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Biomedical subjects

M E Senocak

Publications and source records attributed to M E Senocak.

At least 73 records · Page 4Linked to original sources
PubMed1997

Acute blunt traumatic abdominal hernia.

A rare childhood case of acute blunt traumatic abdominal hernia in which the colon and jejunal loops herniated into a large subcutaneous pocket in front of the sternum is presented. Considerations in diagnosis and management are discussed. Emergency laparotomy is indicated after confirmation of the diagnosis by radiologic modalities. Thorough abdominal exploration is warranted to rule out associated injuries. Reduction of the herniated bowel into the abdomen, debridment of the nonviable tissue, and primary tension-free closure of the defect is the appropriate treatment.

Accidents, Traffic↗
PubMed1996

Hepatic artery aneurysm in a 10-year-old boy as a complication of infective endocarditis.

Mycotic aneurysms occur from septic emboli in patients with infective endocarditis and may involve any artery, but frequently they are not detected before autopsy. The most common sites are the brain, abdominal aorta, sinus of Valsalva, ligated ductus arteriosus, and superior mesenteric, splenic, coronary, and pulmonary arteries. The authors report on a 10-year-old boy who had a mycotic aneurysm of the common hepatic artery, which developed during the course of infective endocarditis of the mitral valve and was cured successively using a platinum coil embolization technique.

Aneurysm, Infected↗
PubMed1996

Diaphragmatic rupture after plication: etiopathogenesis with review of the literature.

We present an infant who developed diaphragmatic rupture and secondary hernia following a successful diaphragmatic plication performed for congenital diaphragmatic eventration. The rupture occurred through the normal looking diaphragmatic tissue with an intact plication suture line, which has not been reported before. The possible etiologic factors of this secondary hernia are discussed with a brief review of the literature.

Diaphragmatic Eventration↗
PubMed1996

Splenic leiomyoma: an uncommon localization.

Muscle cell tumors are very uncommon in the spleen as they are in ataxia-telangiectasia. The increased frequency of chromosome breaks probably because of a defect in DNA repair favors the development of benign or malignant tumors in the patient. A case of leiomyoma of the spleen in an 8-year-old boy with ataxia-telangiectasia is reported. The literature on the splenic masses and the localization of leiomyoma is reviewed.

Ataxia Telangiectasia↗
PubMed1996

Helicobacter pylori infection in symptomatic and asymptomatic children: a prospective clinical study.

It is well known that Helicobacter pylori infection is extremely common throughout the world, but most infected persons do not develop ulceration and remain asymptomatic. This study was undertaken in order to determine the prevalence of H. pylori infection, the age distribution, and the factors that may affect the frequency of H. pylori infection. We evaluated the presence of antibody against H. pylori in children and adolescents, we also assessed the efficacy of non-invasive and invasive methods for detection of H. pylori infection in children who had undergone upper gastrointestinal endoscopy. We evaluated 43 males and 18 females whose ages ranged from 1 to 17 years (mean age: 9.4 +/- 4.2). 29 of all cases were symptomatic and 32 were asymptomatic. H. pylori infection was present in 49% of the studied cases. The data were analysed by Fisher's exact chi-square and Mantel-Haenszel tests. It was found that H. pylori infection graphically increased with age in both groups from 25% at ages 3-5 to 80% at ages 16-20. But no association was determined statistically between age and H. pylori positivity (p < 0.05). H. pylori infection was determined in 14 (48%) and 16 (50%) cases in symptomatic and asymptomatic groups respectively. There was no significant difference between H. pylori and either group (p > 0.05). According to the endoscopy findings, the symptomatic group was divided into two subgroups: children with peptic ulcer and children with non-ulcer dyspepsia (NUD). An attempt was made to compare ulcer, non ulcer dyspepsia and asymptomatic cases with H. pylori positivity, but no significant relation could be established between the groups (p > 0.05). 14 (23%) of the cases had previous gastric and/or intestinal complaints in their parents (positive family history). There was a significant, statistically positive relation between family history and symptoms (p < 0.01). Nevertheless, no association was found between H. pylori infection and family history (p > 0.05). There were no significant differences in H. pylori infection related to sex, type of housing, location of housing, socio-economic status (SES) or source of water supply. It is concluded that H. pylori infection has a high prevalence in our country. Although endoscopic evaluation is an invasive method, under our conditions, histopathological examination with 97% is shown to be much more sensitive in determination of H. pylori infection. Since no community difference was determined in the prevalence of H. pylori infection, all children should be considered to be under the threat of the same risk.

Adolescent↗
PubMed1995

Complete duplication of the bladder and urethra: a case report and review of the literature.

Although complete duplication of the bladder and urethra (CBDU) has been considered to be an isolated anomaly, the present report involves an infant who had CBDU and associated anomalies of the gastrointestinal and central nervous systems. Clarification of the upper-tract renal anatomy is mandatory in planning a staged approach to reconstruction, especially in the presence of associated anomalies.

Abnormalities, Multiple↗
PubMed1995

Transpubic urethroplasty in children: report of 10 cases with review of the literature.

Posttraumatic prostatomembranous urethral strictures (PUS) in children have special features that warrant consideration with respect to management. Transpubic urethroplasty (TPUP) was used to treat 10 children who presented with posttraumatic PUS. All patients previously had unsuccessful repair attempts with other techniques. Urethral stricture was noted in three patients who were cured within a few months by urethral dilatations. Appropriate antibiotic therapy was begun for prolonged urinary infection in four patients. Complete urinary continence was achieved in seven patients (70%), and three (30%) are still incontinent. In the latter, the bladder neck and posterior urethra were reported to have been damaged seriously, owing to extensive dissections at the time of initial treatment. Severe retropubic tissue loss and fibrosis were noted in these patients. Thus, the authors emphasize that avoiding further injury to any of the continence mechanisms that have survived the injury is as important as performing a patent urethral anastomosis. There were no significant complications or morbidity associated with TPUP. TPUP provided excellent exposure and visualization of the involved anatomy and facilitated accurate suture placement and tissue realignment in all patients.

Adolescent↗
PubMed1995

Solitary intestinal fibromatosis mimicking malabsorption syndromes.

A 17-month-old baby had symptoms of malabsorption and partial intestinal obstruction. These were found to be caused by obliteration of the jejunum by solitary intestinal fibromatosis. Solitary intestinal fibromatosis, which may imitate malabsorptive diseases of the intestine, is a rare cause of intestinal obstruction in the neonatal period and infancy. Diagnostic aids and differential diagnosis of this rare disease are discussed, and previously reported cases are reviewed.

Diagnosis, Differential↗
PubMed1995

Surgical management of the pancreatic pseudocyst in children: a long-term evaluation.

Pseudocyst of the pancreas is an uncommon disorder in children. During the period of 1977 to 1990, the authors reviewed the records of 10 consecutive patients with pancreatic pseudocyst (PP) who were surgically treated in our institution. In 8 patients, the surgical procedure that was used was transgastric cystogastrostomy, and in 1 patient it was total excision of the pseudocyst. The remaining 1 patient underwent external drainage. After an average follow-up of previous operation except the 1 patient who was treated with external drainage. Biochemical tests, abdominal ultrasonographies, and barium meals were also normal in 9 patients. The analysis of the results indicates that despite new percutaneous therapeutic modalities, it is still an internal drainage through transgastric cystogastrostomy that should be favored in treatment of PP in children.

Child↗
PubMed1995

Endobronchial leiomyoma: a case report.

Leiomyoma of the lung is very rare in children. The case history is presented of an 8 year old boy with an endobronchial leiomyoma which caused total atelectasis of the left lung.

Bronchial Neoplasms↗