... EKSTRAPLEVRAL PNOMONEKTOMİ SONRASI ERKEN EVRE ENFEKSİYÖZ KOMPLİKASYON: OLGU SUNUMU VE LİTERATÜR TARAMASI Oğuz KÖKSEL, Erhan AYAN, Davud YAPICI, MuratDEMİR Mersin Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD. Mersin. ...
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Ingested sharp-pointed foreign bodies can cause serious complications. A case of a 16-year-old girl with cardiac tamponade due to ingestion of a sewing needle is presented. Ingested needles have often been reported as a cause of... more
Ingested sharp-pointed foreign bodies can cause serious complications. A case of a 16-year-old girl with cardiac tamponade due to ingestion of a sewing needle is presented. Ingested needles have often been reported as a cause of gastrointestinal injuries but in this rare case the sewing needle actually migrated into the myocardium.
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Treatment Outcome, Risk assessment, Adolescent, Medicine, Humans, and 12 moreFemale, Follow-up studies, Ingestion, Risk Assessment, CARDİOVASCULAR SURGERY, FOREIGN BODY MIGRATION, X ray Computed Tomography, Foreign Bodies, foreign body, cardiac tamponade, Foreign body ingestion, and Cardiovascular medicine and haematology
Background: Pulmonary sequestration (PS) is defined as nonfunctional tissue within lung, has separate arterial supply from lung itself and does not have any communication with the tracheobronchial tree. PS is divided into two types which... more
Background: Pulmonary sequestration (PS) is defined as nonfunctional tissue within lung, has separate arterial supply from lung itself and does not have any communication with the tracheobronchial tree. PS is divided into two types which are intralobar pulmonary sequestration (ILS) and extralobar pulmonary sequestration (ELS). PS is a rare congenital malformation of the lungs which is composed of 0.15% to 6.4% of all congenital lung malformation. PS is commonly located in the left lobes and its incidence, especially the incidence of ILS, in the pediatric population is higher than in the adult population. Diagnosis of intralobar pulmonary sequestration which is in the right lower lobe in the third decade of life is a rare situation. We present a case of 37-year-old man diagnosed with ILS located in the right lower lobe which has its own arterial supply directly from descending aorta. This rare case was treated with right lower lobectomy just after the coil embolization of its arteria...
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Plevra, perikard ve peritonu döşeyen serozal bir zar olan mezotelyumun primer tümörlerinden malign mezotelyoma (MM) olgularının %80'i plevra yerleşimlidir. Literatürde tunika vajinalis, testis ve over yüzey epitelyumundan... more
Plevra, perikard ve peritonu döşeyen serozal bir zar olan mezotelyumun primer tümörlerinden malign mezotelyoma (MM) olgularının %80'i plevra yerleşimlidir. Literatürde tunika vajinalis, testis ve over yüzey epitelyumundan kaynaklanan olgular bildirilmiştir.[1] Hastalık ...
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Bulgular: Ortalama yaşları 26.6 olan 19'u erkek 8'i kadın toplam 27 hastanın, %49'u (n:13) göğüs ağrısı, %37'si (n:10) nefes darlığı ve %11'i (n:3) öksürük şikayeti ile başvurmuşlardı. Bir hastada süperior vena... more
Bulgular: Ortalama yaşları 26.6 olan 19'u erkek 8'i kadın toplam 27 hastanın, %49'u (n:13) göğüs ağrısı, %37'si (n:10) nefes darlığı ve %11'i (n:3) öksürük şikayeti ile başvurmuşlardı. Bir hastada süperior vena kava sendromu mevcuttu. Hastaların bilgisayarlı tomografilerinde kitleler ...
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Periosteal chondroma is a rare, benign, slowly growing cartilaginous tumors. They are found in long and tubular bones, mostly. It occurs in second and third decades of life. Rib is an rare location to found periosteal chondroma. We... more
Periosteal chondroma is a rare, benign, slowly growing cartilaginous tumors. They are found in long and tubular bones, mostly. It occurs in second and third decades of life. Rib is an rare location to found periosteal chondroma. We demonstrates a case report of periosteal chondroma founded in the rib that belongs 44-year-old man. We also examine isocitrate dehydrogenase 1 (IDH-1) mutation of this unusually located periosteal chondroma immunohistochemically and IDH-1 mutation was determined as negative. This article is aimed to present 44 years old man’s periosteal chondroma developed at rib that is an unusual location and age for periosteal chondromas.
We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who... more
We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who underwent treatment for flail chest. A retrospective analysis was made regarding the etiology, injury to the chest wall, pulmonary contusion, hemothorax and pneumothorax requiring chest tube, associated injuries, injury severity score (ISS), the presence of shock on admission, the amount of blood transfusions within the first 24 hours, treatment, and the results. The most common cause of flail chest was traffic accidents (79.4%). Shock was detected in 41.2% and pulmonary contusions in 55.9%. Ventilatory support was required in 70.6%. The mean ISS was 36; mortality occurred in 32.4%. In seven patients without associated injuries and who did not receive ventilatory support, the mean ISS was 22.8 and all survived. However, in 18 patients with associated organ ...
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Research Interests:
Medicine, Peroxidase, Nitric oxide, Female, Animals, and 15 moreMale, Acute respiratory distress syndrome, Lung, Clinical Sciences, Rats, Trachea, Pulmonary, PIROXICAM, Lung Injury, Pulmonary disease, Myeloperoxidase, Malondialdehyde, Control Group, Experimental Group, and Pharmacology and pharmaceutical sciences
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Empyema is a serious complication of bacterial pneumonia in children. Between July 1992 and July 1998, 53 children aged 7 months to 12 years (mean age, 5.5 years) were treated for empyema complicating pneumonia. After diagnostic... more
Empyema is a serious complication of bacterial pneumonia in children. Between July 1992 and July 1998, 53 children aged 7 months to 12 years (mean age, 5.5 years) were treated for empyema complicating pneumonia. After diagnostic thoracentesis, closed tube drainage was carried out with appropriate antibiotic therapy and other treatment strategies such as pleural lavage, intrapleural enzymatic debridement, decortication, or pulmonary resection, according to the effectiveness of drainage and clinical status. There was one death from toxic shock. It was concluded that early decortication in the chronic stage of the disease is a safe and effective treatment modality.
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Adolescent, Medicine, Humans, Child, INTENSIVE CARE, and 15 moreFemale, Male, Infant, Length of Stay, Intensive Care Unit, European, Head injury, Kinetic Energy, Drainage, Lung Injury, Mortality rate, Injury Severity Score, Child preschool, Multiple trauma, and Cardiovascular medicine and haematology
GEREÇ VE YÖNTEM Künt travmaya ba¤l› yelken gö¤üs nedeniyle tedavi edilen 34 hastan›n (27 erkek, 7 kad›n; ort. yafl 41; da¤›l›m 15-61) travma etyolojisi, gö¤üs duvar›ndaki yaralanma, pulmoner kontüzyon, gö¤üs tüpü gerektiren... more
GEREÇ VE YÖNTEM Künt travmaya ba¤l› yelken gö¤üs nedeniyle tedavi edilen 34 hastan›n (27 erkek, 7 kad›n; ort. yafl 41; da¤›l›m 15-61) travma etyolojisi, gö¤üs duvar›ndaki yaralanma, pulmoner kontüzyon, gö¤üs tüpü gerektiren hemo/pnömotoraks, efllik eden yaralanma, yaralanma a¤›rl›k skoru, baflvuru s›ras›nda hastan›n flokta olup olmad›¤›, ilk 24 saat içindeki kan transfüzyon miktar›, uygulanan tedaviler ve sonuçlar› aç›s›ndan de¤erlendirildi.
LCH, also formerly known as eosinophilic granuloma or histiocytosis X, is characterized by impairment of the structure and functions of normal tissues by abnormal proliferation of Langerhans cells. We report and discuss here isolated... more
LCH, also formerly known as eosinophilic granuloma or histiocytosis X, is characterized by impairment of the structure and functions of normal tissues by abnormal proliferation of Langerhans cells. We report and discuss here isolated pulmonary Langerhans cell histiocytosis (LCH) with recent literature. Our patient is a 28-year-old male man who has been complaining of cough, shortness of breath, chest pain and weight loss for three months. Thoracic computerized tomography (CT) showed partial pneumothorax on the right, bilateral parenchymal cystic spaces and accompanying pericystic reticular pattern. Bronchoscopy was normal and bronchoalveolar lavage sample was non-specific. Videothoracoscopic wedge biopsy was performed and the immunohistochemical examination showed LCH. No sign of extra-pulmona ry involvement was found in the patient's body screening. Our patient was accepted as isolated pulmonary LCH. He was treated only by to quit smoking and there is no evidence of progression...
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LCH, also formerly known as eosinophilic granuloma or histiocytosis X, is characterized by impairment of the structure and functions of normal tissues by abnormal proliferation of Langerhans cells. We report and discuss here isolated... more
LCH, also formerly known as eosinophilic granuloma or histiocytosis X, is characterized by impairment of the structure and functions of normal tissues by abnormal proliferation of Langerhans cells. We report and discuss here isolated pulmonary Langerhans cell histiocytosis (LCH) with recent literature. Our patient is a 28-year-old male man who has been complaining of cough, shortness of breath, chest pain and weight loss for three months. Thoracic computerized tomography (CT) showed partial pneumothorax on the right, bilateral parenchymal cystic spaces and accompanying pericystic reticular pattern. Bronchoscopy was normal and bronchoalveolar lavage sample was non-specific. Videothoracoscopic wedge biopsy was performed and the immunohistochemical examination showed LCH. No sign of extra-pulmonary involvement was found in the patient’s body screening. Our patient was accepted as isolated pulmonary LCH. He was treated only by to quit smoking and there is no evidence of progression sinc...
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Extra nodal involvement areas such as gastrointestinal, head and neck, orbital, central and peripheral nervous system, thorax, bone, skin, breast, testis, thyroid and genitourinary system can be seen in 25-40% of HL and especially NHL... more
Extra nodal involvement areas such as gastrointestinal, head and neck, orbital, central and peripheral nervous system, thorax, bone, skin, breast, testis, thyroid and genitourinary system can be seen in 25-40% of HL and especially NHL patients, although it is known as lymph node malignancy (1,2). Extra nodal involvement is important in terms of prognosis. Imaging procedures play a very important role in diagnosis. 18F-FDG PET-CT imaging is a standard method in lymphoma patients and has a special importance in these patients in terms of superiority of CT imaging in detecting extra nodal regions. The role of 18F-FDG PET-CT in detection, staging and restaging of patients with extranodal involvement in NHL has also been reported in the literature (3,4). In this case presentation, in addition to nodal and mediastinal involvement areas in a patient diagnosed as NonHodgkin lymphoma, rare bilateral renal extra nodal simultaneous involvement detected on 18F-FDG PET-CT imaging were presented.
BACKGROUND We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. METHODS The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61... more
BACKGROUND We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. METHODS The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who underwent treatment for flail chest. A retrospective analysis was made regarding the etiology, injury to the chest wall, pulmonary contusion, hemothorax and pneumothorax requiring chest tube, associated injuries, injury severity score (ISS), the presence of shock on admission, the amount of blood transfusions within the first 24 hours, treatment, and the results. RESULTS The most common cause of flail chest was traffic accidents (79.4%). Shock was detected in 41.2% and pulmonary contusions in 55.9%. Ventilatory support was required in 70.6%. The mean ISS was 36; mortality occurred in 32.4%. In seven patients without associated injuries and who did not receive ventilatory support, the mean ISS was 22.8 and all survived. However, in 18 pati...
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Malignant pleural mesothelioma is an aggressive type of malignancy which has a poor prognosis and for which no single protocol that can serve as the standard treatment could be established. Extrapleural pneumonectomy (EPP) can be curative... more
Malignant pleural mesothelioma is an aggressive type of malignancy which has a poor prognosis and for which no single protocol that can serve as the standard treatment could be established. Extrapleural pneumonectomy (EPP) can be curative in cases who are in the earlier stages of the malign pleural mesothelioma. In this case report, we present the experience we gained in the process of treating an early graft and intracavitary infection in a patient who underwent standard EPP and in whom grafts were applied to diaphragm and pericardium resections.
ABS TRACT Ob jec ti ve: Bac te ri al trans lo ca ti on (BT) is among the cri ti cal com po nents in the prog ress of mul tip le or gan fa i lu re. We per for med this study to in ves ti ga te whet her BT with such se ri o us comp li ca ti... more
ABS TRACT Ob jec ti ve: Bac te ri al trans lo ca ti on (BT) is among the cri ti cal com po nents in the prog ress of mul tip le or gan fa i lu re. We per for med this study to in ves ti ga te whet her BT with such se ri o us comp li ca ti ons oc curs fol lo wing iso la ted blunt tho ra cic tra u ma or mul tip le tra u mas inc lu ding blunt tho ra cic and he ad tra u ma com po nents. Ma te ri al and Met hods: In this study, 48 Wis tar rats we re ran domly di vi ded in to fo ur gro ups (n= 12) as con trol (C), tho ra cic tra u ma (TT), he ad tra u ma (HT) and he ad+tho ra cic tra u ma (HTT) gro ups. Fol lo wing sac ri fi ce at 24 ho urs af ter tra u ma mul tip le spe ci mens from me sen te ric lymph no des, sple en, li ver, lung, and ile um and blo od samp les we re col lec ted from all rats and we re eva lu a ted for bac te ri al growth af ter ino cu la ti on on to 5% blo od agar. Re sults: When com pa red to ot her gro ups, the in ci den ce of BT in the HTT gro up was sig ni fi cant...
Objectives: To evaluate the role of 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for the diagnosis of anterior mediastinal masses. Methods: The oncological 18F-FDG PET/CT images of 41 patients (17... more
Objectives: To evaluate the role of 18F-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for the diagnosis of anterior mediastinal masses. Methods: The oncological 18F-FDG PET/CT images of 41 patients (17 women, 24 men; age: 16-83 years, mean age: 50.5±19.5 years) who attended the nuclear medicine department between November 2016 and September 2017 were retrospectively evaluated for the metabolic characterization of their anterior mediastinal masses. Results: Based on our results, the lesions of 4 patients were benign [maximum standard uptake value (SUVmax) <3] and that of 2 patients were non-tumoral (i.e., tuberculosis and sarcoidosis). The mean dimensions and the SUVmax levels of the malignant lesions were 6.4±3.7 cm and 11.9±9.6, respectively. The pathological results for the malign tumors were thymus tumors (n=8), lymphoma (n=8), lung cancer (n=11), carcinoid metastasis (n=2), thyroid carcinoma (n=2), germ cell carcinoma (n=1), schwannoma (n=...
Background This study aims to evaluate the efficiency of oleanolic acid on acute lung injury and acute respiratory distress syndrome. Methods The study included 70 female Wistar albino rats (weighing 180 to 200 g). We created seven... more
Background This study aims to evaluate the efficiency of oleanolic acid on acute lung injury and acute respiratory distress syndrome. Methods The study included 70 female Wistar albino rats (weighing 180 to 200 g). We created seven groups, each consisting of 10 rats. Then, we generated acute lung injuries by intra-tracheal peroxynitrite injection in every group except for the control group. We investigated the effect of oleanolic acid. For this purpose, we measured the levels of malondialdehyde, interleukin 1 beta, interleukin 4, interleukin 10 and tumor necrosis factor alpha in the collected blood samples from the rats. In addition, we examined the lung tissue samples histopathologically and assessed the rate of apoptosis. Results Peroxynitrite injected groups at 24 and 48 h showed a statistically significant increase in interleukin 1 beta, tumor necrosis factor alpha, interleukin 4, interleukin 10 and malondialdehyde levels, which are accepted as mediators of the inflammatory process, compared to the control group. When peroxynitrite injected groups at 24 and 48 h were compared to the treatment groups of the same hour, a statistically significant decrease was detected. According to histopathological examination, peroxynitrite injected groups at 24 and 48 h showed a significant increase of tissue injury scores compared to the control group. However, the groups that were treated with oleanolic acid showed a significant decrease compared to the peroxynitrite groups (p<0.001 for tumor necrosis factor alpha and apoptosis results at 48 h). Conclusion In this study, we confirmed that oleanolic acid can be an effective agent for the prevention of acute lung injury generated via peroxynitrite.
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We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who... more
We evaluated the clinical features of patients with flail chest, together with treatment results, and the factors affecting prognosis. The study included 34 patients (27 males, 7 females; mean age 41 years; range 15-61 years) who underwent treatment for flail chest. A retrospective analysis was made regarding the etiology, injury to the chest wall, pulmonary contusion, hemothorax and pneumothorax requiring chest tube, associated injuries, injury severity score (ISS), the presence of shock on admission, the amount of blood transfusions within the first 24 hours, treatment, and the results. The most common cause of flail chest was traffic accidents (79.4%). Shock was detected in 41.2% and pulmonary contusions in 55.9%. Ventilatory support was required in 70.6%. The mean ISS was 36; mortality occurred in 32.4%. In seven patients without associated injuries and who did not receive ventilatory support, the mean ISS was 22.8 and all survived. However, in 18 patients with associated organ ...
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In this study, octreotide (OCT), a synthetic somatostatin analog, was tested for its beneficial effects in the prevention of interstitial pulmonary fibrosis (IPF) induced by bleomycin (BLM) in rats by histological examination and by... more
In this study, octreotide (OCT), a synthetic somatostatin analog, was tested for its beneficial effects in the prevention of interstitial pulmonary fibrosis (IPF) induced by bleomycin (BLM) in rats by histological examination and by evaluating tissue OH-proline levels. Thirty male Wistar rats were divided randomly into three groups: group I: intratracheal (i.t.) BLM (7.5 mg/kg, single dose) + saline solution [0.9% NaCl, subcutaneously (s.c.), once-daily for 7 days]; group II: i.t. BLM (7.5 mg/kg, single dose) + OCT acetate (82.5 µg/kg, s.c., once-daily for 7 days); and the control group. At the end of the 7 days, lung tissues were excised and examined by histopathological methods. Levels of tissue hydroxyproline (OH-proline) were determined. BLM administration resulted in prominent histopathologic findings, such as diffuse alveolar damage and interstitial pulmonary fibrosis, as well as a significant increase in OH-proline level, as compared to controls. OCT application explicitly attenuated the histopathologic changes to a significant extent. OCT decreased paranchymal fibrosis and structural deformities in BLM-induced lung fibrosis. These results suggest that OCT administration to rats with BLM-induced IPF has a protective effect. Further studies are necessary to reveal the molecular mechanism(s) of OCT-induced protective effect.
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A major group of complications caused by minimally invasive repair of the pectus excavatum is those associated with the bar. Bar dislocation and rotation has been reported in the early postoperative period. In this case report, we... more
A major group of complications caused by minimally invasive repair of the pectus excavatum is those associated with the bar. Bar dislocation and rotation has been reported in the early postoperative period. In this case report, we presented a patient whose bar shifted to the ...
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Yasal uyarı: Bu sitede yayınlanan resim, yazı ve diğer uygulamaların her hakkı Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş. 'ye aittir. Kaynak gösterilmeden kullanılamaz. Bu site hekimleri sağlık... more
Yasal uyarı: Bu sitede yayınlanan resim, yazı ve diğer uygulamaların her hakkı Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş. 'ye aittir. Kaynak gösterilmeden kullanılamaz. Bu site hekimleri sağlık alanında bilgilendirmeye yönelik hazırlanmıştır. ...
... EKSTRAPLEVRAL PNOMONEKTOMİ SONRASI ERKEN EVRE ENFEKSİYÖZ KOMPLİKASYON: OLGU SUNUMU VE LİTERATÜR TARAMASI Oğuz KÖKSEL, Erhan AYAN, Davud YAPICI, MuratDEMİR Mersin Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD. Mersin. ...
Empyema is a serious complication of bacterial pneumonia in children. Between July 1992 and July 1998, 53 children aged 7 months to 12 years (mean age, 5.5 years) were treated for empyema complicating pneumonia. After diagnostic... more
Empyema is a serious complication of bacterial pneumonia in children. Between July 1992 and July 1998, 53 children aged 7 months to 12 years (mean age, 5.5 years) were treated for empyema complicating pneumonia. After diagnostic thoracentesis, closed tube drainage was ...