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January 2016

Original Article

The Role of Thoracotomy in the Postoperative Inflammatory Mechanism

Hatice Eryiğit1, Mehmet Ünaldı2, Kadir Burak Özer1, Murat Ersin Çardak1, Recep Demirhan1

1 Thoracic Surgery Clinic, 2 Emergency Medicine Clinic, Dr. Lütfi Kırdar Kartal Training and Research Hospital, Istanbul, Turkey

DOI: 10.4328/ECAM.69


Aim: The aim of this study was to assess changes in the number of leuko- cytes after thoracotomy and to reveal inflammation caused by thoracotomy. Material and Method: Preoperative, postoperative in the first eight hours, first and third days postoperative leukocyte counts, preoperative and post- operative neutrophil, lymphocyte values of 216 patients who underwent tho- racotomy were documented in the medical records. Results: White blood cell (WBC) counts were higher in the first eight hours (mean, 14.1×109/L), on postoperative day 1 (mean, 12.2× 109/L), and postoperative day 3 (mean, 9.8 × 109/L) compared to the preoperative levels (mean, 7.7 × 109/L). The increases in WBC counts at the 8-h postoperative, first postoperative day, and third postoperative day were significant (p = 0.000). The increase in the postoperative neutrophil percentage and the decrease in the postoperative lymphocyte percentage versus the preoperative value were statistically sig- nificant. The postoperative WBC counts of patients with anatomic resection showed a greater increase compared to the non-resection group. The post- operative third day WBC count was greater in cases with pneumonia than in those without infection. Discussion: These results suggest the presence of an increased inflammatory response in patients who underwent thoracotomy in our study. Postoperative changes in the number of WBC can be used to evalu- ate the risk of postoperative infection in patients undergoing thoracotomy for resection.


Thoracotomy; Leukocyte; Inflammation; Infection; Neutrophil

Corresponding Author: Hatice Eryiğit, Göğüs Cerrahisi Kliniği, Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, 34890 Kartal, Istanbul, Türkiye.
T.: +90 2164413900/1517 GSM: +905334782608 F.: +90 2163520083 E-Mail: haticeeryigit@hotmail.com, haticeeryigit@gmail.com

How to cite this article: Eryiğit H, Ünaldı M, Özer KB, Çardak ME, Demirhan R. The Role of Thoracotomy in the Postoperative Inflammatory Mechanism. Eu Clin Anal Med 2016;4(1): 1-4.

Multidetector Computed Tomography Findings of Craniosynostosis

Nesrin Atcı1, Hanifi Bayaroğulları1, Pınar Döner2, Alperen Kayalı1, Gülen Burakgazi1, Fatma Öztürk1, Sinem Karazincir1

1 Department of Radiology, 2 Department of Family Medicine, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey

DOI: 10.4328/ECAM.71


Aim: The aim of this study was to investigate the demographic character- istics and multidetector computed tomography (MDCT) findings of children with craniosynostosis. Material and Method: We retrospectively evaluated 30 patients admitted to our center with suspicion of craniosynostosis and who had undergone 64-slice MDCT scans. Results: Overall, 12 patients were di- agnosed with craniosynostosis in the study. The mean age was 11.9 months (2–24 months). The synostosis sites were metopic (n=4), coronal (n=4), sag- ittal (n=2), bilateral lambdoid (n=1), and metopic-coronal-lambdoid-sagittal (n=1). Discussion: Rapid scanning with MDCT minimizes image degradation from patient movement, especially in children. Three-dimensional CT still has a place in the evaluation of patients with skull deformities and potential craniosynostosis.


Children; Craniosynostosis; Computerized Tomography; Suture

Corresponding Author: Nesrin Atcı, Department of Radiology, Medical Faculty of the Mustafa Kemal University, Hatay, Turkey.
GSM: +905052526497 T.: +90 3262291000 (3373) F.: +90 3262455654 E-Mail: nesrinatci@gmail.com

How to cite this article: Atcı N, Bayaroğulları H, Döner P, Kayalı A, Burakgazi G, Öztürk F, Karazincir S. Multidetector Computed Tomography Findings of Craniosynostosis. Eu Clin Anal Med 2016;4(1): 5-8.

Case Report

A Rare Complication After Laparoscopic Appendectomy: Stump Appendicitis

Mehmet Tolga Kafadar1, Metin Yalaza2, Gürkan Değirmencioğlu1

1 Department of General Surgery, Faculty of Medicine, Turgut Özal University, Ankara, 2 Department of General Surgery, Division of Surgical Oncology, Konya Training and Research Hospital, Konya, Turkey

DOI: 10.4328/ECAM.66


Stump appendicitis is defined as re-inflammation of residual appendix tissue after incomplete appendectomy. Clinically, it presents with acute abdominal pain. Early diagnosis is vital for avoiding potential complications. A history of appendectomy lowers clinical suspicion and increases morbidity. Stump appendicitis should be considered as the diagnosis in patients with appendectomy presenting with lower right quadrant pain and signs of peritonitis. In this paper, we report a 51-year-old patient who was admitted to emergency department with signs of acute abdo- men and diagnosed with stump appendicitis at laparoscopic examination 1 month after undergoing laparoscopic appendectomy operation. In addition to patient history and physical examination, abdominal tomography plays an important role in the diagnosis of stump appendicitis.


Acute Abdomen; Stump Appendicitis; Laparoscopic Appendectomy

Corresponding Author: Mehmet Tolga Kafadar, Department of General Surgery, Turgut Özal University, Faculty of Medicine, Beştepe, Emek 06510 Ankara, Turkey. T.: +90 3122035555 GSM: +90532 5090682 F.: +90 3122213670 E-Mail: drtolgakafadar@hotmail.com

How to cite this article: Kafadar MT, Yalaza M, Değirmencioğlu G. A Rare Complication After Laparoscopic Appendectomy: Stump Appendicitis. Eu Clin Anal Med 2016;4(1): 9-11.

Review Article

An Overview of Eosinophilic Lung Diseases

Nesrin Ocal1, Ramazan Ocal2, Deniz Dogan1

1 Department of Chest Diseases, Gulhane Military Medical Faculty, 2 Department of Hematology, Faculty of Medicine, Gazi University, Ankara, Turkey



Eosinophilic lung diseases describes a variety of lung diseases which can be idiopathic (simple pulmonary eosinophilia, acute eosinophilic pneumonia and chronic eosinophilic pneumonia and hypereosinophilic syndrome), secondary to various clinical entities (to drugs, parasites, fungal infections, irradiation or toxic product) or associated with diffuse lung diseases (connective tissue diseases and some neoplasms). Asthma, which is the most common cause of pulmonary eosinophilia, is frequently concomitant and can be a prerequisite, as in allergic bronchopulmonary aspergillosis (ABPA) and Churg-Strauss syndrome. Herein, we aimed to review the clinical findings and differential diagnosis of eosinophilic lung diseases.


Eosinophilic Lung Disease; Eosinophilia; Differential Diagnosis

Corresponding Author: Nesrin Ocal, Department of Chest Diseases, Gulhane Military Medical Faculty, Ankara, Turkey.
GSM: +905055044715 E-Mail: nesrinbaygin@yahoo.com

How to cite this article: Ocal N, Ocal R, Dogan D. An Overview of Eosinophilic Lung Diseases. Eu Clin Anal Med 2016;4(1): 12-5.