Mahir Sahin - Academia.edu (original) (raw)

Papers by Mahir Sahin

Advances in Therapy, 2007

This study was undertaken to evaluate the use of computed tomography pulmonary angiography (CTPA)... more This study was undertaken to evaluate the use of computed tomography pulmonary angiography (CTPA) in patients with pulmonary embolism (PE) who were followed in the emergency department (ED). The files and computer records of 850 patients older than 16 years of age who were seen in the Hacettepe University Hospital ED between April 10, 2001, and December 1, 2005, and who required CTPA for PE prediagnosis and/or another diagnosis, were studied retrospectively. PE was identified by CTPA in 9.4% of 416 women and in 5.8% of 434 men. A significant difference (P<.05) was noted in the women and men in whom PE was detected. The mean age of the patients was 58.13±17.88 y (range, 16-100 y). Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for clinical susceptibility to PE among patients who underwent CTPA were assessed at 95.3%, 48.2%, 13%, and 99.2%, respectively. CTPA was done for different reasons: aortic aneurysm dissection (n=1), cough distinctive diagnosis (n=1), dyspnea distinctive diagnosis (n=6), chest pain distinctive diagnosis (n=3), PE prediagnosis (n=51), and other reasons (n=2). Also, sensitivity, specificity, PPV, and NPV were found to be 95.4%, 16.2%, 14.4%, and 96%, respectively, for D-dimer. CTPA, which is accessible on a 24-h basis in the ED, is a valuable tool for the diagnosis of PE.

Asian Journal of Surgery

The most common causes of acute gastric outlet obstruction (GOO) are duodenal and type 3 gastric ... more The most common causes of acute gastric outlet obstruction (GOO) are duodenal and type 3 gastric ulcers. However, mechanical or functional causes may also lead to this pathology. Acute GOO is characterized by delayed gastric emptying, anorexia, or nausea accompanied by vomiting. Herein we report a 56-year-old man diagnosed with GOO secondary to paraesophageal hiatal herniation of gastric antrum after laparoscopic fundoplication. Because of the rarity of this disease, common gastrointestinal complaints may mislead the emergency physician to diagnose a nonsurgical gastrointestinal disease if a detailed history and physical examinations are not obtained.

The American journal of emergency medicine

Rectus sheath hematoma is an uncommon and often misdiagnosed cause of acute abdominal pain. We re... more Rectus sheath hematoma is an uncommon and often misdiagnosed cause of acute abdominal pain. We report a patient with rapid-onset hemodynamically unstable rectus sheath hematoma in conjunction with receiving anticoagulation therapy. A 54-year-old woman was admitted to the emergency department, complaining with a 4-hour history of sudden severe right upper abdominal pain. She had been using warfarin and diltiazem. There was no finding at ultrasonography in admission. At the second hour of followup, re-examination revealed an elongated tender mass in the right abdomen and little bluish discoloration at the same area, and Hb and Hct levels had dropped and the patient become hemodynamically unstable. Abdominal computed tomography showed the mass correlated with anatomic position of the rectus sheath. Rectus sheath hematoma may occur more frequently than previously described in relatively elderly patients. The classic signs of localized tenderness or mass with a characteristic history of straining may be completely absent. The diagnosis can be made confidently by urgent computed tomography scanning especially in patients without mass; ultrasonography may miss the diagnosis in early stages. www.elsevier.com/locate/ajem 0735-6757/$see front matter

Asian Journal of Surgery, 2013

The American Journal of Emergency Medicine, 2011

The American Journal of Emergency Medicine, 2009

Entire pneumorrhachis due to isolated head trauma Abstract Air contained within the spinal canal ... more Entire pneumorrhachis due to isolated head trauma Abstract Air contained within the spinal canal is termed pneumorrhachis, and very rarely, traumatic pneumocephalus can cause pneumorrhachis. Pneumorrhachis can be classified as epidural or subarachnoid space pneumorrhachis.

This study was undertaken to evaluate the use of computed tomography pulmonary angiography (CTPA)... more This study was undertaken to evaluate the use of computed tomography pulmonary
angiography (CTPA) in patients with pulmonary embolism (PE) who were
followed in the emergency department (ED). The files and computer records of
850 patients older than 16 years of age who were seen in the Hacettepe University
Hospital ED between April 10, 2001, and December 1, 2005, and who required
CTPA for PE prediagnosis and/or another diagnosis, were studied retrospectively.
PE was identified by CTPA in 9.4% of 416 women and in 5.8% of 434 men. A significant
difference (P<.05) was noted in the women and men in whom PE was
detected. The mean age of the patients was 58.13±17.88 y (range, 16–100 y).
Sensitivity, specificity, positive predictive value (PPV), and negative predictive
value (NPV) for clinical susceptibility to PE among patients who underwent CTPA
were assessed at 95.3%, 48.2%, 13%, and 99.2%, respectively. CTPA was done
for different reasons: aortic aneurysm dissection (n=1), cough distinctive diagnosis
(n=1), dyspnea distinctive diagnosis (n=6), chest pain distinctive diagnosis (n=3),
PE prediagnosis (n=51), and other reasons (n=2). Also, sensitivity, specificity, PPV,
and NPV were found to be 95.4%, 16.2%, 14.4%, and 96%, respectively, for
D-dimer. CTPA, which is accessible on a 24-h basis in the ED, is a valuable tool
for the diagnosis of PE.

Advances in Therapy, 2007

Asian Journal of Surgery

The American journal of emergency medicine

Asian Journal of Surgery, 2013

The American Journal of Emergency Medicine, 2011

The American Journal of Emergency Medicine, 2009

This study was undertaken to evaluate the use of computed tomography pulmonary angiography (CTPA)... more This study was undertaken to evaluate the use of computed tomography pulmonary
angiography (CTPA) in patients with pulmonary embolism (PE) who were
followed in the emergency department (ED). The files and computer records of
850 patients older than 16 years of age who were seen in the Hacettepe University
Hospital ED between April 10, 2001, and December 1, 2005, and who required
CTPA for PE prediagnosis and/or another diagnosis, were studied retrospectively.
PE was identified by CTPA in 9.4% of 416 women and in 5.8% of 434 men. A significant
difference (P<.05) was noted in the women and men in whom PE was
detected. The mean age of the patients was 58.13±17.88 y (range, 16–100 y).
Sensitivity, specificity, positive predictive value (PPV), and negative predictive
value (NPV) for clinical susceptibility to PE among patients who underwent CTPA
were assessed at 95.3%, 48.2%, 13%, and 99.2%, respectively. CTPA was done
for different reasons: aortic aneurysm dissection (n=1), cough distinctive diagnosis
(n=1), dyspnea distinctive diagnosis (n=6), chest pain distinctive diagnosis (n=3),
PE prediagnosis (n=51), and other reasons (n=2). Also, sensitivity, specificity, PPV,
and NPV were found to be 95.4%, 16.2%, 14.4%, and 96%, respectively, for
D-dimer. CTPA, which is accessible on a 24-h basis in the ED, is a valuable tool
for the diagnosis of PE.