Varicella zoster is an acute viral infection that results from reactivation of a latent varicella zoster virus. It usually occurs in adult population and immune compromised patients. It rarely occurs in healthy children. Here we present a 14 years old male with varicella zoster that had abdominal pain mimicking acute abdomen to alert others who are consulted for the differentiation of acute abdomen and others who may be consulted for pain management.KeywordsVaricella zoster; Abdominal pain
Aim/Background: The aim of this study is to investigate the effects of the solutions used to preserve kidney during transplant surgeries on microbiological culture results and antimicrobial resistance and to evaluate this process from the perspectives of recipients and donors. Methods: This study is a retrospective one, and its data were collected from the fi les of the transplant patients between October 2009 and June 2018. In order to identify the bacteria, the results of the bacteria cultivation conducted through standard methods were included. Gram-negative bacteria were also included in the study. The antimicrobial susceptibility of the identifi ed bacteria was analysed by means of the disk diffusion method. Only one preservation solution was taken, and the isolated agent was determined to be staphylococcus. Results: When all the results were examined, none of the patient had an infection agent causing clinical infection. This result might be related to the fact that cephalosporin treatment was applied for seven days in all the transplant cases in our clinic. Conclusion: If a good treatment is supported by culture antibiogram, it does not create a problem for the recipient and a successful organ transplant surgery can be performed. In this way, there will be no loss of patients in cases where there are not many organ sources.
A 41-year-old male patient who presented to our clinic with the complaints of severe abdominal pain, fever, nausea and vomiting; Ultrasonography and Computed Tomography (CT) performed for diagnostic purposes before the operation; cystic masses observed in abdominal cavity and appendix diameter increased. Some cancer markers increased on blood analysis and mucoid fluid in the abdomen, mucus-filled cysts, dilated appendix, subcapsular cysts in the liver was observed in laparoscopy. Laparoscopic appendectomy were performed and biopsy was taken from the abdomen wall. Peritoneal adenomüsinozis and appendicular mucinous cystadenoma was diagnosed in pathological examination. Cancer markers decreased to a normal levels, 1 month after the operation
BackgroundBotox toxin treatment(BT) is an effective method in chronic anal fissures(CAF).However, there are different suggestions regarding the application place and method of BT in the literature. Our aim in this study is to reveal the most appropriate application site and method in BT for CAFs. MethodsFor this purpose, 2 groups were randomly selected from patients who admitted to our hospital with CAF complaints. In our study, we performed the BT application in different places in different amounts in both groups. After the treatment, we evaluated the recurrence and anal incontinence scores of the patients in certain periods and compared them with each other. The follow-up period for our patients were at least 12 months. ResultsThe recurrence rate was found to be 33.3% in patients in Group A (Gp A) and 19.3% in patients in Group B (Gp B). Patients in Gp A had a statistically significant higher recurrence rate (inadequate treatment) compared to patients in Gp B at the first control, which was performed at first week after treatment(p<00.5). Anal incontinence rate 3.3% in Gp A, 6.4% in Gp B. The difference between anal incontinence rates according to Cleveland Clinic Incontinence Score (CCIS) was not statistically significant between patients with GP A and Gp B (p>0.05).Conclusion3-way BT in internal and external anal sphincters in CAFs, is an effective and low-risk treatment method.
Killian-Jamieson diverticulum (KJD) is a rare type of pharyngoesophageal diverticulum and was first described in 1985. It is usually encountered in adults. KJD arises just below the cricothyroid muscle and extends in the anterolateral direction. As compared to Zenker's diverticulum, KJD is less common in 1/4 ratio. 1 Although it is formed unilateral in general, sometimes occur bilaterally. 2 Zenker's diverticulum has been reported in literature. 3 The most frequent symptoms are dysphagia and globus.In addition, cough, chest pain and regurgitation can be seen. It is often misdiagnosed with thyroid nodules. 4 In the differential diagnosis; ultrasonography (USG), barium esophagography, computed tomography (CT) and flexible endoscopy are important.Diverticulotomy with transcervical approach is the most commonly used treatment method. In addition, myotomy, endoscopic diverticulotomy and diverticulopexy treatment managements are performed. The most important complications faced following the surgery are relapse and suture leakage.Divertuculotomy was performed while preserving NLI. Nasogastric tube (NGT) was not ap-
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