Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-77792
Harinthiran Vijeyan, I. S. Mohamad, M. M. Yahya, Leow Voon Meng
{"title":"Recurrent Pancreatic Pseudocyst Secondary to Hypercalcaemia with Underlying Parathyroid Adenoma","authors":"Harinthiran Vijeyan, I. S. Mohamad, M. M. Yahya, Leow Voon Meng","doi":"10.5336/caserep.2020-77792","DOIUrl":"https://doi.org/10.5336/caserep.2020-77792","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"20 1","pages":"224-227"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87346299","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70028
R. Sadioğlu, G. Kumru, Damla Örs Şendoğan, Şahin Eyüpoğlu, K. Keven
ABS TRACT Massive bladder hematoma can occur following a trauma, neoplastic states, or as a longterm side effect of a pelvic irradiation therapy. It is reported, albeit rarely, in the patients with amyloidosis which can affect bladder and can manifest itself as hematoma. However, it hasn’t been yet reported in kidney transplant recipients. A 31 year-old male with chronic glomerulonephritis received kidney transplantation. He developed proteinuria and frequent episodes of lung infection because of bronchiectasis after seven years from transplantation. Duodenal biopsies showed AA-amyloidosis. Macroscopic hematuria appeared, and cystoscopy revealed hematoma and perforation of bladder wall. A 56 year-old male with secondary amyloidosis due to familial Mediterranean fever had kidney transplantation. After two years, cystoscopy was performed because of macroscopic hematuria and revealed large hematoma that completely filled the bladder. To our knowledge, these are the very first cases with AA amyloidosis who developed spontaneous bladder hematoma in kidney transplant recipients.
{"title":"Spontaneous Massive Bladder Hematoma in the Late Period After Kidney Transplantation in Patients with AA Amyloidosis: Two Cases","authors":"R. Sadioğlu, G. Kumru, Damla Örs Şendoğan, Şahin Eyüpoğlu, K. Keven","doi":"10.5336/caserep.2019-70028","DOIUrl":"https://doi.org/10.5336/caserep.2019-70028","url":null,"abstract":"ABS TRACT Massive bladder hematoma can occur following a trauma, neoplastic states, or as a longterm side effect of a pelvic irradiation therapy. It is reported, albeit rarely, in the patients with amyloidosis which can affect bladder and can manifest itself as hematoma. However, it hasn’t been yet reported in kidney transplant recipients. A 31 year-old male with chronic glomerulonephritis received kidney transplantation. He developed proteinuria and frequent episodes of lung infection because of bronchiectasis after seven years from transplantation. Duodenal biopsies showed AA-amyloidosis. Macroscopic hematuria appeared, and cystoscopy revealed hematoma and perforation of bladder wall. A 56 year-old male with secondary amyloidosis due to familial Mediterranean fever had kidney transplantation. After two years, cystoscopy was performed because of macroscopic hematuria and revealed large hematoma that completely filled the bladder. To our knowledge, these are the very first cases with AA amyloidosis who developed spontaneous bladder hematoma in kidney transplant recipients.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"33 1","pages":"60-62"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89380552","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2020-77783
Tahir Buran, M. Sahin, E. Kasap, S. Ayhan, B. Ince
{"title":"Efficacy of N-acetylcysteine Treatment in Methimazole-induced Myopathy and Toxic Hepatitis","authors":"Tahir Buran, M. Sahin, E. Kasap, S. Ayhan, B. Ince","doi":"10.5336/caserep.2020-77783","DOIUrl":"https://doi.org/10.5336/caserep.2020-77783","url":null,"abstract":"","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"7 Suppl 3 1","pages":"266-271"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90304557","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-71483
A. Çift, M. Gezer, C. Benlioğlu, M. Yucel, Bedreddin Kalyenci
ABS TRACT Urethral catheterization is rarely associated with intestinal perforation. Urethro-rectal perforation as a complication of urethral instrumentation is rarely seen. Only one case of bladder and small bowel perforation as a complication of Foley catheterization has been reported. In patients with intestinal perforation, treatment usually consists of laparotomy and repair of perforation. In this report, we aimed to present a case of acute urethro-rectal perforation and management of it as a complication of urethral Foley catheterization. To our knowledge, this is the first documented acute urethro-rectal perforation during Foley catheterization. We think that endoscopic treatment is sufficient in early diagnosed cases without performing laparotomy. In addition, in patients who had previously undergone prostate or urethra operation, we think that the Foley catheter should not be forced and should be treated more carefully while placing the Foley.
{"title":"Urethro-Rectal Perforation as a Complication of Foley Catheterization","authors":"A. Çift, M. Gezer, C. Benlioğlu, M. Yucel, Bedreddin Kalyenci","doi":"10.5336/caserep.2019-71483","DOIUrl":"https://doi.org/10.5336/caserep.2019-71483","url":null,"abstract":"ABS TRACT Urethral catheterization is rarely associated with intestinal perforation. Urethro-rectal perforation as a complication of urethral instrumentation is rarely seen. Only one case of bladder and small bowel perforation as a complication of Foley catheterization has been reported. In patients with intestinal perforation, treatment usually consists of laparotomy and repair of perforation. In this report, we aimed to present a case of acute urethro-rectal perforation and management of it as a complication of urethral Foley catheterization. To our knowledge, this is the first documented acute urethro-rectal perforation during Foley catheterization. We think that endoscopic treatment is sufficient in early diagnosed cases without performing laparotomy. In addition, in patients who had previously undergone prostate or urethra operation, we think that the Foley catheter should not be forced and should be treated more carefully while placing the Foley.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"69 1","pages":"23-26"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87512753","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70224
A. C. Utku, E. Gönüllü, E. Guçlu, O. Karabay
ABS TRACT Fever of unknown origin (FUO) is defined as temperature higher than 38.3°C on several occasions for at least three weeks and undiagnosed after one week of study in the hospital. The most prevalent causes of FUO are infections, connective tissue diseases and malignancies. Connective tissue diseases are seen in elderly patients as temporal arteritis and polymyalgia rheumatica .Polymyalgia rheumatica (PMR) is a rheumatic disease seen after the age of 50 for which the etiology is not precisely known. Almost half of the affected patients frequently have low grade fever, malaise and poor appetite. Typical clinical characteristics are pain in both shoulders and morning stiffness. Along with this case followed up at our clinic with a complaint of fever continuing for three weeks and weakness in the arms, we will review PMR.
{"title":"Polymyalgia Rheumatica Presenting with Fever of Unknown Origin","authors":"A. C. Utku, E. Gönüllü, E. Guçlu, O. Karabay","doi":"10.5336/caserep.2019-70224","DOIUrl":"https://doi.org/10.5336/caserep.2019-70224","url":null,"abstract":"ABS TRACT Fever of unknown origin (FUO) is defined as temperature higher than 38.3°C on several occasions for at least three weeks and undiagnosed after one week of study in the hospital. The most prevalent causes of FUO are infections, connective tissue diseases and malignancies. Connective tissue diseases are seen in elderly patients as temporal arteritis and polymyalgia rheumatica .Polymyalgia rheumatica (PMR) is a rheumatic disease seen after the age of 50 for which the etiology is not precisely known. Almost half of the affected patients frequently have low grade fever, malaise and poor appetite. Typical clinical characteristics are pain in both shoulders and morning stiffness. Along with this case followed up at our clinic with a complaint of fever continuing for three weeks and weakness in the arms, we will review PMR.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"59 1","pages":"32-35"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88026970","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70780
H. Şahin, E. Oguz, K. Atilgan, Levent Aktaş, Tamer Selen
ABS TRACT Bardet-Biedl syndrome (BBS) is a rare autosomal recessive multi-systemic genetic disorder caused by defects in genes affecting the centrosome and ciliary transport. It is primarily characterized by rod-cone dystrophy, postaxial polydactyly, central obesity, genital abnormalities, renal defects, and mental retardation. Twenty-one genes (BBS1-BBS20 and NPHP1) have been identified to date; the most common genes are BBS1 (Locus 11q13) and BBS10. Chronic kidney disease is a major cause of morbidity and mortality. Herein we presented a patient with chronic renal failure who had delayed diagnosis of BBS. The early diagnosis and a multidisciplinary management of BBS with renal involvement has a critical importance.
{"title":"Bardet-Biedl Syndrome Diagnosed at an Advanced Age","authors":"H. Şahin, E. Oguz, K. Atilgan, Levent Aktaş, Tamer Selen","doi":"10.5336/caserep.2019-70780","DOIUrl":"https://doi.org/10.5336/caserep.2019-70780","url":null,"abstract":"ABS TRACT Bardet-Biedl syndrome (BBS) is a rare autosomal recessive multi-systemic genetic disorder caused by defects in genes affecting the centrosome and ciliary transport. It is primarily characterized by rod-cone dystrophy, postaxial polydactyly, central obesity, genital abnormalities, renal defects, and mental retardation. Twenty-one genes (BBS1-BBS20 and NPHP1) have been identified to date; the most common genes are BBS1 (Locus 11q13) and BBS10. Chronic kidney disease is a major cause of morbidity and mortality. Herein we presented a patient with chronic renal failure who had delayed diagnosis of BBS. The early diagnosis and a multidisciplinary management of BBS with renal involvement has a critical importance.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"12 1","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87597540","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-72871
Nilgün Söğütçü, D. Yildirim
The article was prepared with the consent of the patient. We obtained the informed consent form from the patient. A 48-year-old perimenopausal woman presented to our gynecology outpatient clinic with vaginal bleeding and abdominal pain. In the routine biochemical study, fasting blood glucose was found to be 169.8 mg/dL, WBC 21.77 10^3/uL, CRP <2.00 mg/L, and HCT 40.3%. Since no clear pathology was detected in abdominal ultrasonography, endometrial curettage was performed for diagnostic purposes, which revealed a malignant epithelial tumor as pathological diagnosis. Afterwards, surgical treatment was planned and radical hysterectomy-bilateral salpingo-oopherectomypelvic and paraaortic lymphadenectomy was performed. Macroscopically, a malignant mass of 6.7x2 cm in size was found in the lower uterine segment. The microscopic study revealed a tumor with poorly differentiated small round cells located in the lower uterine segment-endometrium and associated with the cervical intraepithelial carcinoma. Tumor cells were present in the endometrium, endometrial polyp, and cervical stroma. However, they were not observed in cervical glands, fallopian tubes, and ovaries. Turkiye Klinikleri J Case Rep. 2020;28(2):99-102
{"title":"Small Cell Neuroendocrine Carcinoma of the Endometrium: Literature Review","authors":"Nilgün Söğütçü, D. Yildirim","doi":"10.5336/caserep.2019-72871","DOIUrl":"https://doi.org/10.5336/caserep.2019-72871","url":null,"abstract":"The article was prepared with the consent of the patient. We obtained the informed consent form from the patient. A 48-year-old perimenopausal woman presented to our gynecology outpatient clinic with vaginal bleeding and abdominal pain. In the routine biochemical study, fasting blood glucose was found to be 169.8 mg/dL, WBC 21.77 10^3/uL, CRP <2.00 mg/L, and HCT 40.3%. Since no clear pathology was detected in abdominal ultrasonography, endometrial curettage was performed for diagnostic purposes, which revealed a malignant epithelial tumor as pathological diagnosis. Afterwards, surgical treatment was planned and radical hysterectomy-bilateral salpingo-oopherectomypelvic and paraaortic lymphadenectomy was performed. Macroscopically, a malignant mass of 6.7x2 cm in size was found in the lower uterine segment. The microscopic study revealed a tumor with poorly differentiated small round cells located in the lower uterine segment-endometrium and associated with the cervical intraepithelial carcinoma. Tumor cells were present in the endometrium, endometrial polyp, and cervical stroma. However, they were not observed in cervical glands, fallopian tubes, and ovaries. Turkiye Klinikleri J Case Rep. 2020;28(2):99-102","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80621974","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}
Pub Date : 2020-01-01DOI: 10.5336/caserep.2019-70978
Raziye Dönmez Gün, A. Koçkar, B. Altunrende, E. Şengül
ABS TRACT A 59-year-old woman presented with a painless vision loss in her left eye for five days. The nasal side of the right optic nerve head was mildly oedematous and hyperaemic, and the left optic nerve head was oedematous and hyperaemic. She was diagnosed as bilateral optic neuropathy. Imatinib was stopped, intravenous metilprednisolone was given for a week. The vision and fundus findings recovered in a few days. After 2 months imatinib was restarted, there was no ocular side effects until now. Imatinib is an important drug in the treatment of chronic myeloid leukemia, but bilateral optic neuropathy, which is a serious ocular side effect, may be seen related to imatinib mesylate usage.
{"title":"Bilateral Optic Neuropathy in a Patient with Imatinib Usage","authors":"Raziye Dönmez Gün, A. Koçkar, B. Altunrende, E. Şengül","doi":"10.5336/caserep.2019-70978","DOIUrl":"https://doi.org/10.5336/caserep.2019-70978","url":null,"abstract":"ABS TRACT A 59-year-old woman presented with a painless vision loss in her left eye for five days. The nasal side of the right optic nerve head was mildly oedematous and hyperaemic, and the left optic nerve head was oedematous and hyperaemic. She was diagnosed as bilateral optic neuropathy. Imatinib was stopped, intravenous metilprednisolone was given for a week. The vision and fundus findings recovered in a few days. After 2 months imatinib was restarted, there was no ocular side effects until now. Imatinib is an important drug in the treatment of chronic myeloid leukemia, but bilateral optic neuropathy, which is a serious ocular side effect, may be seen related to imatinib mesylate usage.","PeriodicalId":23460,"journal":{"name":"Türkiye Klinikleri Journal of Case Reports","volume":"5 1","pages":"9-12"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86619382","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}
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