AMAÇAyaklanan grupların kontrol edilirken uğradıkları saçma ile silah yaralanmaları incelendi.
GEREÇ VE YÖNTEMSaçma tanesi ile gerçekleşen silah yaralanmaları nedeniyle kaza ve acil servis bölümüne yatırılan toplam 198 hasta, anatomik bölge, ciddiyet ile yaralanma tipi, tedavi ve sonuçlar bakımından değerlendirildi.
BULGULARHastaların %72,7'si, 16 ile 25 yaş arasında idi. En sık yaralanma bölgeleri ekstremiteler (%47,9), karın (%36,3) ve göğüs (%31,3) idi. Hastaların %59,5'inde minör yaralanma vardı. Yaralanmaları nedeniyle hastaneye yatırılan 80 hastanın 43'ü (%53,7) ameliyat edildi. Altı adet ölüm (%3,03) gözlemlendi.
SONUÇKendi başına saçma yaraları önemsiz gibi görünebilir, ancak, kafaya, göğüse ve karına yönelik potansiyel doku hasarına neden olabilecek yaralanmaların değerlendirilme-mesi durumunda ölümcül sonuçlar ortaya çıkabilir. Hastalar, genel kurşun yaralanmaları ile aynı şekilde değerlendi-rilmeli ve tedavi edilmelidir.Anahtar Sözcükler: Saçma yaraları, barutsuz silahlar.
Teratomas are tumors composed of tissues derived from more than one germ cell line. Pulmonary teratomas are rare and commonly involve the upper lobe of the left lung. Criteria for pulmonary origin are the exclusion of a gonadal or other extragonadal primary site and origin entirely within the lung. We report a case of a giant pulmonary teratoma in a 2-year-old male child and review the relevant literature.
Breast Tuberculosis is a rare form of tuberculosis even in tuberculosis endemic countries like India and its identity is often mistaken with breast cancer and pyogenic breast abscess. A 22-year-old married female, with history of child birth one month back, lactating, presented at peripheral hospital with progressively increasing pain and redness in the upper outer and central portion of her right breast. She was diagnosed as breast abscess and incisional drainage of abscess was carried out. However, patient's symptoms progressed and an ulcer began to appear on upper outer quadrant of her right breast which rapidly progressed to involve almost whole breast destroying nipple-areola complex. She was referred to our institution for further management. Debridement of the lesion was carried out and tissue sent for histopathological examination which revealed chronic granulomatous inflammation with caseating necrosis. Patient was put on anti-tubercular treatment for a period of six months. The whole ulcer healed up and she is doing well at present.
Hydatid disease of the organs other than liver and lung is extremely rare. Although hydatid disease is endemic in India, we report a rare case of hydatid cyst in a young male primarily involving the seminal vesicle and aim to highlight the management of such cases. A 23 year old male farmer diagnosed with primary isolated echinococcal cyst of the seminal vesicle has been presented. Thorough investigations with radiological methods such as ultrasonography (abdominal and trans-rectal), and magnetic resonance imaging were carried out to aid in the diagnosis. Surgical excision of the lesion was carried out with careful removal of the cyst to prevent any bursting and spillage, leaving the seminal vesicle preserved. The cystic lesion was subjected to histopathological examination. Histopathology confirmed the diagnosis of hydatid disease. Postoperative period was uncomplicated and patient was discharged on seventh postoperative day. Patient was put on albendazole (10 mg/kg/day) for three cycles of 21 days each with a gap of one week between each cycle. There was no evidence of recurrence or development of cysts elsewhere in the body during the 2 year follow-up. Hydatid cyst of seminal vesicle is rare and should be kept in differential diagnosis of a cystic lesion in pelvis especially in regions where hydatid disease is endemic. Proper surgical and medical management to avoid any recurrences, and a regular follow-up, are of utmost importance to detect any late complications such as local recurrence of the disease and development of hydatidosis at the primary sites.
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