Biomedical subjects

M E Senocak

Publications and source records attributed to M E Senocak.

95 records · Page 6Linked to original sources

PubMedDate not supplied

Mesenteric and omental cysts in children. Analysis of nineteen cases.

Mesenteric and omental cysts are infrequently encountered, benign, intraabdominal tumors. Nineteen new patients were analysed. The most common presenting symptoms were abdominal distension (74%) and abdominal pain (63%). A palpable abdominal mass was found in 58 percent of cases. A correct preoperative diagnosis was established in 91 percent of the patients who were examined by abdominal ultrasonography. Of 19 cases documented at laparotomy, 14 patients (74%) had mesenteric, and five patients (26%) omental cysts. Eleven of the former were located in the small bowel mesentery. All of the cysts were completely removed, and in eight of them bowel resection was required. Subtotal gastrectomy was performed in one case. The mortality rate was 0%. After a mean follow-up period of five years, no recurrence was observed. Our study showed that abdominal ultrasonography by experienced professionals is the most reliable diagnostic tool for detecting these lesions.

Adolescent↗

PubMedDate not supplied

An unusual association: fibroepithelial polyp and contralateral nephrolithiasis in a child.

A 12-year-old boy presented with fever and flank pain bilaterally. Intravenous pyelogram revealed multiple stones and hydronephrosis in the right kidney and an obstructive filling defect at the left upper ureter. Exploration of the left ureter revealed a fibroepithelial polyp. The presented case was an example of the unreported association between fibroepithelial polyp and contralateral nephrolithiasis.

Child↗

PubMedDate not supplied

Torticollis with hiatus hernia in children. Sandifer syndrome.

Sandifer syndrome is an unusual combination of gastroesophageal reflux with or without hiatal hernia and torticollis. It can be considered to be part of an expanded syndrome of unusual presentation of gastroesophageal reflux. After successful surgical repair of the gastroesophageal reflux and the hiatus hernia, there is a gradual but permanent disappearance of the torticollis. An infant with this extremely rare syndrome is presented along with a review of the related literature.

Child, Preschool↗

PubMedDate not supplied

Persistent diffuse peritonitis in children.

In adults, persistent diffuse peritonitis (PDP) having a special microbiologic spectrum is now defined as a distinct intraabdominal infection because of its aggressive clinical course. Considering also other types of peritonitis, this study was performed to determine characteristics of childhood PDP in regard to clinical picture, microbiologic features, treatment and outcome. Classification of 175 patients with peritonitis showed that nine patients had primary peritonitis and 121, 37 and eight patients had secondary peritonitis, PDP, and intraabdominal abscess, respectively. Rates of host defense affecting disease, extra-appendicular origin, and mortality were markedly higher in the PDP group. However, polymicrobic and anaerobic infection rates were lower in the PDP group than those of the secondary peritonitis group. While 26 of 37 patients with PDP underwent surgical intervention, the remaining 11 patients were managed by conservative measures. In the PDP group, mortality was 18 percent for conservatively and 23 percent for surgically treated patients. Being of young age, presence of an accompanying disease and fungal growth increased the mortality. The results indicate that PDP is a distinct type of peritonitis in children as well as in adults. In addition, accurate identification of these patients may prevent some unnecessary operations and improve survival by the choice of more conservative treatment plans.

Adolescent↗

PubMedDate not supplied

Hydatid cyst mimicking pulmonary hematoma in a patient with hemophilia A.

We present a patient of 2.5 years of age with hemophilia A and a pulmonary hydatid cyst. A chest x-ray taken by chance showed a paracardiac opacity resembling an intrapulmonary hematoma which did not reduce in size after infusions of fresh frozen plasma and factor VIII but rather enlarged. Transabdominal ultrasound, colored echocardiography, thoracic computed tomography and magnetic resonance imaging findings were consistent with a cyst that was firmly attached on the border of the right atrium and also indented it; the wall was remarkably thick with no internal echoes. Hydatid cyst was diagnosed after thoracotomy.

Child, Preschool↗