Background: The diagnostic value for chest CT has been widely established in patients with COVID-19. However, there is a lack of satisfactory data about the prognostic value of chest CTs. This study investigated the prognostic value of chest CTs in COVID-19 patients. Materials and Methods: A total of 521 symptomatic patients hospitalized with COVID-19 were included retrospectively. Clinical, laboratory, and chest CT characteristics were compared between survivors and non-survivors. Concerning chest CT, for each subject, a semi-quantitative CT severity scoring system was applied. Results: Most patients showed typical CT features based on the likelihood of COVID-19. The global CT score was significantly higher in non-survivors (median (IQR), 1 (0–6) vs. 10 (5–13), p < 0.001). A cut-off value of 5.5 for the global CT score predicted in-hospital mortality with 74% sensitivity and 73% specificity. Global CT score, age, C-reactive protein, and diabetes were independent predictors of in-hospital mortality. The global CT score was significantly correlated with the C-reactive protein, D-dimer, pro-brain natriuretic peptide, and procalcitonin levels. Conclusion: The global CT score could provide valuable prognostic data in symptomatic patients with COVID-19.

Gallstone ileus is a rare form of mechanical intestinal obstruction. It is associated with high mortality and morbidity in the elderly population. The treatment of gallstone ileus includes more than one surgical option and it is appropriate to determine the surgical technique according to the general condition of the patient. In our case report, we present an 83-year-old patient who was admitted to the emergency room due to nausea and vomiting, was diagnosed with gallstone ileus, and had a cardiac arrest just before surgery. The patient management and the following surgical approach are also explained in detail.

Objective: The study aimed to determine the necessity of performing computed tomography (CT) scans in infants with head trauma because of falls because of concerns regarding radiation exposure by evaluating the hospitalisation rates. Materials and Methods: The present study included 1060 patients who underwent cranial CT in the emergency department owing to a pediatric fall between 2018 and 2022. Two patients were excluded due to treatment refusal. Skull fractures, their characteristics, associated skin findings, and intracranial hemorrhage on CT scans and patients’ demographic features (age & sex), medical history, and hospitalisation rates were investigated. Results: Of the 1058 patients with head trauma who presented to the emergency department in the secondary care centre, fractures were detected in only 28 patients. Of these patients, 1.8% were treated as inpatients. Subdural hematomas and epidural hematomas were detected in 10.7% (n=3) and 7.1% (n=2) of patients with fractures, respectively. Furthermore, subdural hematomas and epidural hematomas were detected in 0.3% and 0.2% of trauma admissions, respectively. Conclusions: In conclusion, positive CT findings and a low percentage of patients requiring hospitalisation stand out in the patients examined. Therefore, care should be taken when requesting tomography between the ages of 0-2.

Mirizzi sendromu safra kesesi taşına bağlı gelişen ve nadir görülen bir komplikasyondur. Mirizzi sendromu olan hastanın abdomen cerrahisi sırasında inflame kese ve kese kanalının yaralanma riski olduğu için preoperatif tanı konulması çok önemlidir. Ancak patognomonik görüntüsü olmadığı için, modern görüntüleme tekniklerine rağmen preoperatif tanı konulması zordur. Bu nedenle çoğu zaman intraoperatif tanı koyulur. Tedavisi cerrahidir. Bu yazıda titremeyle yükselen ateş nedeniyle hastaneye başvuran 85 yaşındaki erkek hasta sunulmuştur. Tekrarlayan ateş atakları nedeniyle hastaneye yatırılan hastanın, antibiyotik kullanımı sırasında ateş yüksekliğinin gelişmesi sonucu intravenöz kontrast madde verilerek çekilen magnetik rezonans görüntüleme sonrası hastaya Mirizzi sendromu tanısı konulmuş ve hasta tedavi edilmiştir.