Sarcoidosis incidentally diagnosed: a case report.

Sarcoidosis is a chronic, granulomatous condition with unknown cause. Because most of the patients are free of clinical symptoms, sarcoidosis should be considered in differential diagnosis if noncaseous granuloma is noted in biopsies, performed for other reasons. With no clinical symptoms, our patient was diagnosed with sarcoidosis upon identifying noncaseous granuloma in the lymph node biopsy material collected during the laparoscopic operation, performed for gallbladder polyp.

[A case of cat scratch disease].

Cat scratch disease (CSD) which is usually seen in children and young adults and characterized by self limited lymphadenopathy, is caused by Bartonella henselae. In this report, a 30-year-old male patient who was admitted to the outpatient clinic with the complaint of lymphadenopathy, was presented. Erythrocyte sedimentation rate and C reactive protein values of the patient were normal, and anti-HIV, Brucella agglutination and anti-toxoplasma IgM and IgG tests were negative.

Evaluation of diagnostic findings and scoring systems in outcome prediction in acute pancreatitis.

Aim: To determine factors related to disease severity, mortality and morbidity in acute pancreatitis.

Methods: One hundred and ninety-nine consecutive patients were admitted with the diagnosis of acute pancreatitis (AP) in a 5-year period (1998-2002). In a prospective design, demographic data, etiology, mean hospital admission time, clinical, radiological, biochemical findings, treatment modalities, mortality and morbidity were recorded.

Risk factors for and effect of a one-year surveillance program on surgical site infection at a university hospital in Turkey.

Background: Surveillance of surgical site infection (SSI) is one of the most effective methods for decreasing the incidence. We determined the risk factors for SSI and the effect of a one-year surveillance program on the rate at a tertiary-care center.

Methods: The annual SSI rate before the study period was determined in a preliminary study.

Videolaparoscopic treatment of hepatic hydatid cyst.

Background/aims: Unroofing, cystopericystectomy, or cystic evaluation and omentoplasty have been used in videolaparoscopic treatment in hepatic hydatidosis since 1992. Currently it is shown that videolaparoscopic treatment has been carried out successfully in selected cases.

Methodology: Fifteen hepatic hydatid cysts in 12 cases were treated by videolaparoscopic methods.

Results of alcohol and albendazole injections in hepatic hydatidosis: experimental study.

Background: Percutaneous drainage with alcohol injection for hydatid cysts has been commonly used in the last two decades. Albendazole is the drug of choice in the medical treatment of hydatidosis, and has also been used as an intraoperative scolicidal solution. The side-effects of its local application are not well known and have not been investigated.

Acute pancreatitis caused by leptospirosis: report of two cases.

Two cases of acute pancreatitis with leptospirosis are reported in this article. CASE 1: A 68-year-old woman, presented initially with abdominal pain, nausea, vomiting, and jaundice. She was in poor general condition, and had acute abdominal signs and symptoms on physical examination.

Umbilical hernia repair with the prolene hernia system.

Background: Despite its extensive application for the repair of inguinal hernias, the use of the Prolene Hernia System (PHS; Ethicon, West Somerville, NJ) for the repair of umbilical hernias has been sparse. The purpose of this prospective study was to assess, in comparison with currently available techniques, the effectiveness of the PHS in repairing umbilical hernias.

Methods: Fifty consecutive patients diagnosed with a primary umbilical hernia were enrolled for the study.

Reconstruction of a wide abdominal defect using an extended groin flap.

We present reconstruction of a wide anterior abdominal defect measuring 30 x 45 cm(2), the result of necrotising pancreatitis. After serial debridements and reconstruction of the peritoneum using a Prolene mesh support, a delayed extended groin flap was transposed. No complications were encountered afterwards.

Is pneumoperitoneum harmful during intra-abdominal hemorrhage in rats?

Background: Laparoscopic surgical interventions are being used in trauma patients for diagnostic and therapeutic purposes, but there are limited studies on this subject. The effect of pneumoperitoneum during intra-abdominal hemorrhage has not been elucidated. The aim of this study was to investigate the hemodynamic, respiratory, and renal effects of pneumoperitoneum in the splenic injury/ hemorrhagic shock model in rats.

Intrabiliary rupture: an algorithm in the treatment of controversial complication of hepatic hydatidosis.

Aim: Intrabiliary rupture (IBR) is a common and serious complication of hepatic hydatid cyst. The incidence varies from 1% to 25%. The treatment of IBR is still controversial.

Gastrointestinal bezoars: a retrospective analysis of 34 cases.

Aim: Bezoars (BZ) are the most common foreign bodies of gastrointestinal tract. Clinical manifestations vary depending on the location of BZ from no symptoms to acute abdominal syndrome. When located in small bowel, they frequently cause small bowel obstruction (SBO).

Dual treatment of albendazole in hepatic hydatidosis: New therapeutic modality in 52 cases.

Background: Hepatic hydatidosis still remains as a serious problem in general surgery. Recurrence and/or secondary hydatidosis rates are up to 25% in the cases treated with surgery alone. Albendazole is the most commonly used drug in the medical treatment of echinococcosis.

Acute pancreatitis caused by afferent loop herniation after Billroth II gastrectomy: report of a case and review of the literature.

We present herein the rare case of a 44-year-old man found to have acute pancreatitis due to afferent limb obstruction caused by internal herniation, twelve years after Billroth II gastrectomy. The patient complained of nausea, vomiting, and epigastric pain in acute onset. Physical examination, laboratory studies and computed tomography imaging revealed acute pancreatitis and peritonitis.

Anticoagulant-induced intramural intestinal hematoma.

Intramural hematoma of the intestine is a rare complication of anticoagulant therapy. We evaluated 7 nontrauma patients with intramural hematoma of the intestine diagnosed at our institution between May 1998 and June 2001. All of the patients were receiving long-term anticoagulant therapy for previous diseases.

Should intraoperative ultrasonography be used routinely in hepatic hydatidosis?

Background/aims: Recurrent or secondary hydatidosis are the most important problems of hepatic hydatidosis in the late postoperative period. The spread of cystic liquid, overlooked centrally located or pericystic satellite cysts that are inconspicuous during operation are the basic reasons for the problem.

Methodology: In order to prevent the risk of recurrent or secondary hydatidosis, 22 liver hydatid cystic patients were taken for a prospective study.