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Browsing by Author "Goksu, Mehmet"

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    Article
    Borchardt Triade: a Symptom of Acute Gastric Volvulus
    (derman Medical Publ, 2014) Bilici, Salim; Goksu, Mehmet; Melek, Mehmet; Sayir, Fuat; Simsek, Metin
    Gastric volvulus, especially cases with an acute onset, may result strangulation, perforation, peritonitis, shock and death. The disease is rarely seen in children, but early diagnosis and treatment is essential due to its life-threatening potential. In patients with acute gastric volvulus, the clinical Borchardt triade may be observed, which is characterized by acute severe pain and distension in the upper abdomen or lower thoracic region, retching and the inability to pass a nasogastric tube. In this article, We aimed to emphasize the Borchardt's triad by presenting a pediatric case who was diagnosed with Borchardt's triad and who had acute mesenteric axial gastric volvulus which diaphragmatic hernia and mobile (wandering) spleen were accompanied.
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    Article
    Undescended Testis Accompanying Congenital Spigelian Hernia: Is It a Reason, a Result, or a New Syndrome
    (Georg Thieme verlag Kg, 2012) Bilici, Salim; Gunes, Mustafa; Goksu, Mehmet; Melek, Mehmet; Pirincci, Necip
    Introduction Frequent reporting of cases of the coexistence of a Spigelian hernia (SH) with an undescended testis (UT) suggests that this phenomenon may be a syndrome. In this article, four pediatric cases in which an UT accompanies a congenital SH have been discussed in light of the literature. Methods In this study, four cases aged between 6 months and 5 years who had a SH accompanied by an UT were evaluated and underwent surgery. Result The patient's ages were 6 months, 1 year, 2 years, and 5 years old. The testis was observed in the opened hernia sac. The patients did not have a gubernaculum or an inguinal canal on the side of the hernia. Conclusions Neither the theories suggesting that SH leads to an UT nor those suggesting that an UT leads to a SH are satisfactory. We believe that this coexistence may be the congenital Spigelian-cryptorchidism syndrome seen in boys. As in the four cases presented here, elements of this syndrome are defects in the Spigelian fascia and the hernia sac enveloping the testis and an absence of the gubernaculum and the inguinal canal.