ABSTRACT Hoverboards were designed for making our Daily life easier. However, lots of patients admitted to emergency services due to. These devices require a high level of balance, coordination and strength. Traumatic injuries are more common especially in children and young adults. Forearm fractures are one of the important trauma outcomes in the pediatric age group. Although supracondylar or forearm fractures are common, we rarely encounter a combination of both, defined as floating arm fractures. A 9-year-old boy falling from a hoverboard had supracondylar humerus fractures accompanied by olecranon and distal Radius fractures in the same arm. A temporary long arm splint was applied to the patient who was transferred to the orthopedic clinic and surgical operation was planned for stabilization. In our case, we aimed to discuss the coexistence of olecranon and distal radius fracture accompanying ipsilateral supracondylar humerus fracture in a child hoverboard user.
{"title":"Upper Extremity Injury Related to Wheeled Recreational Device-Hoverboard:A Case Report","authors":"Ali Sağlik, T. Gi̇ray, H. Çabuk, T. Ocak","doi":"10.33706/jemcr.1221602","DOIUrl":"https://doi.org/10.33706/jemcr.1221602","url":null,"abstract":"ABSTRACT \u0000Hoverboards were designed for making our Daily life easier. However, lots of patients admitted to emergency services due to. These devices require a high level of balance, coordination and strength. Traumatic injuries are more common especially in children and young adults. Forearm fractures are one of the important trauma outcomes in the pediatric age group. Although supracondylar or forearm fractures are common, we rarely encounter a combination of both, defined as floating arm fractures. A 9-year-old boy falling from a hoverboard had supracondylar humerus fractures accompanied by olecranon and distal Radius fractures in the same arm. A temporary long arm splint was applied to the patient who was transferred to the orthopedic clinic and surgical operation was planned for stabilization. In our case, we aimed to discuss the coexistence of olecranon and distal radius fracture accompanying ipsilateral supracondylar humerus fracture in a child hoverboard user.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45851357","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}
I. Akbas, Caner Akufuk, Muhammet Mustafa Yilmaz, Atilla Eren Kurt, Fatih Coşkun
Metformin is an oral antidiabetic drug of the biguanide classused in type 2 diabetic patients with normal renal function. The mortality rate is high in cases of lactic acidos is developing in metformin intoxication. In the emergency department, metformin intoxication should be considered in the differential diagnosis of patients whouse metformin and have high anion gap metabolic acidosis (lactic acidosis). The most important and effective treatment with early diagnosis is correction of metabolic acidosis with hemodialysis or hemofiltration methods, bicarbonate treatment, adjustment of blood glucose level. Cardiovascular system support therapy significantly reduces morbidity/mortality. In this case report, we present the early diagnosis and successful treatment of a patient with lactic acidosis due to metformin intoxication.
{"title":"A Case Report of Metformin Related Lactic Acidosis","authors":"I. Akbas, Caner Akufuk, Muhammet Mustafa Yilmaz, Atilla Eren Kurt, Fatih Coşkun","doi":"10.33706/jemcr.1294738","DOIUrl":"https://doi.org/10.33706/jemcr.1294738","url":null,"abstract":"Metformin is an oral antidiabetic drug of the biguanide classused in type 2 diabetic patients with normal renal function. The mortality rate is high in cases of lactic acidos is developing in metformin intoxication. In the emergency department, metformin intoxication should be considered in the differential diagnosis of patients whouse metformin and have high anion gap metabolic acidosis (lactic acidosis). The most important and effective treatment with early diagnosis is correction of metabolic acidosis with hemodialysis or hemofiltration methods, bicarbonate treatment, adjustment of blood glucose level. Cardiovascular system support therapy significantly reduces morbidity/mortality. In this case report, we present the early diagnosis and successful treatment of a patient with lactic acidosis due to metformin intoxication.","PeriodicalId":41189,"journal":{"name":"Journal of Emergency Medicine Case Reports","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2023-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45132632","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}
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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}
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