Mortality was significantly higher and the duration of postoperative hospitalization significantly longer in LDLT patients with new-onset neurological complications than in those without such complications.
The majority of swallowed foreign bodies are thrown spontaneously without causing complications in the digestive system. Multiple number of foreign bodies may be swallowed by psychiatric patients which delay diagnosis and increase the complication rate. Long and hard objects cannot pass through the pylorus, and may cause obstruction, ulceration, bleeding and perforation. Endoscopy is used as an effective method in such cases. An exploratory laparatomy was performed after unsuccessful endoscopic foreign object removal in a 28-year-old schizophrenic patient with gastric outlet obstruction due to multiple cigarette lighter swallowing. Ten lighters were removed from the stomach through gastrotomy and one more lighter was removed from the descending colon by milking through the anus. The aim of this paper is to discuss encountered difficulties in psychiatric patients who underwent surgery due to intake of foreign bodies.
Warfarin is a potent anticoagulant agent that responds to the inhibition of vitamin K-dependent coagulation factors and the most dangerous side affect of warfarin is hemorrhage. Unwanted hemorrhagies due to warfarin use may ocur in all body cavities and such conditions can occasionally bring about mortal complications. Patients with intraabdominal, retroperitoneal, intramural, or intraluminal bleeding and bleeding into the rectus muscle may have acute abdomen complaints. Among the treatment options for these patients are operative or non-operative methods. In the light of literature, we aim to present non-operative treatment proceses of two cases with intraabdominal hemorrhage due to warfarin in this study.Key Words: Warfarin; Intraabdominal Hemorrhage; Non-Operative Treatment.Warfarin Kullanımına Bağlı Gelişen İntraabdominal Kanamaların Non-operatif Tedavisi: İki Olgu Sunumu Özet Warfarin, K vitaminine bağımlı koagulasyon faktörlerinin inhibisyonuna neden olarak etki gösteren potent bir antikoagulan ajandır ve en tehlikeli yan etkisi kanamadır. Kardiak kapak replasmanı, geçirilmiş derin ven trombozu, pulmoner emboli profilaksisi ve karotis arter trombozu olan hastalarda serebrovasküler hastalık riskini azaltmak amacıyla sıklıkla kullanılmaktadır Warfarin kullanımına bağlı tüm vücut boşluklarında istenmeyen kanamalar meydana gelebilir ve zaman zaman mortal seyreden komplikasyonlara neden olabilir. İntraabdominal, retroperitoneal, intramural, intraluminal, rektus kası içine olan kanamaları olan hastalar akut karın tablosu ile hastaneye başvurabilirler. Bu hastalar için tedavi seçenekleri operatif ve non-operatif olabilir. Bu çalışmada non-operatif izlemle tedavi ettiğimiz, warfarin kullanımına bağlı gelişen intraabdominal kanamalı 2 olguyu litaratür bilgileri eşliğinde sunmayı amaçladık.
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