Clinical observations of turnstile syndrome 

Elena V. Verchenko, Senior lecturer of the sub-department of surgery, urology and pediatric surgery, Medical Institute, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: ve_elena@list.ru
Elena G. Feoktistova, Candidate of medical sciences, associate professor, associate professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: eyutkina@bk.ru
Leonid I. Pogozhev, Pediatric surgeon, Penza Regional Children’s Clinical Hospital named after N.F. Filatov (43 Bekeshskaya street, Penza, Russia), E-mail: Pogozhev.60@mail.ru
Tat'yana N. Glukhova, Pediatric surgeon, Penza Regional Children’s Clinical Hospital named after N.F. Filatov (43 Bekeshskaya street, Penza, Russia), E-mail: gluhovatn1994@yandex.ru
Zufyar L. Yangurazov, Pediatric surgeon, Penza Regional Children’s Clinical Hospital named after N.F. Filatov (43 Bekeshskaya street, Penza, Russia), E-mail: Yangurazov56@mail.ru 

Background. Turnstile syndrome is a rather rare pathology, which significantly complicates diagnosis, as a result of which it is characterized by severe consequences. The purpose of our work is to analyze clinical manifestations, assess the difficulty of diagnosis and analyze the complications that have arisen in the untimely treatment of turnstile syndrome in children. Materials and methods. The analysis of Russian and foreign literary sources of the causes of turnstile syndrome, its occurrence in the world and in the Penza region, the features of the clinic and diagnosis are considered. Two clinical cases of 50-day toe strangulation in a 6-month-old child and turnstile syndrome of the clitoris in a 10-yearold girl in the outpatient practice of a pediatric surgeon are given. The description of the treatment tactics of these patients is given. Results. If edema and hyperemia of any part of the body are detected, as well as if there is a trace of compression of soft tissues, it is always necessary to consult a surgeon with suspected turnstile syndrome. Clinical alertness with regard to turnstile syndrome will help to choose the right tactics for the diagnosis and treatment of the patient and prevent serious complications. 

turnstile syndrome, the cone-shaped shape of the finger, pediatric surgeon, acute finger ischemia, strangulation, childhood 

Verchenko E.V., Feoktistova E.G., Pogozhev L.I., Glukhova T.N., Yangurazov Z.L. Clinical observations of turnstile syndrome. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2023;(4):42–52. (In Russ.). doi: 10.21685/2072-3032-2023-4-5