Background. Perthe's syndrome (traumatic asphyxia) is rare, which is caused by sudden compressive chest trauma and characterized by subconjunctival hemorrhage, facial edema, craniocervical cyanosis, and petechiae on the upper chest and face and should always be kept in mind as a possible complication of injuries of the chest and abdomen. Case Report. In this case report a 36-years-old male patient brought to the emergency room due to thorax trauma related to motorcycle accident was discussed. Distinct cyanotic, edematous, and multiple petechiae were present on the face, neck, and upper thorax regions of the patient. Bilateral subconjunctival hemorrhage was determined. Conclusion. Treatment for traumatic asphyxia is supportive and patient recovery is related to the generally associated injuries. Prognosis of the patients is quite good with effective and timely treatment.
Objective: Although acute pancreatitis (AP) is a self-limited disease under supportive and medical treatment, it can have life-threatening potential in some patients. Results of studies reporting outcomes of AP-associated pancreatic malignancy are controversial. The aim of this study was to evaluate the severity and prognosis of pancreatic cancer (PC)–related AP by modified Balthazar score. Methods: A total of 354 patients hospitalized and followed up in our clinic between 2013 and 2019 were included in the study. Demographic data of all patients were recorded. The etiology of all cases was determined. According to the etiology, the cases were divided into 2 groups: AP related to pancreatic malignancy and AP due to nonmalignant causes. The patients underwent computed tomography of the abdomen within the first 12 hours of admission and after 3 to 7 days. Patients were evaluated and classified by modified Balthazar classification. Results: Malignancy-related AP was detected in 18 (5.1%) patients. A total of 336 cases (94.9%) were related to nonmalignant causes. There was no statistically significant difference in the severity of AP in both groups at admission and after 3 days ( p > 0.05). The changes (regression, progression, or no change) in the disease severity at the first and the subsequent imaging were examined. There was no significant relationship between the 2 groups ( p > 0.05). Conclusion: AP may be the clinical manifestation of PC or PC may induce AP in various ways. It was shown that the underlying malignancy did not adversely affect the severity and course of AP.
Continence is one of the main factors that determine the quality of life. 1 Pelvic muscle groups, sphincter function, nervous system, rectal compliance, fecal contents and cognitive functions act towards maintaining continence. 2 Fecal or anal incontinence (AI) may be defined as involuntary leakage of rectal contents or inability to delay defecation until an appropriate time. 1 Incontinence causes social and psychological problems as well as medical and economic effects, adversely affects the quality of life and is generally kept secret by the patients. [3][4][5][6] Although sphincter structure is preserved in non-traumatic situations such as diabetes mellitus and neurological disease, structural loss or weakness in the sphincters usually occurs through traumatic conditions such as anorectal surgeries, obstetric injuries and traumas 2,4,[7][8][9][10][11] Many surgical and non-surgical methods with different success rates may be preferred in treatments for AI. According to the severity of the complaints and the development mechanisms of the disease, AI can be managed conservatively through diet, antidiarrheal medicine and biofeedback. 4 Surgical treatment is usually performed, when the anal sphincter has an anatomical defect or when conservative treatment is not successful. 12,13 The success rates of various surgical techniques range from 25% to 90%. 14,15 There is no consensus on which method is most effective for treating traumatic sphincter injury. 8Sphincteroplasty is the commonly preferred surgical treatment among the surgical options. 14,15 It has the considerable advantage that it does not require any purchase of additional equipment or any cost. 1,4,16,17 However, the results obtained from sphincteroplasty may become impaired over time. The patient's age, cause of the injury, timing of surgery, timing of postoperative assessment and variation in surgical techniques are among the factors that may affect the success of
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