IntroductionHere we present our clinical experience in a case of esophagus perforation due to the swallowing of a bone piece causing acute angina pectoris and leading to misdiagnosis of acute coronary syndrome.Case presentationA 73-year-old Caucasian man underwent urgent coronary angiography with possible diagnosis of acute coronary syndrome. His coronary arteries were found to be normal. A computed tomography examination revealed esophagus perforation by a foreign body (a piece of bone), and he underwent urgent left thoracotomy and the foreign body was removed.ConclusionsSometimes, even a piece of bone within a meal can lead to esophagus perforation, and injure the pericardium and myocardium. The symptoms of esophagus perforation may be confused with acute coronary syndrome due to their similarities and lack of knowledge about the detailed clinical history as shown in our case. Thus, careful consideration of detailed clinical history as well as choosing an appropriate medical imaging modality, such as computed tomography, should always be kept in mind in order to promptly diagnose and start early treatment to reduce mortality.
Hydatid cyst is a zoonotic infection that is caused by Echinococcus granulosus and alveolaris, and that can result in endemics in rural regions. Infections caused by Echinococcus granulosus are more commonly seen in our country. In this retrospective study, we aimed at discussing the experience we have accumulated on pediatric pulmonary hydatid cyst cases over the last 6 years. Between 1995-2001, in the Department of Thoracic and Cardiovascular Surgery in Gaziantep University, 38 cases underwent 39 operations due to pulmonary and hepatic hydatid cysts. Of these, 24 were males and 14 were females, with an age range of 2-16 years. Operations were frequently performed via thoracotomy. Nineteen cysts were intact, and 26 were perforated. One case had sternotomy, another had sequential thoracotomy, and the rest of the cases underwent thoracotomy, which resulted in cystotomy-capitonnage. In the postoperative period, 2 patients had sustained air leakage, and 2 other cases developed skin infections. Average hospital stay was 5 days. After the operation, the patients received chemotherapy (albendazole 10 mg/kg/day) for 1.5 months. Early or late deaths or recurrences were not observed. We conclude that cystotomy-capitonnage is a successful treatment for pediatric pulmonary hydatid cysts, as it preserves the parenchyma. Chemotherapy in the postoperative period is beneficial in preventing the recurrences.
Haemoptysis is a life-threatening symptom that can alert patients to see a physician. Mild to moderate haemoptysis may change into massive and life-threatening forms. Unfortunately it is not predictable whether it will change or not. We deduced that a treatment strategy has to be planned according to trigger mechanism in patients with haemoptysis and that surgery is a definitive solution in these patients.
Herhangi bir kentsel mekânı gündelik hayat ilişkileri bağlamında ele almak istersek öncelikle insan, mekân ve kent ilişkisinin kavramsal düzeyde ortaya konması gerekir. Sonrasında ilgili kentsel mekânın, içinde bulunduğu kentle ve o kentin insanıyla ilişkisinin belirtilmesi; daha sonra ise gözlemlenen gündelik rutinlerin betimlenmesi gerekir. Bu makale de Konya Alâeddin Tepesi, kent, aktörler ve gündelik hayat üçgeninde tahlil edilmeye çalışılacaktır. Çünkü Alâeddin Tepesi hem Konya'nın tarihi hem de günümüz kent hayatı açısından merkezi bir konumdadır. Bir kentsel mekân olarak önemi ise kentlilerin kent merkezindeki gündelik deneyimlerinin en yoğun yaşandığı yer olmasındadır. En belirgin gündelik örüntüler; yürüyüş, spor, eğlence ve boş zaman değerlendirme amacıyla kentlilerin bir araya gelmesi şeklindeki deneyimlerdir.
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