Objective:To retrospectively analyze patients aged 65 years and over,who were admitted to a level Ⅱ trauma center in Turkey due to minor spinal trauma in a period of 4 years.Methods:The study included 64 patients age...Objective:To retrospectively analyze patients aged 65 years and over,who were admitted to a level Ⅱ trauma center in Turkey due to minor spinal trauma in a period of 4 years.Methods:The study included 64 patients aged 65 years and over,who were admitted to the Emergency Department of Baskent University Ankara Hospital between January 2011 and January 2015 and diagnosed with vertebral trauma.The information of the patients was obtained from the medical records.The clinical characteristics of patients including localizafions and types of fracture,presence of additional system injuries and treatment options were investigated.Results:The most common cause was fall,accounting for 51 (79.7%),with 7 (10.9%) due to intra-vehicle traffic accident,and 6 (9.4%) due to out-of-vehicle pedestrian injury.The most common site of trauma was the lumbar region.Of the fractures,46.9% (n=30) were in the lumbar region,37.5% (n=24) in the thoracic region and 15.6% (n=10) were in the cervical vertebra region.Fourteen (21.9%) patients had an additional injury.Given the fracture types,47 fractures (74.6%) were compression,14 fractures (22.2%) were spinous process and 2 fractures (3.2%) were burst fractures.Twenty patients (31.2%) had multilevel vertebral fractures.Conclusions:The results of our study demonstrated the importance of vertebral fractures in the geriatric age group.In this age group,falls and motor vehicle accidents are the leading causes of vertebral traumas.Taking the necessary measures to prevent the risk factors which increase with aging is the most important step in preventing the mortality and morbidity that may occur as a result of vertebral fracture.展开更多
Introduction: If the surgical dissection is too risky in choledochal cyst, mucosectomy is defined as a beneficial technical method in the literature. To discuss in this manner, we present this case. Case: 9 years old ...Introduction: If the surgical dissection is too risky in choledochal cyst, mucosectomy is defined as a beneficial technical method in the literature. To discuss in this manner, we present this case. Case: 9 years old girl was referred to our clinic due to multipl stones in the gallbladder. History and physicial examination could not be performed effectively because of her cerebral palsy. Ultrasonography showed choledochal cyst containing multipl stones. MR cholangiography showed multipl stones in the dilated choledochus. During the dissection, the cyst appeared extremely adherent to the adjacent structures and cyst wall was so thin and transparent. The mucosectomy was not thought to be a good option to carry out for this case. For this reason, cyst was totally excised. Discussion: The preferred method for choledochal cyst is total cyst excision and Roux-en Y hepaticoenterostomy. When the dissection is unsafe to perform, posterior wall mucosectomy may be performed. However, like in our case, when the diagnosis is delayed, the cyst wall may become too thin and may be attached very strongly to the adjacent structures. So, mucosectomy is impossible and full layer total cyst excision remains as the only alternative in spite of its high risks.展开更多
AIM: Late unset of dysphagia due to vascular abnormalities is a rare condition. We aimed to present a case of right subclavian artery abnormalities caused dysphagia in the elderly.METHODS: A 68-year-old female was adm...AIM: Late unset of dysphagia due to vascular abnormalities is a rare condition. We aimed to present a case of right subclavian artery abnormalities caused dysphagia in the elderly.METHODS: A 68-year-old female was admitted with dysphagia seven months ago. Upper endoscopic procedures and routine examinations could not demonstrate any etiology. Multislice computed thorax tomography was performed for probable extra- esophagial lesions.RESULTS: Multislice computed thorax tomography showed right subclavian artery abnormality and esophagial compression with this aberrant artery.CONCLUSION: Causes of dysphagia in the elderly are commonly malignancies, strictures and/or motility disorders. If routine examinations and endoscopic procedures fail to show any etiology, rare vascular abnormalities can be considered in such patients. Multislice computed tomography is a usefull choice in such conditions.展开更多
文摘Objective:To retrospectively analyze patients aged 65 years and over,who were admitted to a level Ⅱ trauma center in Turkey due to minor spinal trauma in a period of 4 years.Methods:The study included 64 patients aged 65 years and over,who were admitted to the Emergency Department of Baskent University Ankara Hospital between January 2011 and January 2015 and diagnosed with vertebral trauma.The information of the patients was obtained from the medical records.The clinical characteristics of patients including localizafions and types of fracture,presence of additional system injuries and treatment options were investigated.Results:The most common cause was fall,accounting for 51 (79.7%),with 7 (10.9%) due to intra-vehicle traffic accident,and 6 (9.4%) due to out-of-vehicle pedestrian injury.The most common site of trauma was the lumbar region.Of the fractures,46.9% (n=30) were in the lumbar region,37.5% (n=24) in the thoracic region and 15.6% (n=10) were in the cervical vertebra region.Fourteen (21.9%) patients had an additional injury.Given the fracture types,47 fractures (74.6%) were compression,14 fractures (22.2%) were spinous process and 2 fractures (3.2%) were burst fractures.Twenty patients (31.2%) had multilevel vertebral fractures.Conclusions:The results of our study demonstrated the importance of vertebral fractures in the geriatric age group.In this age group,falls and motor vehicle accidents are the leading causes of vertebral traumas.Taking the necessary measures to prevent the risk factors which increase with aging is the most important step in preventing the mortality and morbidity that may occur as a result of vertebral fracture.
文摘Introduction: If the surgical dissection is too risky in choledochal cyst, mucosectomy is defined as a beneficial technical method in the literature. To discuss in this manner, we present this case. Case: 9 years old girl was referred to our clinic due to multipl stones in the gallbladder. History and physicial examination could not be performed effectively because of her cerebral palsy. Ultrasonography showed choledochal cyst containing multipl stones. MR cholangiography showed multipl stones in the dilated choledochus. During the dissection, the cyst appeared extremely adherent to the adjacent structures and cyst wall was so thin and transparent. The mucosectomy was not thought to be a good option to carry out for this case. For this reason, cyst was totally excised. Discussion: The preferred method for choledochal cyst is total cyst excision and Roux-en Y hepaticoenterostomy. When the dissection is unsafe to perform, posterior wall mucosectomy may be performed. However, like in our case, when the diagnosis is delayed, the cyst wall may become too thin and may be attached very strongly to the adjacent structures. So, mucosectomy is impossible and full layer total cyst excision remains as the only alternative in spite of its high risks.
文摘AIM: Late unset of dysphagia due to vascular abnormalities is a rare condition. We aimed to present a case of right subclavian artery abnormalities caused dysphagia in the elderly.METHODS: A 68-year-old female was admitted with dysphagia seven months ago. Upper endoscopic procedures and routine examinations could not demonstrate any etiology. Multislice computed thorax tomography was performed for probable extra- esophagial lesions.RESULTS: Multislice computed thorax tomography showed right subclavian artery abnormality and esophagial compression with this aberrant artery.CONCLUSION: Causes of dysphagia in the elderly are commonly malignancies, strictures and/or motility disorders. If routine examinations and endoscopic procedures fail to show any etiology, rare vascular abnormalities can be considered in such patients. Multislice computed tomography is a usefull choice in such conditions.
