Introduction and Aim: The purpose of this study was to determine the value, in terms of diagnosis, resectability and prognosis of pentraxin-3 (PTX3), interleukin-8 (IL-8) and vascular endothelial growth factor (VEGF) in cases of gastric adenocarcinoma, an important condition both worldwide and in Turkey, and to determine their levels in order to contribute to elucidating the pathogenesis of the disease. Materials and Methods: Serum was separated from blood specimens collected from 45 patients diagnosed with gastric adenocarcinoma and from a 30-member healthy control group. Serum PTX3, IL-8 and VEGF levels were studied by ELISA method. Results: Serum PTX3 values differed significantly between the patient group and the control group (p<0.05). Serum IL-8 values also differed significantly between the patient group and the control group (p<0.05). A significant difference was also observed between serum VEGF values in the patient group and the control group (p<0.05). Significant correlation was determined between serum PTX3 and VEGF (p<0.01; r=0.833), between serum PTX3 and IL-8 (p<0.01; r=0.818), and between serum VEGF and IL-8 (p<0.01; r=0.803), measurements when the entire study population was evaluated irrespectively of groups. Conclusion: Serum PTX3, IL-8 and VEGF levels decreased in cases of gastric adenocarcinoma compared to the control group, and their levels affected one another.
This case report aims to present rectus sheath hematoma's diagnosis and conservative treatment process after diagnostic laparoscopy in a patient with right lower quadrant pain. A sixty-seven-year-old lady was admitted with abdominal pain, right inguinal pain, and nausea for about five days. She had coronary artery disease followed by acetylsalicylic acid. On physical examination of the abdomen, there was tenderness and defence on deep palpation. No pathology was seen on laboratory parameters, ultrasonography (USG) and computed tomography (CT). Despite medical treatment, the patient's complaints did not improve, so a laparoscopic appendectomy was performed. A mass was detected in the left lower abdominal wall of the patient at the sixth postoperative hour. The control hemogram level of the patient was 10.8 g/L, a 3.7 g/L haemoglobin decrease compared to the preoperative period. A left rectus sheath hematoma was detected on CT. The hematoma was treated conservatively. On the 12th day of her hospitalisation, the patient with a haemoglobin value of 10.9 g / L was discharged without complications.
Amaç: Apendiks vermiformis çekumun posteromedial yüzünden köken alan ve en sık retroçekal alanda lokalize körelmiş bir organdır. Bu olgu sunumunda subhepatik akut apandisit tanısı ile apendektomi yapılan hastayı sunmayı amaçladık. Olgu: 24 yaşında kadın hasta üç gündür devam eden ve giderek artan sağ üst kadran ağrısı nedeniyle başvurdu. Muayenede sağ üst kadran hassasiyet ve defans mevcuttu. Lökositoz ve c-reaktif protein yüksekliği olan hastanın tomografisinde subhepatik alana uzanan akut apandisit tespit edildi. Laparoskopik apendektomi yapılan hastanın patolojisi flegmonöz akut apandisit ile uyumlu idi. Sonuç: Subhepatik akut apandisit çok nadir görülen bir klinik tablodur. Olası tanı gecikmelerinin ve komplikasyon gelişiminin önlenmesi için, sağ üst kadran ağrısı olan hastalarda subhepatik akut apandisitten şüphelenilmeli ve abdominopelvik bilgisayarlı tomografiden yararlanılıp zamanında tanı ve tedavi yapılmalıdır.
Background: This study aimed to determine the incidence of parasitic infections in adult patients who underwent appendectomy and to evaluate the clinicopathological features of parasitic infections in appendectomy specimens. Methods: Patients who underwent appendectomy between January 2018 and December 2019 with a pre-diagnosis of acute appendicitis (AA) and reported parasitic infection in appendectomy specimens were evaluated retrospectively. Demographic data, comorbidities, clinical and radiological findings, laboratory results, surgical methods, length of hospital stay, postoperative complications, and histopathological examination reports were analyzed. Results: 939 adult patients underwent appendectomy with a pre-diagnosis of AA. Upon detecting parasitic infection in the histopathological examination, thirty-one (3.3%) patients were included in this study. Twenty (64.5%) patients were women, and the overall mean age was 31.9 years (18-70 years). Twenty-three (74.2%) patients had Enterobius vermicularis, and 8 (25.8%) patients had Tenia saginata. On laboratory examination, the mean percentage of monocytes was only higher in the Taenia saginata group (0.80 vs. 0.66; p=0.039). Both ultrasonography findings and tomography findings were similar in both groups. The morbidity rate of the study was 12.9% (n=4). There was no difference between the two groups regarding the length of hospital stay and morbidity. Conclusions: Parasitic infections may cause symptoms mimicking acute appendicitis. It should be kept in mind that even in patients with a diagnosis of parasitic intestinal infection, symptoms may have been caused by acute appendicitis, not solely due to parasitic infection.
Herniation of the bladder towards the inguinal canal is a rare condition. A 76-year-old male patient with long-term left groin swelling was admitted to the emergency clinic complaining of abdominal pain that started about 5 hours ago. The patient, whose abdominal examination was normal, had an incarcerated hernia in the left inguinal region. On superficial ultrasonography, intestinal loop herniation in the left inguinal canal and adjacent loculated fluid of 60x20 mm in size was observed. In the computed abdominal tomography, it was determined that the majority of the bladder had passed through the left inguinal canal and into the hernia sac. Lichtenstein method hernioplasty was applied to the patient who was taken to emergency surgery. Isolated bladder herniation is an extremely rare condition. Recognition of bladder herniation in the preoperative period may prevent possible complications during surgery.
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