The study objective was to determine if the healthy participants were exposed to diethyl phthalate (DEP) and di (2-ethylhexyl) phthalate (DEHP) and if this exposure could be linked to the development of metabolic syndrome. The study included 103 healthy volunteers of similar age with normal BMI values, waist circumference, total cholesterol, HDL, LDL, and triglycerides. DEP and DEHP were measured in the morning urine samples to detect monoethyl phthalate (MEP) and mono-2-ethylhexyl phthalate (MEHP). Two phthalate groups and a control group were formed. Both MEP group and control group had similar results. The correlations between MEP and the measured parameters were insignificant. The correlation between the MEHP group and the age was significantly negative, but between the MHEP group and the waist circumference the correlation was significantly positive. Lipids and lipoproteins were within the reference values and equal in both groups. The significant negative correlation was observed only between MEHP and HDL. Our population is exposed to DEP and DEHP. There was only a significant correlation between DEHP and the observed metabolic syndrome components. Its negative impact was higher as the participants were younger.
Introduction: Meckel's diverticulum is a congenital anomaly of the small intestine and remnant of omphalomesenteric duct. It can be found in about 2% of the population. The diagnosis of Meckel's diverticulum is mostly established during surgical intervention. Case report: Our research is based on the 22 years old female patient, who has been admitted to the clinic with all the features of acute appendicitis. After the completion of 20 hours of observation, intestinal permanence-ileus, was diagnosed. The patient was operated after a brief reanimation and anesthetic preparation. During the surgical intervention, we have found a normal appendix, without signs of inflammation. Further exploration of the abdomen fortified Meckel's diverticulum at a distance of 75 cm from the ileocecal valve of the ileum. Diverticulum was completely filled in with peanuts, and wreathed around its axis, causing the ileus. We have performed diverticulectomy and appendectomy. The patient had a rapid and successful postoperative course. Conclusion: Apart from the acute appendicitis, when patient complains on pains in ileocecal region, Meckel's diverticulum should also be taken into a consideration.
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