Ahmet Sarac, Abdishakur Mohamed Abdi, Shukri Said Mohamed, Mesut Kayse Adan, Abdullahi Yusuf Ali
Preduodenal portal vein (PDPV) is a rare cause of duodenal obstruction. While half of PDPV cases present with obstructive findings in the neonatal period, the other half are diagnosed incidentally at advanced ages. In half of the obstructed PDPV cases, the cause of obstruction is another congenital anomaly. In our case, the aberrant ventral extension of the pancreas with PDPV caused incomplet duodenal obstruction by compressing the duodenum externally.
{"title":"A Rare Cause of Congenital Duodenal Obstruction: Preduodenal Portal Vein","authors":"Ahmet Sarac, Abdishakur Mohamed Abdi, Shukri Said Mohamed, Mesut Kayse Adan, Abdullahi Yusuf Ali","doi":"10.54584/lms.2022.7","DOIUrl":"https://doi.org/10.54584/lms.2022.7","url":null,"abstract":"Preduodenal portal vein (PDPV) is a rare cause of duodenal obstruction. While half of PDPV cases present with obstructive findings in the neonatal period, the other half are diagnosed incidentally at advanced ages. In half of the obstructed PDPV cases, the cause of obstruction is another congenital anomaly. In our case, the aberrant ventral extension of the pancreas with PDPV caused incomplet duodenal obstruction by compressing the duodenum externally.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128868722","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}
The aim of this study is to evaluate experiences about diagnosis, follow-up and treatment of necrotizing fasciitis (NF) patients who admitted to our hospital. The records of patients who had a diagnosis of NF that referred to our hospital between 01.01.2017 and 01.01.2020 were retrospectively analyzed. Patients' demographic feature, additional disease, amount of operations, length of hospital stay and responses for treatment was evaluated. All of 20 patients with NF were followed up and treated at our hospital. We found 15 (75%) of the patients were male and 5 (25%) were female. The mean age of the patients was 53 (Min: 28 -Max: 80). While nine (45%) of patients had diabetes mellitus. Concerning the site of infection, 13 (65%) patients had abdominal wall - (NF of the anterior, lateral and posterior regions), the four (20%) patients of NF involved the chest wall- (NF of the anterior and posterior regions), three (15%) patients perianal region with Fournier’s gangrene (secondary to NF). In 75%of patients received double antibiotic (ceftriaxone + metranidazole combination) therapy. Then, the majority of patients were exposed to lots of debridements and diversion colostomy, ranging from 1 to 6 surgeries (mean being two operations). Negative pressure wound closure was applied to 17 (85%) of the patients after debridement and three (15%) of the patients were treated with open dressing . Skin grafting was tackled in our hospital for 13 of these patients while four (31%) of the patients were treated with surgical flap methods. The length of hospital stay varies from 90 days to one day. This time was 37 (1-90). Mortality in this study was found to be 30%- one patient dying on the day of admission after the broad debridement. NF is a ve geniş debridman yeterli sonuçlara ulaştırabilir.
{"title":"Assessment of Adult Patients with a Diagnosis of Necrotizing Fasciitis: A Three-Year Experience","authors":"Abdifatah Ahmed, Nor Abdi Yasin, Sadettin Er","doi":"10.54584/lms.2022.3","DOIUrl":"https://doi.org/10.54584/lms.2022.3","url":null,"abstract":"The aim of this study is to evaluate experiences about diagnosis, follow-up and treatment of necrotizing fasciitis (NF) patients who admitted to our hospital. The records of patients who had a diagnosis of NF that referred to our hospital between 01.01.2017 and 01.01.2020 were retrospectively analyzed. Patients' demographic feature, additional disease, amount of operations, length of hospital stay and responses for treatment was evaluated. All of 20 patients with NF were followed up and treated at our hospital. We found 15 (75%) of the patients were male and 5 (25%) were female. The mean age of the patients was 53 (Min: 28 -Max: 80). While nine (45%) of patients had diabetes mellitus. Concerning the site of infection, 13 (65%) patients had abdominal wall - (NF of the anterior, lateral and posterior regions), the four (20%) patients of NF involved the chest wall- (NF of the anterior and posterior regions), three (15%) patients perianal region with Fournier’s gangrene (secondary to NF). In 75%of patients received double antibiotic (ceftriaxone + metranidazole combination) therapy. Then, the majority of patients were exposed to lots of debridements and diversion colostomy, ranging from 1 to 6 surgeries (mean being two operations). Negative pressure wound closure was applied to 17 (85%) of the patients after debridement and three (15%) of the patients were treated with open dressing . Skin grafting was tackled in our hospital for 13 of these patients while four (31%) of the patients were treated with surgical flap methods. The length of hospital stay varies from 90 days to one day. This time was 37 (1-90). Mortality in this study was found to be 30%- one patient dying on the day of admission after the broad debridement. NF is a ve geniş debridman yeterli sonuçlara ulaştırabilir.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134341718","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}
Abdirahman Alasso, Najib Wehlie, M. Tahtabaşı, Sadettin Er
Gastric diverticula are usually asymptomatic. When symptoms surface, they are mostly upper abdominal pain, nausea, and vomiting, while dyspepsia is less common. In this case, there was determined as an incidental of gastric diverticula that was managed by medical treatment. 70-year-old male came to our clinic complaining chronic epigastric pain and dyspepsia, with no known co-morbidities. Esophagogastroduodenoscopy and tomography were performed at diagnosis. Medical treatment (proton pump inhibitor) was started and followed because the gastric diverticulum was 2 cm below. The patient is still under follow-up and has no clinical findings.
{"title":"Incidental Gastric Diverticulum in an Elderly Male with Chronic Dyspepsia","authors":"Abdirahman Alasso, Najib Wehlie, M. Tahtabaşı, Sadettin Er","doi":"10.54584/lms.2022.6","DOIUrl":"https://doi.org/10.54584/lms.2022.6","url":null,"abstract":"Gastric diverticula are usually asymptomatic. When symptoms surface, they are mostly upper abdominal pain, nausea, and vomiting, while dyspepsia is less common. In this case, there was determined as an incidental of gastric diverticula that was managed by medical treatment. 70-year-old male came to our clinic complaining chronic epigastric pain and dyspepsia, with no known co-morbidities. Esophagogastroduodenoscopy and tomography were performed at diagnosis. Medical treatment (proton pump inhibitor) was started and followed because the gastric diverticulum was 2 cm below. The patient is still under follow-up and has no clinical findings.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125825226","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}
Sadettin Er, M. Tahtabaşı, Ikram Abdikarim Sh Ibrahim, Ismail Ahmed Ali, Ismail Gedi ibrahim
The aim of this study is to patients with choledocholithiasis who underwent open exploration with T- tube drainage that can’t undergo ERCP. Materials and methods: Patient age, gender, laboratory workup, period of hospital stay, time of T-tube removal and treatment response were looked back into from the hospital database. All patients underwent MRCP (Magnetic resonance Cholangio pancreatography) preoperatively. There were a total of 16 patients of which 11 (68.8%) were female and 5 (31.2%) were males. Mean a ge was 49.7±15. Common bile duct was 15±7.3 mm in diameter. 8 (50%) of the patients intra -hepatic bile ducts were moderately dilated, the rest 8 (50%) patients were minimally dilated. Bilirubin levels and cholestasis enzymes were elevated. Hospital stay period and T-tube removal time were 15.3 ± 0.9 and 13.7 ± 1 respectively. When ERCP is not available, open bile duct exploration, stone extraction and T-tube drainage can be used for choledocholithiasis treatment as feasible method in the selected patient groups.
{"title":"Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia","authors":"Sadettin Er, M. Tahtabaşı, Ikram Abdikarim Sh Ibrahim, Ismail Ahmed Ali, Ismail Gedi ibrahim","doi":"10.54584/lms.2022.2","DOIUrl":"https://doi.org/10.54584/lms.2022.2","url":null,"abstract":"The aim of this study is to patients with choledocholithiasis who underwent open exploration with T- tube drainage that can’t undergo ERCP. Materials and methods: Patient age, gender, laboratory workup, period of hospital stay, time of T-tube removal and treatment response were looked back into from the hospital database. All patients underwent MRCP (Magnetic resonance Cholangio pancreatography) preoperatively. There were a total of 16 patients of which 11 (68.8%) were female and 5 (31.2%) were males. Mean a ge was 49.7±15. Common bile duct was 15±7.3 mm in diameter. 8 (50%) of the patients intra -hepatic bile ducts were moderately dilated, the rest 8 (50%) patients were minimally dilated. Bilirubin levels and cholestasis enzymes were elevated. Hospital stay period and T-tube removal time were 15.3 ± 0.9 and 13.7 ± 1 respectively. When ERCP is not available, open bile duct exploration, stone extraction and T-tube drainage can be used for choledocholithiasis treatment as feasible method in the selected patient groups.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131073388","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}
The Von Meyenburg complex (VMC) is a congenital disease originating from intrahepatic bile ductal plates. It is usually detected incidentally by imaging methods and diagnosed by characteristic magnetic resonance (MRI) findings without histopathological examination. VMC disease may be confused with metastatic liver disease, especially in patients with primary malignancy. In this study, it was aimed to present the characteristic MRI findings of VMC disease through a case.
Von Meyenburg复合体(VMC)是一种起源于肝内胆管板的先天性疾病。它通常通过成像方法偶然发现，并通过特征磁共振(MRI)结果诊断，而无需组织病理学检查。VMC疾病可能与转移性肝病混淆，特别是在原发性恶性肿瘤患者中。在本研究中，旨在通过一个病例介绍VMC疾病的特征性MRI表现。
{"title":"Congenital Ductal Plate Malformation Von Meyenburg Complex: A Case Report","authors":"M. Tahtabaşı, Sadettin Er","doi":"10.54584/lms.2022.5","DOIUrl":"https://doi.org/10.54584/lms.2022.5","url":null,"abstract":"The Von Meyenburg complex (VMC) is a congenital disease originating from intrahepatic bile ductal plates. It is usually detected incidentally by imaging methods and diagnosed by characteristic magnetic resonance (MRI) findings without histopathological examination. VMC disease may be confused with metastatic liver disease, especially in patients with primary malignancy. In this study, it was aimed to present the characteristic MRI findings of VMC disease through a case.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126183184","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}
Measles is characterized by a pronounced exanthema, pathognomonic enanthema accompanied by cough, fever, and conjunctivitis. A 2-year-old girl was presented to ophthalmology department by her family with whitening and vision loss in her eyes in Mogadishu Somalia. Retinal and vitreous layers were normal in both eyes on B-scan ultrasound. Intraocular pressure was 34 mmHg bilaterally. Bilateral ocular hypertension and deep vascularized corneal leukoma were diagnosed. This is the first case in the literature that developed bilateral ocular hypertension and deep vascularized leukoma after measles. Children are more susceptible to the severity and side effects of measles, especially in infancy. We recommend vaccination to prevent postdisease complications in young children.
{"title":"Bilateral Ocular Hypertension (OHT) and Deep Vascularized Corneal Leukoma Following Measles: Why Should We get a Vaccine?","authors":"M. Kalaycı","doi":"10.54584/lms.2022.4","DOIUrl":"https://doi.org/10.54584/lms.2022.4","url":null,"abstract":"Measles is characterized by a pronounced exanthema, pathognomonic enanthema accompanied by cough, fever, and conjunctivitis. A 2-year-old girl was presented to ophthalmology department by her family with whitening and vision loss in her eyes in Mogadishu Somalia. Retinal and vitreous layers were normal in both eyes on B-scan ultrasound. Intraocular pressure was 34 mmHg bilaterally. Bilateral ocular hypertension and deep vascularized corneal leukoma were diagnosed. This is the first case in the literature that developed bilateral ocular hypertension and deep vascularized leukoma after measles. Children are more susceptible to the severity and side effects of measles, especially in infancy. We recommend vaccination to prevent postdisease complications in young children.","PeriodicalId":344016,"journal":{"name":"Life and Medical Sciences","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114505543","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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