{"title":"Sporadic mesenteric fibromatosis: a single center experience","authors":"H. Taşci, M. Çakır, Mustafa Şentürk","doi":"10.5350/BTDMJB201713105","DOIUrl":"https://doi.org/10.5350/BTDMJB201713105","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130227446","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}
Y. Tekdos, D. Bilgi, Süleyman Sabaz, G. Eren, Z. Çukurova, O. Hergünsel, C. Şimşek
{"title":"Streptococcal shock sydrome after intramuscular injections: case report","authors":"Y. Tekdos, D. Bilgi, Süleyman Sabaz, G. Eren, Z. Çukurova, O. Hergünsel, C. Şimşek","doi":"10.5350/BTDMJB201713110","DOIUrl":"https://doi.org/10.5350/BTDMJB201713110","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"210 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124712261","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}
S. H. Başaran, E. Erçin, Huseyin Cumen, Uygar Daşar, M. Bilgili, M. C. Avkan
{"title":"The titanium elastic nailing in pediatric tibia fractures caused pedestrian versus motor vehicle accidents","authors":"S. H. Başaran, E. Erçin, Huseyin Cumen, Uygar Daşar, M. Bilgili, M. C. Avkan","doi":"10.5350/BTDMJB201612403","DOIUrl":"https://doi.org/10.5350/BTDMJB201612403","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127647878","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}
{"title":"Compliance with drug treatment in geriatric patients with hypertension","authors":"Ö. Özdemir, A. Akyüz, H. Doruk","doi":"10.5350/btdmjb201612404","DOIUrl":"https://doi.org/10.5350/btdmjb201612404","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121918794","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}
Onur Palabıyık, Y. Tomak, S. Beyaz, A. T. Tuna, A. F. Erdem
{"title":"Cardiopulmonary arrest due to bonsai herbal smoking","authors":"Onur Palabıyık, Y. Tomak, S. Beyaz, A. T. Tuna, A. F. Erdem","doi":"10.5350/BTDMJB201612407","DOIUrl":"https://doi.org/10.5350/BTDMJB201612407","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126698918","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}
Akkan Avcı, H. Doğan, E. Çiftçi, D. N. Ozucelik, Z. Çukurova, B. Avci, M. Oguzhan
{"title":"The case of tapeworm uttered from Mouth","authors":"Akkan Avcı, H. Doğan, E. Çiftçi, D. N. Ozucelik, Z. Çukurova, B. Avci, M. Oguzhan","doi":"10.5350/btdmjb201612408","DOIUrl":"https://doi.org/10.5350/btdmjb201612408","url":null,"abstract":"","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126962339","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}
M. Atay, M. Gürsoy, V. Bakuy, O. Saydam, A. A. Kavala, Saygin Turkyilmaz, G. Demir, A. Akgül
Objective: Extremity thromboembolism is a serious cause of morbidity and mortality in cardiovascular diseases. Comparing with the lower extremity arteries, upper extremity acute arterial occlusions are rarer and constitute 15-32% of all cases. Trauma, collagen vascular diseases, malignant tumors, myxoma, subclavian artery stenosis, myocardial infarction and thromboangiitis obliterans are often identified as etiologic factors. The first option in the treatment of these patients is surgical embolectomy. Endarterectomy, patchplasty and arterial bypass operations can be counted in treatment options of chronic patients. Material and Methods: In this study, we retrospectively analyzed clinical features and prognosis of 58 patients consisting of 31 women and 27 males who were admitted to our emergency department with acute arterial embolism. Results: Mean age of our group was 67.05±17.09. Proximal brachial artery thrombosis was found in 3 patients. The other 55 patients had thrombosis in the brachial artery and its distal branches. After the diagnosis of patients in the emergency room 100 units/kg of subcutaneous enoxaparine was applied. Selective arterial embolectomy surgery was performed under local anesthesia in all patients with access from the antecubital region. Arteriotomy was closed using saphenous patch plasty technique in two patients. Compared with preoperative demographic data and thromboembolism etiology, 21 (36%) patients were diagnosed as atrial fibrillation. Those patients had not been followed and treated for atrial fibrillation. In 5 (8.6%) patients malignancy was detected as an etiologic factor. Four (6.8%) patients died during their follow-ups in the clinic, 3 (75%) of those patients had an atrial fibrillation. Conclusion: Acute peripheral arterial occlusion constitutes a significant part in emergency vascular surgery. Therefore early diagnosis and prompt surgical treatment are very important for the results. Atrial fibrillation (AF) holds an important place in upper extremity acute arterial occlusion, but other etiological factors such as malignancy is necessary to not forget. AF who has acute upper extremity arterial embolism patients with AF have higher mortality rates and the clinical management and treatment of those patients must be monitored more closely. We believe that the development of treatment modalities and further work needs to be done in order to find an appropriate treatment.
{"title":"Acute upper extremity arterial embolism: 2 years of clinical experience -","authors":"M. Atay, M. Gürsoy, V. Bakuy, O. Saydam, A. A. Kavala, Saygin Turkyilmaz, G. Demir, A. Akgül","doi":"10.5350/BTDMJB201612405","DOIUrl":"https://doi.org/10.5350/BTDMJB201612405","url":null,"abstract":"Objective: Extremity thromboembolism is a serious cause of morbidity and mortality in cardiovascular diseases. Comparing with the lower extremity arteries, upper extremity acute arterial occlusions are rarer and constitute 15-32% of all cases. Trauma, collagen vascular diseases, malignant tumors, myxoma, subclavian artery stenosis, myocardial infarction and thromboangiitis obliterans are often identified as etiologic factors. The first option in the treatment of these patients is surgical embolectomy. Endarterectomy, patchplasty and arterial bypass operations can be counted in treatment options of chronic patients. \u0000Material and Methods: In this study, we retrospectively analyzed clinical features and prognosis of 58 patients consisting of 31 women and 27 males who were admitted to our emergency department with acute arterial embolism. \u0000Results: Mean age of our group was 67.05±17.09. Proximal brachial artery thrombosis was found in 3 patients. The other 55 patients had thrombosis in the brachial artery and its distal branches. After the diagnosis of patients in the emergency room 100 units/kg of subcutaneous enoxaparine was applied. Selective arterial embolectomy surgery was performed under local anesthesia in all patients with access from the antecubital region. Arteriotomy was closed using saphenous patch plasty technique in two patients. Compared with preoperative demographic data and thromboembolism etiology, 21 (36%) patients were diagnosed as atrial fibrillation. Those patients had not been followed and treated for atrial fibrillation. In 5 (8.6%) patients malignancy was detected as an etiologic factor. Four (6.8%) patients died during their follow-ups in the clinic, 3 (75%) of those patients had an atrial fibrillation. \u0000Conclusion: Acute peripheral arterial occlusion constitutes a significant part in emergency vascular surgery. Therefore early diagnosis and prompt surgical treatment are very important for the results. Atrial fibrillation (AF) holds an important place in upper extremity acute arterial occlusion, but other etiological factors such as malignancy is necessary to not forget. AF who has acute upper extremity arterial embolism patients with AF have higher mortality rates and the clinical management and treatment of those patients must be monitored more closely. We believe that the development of treatment modalities and further work needs to be done in order to find an appropriate treatment.","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131144030","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}
Fibromatosis is the most common primary tumor of mesentery. Mesenteric fibromatosis is a very rare lesion which does not metastasise but can be locally aggressive. Fibromatosis may be classified as extra-abdominal, abdominal wall, or intra-abdominal. The etiology of fibromatosis has not been determined. Most of the patients with mesenteric fibromatosis are asymptomatic. Herein, we presented a case who was 45 years old, complained of left lower quadrant pain. Preoperative evaluation included abdominal ultrasound, computed tomography (CT). According to the CT report, the patient was diagnosed with gastrointestinal stromal tumor. A mobile mass was seen on the jejunal mesentery during laparoscopic exploration. The tumor was removed by wide excision with safe margins. Patients was discharged on the fifth day of the operation. The histological diagnosis was of jejunal agressive fibromatosis. Even though there are different types of treatment protocols, surgery with negative surgical margin is preferred to prevent local recurrence. In these type of cases safe margins can be achieved with wide laparoscopic excision.
{"title":"A case of jejunal fibromatosis treatment with using laparoscopic surgery","authors":"T. Bilecik, B. Mayir, T. Oruç, R. Eryılmaz","doi":"10.5350/btdmjb201612409","DOIUrl":"https://doi.org/10.5350/btdmjb201612409","url":null,"abstract":"Fibromatosis is the most common primary tumor of mesentery. Mesenteric fibromatosis is a very rare lesion which does not metastasise but can be locally aggressive. Fibromatosis may be classified as extra-abdominal, abdominal wall, or intra-abdominal. The etiology of fibromatosis has not been determined. Most of the patients with mesenteric fibromatosis are asymptomatic. Herein, we presented a case who was 45 years old, complained of left lower quadrant pain. Preoperative evaluation included abdominal ultrasound, computed tomography (CT). According to the CT report, the patient was diagnosed with gastrointestinal stromal tumor. A mobile mass was seen on the jejunal mesentery during laparoscopic exploration. The tumor was removed by wide excision with safe margins. Patients was discharged on the fifth day of the operation. The histological diagnosis was of jejunal agressive fibromatosis. Even though there are different types of treatment protocols, surgery with negative surgical margin is preferred to prevent local recurrence. In these type of cases safe margins can be achieved with wide laparoscopic excision.","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123679288","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}
Objective: Considering brain death as legal death plays an important role in both provision of organ transplants and cessation of medical support. Another aspect of this issue is to decide who will have authorization for cessation of medical support. In this study, medical, legal and ethical aspects of the issue were dealt with data collected through a questionnaire. Material and Methods: Volunteering 279 nurses and 179 doctors working in intensive care units of research and education hospitals in Istanbul completed the questionnaire. Obtained data were statistically analyzed and available regulations, medical requirements and ethical values regarding brain death were examined based on results of the analyses. Results: Of all the participants, 40.9% of the nurses and 5.6% of the doctors agreed that diagnosis of brain death should allow cessation of medical support. Forty-three percent of the nurses and 55.9% of the doctors thought that patients whose brain death has occurred should be withdrawn from life support systems and devices so that other patients in need can benefit from them, with a significant difference (p
{"title":"Cessation of medical support and the issue of authorization in patients diagnosed as brain death","authors":"Selma Tepehan, I. Elmas","doi":"10.5350/BTDMJB201612406","DOIUrl":"https://doi.org/10.5350/BTDMJB201612406","url":null,"abstract":"Objective: Considering brain death as legal death plays an important role in both provision of organ transplants and cessation of medical support. Another aspect of this issue is to decide who will have authorization for cessation of medical support. In this study, medical, legal and ethical aspects of the issue were dealt with data collected through a questionnaire. \u0000Material and Methods: Volunteering 279 nurses and 179 doctors working in intensive care units of research and education hospitals in Istanbul completed the questionnaire. Obtained data were statistically analyzed and available regulations, medical requirements and ethical values regarding brain death were examined based on results of the analyses. \u0000Results: Of all the participants, 40.9% of the nurses and 5.6% of the doctors agreed that diagnosis of brain death should allow cessation of medical support. Forty-three percent of the nurses and 55.9% of the doctors thought that patients whose brain death has occurred should be withdrawn from life support systems and devices so that other patients in need can benefit from them, with a significant difference (p","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127930285","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}
G. Başaranoglu, K. Idin, T. Umutoglu, A. Esen, M. Bakan, Z. Salihoğlu
Livedoid vasculopathy (LV) is a hyalinizing vascular disease characterized by painful purple macules and papules that subsequently ulcerate. This vasculopathy may be associated with chronic venous insufficiency, deep venous thrombosis, factor V Leiden mutation, protein C deficiency, antiphospholipid syndrome, increased homocysteine levels, abnormalities in fibrinolysis, increased platelet activation and sickle cell disease. Difficult venous access, unreliable measurement of peripheral O2 saturation and increased susceptibility to venous embolic events may be a challenge for anesthetists. There is limited data about anesthetic management of livedoid vasculopathy in the literature. This case report describes successful anesthetic management of two patients with livedoid vasculopathy.
{"title":"Livedoid vasculopaty and anesthetic management in cesarean delivery","authors":"G. Başaranoglu, K. Idin, T. Umutoglu, A. Esen, M. Bakan, Z. Salihoğlu","doi":"10.5350/BTDMJB201612410","DOIUrl":"https://doi.org/10.5350/BTDMJB201612410","url":null,"abstract":"Livedoid vasculopathy (LV) is a hyalinizing vascular disease characterized by painful purple macules and papules that subsequently ulcerate. This vasculopathy may be associated with chronic venous insufficiency, deep venous thrombosis, factor V Leiden mutation, protein C deficiency, antiphospholipid syndrome, increased homocysteine levels, abnormalities in fibrinolysis, increased platelet activation and sickle cell disease. Difficult venous access, unreliable measurement of peripheral O2 saturation and increased susceptibility to venous embolic events may be a challenge for anesthetists. There is limited data about anesthetic management of livedoid vasculopathy in the literature. This case report describes successful anesthetic management of two patients with livedoid vasculopathy.","PeriodicalId":321087,"journal":{"name":"Medical journal of Bakirköy","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122939043","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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