient with known asthma was brought to the emergency department with respiratory distress. The general condition of the patient was good. Body temperature was 36.5 0 C, blood pressure was 100/60 mmHg in the right arm, pulse was 125/min, respiratory rate was 18/min, oxygen saturation value was 98. The patient's other system examinations were normal, and thoracic tomography imaging was performed due to crapitation in the neck and chest region. As a result of tomography, air densities were observed in the soft tissues in the anterior mediastinum and anterior chest wall. The patient's other system examinations were normal, and thoracic tomography imaging was performed due to crapitation in the neck and chest region. As a result of tomography, air densities were observed in the soft tissues in the anterior mediastinum and anterior chest wall. The Covid-19 polymerase chain reaction test of the patient, who did not find any abnormality in the laboratory examination, was negative. The patient was diagnosed with spontaneous pneumomediastinum due to asthma and was admitted to the intensive care unit for treatment and monitoring. Nasal oxygen support, 1 mg/kg prednol, and bronchodilator treatment were started to the patient. After 4 days of intensive care, the patient's emphysema completely regressed. The patient was discharged from the pediatric service on the 5th day. Spontaneous pneumomediastinum, a rare condition called Hamman's syndrome, is a condition that mostly affects tall, thin adolescent males. Spontaneous pneumomediastinium, which is rare in children with asthma, may also occur due to Covid -19 disease in these days when we are experiencing the pandemic period, so it should not be forgotten in the diagnosis.

Accepted: 17.11.2022

Successfully Management of Post Traumatic Pancreatic Fistula with Pancreatic Stent Application

Postoperative Pancreatic Fistula (POPF) is a feared and harmful complication after pancreas-related surgery. Most commonly pancreatic duct fistula occurs after pancreatic surgery, but may also present rarely after trauma or surgical interventions of the splenic flexure and spleen. Different approaches are performed for these complications, such as; conservative treatment, endoscopic and percutaneous treatment, and surgical management. In this study, we aimed to present a 65-year-old male with colon splenic flexure perforation after stabbed injury, from left hypochondria. Segmental colon resection and end colostomy were performed. Postoperative 5th day, pancreatic fistula occurred and pancreatic duct stenting by Endoscopic Retrograde Cholangiopancreatography (ERCP) was performed and pancreatic leakage was successfully treated without another surgical intervention.

Accepted: 17.11.2022

A Pleural Catheter Complication; Where is the Catheter?

Pleural effusion is a common thoracic pathology. It occurs as a result of the disruption of the balance between the release and drainage of pleural fluid. Pleural effusion may develop due to lung or other organ pathologies. The most common methods used for pleural fluid drainage are thoracentesis, tube thoracostomy and small diameter pleural drainage catheters (CPC). CPC has been widely used in pleural effusion in recent years. CPC was applied to an 82-year-old female patient due to pleural effusion. During the follow-up of the patient, the catheter was broken and the remaining piece fell into the thorax. As a result of the examinations performed on the patient, an intrathoracic foreign body was detected and the catheter incision site was enlarged 1 cm and the foreign body was removed with video-assisted thoracoscopic surgery.

Accepted: 17.11.2022

A rare complication due to ventriculoperitoneal shunt: Abdominal Cerebrospinal Pseudocyst

Since acute abdomen that develops in patients with a history of ventriculoperitoneal shunt surgery can be seen very rarely, the treatment approach is very important in terms of general surgery. In neurosurgery practice, the basic surgical treatment of hydrocephalus is to direct excess cerebrospinal fluid flow from the ventricular system to the intraperitoneal space with the help of a ventriculoperitoneal shunt. Intra-abdominal pseudocysts, which may occur following ventriculoperitoneal shunt surgery, are rare complications that require careful attention in both medical and surgical treatments. Numerous shunt revisions and sterile and/or infectious inflammation can be considered in its etiology. Abdominal pain, tenderness, distension and intra-abdominal mass are the most common clinical findings and sometimes they can lead to acute abdomen in patients.

Accepted: 07.09.2022

A Rare Cause of Intestinal Perforation: Annular Appendicitis

The tip of appendicitis may cause adhesion together with inflammation and rarely, it may cause small bowel obstruction by forming annular appendicitis. Rarely ever, cyclic appendicitis can cause perforation of the small bowel. We presented a case of perforation of 1.5'cm in the ileocecal region due to annular appendicitis, which has not been found in the literature

Accepted: 07.09.2022

Solated Primary Hydatid Cyst of The Breast; Case Report

Hydatid disease is an endemic anthropozoonosis and is commonly caused by the tapeworm Echinococcus Granulosus.It is endemic in sheep- and cattle-raising regions, seen mainly in Mediterranean countries including Turkey.Echinococcal involvement of the breast is extremely rare, even in endemic countries. We present a 66-year-old female patient with hydatid cyst who presented with the complaint of a mass in the right breast.

Accepted: 07.09.2022

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

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