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    Cranial Subdural Hematoma Following Spinal Anesthesia: Case Report
    (2017) Gül, Mehmet; Ayrancı, Mustafa Kürşat; Güner, Hakan; Medni, Mohamed Refik; Cander, Başar
    Although post dural puncture headache is the most common complication of spinalanesthesia, subdural hematoma is a rare complication. The mortality would be high if untreated. Inthis case, a patient of 28 years old presented to our emergency department with headache after cesarean section performed with spinal anesthesia 20 days prior. She had received analgesic drugtreatment for post dural puncture headache. Despite treatment, she presented to our emergency department for unresolved headache. A subdural hematoma was detected using a brain computed tomography (CT) because of complaint of double vision accompanied by headache. For headacheoccurring after spinal anesthesia without response to medical therapy, subdural hematoma shouldbe considered.
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    Diagnostic Value of Adropin Levels in Acute Pulmonary Embolism Patients
    (Galenos Publ House, 2020) Ayranci, Mustafa Kursat; Gul, Mehmet; Sonmez, Leyla Ozturk; Aydemir, Fatma Humeyra Yerlikaya; Medni, Mohamed Refik
    Aim: This study aimed to evaluate the relationship between serum adropin levels in patients with acute pulmonary embolism (PE). Materials and Methods: Patients pre-diagnosed with PE based on computed tomographic pulmonary angiography findings and not fulfilling any of the exclusion criteria were included in the PE group. An identical number of participants with comorbidities similar to those of the PE group were included in the control group. These patientswere selected from those who had been referred to the emergency department and were not considered to have PE based on clinical symptoms and risk scores. Results: Serum adropin levels were found to be high in the PE group. Although the adropin values were high in the case of all comorbidities, the values significantly elevated only in patients with hypertension, acute ischaemic stroke, and previous history of PE. The adropin values were quite different among the Wells score categories, and the mean adropin levels varied significantly between the PE and control groups. Conclusion: In this study, the plasma adropin levels were significantly high in patients with acute PE and exhibited high positive predictivity, sensitivity, and specificity in detecting PE.
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    Warfarin Therapy Induced a Rare Complication: Spontaneous Intramural Hematoma of the Jejunum: Case Report
    (2017) Arslan, Hanifi; Gül, Mehmet; Başar, Cander; Güner, Hakan; Medni, Mohamed Refik
    Warfarin is an oral anticoagulant drug that prevents clotting, used in treating many diseases as well as prophylaxis. Despite its widespread use and efficacy, it may lead to a wide range ofadverse effects, mainly bleeding, due to its quite narrow therapeutic index and interaction withother medications. Most commonly, it may result in epistaxis, hematuria and subcutaneous hemorrhage. In addition, it is likely to cause bleeding in the gastrointestinal tract, soft tissues, and cerebral region. It is rare to develop intramural hematoma in the jejunum resulted from warfarintoxicity. Here, we present a case admitted to the emergency department with abdominal pain, anddiagnosed with intramural hematoma after physical examination, laboratory findings and imaging.Emergency physicians should consider intestinal hematoma as differential diagnosis in patientsusing warfarin and presenting with abdominal pain.