Kızılgöz, Volkan; Başbuğ, Hamit Serdar

Congenital vascular malformations are rare anomalies resulting from an inborn error during the vascular network development. They\rare rare inborn lesions characterized by deficient smooth muscle layer leading to vascular dilatation with impaired functions. Congenital vascular\rmalformations may occur in a spectrum of clinical presentation ranging from ectasia or varicosity to a more complicated lesion that can affect\rany organ system. Although they are present at birth, they grow proportionally during childhood and adolescence, becoming clinically evident\rlater in life. The symptoms differ depending on location, extension, and size. They may bleed and result in disfigurement, functional impairment,\rand pain. In this case report, successful surgical treatment of a child with a congenital vascular malformation in his right leg was presented. This\rcase and its detailed intraoperative and radiological images are original as there is no similar example in the available literature.

Üçpunar, Hanifi; Baydar, Mehmet; Öztürk, Kahraman

Finger jammed in a ring or a circular metal piece may lead to a variety of injuries fromsimple dermabrasion to amputation. The most important stage of the treatment in these injuriesrelies on the comfortable removal of the ring, causing minimum soft tissue injury possible. In ourstudy, we aimed to present the treatment of a six-year-old boy presented to our emergency wardwith his thumb jammed in a door knob at the proximal phalanx level. The injury was classified asStage 1 according to the Urbaniak classification. As the injury was thought to be superficial, gentlerelease of the finger was attempted for an hour in the emergency ward, consequent to elevation andcold application. Following the failure of our attempt and a slight leaking of blood, the door knobwas removed using a metal cutter under general anesthesia and operating room conditions. Manipulations might increase the probability of facing an iatrogenic neurovascular injury in cases similar to that in our study. The selection of the safest and reliable method may be of great importancein avoiding iatrogenic injuries in such cases.

Koc, Ural; Özkaya, Mehmet Okan

Hymen imperforatus occurs unless the central hymenal part ruptures in perinatal period and incidence rate is 0.1% at term birth. Unless diagnosed at prenatally or perinatally, imperforate hymen cases are generally asymptomatic until puberty. Utero-vaginal secretions can be collected if the passage of vaginal introitus interrupted by such a condition like imperforate hymen. Rarely, the collections may be infected and pyocolpos, pyometra or pyocolpometrasalpingitis can occur. Five years-old girl with multiple collections due to imperforate hymen was presented by sonographic and clinical findings. However, imperforate hymen is diagnosed by physical examination, it can not be recognized unless a detail genital examination is done. It should be reminded that this type of cases can be presented with complications before the puberty.