Arif Aksu, Ömer Faruk Küçük, Muhammed Ali Güler, Sami Keleş, Aybars Furkan Dumrul
Intravaginal leech application is a traditional medical practice used in some cultures to treat various gynecological conditions. Leeches are believed to improve blood circulation and promote healing in the affected area. Studies have shown that the bioactive substances injected by leeches, when their mechanisms of action are examined, can be used in the treatment of many diseases. In this case report, we present a case of vaginal bleeding after intravaginal leech application.
{"title":"A Case Report Of A Patient Who Had Intravaginal Leech Application","authors":"Arif Aksu, Ömer Faruk Küçük, Muhammed Ali Güler, Sami Keleş, Aybars Furkan Dumrul","doi":"10.33706/jemcr.1294714","DOIUrl":"https://doi.org/10.33706/jemcr.1294714","url":null,"abstract":"Intravaginal leech application is a traditional medical practice used in some cultures to treat various gynecological conditions. Leeches are believed to improve blood circulation and promote healing in the affected area. Studies have shown that the bioactive substances injected by leeches, when their mechanisms of action are examined, can be used in the treatment of many diseases. In this case report, we present a case of vaginal bleeding after intravaginal leech application.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47165221","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}
Abstract Emphysematous cholecystitis is an acute abdominal disease characterized by gas in the gallbladder lumen and wall. Emphysematous cholecystitis and related cystic duct necrosis are rare, but if not noticed, they can cause a mortal picture up to perforation and sepsis. In this article, we present a case of emphysematous cholecystitis involving gangrenous gallbladder and necrotizing cystic duct, which developed suddenly in an immunosuppressive patient who presented to the emergency department with abdominal pain and was treated with rapid emergency successful surgery.
{"title":"Acute emphysematous cholecystitis rarely accompanied by necrotized cystic duct: A case report","authors":"Tuğba Sanalp Menekşe, Burak Menekşe, Ö. Kişi","doi":"10.33706/jemcr.1285478","DOIUrl":"https://doi.org/10.33706/jemcr.1285478","url":null,"abstract":"Abstract \u0000Emphysematous cholecystitis is an acute abdominal disease characterized by gas in the gallbladder lumen and wall. Emphysematous cholecystitis and related cystic duct necrosis are rare, but if not noticed, they can cause a mortal picture up to perforation and sepsis. In this article, we present a case of emphysematous cholecystitis involving gangrenous gallbladder and necrotizing cystic duct, which developed suddenly in an immunosuppressive patient who presented to the emergency department with abdominal pain and was treated with rapid emergency successful surgery.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42743583","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}
Facial paralysis is a disorder that can result from a wide spectrum of etiologies including traumatic, infectious, congenital, neurologic, systemic, neoplastic, and iatrogenic causes. It has significant functional, psychological, and social consequences. The most common cause of fascial nerve paralysis is idiopathic facial nerve palsy (Bell’s palsy). There is a relationship between facial nerve paralysis and severe systemic hypertension. In this report we present a 43-year-old female patient with fascial paralysis who had a history of hypertension.
{"title":"Can facial paralysis be a rare complication of hypertension?","authors":"Burcin Balaban","doi":"10.33706/jemcr.1287073","DOIUrl":"https://doi.org/10.33706/jemcr.1287073","url":null,"abstract":"Facial paralysis is a disorder that can result from a wide spectrum of etiologies including traumatic, infectious, congenital, neurologic, systemic, neoplastic, and iatrogenic causes. It has significant functional, psychological, and social consequences. The most common cause of fascial nerve paralysis is idiopathic facial nerve palsy (Bell’s palsy). There is a relationship between facial nerve paralysis and severe systemic hypertension. In this report we present a 43-year-old female patient with fascial paralysis who had a history of hypertension.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43139672","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}
Halid Alperen Sürmeli̇, Merve Demireller, O. Güven, Ökkeş Karakurt, E. Kurt
Introduction: Auto-mastoidectomy is a rare complication that can develop after chronic middle ear infection and can be seen in cases where no response to classical infection treatment is obtained. Case Report: A 55-year-old male patient applied to the emergency department for a left ear pain complaint. In his examination, he was conscious, but orientation and cooperation were not complete. The brain CT showed a mastoidectomy cavity on the left, but he had never been operated on. Conclusion: The destruction of bones and tissues may cause the current condition in the brain. This case report examines a case of auto-mastoidectomy, which can be diagnosed when the brain abscess develops. References: 1. Lee S, Yeo S, Park M, Byun J. Clinical Analysis of 22 Cases with Automastoidectomy Caused by Cholesteatoma. The Journal of International Advanced Otology 2013; 9(2), 232. 2. Semann MT, Megerian CA. The pathophysiology of cholesteatoma. Otolaryngol Clin N Am 2006;39: 1143-59. 3. Prof. Dr. Çetin Vural. Kolesteatom nedir? Available from: https://www.cetinvural.com/kolesteatom/. Accesed 10.4.22 4. Sun J, Sun J. Intracranial complications of chronic otitis media. European Archives of Oto-Rhino-Laryngology 2014; 271(11), 2923-2926. 5. Song SY, Park DW, Koo JH, Lee SR, Park CK, Hahm CK, et. al. CT findings of automastoidectomy: comparison with postmastoidectomy defect of the temporal bone. Journal of the Korean Radiological Society 1996; 35(4), 447-452.
{"title":"Brain Abscess Developing after Auto-Mastoidectomy: A Case Report","authors":"Halid Alperen Sürmeli̇, Merve Demireller, O. Güven, Ökkeş Karakurt, E. Kurt","doi":"10.33706/jemcr.1229063","DOIUrl":"https://doi.org/10.33706/jemcr.1229063","url":null,"abstract":"Introduction: Auto-mastoidectomy is a rare complication that can develop after chronic middle ear infection and can be seen in cases where no response to classical infection treatment is obtained. \u0000Case Report: A 55-year-old male patient applied to the emergency department for a left ear pain complaint. In his examination, he was conscious, but orientation and cooperation were not complete. The brain CT showed a mastoidectomy cavity on the left, but he had never been operated on. \u0000Conclusion: The destruction of bones and tissues may cause the current condition in the brain. This case report examines a case of auto-mastoidectomy, which can be diagnosed when the brain abscess develops. \u0000References: \u00001. Lee S, Yeo S, Park M, Byun J. Clinical Analysis of 22 Cases with Automastoidectomy Caused by Cholesteatoma. The Journal of International Advanced Otology 2013; 9(2), 232. \u00002. Semann MT, Megerian CA. The pathophysiology of cholesteatoma. Otolaryngol Clin N Am 2006;39: 1143-59. \u00003. Prof. Dr. Çetin Vural. Kolesteatom nedir? Available from: https://www.cetinvural.com/kolesteatom/. Accesed 10.4.22 \u00004. Sun J, Sun J. Intracranial complications of chronic otitis media. European Archives of Oto-Rhino-Laryngology 2014; 271(11), 2923-2926. \u0000 \u00005. Song SY, Park DW, Koo JH, Lee SR, Park CK, Hahm CK, et. al. CT findings of automastoidectomy: comparison with postmastoidectomy defect of the temporal bone. Journal of the Korean Radiological Society 1996; 35(4), 447-452.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":"1 1","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42544316","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. Çiçek, Özlem Kalaycık Şengül, Yasin Akkuş, Y. Varlı, N. Topal
Metoclopramide is a dopamine antagonist in the central nervous system and an antiemetic agent. It can cause extrapyramidal symptoms side effects such as dystonic reactions characterized by involuntary, sustained or spasmodic contractions of muscle groups, resulting in twisting, repetitive or abnormal postures. In this study, we aimed to report a pediatric patient who presented with acute dystonia due to metoclopramide use and was finally diagnosed with MIS-C.
{"title":"Diagnosis of Multisystem Inflammatory Syndrome in Child (MIS-C) Case Presenting with Acute Dystonia Secondary to Use of Metoclopramide","authors":"M. Çiçek, Özlem Kalaycık Şengül, Yasin Akkuş, Y. Varlı, N. Topal","doi":"10.33706/jemcr.1231222","DOIUrl":"https://doi.org/10.33706/jemcr.1231222","url":null,"abstract":"Metoclopramide is a dopamine antagonist in the central nervous system and an antiemetic agent. It can cause extrapyramidal symptoms side effects such as dystonic reactions characterized by involuntary, sustained or spasmodic contractions of muscle groups, resulting in twisting, repetitive or abnormal postures. In this study, we aimed to report a pediatric patient who presented with acute dystonia due to metoclopramide use and was finally diagnosed with MIS-C.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47954810","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}
In this article, we report a case in which a psoas abscess opened into the aneurysmatic abdominal aorta, and abscess formation was observed in the aortic lumen containing a stent. A 57-year-old male patient presented to the emergency department with a complaint of abdominal pain. During the abdominal examination of the patient, tenderness and defense were detected in the right lower quadrant. Contrast-enhanced computed tomography (CT) angiography of the abdominal aorta was ordered because the patient had a history of previous stenting and right lower quadrant deficiency. In the right iliopsoas muscle, there was an increase in size suggestive of abscess formation with air densities. The diameter of the ascending aorta was 44 mm. At the level of the descending thoracic aortic bifurcation, an aneurysmatic appearance was noted in a segment of approximately 140 mm extending to the proximities of both main iliac arteries, and USG showed air in the wall in the aneurysmatic section and mural wall thickening with thrombus. In this case, although the abscess eroded the aneurysmatic aortic wall, acute bleeding did not develop due to the presence of a stent. We wanted to share the rare image on computed tomography (massive air-fluid level around the stent in the aortic lumen), especially in our case with the medical literature.
{"title":"An aortic abscess associated with psoas abscess: A case report","authors":"Kudret Selki̇, M. Demir, M. Boğan","doi":"10.33706/jemcr.1232000","DOIUrl":"https://doi.org/10.33706/jemcr.1232000","url":null,"abstract":"In this article, we report a case in which a psoas abscess opened into the aneurysmatic abdominal aorta, and abscess formation was observed in the aortic lumen containing a stent. A 57-year-old male patient presented to the emergency department with a complaint of abdominal pain. During the abdominal examination of the patient, tenderness and defense were detected in the right lower quadrant. Contrast-enhanced computed tomography (CT) angiography of the abdominal aorta was ordered because the patient had a history of previous stenting and right lower quadrant deficiency. In the right iliopsoas muscle, there was an increase in size suggestive of abscess formation with air densities. The diameter of the ascending aorta was 44 mm. At the level of the descending thoracic aortic bifurcation, an aneurysmatic appearance was noted in a segment of approximately 140 mm extending to the proximities of both main iliac arteries, and USG showed air in the wall in the aneurysmatic section and mural wall thickening with thrombus. In this case, although the abscess eroded the aneurysmatic aortic wall, acute bleeding did not develop due to the presence of a stent. We wanted to share the rare image on computed tomography (massive air-fluid level around the stent in the aortic lumen), especially in our case with the medical literature.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44171884","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}
Introduction: More cases of hair dye allergy and poisoning are being presented to the Emergency Department (ED). There were rare TEN cases due to the hair dye in the literature. Case report: An 18-year-old female presented to our ED with the complaint of a common rash in her whole body, edema on her face that closed her eyes, and blisters on her face and neck. Her relatives reported that she dyed her hair 4 days ago 5 times in 24 hours. her initial vital signs were as follows: Blood pressure: 90/55 mmHg, Heart Rate:128 beats /min, Respiratory Rate: 18 beats/min, Oxygen saturation:100%, Body Temparature:40.3 2C. According to her history and physical examination, she was diagnosed with toxic epidermal necrolysis. According to starting the the appropriate treatment modalities immediately in ED, she was discharged with full recovery in spite of her high predicted mortalitty. Conclusion: Although emergency medicine physicians encounter TEN patients infrequently, they must be aware of and initiate the appropriate treatment modalities immediately
{"title":"Toxic Epidermal Necrolysis as a Result of Hair Dye Allergy","authors":"Nalan Metin Aksu, Elif ÖZTÜRK İNCE, Irmak Özi̇skender","doi":"10.33706/jemcr.1220069","DOIUrl":"https://doi.org/10.33706/jemcr.1220069","url":null,"abstract":"Introduction: More cases of hair dye allergy and poisoning are being presented to the Emergency Department (ED). There were rare TEN cases due to the hair dye in the literature. \u0000Case report: An 18-year-old female presented to our ED with the complaint of a common rash in her whole body, edema on her face that closed her eyes, and blisters on her face and neck. Her relatives reported that she dyed her hair 4 days ago 5 times in 24 hours. her initial vital signs were as follows: Blood pressure: 90/55 mmHg, Heart Rate:128 beats /min, Respiratory Rate: 18 beats/min, Oxygen saturation:100%, Body Temparature:40.3 2C. According to her history and physical examination, she was diagnosed with toxic epidermal necrolysis. According to starting the the appropriate treatment modalities immediately in ED, she was discharged with full recovery in spite of her high predicted mortalitty. \u0000Conclusion: Although emergency medicine physicians encounter TEN patients infrequently, they must be aware of and initiate the appropriate treatment modalities immediately","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43119838","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}
Congenital peritoneal encapsulation (CPE) is a rare condition in which part or all of the small intestine is surrounded by an accessory peritoneal layer congenitally. Although it rarely causes small bowel obstruction, it is usually asymptomatic and the diagnosis is mostly made incidentally during surgery or autopsy. A 41-year-old male patient presented to the emergency department with diffuse and cramping pain lasting for approximately 8 hours. He had nausea and vomiting. No gas or faeces output for 72 hours. Abdominal computed tomography (CT) showed dilated abdominal small intestines and findings consistent with obstruction. The patient was hospitalized with the diagnosis of ileus. Decompression was performed with a nasogastric tube. It was decided to perform diagnostic laparoscopic surgery for the patient who did not respond to 24-hour observation and medical treatment. Laparoscopic examination revealed a thin membrane covering the small intestine from the terminal ileum to the middle of the jejunal segment on the right side of the abdomen. All adhesions were separated, the small intestines were released from the pressure of the accessory peritoneum and placed in the abdomen. The patient was discharged without complications on the 6th postoperative day. CPE should be considered in small bowel obstructions of unexplained etiology. Laparoscopic evaluation is effective in diagnosing CPE, but in cases where the long small bowel segment is affected, as in our case, we think that it would be appropriate to switch to open surgery to prevent morbidity, as well as the necessity of separating all bands
{"title":"A Rare Cause of Small Bowel Obstruction- Congenital peritoneal encapsulation.","authors":"Erkan Dalbaşı, E. Gedik","doi":"10.33706/jemcr.1140912","DOIUrl":"https://doi.org/10.33706/jemcr.1140912","url":null,"abstract":"Congenital peritoneal encapsulation (CPE) is a rare condition in which part or all of the small intestine is surrounded by an accessory peritoneal layer congenitally. Although it rarely causes small bowel obstruction, it is usually asymptomatic and the diagnosis is mostly made incidentally during surgery or autopsy. A 41-year-old male patient presented to the emergency department with diffuse and cramping pain lasting for approximately 8 hours. He had nausea and vomiting. No gas or faeces output for 72 hours. Abdominal computed tomography (CT) showed dilated abdominal small intestines and findings consistent with obstruction. The patient was hospitalized with the diagnosis of ileus. Decompression was performed with a nasogastric tube. It was decided to perform diagnostic laparoscopic surgery for the patient who did not respond to 24-hour observation and medical treatment. Laparoscopic examination revealed a thin membrane covering the small intestine from the terminal ileum to the middle of the jejunal segment on the right side of the abdomen. All adhesions were separated, the small intestines were released from the pressure of the accessory peritoneum and placed in the abdomen. The patient was discharged without complications on the 6th postoperative day. CPE should be considered in small bowel obstructions of unexplained etiology. Laparoscopic evaluation is effective in diagnosing CPE, but in cases where the long small bowel segment is affected, as in our case, we think that it would be appropriate to switch to open surgery to prevent morbidity, as well as the necessity of separating all bands","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48407423","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}
A. Bulut, Nurullah Bilen, Alper Aytekin, Latif Yılmaz, Mert Kaan Özgül, M. Gümüş, Fahrettin Yıldız, S. Çoban
Objective: Hydatid cyst is endemic in South America, the Middle and Far East and around the Mediterranean. The disease is frequently located in liver (65-70%) and lungs (25%). Hydatid disease is usually asymptomatic when located in the extrahepatic regions. Sometimes, diagnosis can be established in the patients, who were taken to operation with non-specific findings, by observing germinative membrane, rockwater, or daughter vesicles during the operation. The aim of the present study is to present the hydatid cyst cases detected in the anterior of the left abdominal acetabulum, head of the pancreas, in the perianal region, and on the right adrenal gland. Case 1: A 41-year-old female patient applied to our clinic with the complaint of intermittent left inguinal pain. echinococcus Indirect Hemagglutination (IHA) test was positive. In the ultrasonographic examination, a hypoechoic area was observed in the posteromedial of the left femoral head. Cystic lesion was observed in computed tomography (CT) and magnetic resonance imaging (MRI). Pathology result of the patient was assessed as “compatible with hydatid cyst”. Case 2: A 56-year-old female patient, applied with the complaints of intermittent nausea, vomiting, and epigastric pain. She had a history of surgery for liver hydatid cyst 15 years ago and for lung hydatid cyst 10 years ago. IHA test of the patient was positive. The lesion involving septation and accompanied by calcifications around the cyst was reported as a hydatid cyst at dynamic CT for pancreas and upper abdominal MRI. Case3: A 22-year-old female patient applied with perianal pain complaint. Drainage was planned for the patient who had a pre-diagnosis of perianal abscess. Tissues similar to the hydatid cyst membrane were excised together with purulent fluid. The patient was diagnosed with hydatid cyst after the pathology result was reported “as compatible with hydatid cyst”. Case4: A 32-year-old female patient had a non-metabolic adrenal subcapsular cyst (hydatid cyst?) in the right adrenal gland on ultrasonography performed for abdominal pain. In abdominal tomography, a “cystic mass compatible with hydatid cyst located in the adrenal gland in the upper pole of the right kidney” was reported. IHA test of the patient was negative. Surgical intervention was not considered for the patient, who was thought to be diagnosed with adrenal hydatid cyst with a calcified membrane, and follow-up decision was taken. DISCUSSION AND CONCLUSION Echinococcus eggs infect people with direct contact with water, food, and dogs. Echinococcus eggs infect people with direct contact with water, food, and dogs. From the intestines, the larvae reach the liver through the veins. Sometimes they cause the disease by passing through the liver or reaching the lungs via lymphatics. Then, they can reach other places in the body, less frequently through the blood. It is known that Turkey is in an endemic region in terms of hydatid cyst. Hydatid cysts located in t
{"title":"ATYPICALLY LOCATED HYDATID CYST CASES: 4 UNUSUAL CASE REPORTS","authors":"A. Bulut, Nurullah Bilen, Alper Aytekin, Latif Yılmaz, Mert Kaan Özgül, M. Gümüş, Fahrettin Yıldız, S. Çoban","doi":"10.33706/jemcr.1200792","DOIUrl":"https://doi.org/10.33706/jemcr.1200792","url":null,"abstract":"Objective: Hydatid cyst is endemic in South America, the Middle and Far East and around the Mediterranean. The disease is frequently located in liver (65-70%) and lungs (25%). Hydatid disease is usually asymptomatic when located in the extrahepatic regions. Sometimes, diagnosis can be established in the patients, who were taken to operation with non-specific findings, by observing germinative membrane, rockwater, or daughter vesicles during the operation. The aim of the present study is to present the hydatid cyst cases detected in the anterior of the left abdominal acetabulum, head of the pancreas, in the perianal region, and on the right adrenal gland. \u0000Case 1: A 41-year-old female patient applied to our clinic with the complaint of intermittent left inguinal pain. echinococcus Indirect Hemagglutination (IHA) test was positive. In the ultrasonographic examination, a hypoechoic area was observed in the posteromedial of the left femoral head. Cystic lesion was observed in computed tomography (CT) and magnetic resonance imaging (MRI). Pathology result of the patient was assessed as “compatible with hydatid cyst”. \u0000Case 2: A 56-year-old female patient, applied with the complaints of intermittent nausea, vomiting, and epigastric pain. She had a history of surgery for liver hydatid cyst 15 years ago and for lung hydatid cyst 10 years ago. IHA test of the patient was positive. The lesion involving septation and accompanied by calcifications around the cyst was reported as a hydatid cyst at dynamic CT for pancreas and upper abdominal MRI. \u0000Case3: A 22-year-old female patient applied with perianal pain complaint. Drainage was planned for the patient who had a pre-diagnosis of perianal abscess. Tissues similar to the hydatid cyst membrane were excised together with purulent fluid. The patient was diagnosed with hydatid cyst after the pathology result was reported “as compatible with hydatid cyst”. \u0000Case4: A 32-year-old female patient had a non-metabolic adrenal subcapsular cyst (hydatid cyst?) in the right adrenal gland on ultrasonography performed for abdominal pain. In abdominal tomography, a “cystic mass compatible with hydatid cyst located in the adrenal gland in the upper pole of the right kidney” was reported. IHA test of the patient was negative. Surgical intervention was not considered for the patient, who was thought to be diagnosed with adrenal hydatid cyst with a calcified membrane, and follow-up decision was taken. \u0000DISCUSSION AND CONCLUSION \u0000Echinococcus eggs infect people with direct contact with water, food, and dogs. Echinococcus eggs infect people with direct contact with water, food, and dogs. From the intestines, the larvae reach the liver through the veins. Sometimes they cause the disease by passing through the liver or reaching the lungs via lymphatics. Then, they can reach other places in the body, less frequently through the blood. It is known that Turkey is in an endemic region in terms of hydatid cyst. Hydatid cysts located in t","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44884539","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}
Sultan Tuna Akgol Gur, Aslı Leyla Tahi̇roğlu, A. Koçak
In this report, we inform you that a patient with CFD, known as a benign disease, died due to massive lower GI bleeding. Although KFD is a benign disease, we have seen in this case that it can result in death. A 28-year-old Turkish male patient was brought to the hospital with complaints of high fever, fatigue, sweating and difficulty breathing. A cervical examination revealed that the patient had lymphadenopathy. The patient did not have any cutaneous lesions. Genital examination revealed melena. A normal cranial and abdomen, thorax CT was obtained. The patient was intubated because of respiratory failure and unstable hemodynamics. The patient developed pancytopenia as a result of blood tests. The patient died due to massive lower gastrointestinal bleeding.
{"title":"Mortal Complication of Kikuchi–Fujimoto Disease; Lower Gastrointestinal Bleeding, Case Presantation and literature review","authors":"Sultan Tuna Akgol Gur, Aslı Leyla Tahi̇roğlu, A. Koçak","doi":"10.33706/jemcr.1200525","DOIUrl":"https://doi.org/10.33706/jemcr.1200525","url":null,"abstract":"In this report, we inform you that a patient with CFD, known as a benign disease, died due to massive lower GI bleeding. Although KFD is a benign disease, we have seen in this case that it can result in death. A 28-year-old Turkish male patient was brought to the hospital with complaints of high fever, fatigue, sweating and difficulty breathing. A cervical examination revealed that the patient had lymphadenopathy. The patient did not have any cutaneous lesions. Genital examination revealed melena. A normal cranial and abdomen, thorax CT was obtained. The patient was intubated because of respiratory failure and unstable hemodynamics. The patient developed pancytopenia as a result of blood tests. The patient died due to massive lower gastrointestinal bleeding.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47037890","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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