Browsing by Author "Yildiz, Muhammet"

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One of the Obstetrical Emergencies, Puerperal Vulvar Hematoma Threatening Maternal Life
(Galenos Yayincilik, 2010) Kurdoglu, Mertihan; Kurdoglu, Zehra; Cim, Numan; Yildiz, Muhammet
Puerperal vulvar hematoma, causing serious morbidity and rarely mortality, is one of the life threatening obstetrical emergencies. A thirty year-old, gravida 7, parity 7, Turkish female patient was hospitalized from emergency department with the complaints of vulvar hematoma and postpartum bleeding after vaginal delivery at home. Genital examination revealed a fluctuating hematoma 8x4 cm on the left vulva. Hemoglobin level was 8.6 g/dL, hematocrit was 28%. Since moderate amount free fluid was determined on pelvic sonographic examination, the patient was operated with the suspect of uterine rupture. However, uterine rupture or retroperitoneal hematoma were not present. After the giant hematoma on vulva was evacuated, hemostasis was achieved and the operation was finished, leaving a hemovac drain. In the postoperative period, the patient was managed with intravenous antibiotic, blood transfusion, anti-inflammatory treatment and ice package on vulva, and was discharged from hospital on postoperative sixth day. We aimed to present the patient with puerperal vulvar hematoma which developed after vaginal home delivery and the management in our clinic, with a literature review.
Torsioned Adnexal Masses: a 7 Year Clinical Analysis
(Galenos Yayincilik, 2012) Kamaci, Mansur; Sahin, H. G.; Kolusari, Ali; Adali, Ertan; Yildiz, Muhammet; Yildizhan, Recep; Guler, Ayfle
In the last seven year, 24 patients who had pelvic localized pain or which was expansive to abdomen who applied to emergency service were included into the study. In this study, we aimed to determine the management of torsioned adnexal masses in our clinic on the light of the literature. After vaginal and pelvic color-power Doppler ultrasound examination, torsioned masses due to fallopian tube, ovarium or both were noted. The mean ages of the patients were 31. Eighteen of these were married, 6 women were single. Three of the patients had first trimester pregnancy. The most common complaints were pelvic and abdominal pain. Laparoscopy and laparotomy were performed on 6 and 18 patients, respectively. As a result, each patient thought torsioned adnexal mass should evaluate indivudially and management should be planned according to patient's age, fertility and pregnancy situation.