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Scalp Arteriovenous Malformation: A Rare Case 头皮动静脉畸形1例
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-97058
Abdullah GÜNER, Yüksel DERELİ
Peripheral arteriovenous malformations (AVMs) are rare vascular pathologies. We report a case of scalp AVM presenting with a palpable mass in the left temporal region and tinnitus. Thirty-year-old female patient had no previous complaints or trauma history in her anamnesis. Physical examination revealed a 3x1 cm pulsatile mass in the left superficial temporal artery tracing. Findings consistent with AVM were detected in the Doppler ultrasonography. After informed consent was obtained, the mass was surgically excised under local anesthesia and discharged the same day. Arteriovenous malformations can develop in 2 ways. Congenital AVMs are more common and develop as a result of defects in the angiogenesis process. The acquired type is less common and usually develops secondary to trauma. The clinical presentation is usually asymptomatic. Symptomatic cases with progressive growth need to be treated. Treatment may involve embolization or ligation of the feeding artery or surgical excision.
外周动静脉畸形(AVMs)是一种罕见的血管病变。我们报告一个病例的头皮AVM表现为可触及的肿块在左侧颞区和耳鸣。患者女,30岁,记忆中无既往疾患或创伤史。体格检查发现左侧颞浅动脉示3x1 cm搏动性肿块。多普勒超声检查结果与AVM一致。获得知情同意后,局部麻醉下手术切除肿块,当日出院。动静脉畸形有两种发展方式。先天性动静脉畸形更为常见,是由于血管生成过程中的缺陷造成的。后天性不太常见,通常继发于创伤。临床表现通常无症状。有进行性生长症状的病例需要治疗。治疗可能包括栓塞或结扎供血动脉或手术切除。
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引用次数: 0
A Case of Acquired Anterior Scleral Staphyloma and Corneal Perforation After Pars Plana Vitrectomy and Treatment with Amniotic Membrane 玻璃体平面膜切除术后获得性巩膜前葡萄肿合并角膜穿孔1例
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-97369
Murat ERDAĞ, Mehmet CANLEBLEBİCİ, Ali DAL, Hakan YILDIRIM
This is a case report of a 26-year-old female patient who presented with poor vision due to a vitreous lens drop of her right eye. The patient underwent pars plana vitrectomy. However, scleral fixation was postponed due to corneal edema. She presented to the clinic 2 months later with complaints of eye pain. The patient was found to have a corneal perforation and iris prolapse. Emergency surgery was performed, and after the iris tissue were repositioned, the corneal defect was sutured and an amniotic membrane was transplanted onto the defect. The corneal defect healed, and the anterior staphyloma did not progress. The patient's underlying condition was suspected to be a congenital connective tissue disorder. Anterior staphyloma may develop after vitrectomy in patients with congenital tissue disease, and amniotic membrane closure may be preferred in these patients for better healing process.
我们报告一位二十六岁的女性病患,因右眼玻璃体晶状体脱落而导致视力不佳。患者行玻璃体切除手术。然而,由于角膜水肿,巩膜固定被推迟。2个月后以眼痛主诉就诊。患者被发现有角膜穿孔和虹膜脱垂。进行紧急手术,将虹膜组织重新定位后,缝合角膜缺损,并在缺损处移植羊膜。角膜缺损愈合,前葡萄肿无进展。病人的潜在条件被怀疑是先天性结缔组织疾病。先天性组织疾病患者玻璃体切除术后可能发生前葡萄肿,这些患者首选羊膜闭合以获得更好的愈合过程。
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引用次数: 0
Bartonellosis: The Achilles' Heel of Cat Love 巴顿菌病:猫爱的阿喀琉斯之踵
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-97560
Kübra KAYNAR, Beyza Nur EKMEKÇİ, Aylin ÖZDEMİR, Neva ARSLAN, Aslıhan TÖNGEL, Afsana BAYRAMOVA
Cat scratch disease (CSD) is a zoonotic disease known for centuries caused by Gram-negative intracellular bacilli (Bartonella henselae) generally leading to a benign, self-limiting disease. The main routes of transmission for CSD from infected young cats to human beings were through biting or scratching of contaminated cats. Here, we report a case with acute kidney injury (AKI) with vasopressor-resistant severe hypotension, and pancytopenia who had a history of multiple scratches by stray kittens. The patient was treated with ciprofloxacin and doxycycline based on the diagnosis of Bartonellosis. Disseminated involvement of visceral organs (especially kidneys) in patients with Bartonellosis is very rare. Up till now, 20 cases have been reported as the cause of kidney failure. The presence of limited data about Bartonellosis makes it less recognizable among clinicians leading to delayed diagnosis. We would like to emphasize the importance of unvaccinated cat scratch history in evaluating patients with AKI.
猫抓病(CSD)是一种由革兰氏阴性细胞内杆菌(亨塞巴尔通体)引起的人畜共患疾病,几个世纪以来一直为人所知,通常导致一种良性、自限性疾病。由受感染的幼猫传染给人类的主要途径是咬伤或抓伤受感染的猫。在这里,我们报告了一例急性肾损伤(AKI)合并血管加压剂抵抗性严重低血压和全血细胞减少症的病例,该病例有被流浪猫多次抓伤的历史。根据巴尔通体病的诊断,给予环丙沙星和强力霉素治疗。巴尔通体病患者弥散性累及内脏器官(尤其是肾脏)是非常罕见的。到目前为止,已经报道了20例导致肾衰竭的病例。由于有关巴尔通体病的数据有限,临床医生对其认识不足,导致诊断延误。我们想强调未接种疫苗的猫抓史在评估AKI患者中的重要性。
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引用次数: 0
Reconstruction with Vascular Fibular Graft for a Patient with Recurrent Giant Cell Bone Tumor in Distal Ulna, a Rare Treatment Option 腓骨血管重建治疗尺骨远端巨细胞骨肿瘤,一种罕见的治疗方法
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-97632
Mahmut Kürşat ÖZŞAHİN, Arın CELAYİR, Anıl DEMİRÖZ, Veli Muzaffer Murad HIZ
Giant cell bone tumors are benign lesions of the bone and they usually behave locally aggressive in the follow ups. The most common location of giant cell bone tumor is the metaphysis of distal femur, proximal tibia, distal radius, and proximal humerus. They rarely metastasize, and surgical methods are prominent in their treatment. Among the surgical treatments, curettage, cementation, and in some selected cases, reconstruction with vascular fibula graft can be applied. In addition to surgical treatments, denosumab treatments have also been put into practice. In this article we discuss a patient undergoing 3 surgeries due to giant bone cell tumor in right distal ulna in the forearm. We are going to discuss a patient that we performed a reconstruction operation with vascular fibula graft who had been operated on for giant cell bone tumor in his right ulna twice and received denosumab treatment and had good postoperative follow-up and functional results.
巨细胞骨肿瘤是骨的良性病变,在随访中通常表现为局部侵袭性。巨细胞骨肿瘤最常见的位置是股骨远端干骺端、胫骨近端、桡骨远端和肱骨近端。他们很少转移,手术方法是他们的治疗突出。在手术治疗中,刮除,骨水泥,在一些选定的病例中,可以应用血管腓骨移植物重建。除手术治疗外,denosumab治疗也已付诸实践。在本文中,我们讨论了一位因前臂右尺骨远端巨大骨细胞肿瘤而接受三次手术的患者。我们要讨论的是一个患者,我们做了一个血管腓骨移植重建手术,他在右尺骨做了两次巨细胞骨肿瘤手术,接受了denosumab治疗,术后随访和功能效果都很好。
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引用次数: 0
Giant Mushroom-Like Fibroepithelial Anal Polyp Associated with Hemorrhoidal Disease 与痔疮病相关的巨大蘑菇样纤维上皮性肛门息肉
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-96959
Sami AÇAR, Sevil KARABAĞ, Hadi SASANI, Can AYDIN, Nurten TÜRKEL KÜÇÜKMETIN
A fibroepithelial anal polyp is a benign mesenchymal tumor that typically develops from the hypertrophic anal papilla in response to anoderm irritation, damage, or infection. Long-term lymph stasis is thought to contribute to the process. It can be single or multiple, and it is usually small. It can sometimes enlarge and cause symptoms like itching and wetness in the anal region, lowering one's quality of life. It is rarely necessary to rely solely on surgical intervention. It is frequently excised as part of other proctological procedures. It is uncommon in the clinic for them to cause intermittent intestinal obstruction and obstruct the anal region. We aimed to present a case that resulted in intermittent subileus attacks, chronic constipation, and surgical intervention.
纤维上皮性肛门息肉是一种良性间质肿瘤,通常由肥大的肛门乳头发展而来,是对阳极刺激、损伤或感染的反应。长期的淋巴停滞被认为是导致这一过程的原因。它可以是单个或多个,通常很小。它有时会扩大,并引起肛门瘙痒和潮湿等症状,降低生活质量。很少有必要完全依靠手术干预。它经常作为其他直肠外科手术的一部分被切除。在临床上引起间歇性肠梗阻和肛门梗阻并不常见。我们的目的是提出一个病例,导致间歇性肠梗阻发作,慢性便秘,和手术干预。
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引用次数: 0
A Rare Postoperative Complication in a Pediatric Hydrocephalus Case: Migration of the Ventriculoperitoneal Shunt Catheter Into the Scrotal Hernia Sac 小儿脑积水一例罕见的术后并发症:脑室-腹膜分流管移入阴囊疝囊
Pub Date : 2023-01-01 DOI: 10.5336/caserep.2023-96798
Veysel KIYAK, Sabri CANSARAN
Displacement of the catheter outside the intrabdominal area after ventriculoperitoneal (VP) shunt is an extremely rare complication. In a 4-month-old male patient with a history of VP shunt due to hydrocephalus in the neonatal period, abdominal X-ray showed that the distal end of the shunt catheter was in the scrotum. The catheter tip was reduced to the abdomen via left inguinal herniotomy, and hernia repair was performed with high ligation. Migration of the VP shunt catheter into the scrotal area is a complication that is easy to treat, but has not yet been clarified in terms of prevention. The recognition of this complication and its correction with early surgical intervention are important in terms of preventing possible visceral organ damage and clinical worsening due to shunt obstruction.
脑室-腹膜(VP)分流术后,腹内区外导管移位是一种极为罕见的并发症。1例新生儿期因脑积水而行VP分流术的4月龄男性患者,腹部x线显示分流导管远端位于阴囊内。经左腹股沟疝切开术将导管尖端复位至腹部,高位结扎修补疝。VP分流导管移入阴囊区是一种容易治疗的并发症,但在预防方面尚未明确。认识到这一并发症并通过早期手术干预进行纠正,对于预防可能的内脏器官损害和分流梗阻引起的临床恶化至关重要。
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引用次数: 0
A Case of Hypokalemia-induced Rhabdomyolysis Caused by Licorice Root Consumption 食用甘草所致低钾性横纹肌溶解1例
Pub Date : 2021-01-01 DOI: 10.5336/CASEREP.2020-77273
Canan Birdal, D. Binici, Yücel Alaylar, H. Alaca, H. Alan
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引用次数: 0
Hallux Valgus Following Osteochondral Fracture of the Proximal Phalanx: A Case Report and Review of Literature 近端指骨骨软骨骨折后拇外翻1例报告及文献复习
Pub Date : 2021-01-01 DOI: 10.5336/CASEREP.2020-78330
Servet İğrek, K. Irgit
{"title":"Hallux Valgus Following Osteochondral Fracture of the Proximal Phalanx: A Case Report and Review of Literature","authors":"Servet İğrek, K. Irgit","doi":"10.5336/CASEREP.2020-78330","DOIUrl":"https://doi.org/10.5336/CASEREP.2020-78330","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"3 1","pages":"28-32"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73085156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment of Dieulafoy Lesion in Juxtapapillary Duodenal Diverticula by Monopolar Hemostatic Forceps with Soft Coagulation 单极软凝止血钳治疗十二指肠乳头旁憩室十二指肠溃疡病变
Pub Date : 2021-01-01 DOI: 10.5336/CASEREP.2020-78304
Abdullah Murat Buyruk
{"title":"Treatment of Dieulafoy Lesion in Juxtapapillary Duodenal Diverticula by Monopolar Hemostatic Forceps with Soft Coagulation","authors":"Abdullah Murat Buyruk","doi":"10.5336/CASEREP.2020-78304","DOIUrl":"https://doi.org/10.5336/CASEREP.2020-78304","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"7 1","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73806235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endometriosis in Abdominal Fascia Mesh 腹膜网内膜异位症
Pub Date : 2021-01-01 DOI: 10.5336/CASEREP.2020-78230
M. F. Kıncı, Mehmet Onur Arslaner, Özge Şehirli Kıncı, Ezgi Karakas Paskal, Melek Ünçel, A. A. Sivaslıoğlu
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Türkiye Klinikleri Journal of Case Reports
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