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Öğe Distant adenocarcinoma metastasis to internal jugular vein from unknown origin case report(2010) Ender Topal A.Jugular vein distention as a neck mass is seen rarely and mostly the cause is tumoral invasion or intravascular trombosis. Tumoral invasions occur through metastatic lymph nodes or regional tumors. Distant neoplasms may cause also trombosis by creating coagulopathy or by pressure of lymphadenopathy. In this case, internal jugular vein was distended due to metastatic adenocarcinoma whose origin has not been found. There was not metastatic lymph node, regional tumor or intravascular trombosis. In English literature, no distant metastasis to jugular vein has been reported and from this aspect, this case may be the first one. As a conclusion, jugular vein occlusions must not be interpreted directly in favor of thrombus, even in the absence of regional primary tumor or metastasis, and in case of any doubts, further tests must be performed. Copyright © 2010 by Türkiye Klinikleri.Öğe Ventricular septal defectas a consequence of stab wound: Two-year follow-up without repair: Case report(2010) Ender Topal A.; Eren M.N.; Iltümür K.; Gümüş H.Many cases with penetrating cardiac injury are later diagnosed to have suffered injury also to one of the intracardiac structures, mostly interventricular septum. Even ventricular septal defect (VSD) was diagnosed preoperatively, immediate repair is not recommended unless intractable heart failure develops as VSD can shrink or even spontaneously close with time. We present a case of traumatic VSD whose VSD was diagnosed on the postoperative fifth day. He was followed up along two years without repair. Although defect size has enlarged, pulmonary-to-systemic blood flow ratio decreased to 0.94 from 1.4. It may be recommended that if a patient is asymptomatic there is no point in insisting on immediate VSD repair. Copyright © 2010 by Türkiye Klinikleri.
