Makale Arama

Ectopic testes are found in the superficial inguinal scrotum, base of penis, perineum, abdominal wall, or medial thigh. Testiculer development and descending depend on a complex interaction among endocrine, paracrine, growth and mechanical factors. We describe a patient with an ectopic testis located on the bilateral perineally testes. We performed operation at 6 months of age. On follow-up for 6 months, both testes were a normal size consistency, and location. In this report we present an extremely rare congenital anomally of bilateral perineally ectopic testes in a newborn and its surgical management.

Gastrointestinal procedures are the most frequent ones in outpatient anesthesia applications which increase day by day. However pediatric cases are rare. Out patient anesthesia applications, especially in pediatrik patients, are more difficult and so it is important to use guidelines in this manner. In this article our anesthetic experience in a endoscopic retrograde cholangiopancreatography applied on a pediatric patient is reported with literature review.

Endoscopic retrograde cholangiopancreotography (ERCP) is commonly used for diagnosis and treatment in pancreatic and biliary diseases. Although it is a commonly used and safe procedure, it can also be related with several complications. These complications are generally mild, but few of of them may cause severe morbidity and mortality. We present a rare complication of ERCP with bilateral pneumothorax, extraluminal abdominal air, retroperitoneal and wide subcutaneous emphysema. The patient was transferred to intensive care unit (ICU). As a result; because of these rare but mortal complications, ERCP must be performed in departments which can be supported by intensive care units.

Endoscopic retrograde cholangiopancreatography (ERCP) has an important role in the diagnosis and treatment of hepatobiliary and pancreatic diseases. This study was discussed the three years’ experience of general surgery of endoscopy unit. The records of 242 ERCPs of 200 patients, performed between February 2010 and March 2013, were retrospectively evaluated. The age range 19-84 years (mean; 47.3 years) and 116 patients (58%) were female. The most common indication was the presence of obstructive jaundice and/or a high serum bilirubin level (159 patients, 79.5%). The average ERCP duration was 16.5 min (5-55 min.). A repeat ERCP was needed in 38 patients (19%) and cannulation was successful 185 patients (92.5%). Endoscopic sphincterotomy was performed in 177 patients (88.5%), biliary balloon application in 156 (78.3%), and stone extraction in 144 (72%). Complication occurred in 8 patients (4%) and the most common complication was acute pancreatitis (4 patients, 2%). There was no mortality in any patient in this series. Although the relationship between the risk of mortality and morbidity of ERCP, a reliable method of diagnosis and treatment of hepatobiliary and pancreatic diseases.

Fasciola hepatica (FH) is a parasitical disease mostly concerns the veterinary medicine but sometimes accidentally infests humans. It’s generally seen in some parts of the world especially in tropical and developing countries but the incidence is increasing day by day all over the world due to increased facility of intercontinental transportation and immigration. Liver and biliary tree is the final target site for the parasite. The clinical presentation varies from basic biliary colic to jaundice and even complicated cholangitis leading death. Low level of knowledge about the disease, especially in the non-endemic areas, leads delayed diagnosis and therapy. Prompt evaluation and therapy of the patient is the corner stone of the success. Herein, we discuss a case of biliary obstruction due to FH from presentation to therapy including ERCP and cholecystectomy in the guidance of the literature.