Self-inserted foreign bodies in the urethra are rare among children. We describe here a 13-year-old boy who had self-inserted a needle into his urethra. Selfinsertion of the needle wrapped with cotton into the urethra for cleaning after masturbation by patient was applied. A foreign body in the urethra was removed by cystoscopy.
Introduction: Acute appendicitis is one of the most common surgical problems of childhood. Late or misdiagnosis may increase the morbidity and mortality of this condition. Objective: To test the utility of some laboratory methods, especially Neutrophil/Lymphocyte (N/L) ratio in rapid diagnosis of simple and complicated acute appendicitis Method: The records of 498 cases hospitalized in paediatric surgery departments in Turkey between the years 2008 and 2014 with the suspicion or prediagnosis of acute appendicitis were retrospectively evaluated. Among these, 279 were diagnosed as non-complicated appendicitis while 73 were diagnosed as complicated appendicitis. The remaining 146 cases without the appendectomy requirement comprised the control group. Clinical, haematologic and radiologic data of all cases were investigated. Results: Among the patients who had appendectomy, 214 (60.8%) were male. The mean age of the patients was 9.8 ± 3.5 years. The mean C-reactive protein (CRP) (46.6±54.1 vs. 17.3±17.1, p=0.048), white blood cell count (WBC) (18.2±4.8 vs. 10.3±4.6, p<0.001), polymorphonuclear leucocyte (14.5±4 vs. 7.3±4.6, p<0.001) and N/L (8.4±6 vs. 4.4±3.8, p=0.024) values of the patients who had appendectomy were significantly higher. In diagnosis of acute appendicitis, the cut off value for N/L was determined as 5 (p=0.003) (Sensitivity 72.7%, specificity 67.8%). Among complicated acute appendicitis cases, N/L value was significantly higher (10.9±7.2 vs. 6.7±3.3, p=0.04), and the number of patients with WBC greater than 12x10 3 and CRP value greater than 15 mg/dl were _________________________________________
Bladder diverticulum is a rare malformation characterized by an outpouching with a diameter greater than 2 cm of the mucosa due to a defect in the detrusor musculature. In the case of this study, in a 2,5 year old boy, the bladder diverticulum and the left ureteral orifice opened into diverticulum the was detected. This case was discussed with the experience of literature.
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