Browsing by Author "Edirne, Y."

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An Analysis of Corrosive Substance Ingestion of Children in Eastern Turkey
(2008) Melek, M.; Edirne, Y.; Çobanoǧlu, U.; Ceylan, A.; Can, M.
In this study, we aimed at describing corrosive substance ingestion and related problems in Eastern Turkey. This type of injury is still a serious problem to be given a careful attention in our country like the other developing countries. The charts of children managed in our hospital with corrosive substance ingestion in the period of 1996- 2008 were evaluated retrospectively. Gender, age, ingested substance and the volume, symptoms, morbidity of caustic injury were considered in the analysis of the charts. We had 40 male and 35 female cases. 82% of children were under 5 years old. Mean age was determined as approximately 3.5 years. Bleach was the most common corrosive substance received and it was followed by hydrochloric acid. The volume of the ingested substance varied between 1-100 ml. The volume could not be estimated in 36 children. It was determined that 54% of ingested corrosive substance was in its original package. Twenty-five cases ingested the substance from food or drink containers that was stored somewhere in the kitchen. Five children had developed esophageal strictures. They were included in esophageal dilatation program. In our country the morbidity of caustic esophageal burn is still a problem that should be involved. Attention to the storage conditions and secured bottle cap seems to be the easiest and simplest way to prevent corrosive substance ingestion.
Ovarian Artery Injury as a Peritoneal Dialysis Complication: Case Report
(2009) Melek, M.; Edirne, Y.; Beger, B.; Çetin, M.
Patients treated with peritoneal dialysis are prone to many complications like peritonitis, catheter exit-site infection, catheter disfunction, insufficient clearance and ultra-filtration. Although hemoperitoneum is described as a benign complication, one should be cautious against it because of its life-threatening severe form seen in approximately 20 % of patients. There are several studies reporting intra-peritoneal hemorrhage during the procedure but a specific localization of the hemorrhage is not mentioned. We present here a case of 2 months old female infant who died due to intra-abdominal hemorrhage caused by ovarian artery injury on the 4th day after peritoneal dialysis was performed. Catheters made of hard material can cause hemorrhage. Fixation of these catheters is vital.