A AB BS S T TR RA AC CT T Appendicitis is the most common condition causing acute abdomen. The relationship of parasitic infestation with acute appendicitis has been a controversial issue. A 41-years-old female patient presented with abdominal pain in the right lower quadrant for 48 hours, followed by nausea and vomiting. She underwent laparotomy with a McBurney's incision. We could identify appendicitis with the presence of an Ascaris lumbricoides worm occupying the appendiceal lumen and extending to the cecum and ileocecal valve. In our opinion Ascaris lumbricoides with acute appendicitis is rare clinical case; especially for nonendemic areas. Even if it is a rare condition, it should be kept in mind. 1 Parasitic infestation which is related with acute appendicitis has been a controversial issue in terms of it's role in the etiology of acute appendicitis.2 Ascaris worms could be found in people of all ages . However particulary children are the most probably to be heavily infected. Moreover adult Ascaris lumbricoides is a rare cause of appendicitis. In this study we present the case of acute appendicitis resulting from adult form of Ascaris lumbricoides in adult patient.
CASE REPORTA 41-years-old female patient presented with abdominal pain in the right lower quadrant for 48 hours, followed by nausea and vomiting. She had Turkiye Klinikleri J Case Rep 2016;24 (1) 39
Aim. There is still considerable controversy and debate regarding the features of colorectal cancer in young and older patients. In the present study, the influence of age on clinicopathological characteristics of sporadic colorectal cancer is analyzed retrospectively. Method. A total of 170 cases of colectomy for adenocarcinoma in Kocaeli University Medical School, Turkey, Department of Surgery between January 2001 and September 2005 were studied. Results. Of the 170 patients, 40 (23.5%) were in the ≤50 age group and 130 (76.5%) in the >50 age group were included in the study. Statistical tests were applied for the variables. No differences were found between the young and older patients in respect of clinical features, histopathological features, surgical procedures, or post-operative complications. Conclusion. According to this study, there are no differences between young and older patients with sporadic colorectal adenocarcinoma in respect of clinical features, histopathological features, surgical procedures, or post-operative complications. The differences found previously as recorded in the literature may be associated with genetic variations.
Bu çalışmanın amacı karaciğer metastazlı kolorektal kanserli kolorektal tümörün laparoskopik, karaciğer metastaz cerrahisinin ise açık yöntemle tamamlandığı hastalarda kısa ve uzun dönem sonuçları irdelemektir. Yöntem: Prospektif olarak bilgi girişi yapılan bir veri bankasından 2009-2017 yılları arasında senkron metastaz cerrahisi uygulanan ve laparoskopik kolorektal rezeksiyon yapılan hastalar derlendi. ≥3 segment rezeksiyonu majör rezeksiyon olarak nitelendirildi. Demografi ve hastalara ait verilerle, ameliyat ve ameliyat sonrası bilgiler ve sağkalım incelendi. Bulgular: Otuz beş hasta [23 (%65,7) erkek, ortanca 56,0 (34-79) yaş] bulundu. En sık yerleşim yeri rektumdu (n=20, %57,1). Neoadjuvant kemoradyoterapi ve/veya kemoterapi alan olgu sayısı 15 (%75) ve 14 (%40) idi. Majör, minör rezeksiyon veya sadece ablasyon uygulaması sırasıyla 12 (%34,3), 19 (%54,3) ve 4 (%11,4) hastada yapıldı. Ayrıca 13 (%37,1) hastaya hem rezeksiyon ve hem de ablasyon uygulandı. Ortalama operasyon
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