Various kinds of foreign bodies causing appendicitis have been reported. However, a needle contained in the appendix is very rare, especially in adults. We report an unusual case of a twenty year old man who had ingested a needle ten days prior and presented with signs and symptoms of acute abdominal pain. An abdominal computed tomography scan revealed acute appendicitis. The patient was successfully treated with laparoscopic surgical intervention. In cases of a foreign body in the gastrointestinal tract that cannot be removed endoscopically, the emergence of non-specific symptoms may be early symptoms of acute problems in the abdomen.
"De-epithelialization" may be considered as a complementary and/or alternative approach to other surgical techniques such as primary closure, rhomboid excision, and Limberg flap in the treatment of pilonidal sinus disease, with acceptable cosmesis and recurrence rates.
The aim of this study is to reveal effect of Argan oil on postoperative peritoneal adhesion. Twenty-four Wistar albino rats were divided into three groups. After laparotomy was carried out intraperitoneally, 0,9% NaCl and 3 ml Argan Oil applied to saline and Argan oil groups, respectively. Four subjects in each groups were sacrificed at postoperative day 3 and 7. Macroscopic adhesions and microscopic cellular reactions, such as giant cell, lymphocyte/plasmocyte, neutrophil and histiocyte, were assessed and hydroxyproline levels were measured in all three groups. Adhesion and fibrosis scores were lower both 3rd and 7th days in Argan oil, but only lower fibrosis scores were statistically significant (p<0,05). Except giant cell 3th day scores; Argan oil had lowest neutrophil, lymphocyte, plasmocyte, and histiyocyte scores. Both 3rd and 7th days scores of neutrophil, lymphocyte, plasmocyte, but only 7th days scores of histiocyte reaction were statistically significant (p<0,05). However; Argan oil had highest hydroxyproline levels and the difference were not statistically significant both 3rd and 7th days (p>0,05). Argan oil reduced the postoperative peritoneal adhesions initially seperation the damaged tissues, subsequent effects of fatty acids and tocopherols on inflammation, plasminogen activation and matrix metalloproteinase steps of adhesion formation.
INTRODUCTIONMultiple sclerosis is a chronic demyelinating neurological disease and causing a variety of neurological symptoms, including discomfort of anorectal function. Constipation and faecal incontinence present as anorectal dysfunction in MS and anal manometry, colonic transit time, electromyography, and defecography can be used for assessment.PRESENTATION OF CASEWe presented a thirty-three years old woman with rare condition of anorectal dysfunction in multiple sclerosis. Anal manometry, defecography were done, and synchronously anal incontinence and mechanical constipation due to rectocele and anismus were detected in this patient.DISCUSSIONAlthough anal incontinence and constipation are seen often in patients with multiple sclerosis, in the literature, coexistence of animus, rectocele and anal incontinence are quite rare.CONCLUSIONDefecography and anal manometry are useful diagnostic methods for demonstration of anorectal dysfuntions in patients with MS.
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