Aim: It is aimed to determine the incidence, types and distributions according to maternal age of congenital anomalies among labor in the Department of Obstetrics and Gynecology, Yuzuncu Yil University Faculty of Medicine between 2004 and 2008. Methods: The 7788 births between 2004 and 2008 in our hospital were studied retrospectively and malformation incidence, types of these, percentages of seen rate as isolated and multiple and their distributions according to maternal age were determined. Results: Eighty seven fetus with anomalies were detected. It was determined that the incidence of fetus with congenital malformations was 1.12 %, the most common isolated congenital anomaly was anencephaly. The isolated malformations were 74.7 % of all anomalies and rest were multiple. The fetus with congenital anomaly were detected the most frequently in 21-30 age group mothers, although it was detected rarely in mother’s pregnancy in over 40 age (respectively 52.9% and 4.6%, p<0.05). Conclusion: In our study, the incidence of congenital malformation in Van region was 1.12 %. The difference of this study, congenital malformations were determined more frequently in younger pregnant women according to older. Further studies are necessary to investigate about the topic associated with fecundity composition which is peculiar to the region.

Aim: The obstruction of anal sinuses causes an abscess formation on the intersphincteric plane and leads to intersphincteric, perianal, ischiorectal and supralevator abscesses by spreading in different ways. Endoanal ultrasonography (EAUS) is being utilized more frequently for the detection of abscess localization in the last 10-20 years. In this study, we aimed to introduce our results with EAUS which had been performed on the patients upon a suspicion of anorectal abscess at the physical examination. Methods: Between June 2006-October 2008, the patients applying to our center with fever, anal pain and swelling at the anal region and thought initially to have a suspicious anorectal abscesses at the physical examination, were treated after the detection of type and localization of the abscess with EAUS. Results: A total of 53 patients (45 male, 8 female) were evaluated and the mean age was 37,2 (21-71) years. Perianal abscess in 12 patients (%22,6), ischiorectal abscess in 10 patients (%18,9), intersphincteric abscess in 19 patients (%35,8), supralevator abscess in 6 patients (%11,3) and submucosal abscess in 3 patients (%5,7) were detected by performing EAUS. No abscess was detected in 3 patients (%5,7). The surgeries of the patients whose abscesses had been identified according to their types and localizations were performed, accordingly. The median follow up period was 11 (4-24) months. Conclusion: Experience of the surgeon, possibilities of the hospital, history and expectations of the patient, localization and relationship with surrounding tissue of the abscess are effective at deciding the surgical procedure in anorectal abscesses.

Objectives: Long QT syndrome (LQTS) is a rare inherited disease and is more frequent among children with congenital deafness. Compared to healthy subjects QT duration has been reported to be longer in children with congenital deafness. In this study, frequency of LQTS, QT duration and dispersion were investigated in children with congenital deafness living in Van and surrounding area. Methods: 129 children with congenital deafness and 50 healthy children were evaluated with 12-lead ECGs and QTc duration and dispersion (QTcD) were measured. Schwartz criteria were used to identify LQTS. Children with congenital deafness were reevaluated 2 years later. Results: LQTS was defined in 1 (%0.8) child and maximum QTc (Qtc-max) was >430 ms in 16 (%12.4) children. Compared to healthy control group mean QTc-max and QTcD were significantly increased in deaf children (397.8±26.6 vs. 384.9±19.2 ms, p<0.001 and 40.5±8.4 vs. 33.5±4.6 ms, p<0.001). After two years, no clinical event was developed and there were no significant change in ECG findings. Conclusion: QTc-max and QTcD may be prolonged in children with congenital deafness. However, clinical relevance of this finding is not clear. Although rare, LQTS may be found in these children.

disorders are common. Retinal ischemia often occurs due to thrombosis or embolism of the central retinal arteria. Our aim was to present a case with retinal artery occlusion, acute ipsilateral cerebral ischemia and atrial septal defect. A 45 years old male patient with right total vision loss had admitted. Neurological examination was completely normal except the vision loss at the right. Echocardiography detected the presence of atrial septal defect. Acute infarct regions were determined in the right parietooccipital lobe and right thalamus by diffusion and cranial magnetic resonance imaging, and occlusion in the right central retinal artery by fundus angiography. The patient has been treated with anticoagulation for six months and his total vision loss was persisted. This report implicate that patients with both cerebral infarct and retinal ischemia should be examined in detail by a cardiologist.

Retropharyngeal abscess is a rare but an important cause of airway obstruction in childhood period. Early diagnosis and maintenance of airway opening, lead to the possibility of surgical intervention. In the present report, a 2.5 month-old male infant was reported who had respiratory distress symptoms and was diagnosed to have retropharyngeal abscess.

Lipid embolism occurs due to free lipid molecules which are derived from soft tissue and bone marrow during serious direct surgical or soft tissue trauma. A morbid obese and diabetic patient who has lumbar disc hernia had been operated. L5-S1 discectomy + Posterior L5 osteotomy + Bilateral L4 laminectomy + stabilization operation was done. During stabilization with titanium plate, the patient had cardiac arrest. Even the resuscitation had been done, the patient died. Autopsy was done to search the cause of death. At the autopsy, the only positive sign was diffuse lipid embolism in the lungs. In conclusion, care should be taken to avoid lipid embolism during the spinal operations of diabetic and obese patients. If the patient dies, an autopsy must be done to determine the cause of death.