Survival in Operated Early and Local Advanced-Stage (IA-IIIA) Non-Small Cell Lung Cancer
Mahsuk Taylan, Sibel Arınç, Aysun Kosif Mısırlıoğlu, Mehmet Sinan Bodur, Selahattin Öztaş, Mevlut Karataş, ilim Irmak, Huseyin Arpag, Armağan Hazar
J Clin Exp Invest 2016;7(2):125-133.
https://doi.org/10.5799/ahinjs.01.2016.02.0584
Research Article
[Abstract]
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ABSTRACT
Objective: The early and local advanced stages (IA-IIIA) of non-small cell lung cancer (NSCLC) warrant the curative treatment approach of surgery. However, despite the surgical approach, survival depends on a number of factors. The aim of the study was to examine the factors that affect survival in operated NSCLC patients with these stages.
Methods: A cohort of 231 operated patients with IA, IB, IIA, IIB, and IIIA stages of NSCLC were analyzed. The effects of age, sex, comorbidity, performance status, histopathology of the tumor, T stage, N stage, pleural invasion, surgical resection type and postoperative resection margin invasion on the survival of the patients were examined with Kaplan-Meier and Cox Regression analyses.
Results: Advanced age (OR=1.042 for every passing year, CI=1.020-1.064), adenocarcinoma histopathology (OR=1.676 CI=1.178-2.384), N2 invasion (OR=2.389 CI=1.46-4.239), pleural invasion (OR=2.403 CI=1.569-3.678), resection margin invasion (OR=2.401, CI=1.141-5.048) and pneumonectomy as the type of surgical operation (OR=2.313, CI=1.467-3.647) were found to be independent prognostic factors of mortality.
Conclusion: Follow-up of the NSCLC cases with advanced age, an adenocarcinoma type, visceral pleural invasion, N2-lymph node invasion, a history of pneumonectomy, and a resection margin invasion should be undertaken more attentively during planning of surgical operation and postoperative period.
Keywords: Survival, mortality, performance score, operated, non-small cell lung cancer
Prognostic Value of Mean Platelet Volume and Platelet to Lymphocyte Ratio in Laryngeal Carcinoma
Beyhan Yılmaz, Engin Şengül, Murat Şereflican, Musa Özbay, Vefa Kınış, Aylin Gül, Fatma Teke, İsmail Topçu
J Clin Exp Invest 2016;7(2):134-138.
https://doi.org/10.5799/ahinjs.01.2016.02.0585
Research Article
[Abstract]
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ABSTRACT
Objective: In this study, we aimed to investigate whether platelet lymphocyte ratio (PLR) and Mean platelet volume (MPV) values can be used as prognostic and diagnostic markers in laryngeal cancer.
Methods: A total of 242 patients with laryngeal pathology were reviewed retrospectively. PLR, MPV and platelet values were compared in patients with benign and malignant pathologies. The correlation of PLR, MPV and platelet values of patients with malignant pathologies with their age, gender, smoking, alcohol use, degree of differentiation, and clinical stage was investigated.
Results: The PLR values were significantly higher in smokers (p=0.009), alcohol drinkers (p=0.001), clinical stage IV patients (p=0.001), and patients with poor differentiated laryngeal cancer (p=0.001), compared to nonsmokers, nonalcohol consumers, clinical stage III patients, and patients with well-differentiated laryngeal cancer. MPV values were significantly lower in patients with clinical stage IV (p=0.018), and poor differentiated (p=0.010), laryngeal cancer compared to patients with clinical stage III and well-differentiated laryngeal cancer. The PLR value was significantly higher in the malignant group than in the benign group (p<0.001).
Conclusion: Our results showed that PLR values can be used as diagnostic and prognostic factors and MPV values can be used as prognostic factors in laryngeal cancer.
Keywords: Platelet-lymphocyte ratio, mean platelet volume, prognostic marker, diagnostic marker, laryngeal carcinoma
Pars Plana Vitrectomy with Internal Limiting Membrane Peeling in Patients with Myopic Foveoschisis
Kemal Yuksel, Onur Olcucu, Ahmet Alperen Koc, Mesut Togac, Cengiz Alagoz, Ahmet Taylan Yazici
J Clin Exp Invest 2016;7(2):139-143.
https://doi.org/10.5799/ahinjs.01.2016.02.0586
Research Article
[Abstract]
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ABSTRACT
Objective: To report the clinical and surgical outcomes of patients with myopic foveoschisis (MF).
Methods: Thirteen eyes in ten symptomatic MF patients who underwent pars plana vitrectomy (PPV) and gas tamponade with internal limiting membrane (ILM) peeling were retrospectively identified. Best corrected visual acuity (BCVA) and central foveal thickness (CFT) were assessed preoperatively and six months postoperatively. Complications during and after surgery were also recorded.
Results: The median BCVA significantly improved from 20/160 to 20/100 (p = 0.03). In subgroup analysis, eight eyes (61%) demonstrated significant BCVA improvements from 20/80 to 20/50 (p < 0.001), whereas five eyes had similar BCVA with preoperative level after six months of surgery (p=0.32). The mean CFT decreased from 526 microns at baseline to 214 microns at six months of surgery (p < 0.001). Optical coherence tomography scans revealed a complete MF resolution in ten eyes (76%) and a partial MF resolution in three eyes. Peripheral retinal tear was developed in one patient during surgery and one patient had cataract after surgery, those were treated accordingly.
Conclusion: PPV with ILM peeling followed by gas tamponade is a safe and effective procedure for the treatment of eyes with myopic foveoschisis. Larger studies with longer follow-ups will further establish the efficacy and safety of this procedure.
Keywords: Myopic foveoschisis, retinoschisis, macular hole, internal limiting membrane
Evaluation of the Pain and Foot Functions in Women with Hallux valgus deformities
Burcu Talu, Tuba Tülay Koca, Kezban Bayramlar, Gül Öznur Karabıçak
J Clin Exp Invest 2016;7(2):144-149.
https://doi.org/10.5799/ahinjs.01.2016.02.0587
Research Article
[Abstract]
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ABSTRACT
Objectives: The aim of this study was to investigate whether deformity affects pain and associated functional status in women with hallux valgus (HV).
Methods: The study included 27 women (mean age: 40.5±10.3 years) diagnosed with HV and with a deformity level of two or more as determined using the Manchester scale. Demographic data of the participants were recorded. In addition, Visual Analog Scale (VAS) was used to determine the intensity of pain during walking. To determine the function affected by pain and deformity, Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society MTP-IP (AOFAS MTP-IP) Scale along with AOFAS Midfoot (MF) Scale were used.
Results: Based on the study results, we determined a statistically significant relationship between foot function and pain among our patients (p<0.05). These significant relationships were observed between the pain and total scores of the Foot Function Index (p<0.05), the pain parameter of AOFAS MTP-IP and the pain and total scores of AOFAS midfoot-pain scale (p<0.05).
Conclusion: It was concluded that when assessing and planning treatment for hallux valgus, all health professionals dealing with foot health, pathologies, deformities and treatment should consider the patient as a whole, bearing in mind that pathologies can affect not only the perceived symptoms of individuals, but also their normal functions through various physical and social limitations.
Keywords: Foot, hallux valgus, pain, function
Nocturnal Enuresis Frequency in Children and Anxiety-Depression Risks of Parents
Ahu Demirci, İsmail Kasım, Esra Meltem Koç, Hilal Aksoy, Rabia Kahveci, Ömer Ertem, İrfan Şencan, Ali Atan, Oğuz Tekin, Adem Özkara
J Clin Exp Invest 2016;7(2):150-156.
https://doi.org/10.5799/ahinjs.01.2016.02.0588
Research Article
[Abstract]
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ABSTRACT
Objective: In this study, we aimed to detect the prevalence of the monosymptomatic nocturnal enuresis (MSE) in the children attended to our clinics and to detect the relationship between enuresis and social tendencies, anxiety and depression risks of the parents.
Methods: Our study was performed with 133 children aged between 5-16 years and with their parents who admitted to Ankara Numune Training and Research Hospital outpatient clinics. The children’s MSE were confirmed with voiding dysfunction scoring system scale. For the parents Hospital Anxiety and Depression Scale and Fatih Social Tendencies Scales (FSTS) were conducted.
Results: MSE frequency was found as 37.6% (n=50). Enuresis was observed more frequently in the crowded families with low socioeconomic status and low parent education level. Risk of MSE in children was found to be increased 5.5 times in whom parents have also MSE. High depression score of father was found to be related with MSE in child (p=0.038).
Conclusion: Enuresis is a condition that decreases the life quality of the children and their parents and increases the level of anxiety. Family physicians have important mission for prevention of the disease related with their biopsychosocial approach.
Keywords: Enuresis, anxiety, depression, social tendencies
Perinatal Outcomes in Advanced Age Pregnancies
Ertuğrul Yılmaz, Özgür Aydın Tosun, Nazan Tarhan, Reyhan Ayaz, Abdulkadir Turgut, Ateş Karateke
J Clin Exp Invest 2016;7(2):157-162.
https://doi.org/10.5799/ahinjs.01.2016.02.0589
Research Article
[Abstract]
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ABSTRACT
Objective: The aim of this study is to evaluate the impact of advanced maternal age on pregnancy outcomes
Methods: A retrospective analysis of 951 birth registry records of Zeynep Kamil Hospital, were analyzed between January 2003 and December 2007. Study group was made up of women ≥40 years old and control group was made up of women younger than 40 years.
Results: Mean maternal age was 41.48 years in the study group and 26.41 years in the control group. Mean gestational age at the time of delivery is 37.73 weeks in study group and 38.10 weeks in the control group. There was no statistical difference in terms of preterm delivery, multiple pregnancy, fetal anomaly, IUGR, superimpose preeclampsia oligohidramnios, presentation anomaly and placenta previa rates between the study and control groups. Incidence of preeclampsia (p=0.041), Chronic hypertension (p=0.001), GDM (p= 0.003),is found to be higher in study group. Cesarean birth rate is higher (p<0.05) and hospitalization time is longer in study group (p=0.001). 1st minute and 5th minute APGAR scores of the study group (6.99±2, 8.27±2) was lower than the 1st minute and 5th Minutes APGAR scores of the control group (7.38±1.6, 8.58±1.7). Neonatal intensive care unit administration rate is seen also higher in study group (p<0.01).
Conclusion: Advanced maternal age was related to increased pregnancy complications and poor perinatal outcome. Preeclampsia, GDM, chronic hypertension is seen more common in advanced age pregnancies. Neonatal intensive care administration is higher and APGAR scores are lower; cesarean delivery was performed more common, and hospitalization time was longer in advanced age pregnancies.
Keywords: perinatal outcome, advanced age pregnancy, pregnancy outcome
Relationship between Plasma Levels of Homocysteine and Pro-Inflammatory Cytokines in Patients with Rheumatoid Arthritis
Ayse Balkarli, Sezgin Tekintürk, Bünyamin Kaptanoğlu, Veli Çobankara
J Clin Exp Invest 2016;7(2):163-167.
https://doi.org/10.5799/ahinjs.01.2016.02.0590
Research Article
[Abstract]
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ABSTRACT
Objective: The aim of the study was to investigate levels of homocysteine (Hcy), folate, vitamin B12, interleukin-6 (IL-6) and Tumor necrosis factor-alpha (TNF-α) and to assess relationship between Hcy levels and inflammatory mediators including IL-6 and TNF-α in untreated patients with rheumatoid arthritis (RA).
Methods: The study included 55 women including 30 newly diagnosed and untreated female RA patients and 25 age-matched healthy individuals as controls.
Results: Erythrocyte sedimentation rate (ESH), C-reactive protein (CRP), IL-6 and TNF-α levels were significantly higher in RA patients than controls (p<0.05). Homocysteine levels were higher in RA group when compared to controls; however, folate and vitamin B12 levels were not different between groups (p>0.05). There were no significant correlations between Hcy levels and acute phase reactants or inflammatory mediators (p>0.05).
Conclusion: Both mediators such as IL-6 and TNF-α and hyper-homocysteinemia are associated with atherosclerotic cardiovascular diseases. There was no significant correlation between Hcy levels and inflammatory mediators, although levels of these molecules were elevated in RA. Both inflammatory mediators and Hcy may cause an increase in atherosclerotic cardiovascular disorders through diverse pathways.
Keywords: Rheumatoid arthritis, IL-6, homocysteine, TNF- α
Treatment Outcomes of Subureteric Injection and Ureteroneocystostomy in Children with Vesicoureteral Reflux
Serkan Arslan, Mustafa Kucukaydin
J Clin Exp Invest 2016;7(2):168-173.
https://doi.org/10.5799/ahinjs.01.2016.02.0591
Research Article
[Abstract]
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ABSTRACT
Objective: This study was designed to evaluate patients treated with subureteric injection (STING) and ureteroneocystostomy by the Lich-Gregoir technique (LGT) due to vesicoureteral reflux (VUR) in terms of radiologic, scintigraphic images, laboratory findings and bladder functions and determine the effectiveness of both treatment modalities.
Methods: A total of 106 patients, who were treated with STING and ureteroneocystostomy between January 2002-2010 were investigated. Patients’ age, gender, complaints at presentation, bladder function impairment, laboratory outcome and radiologic and scintigraphic findings were retrospectively examined. The relationship among VUR grades and pelvicalyceal ectasia, scars, treatment modalities and outcome were evaluated.
Results: Left VUR was found in 68(64%) and right VUR in 38(36%) of the patients. The most common level of VUR was Grade III (42 patients, 40%). Additional urologic pathologies were found in 60 of the 106 of patients (57%). Pelvicalyceal ectasia was found in 44 (42%) and scars were seen in dimercaptosuccinic acid (DMSA) in 54 (51%) of the patients. In total 86 (81%) of 106 patients with VUR recovered completely and 20 (19%) patients with VUR regressed.
Conclusion: STING is a good alternative especially for patients with low grade VUR. However, it has some drawbacks, such as requiring a long follow-up period, having a lower rate of success compared to open surgery and being less effective in patients with high grade VUR. Ureteroneocystostomy (LGT) is a method with less morbidity and a high success rate, especially in the treatment of patients with higher grade VUR.
Keywords: Children, vesicoureteral reflux, reflux nephropathy, subureteric injection, ureteroneocystostomy
Penile Fracture and False Penile Fracture: Is The Surgical Treatment Always Necessary?
Hacı Polat, Ugur Lök, Umut Gülactı
J Clin Exp Invest 2016;7(2):174-177.
https://doi.org/10.5799/ahinjs.01.2016.02.0592
Research Article
[Abstract]
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ABSTRACT
Objective: Penile fracture and “false penile fracture” are two emergent cases with similar clinical features. The differential diagnosis is important to avoid unnecessary surgery. In this study, we focused on understanding to distinguish between penile fracture and “false penile fracture”.
Methods: We retrospectively examined the clinicopathological features of 27 patients with a diagnosis of penile fracture and “false penile fracture” between June 2012 and June 2015.
Results: Twenty-two patients were diagnosed with penile fracture with 20 out of 22 patients undergoing surgical treatment with no complications. Conservative treatment was applied to two patients, however one patient developed erectile dysfunction. Five patients were diagnosed with “false penile fracture”. Two patients underwent surgical treatment and three patients underwent conservative treatment. There were no complications in the five patients.
Conclusion: We suggest that surgical treatment is needed for the treatment of penile fracture. However, there is no need to surgical exploration for treatment of “false penile fracture”. Conservative treatment is sufficient for “false penile fracture”.
Keywords: penile disease, penile fracture, complications, erectile dysfunction, urology, emergency
Evaluation of the Macular Thickness by Optical Coherence Tomography in Amblyopia
Suat Altındağ, Muhammed Şahin
J Clin Exp Invest 2016;7(2):178-183.
https://doi.org/10.5799/ahinjs.01.2016.02.0593
Research Article
[Abstract]
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ABSTRACT
Objective: To measure and compare macular thicknesses (MT) in patients that have amblyopia and control group eyes with optical coherence tomography (OCT) and to define OCT as an early diagnosis tool.
Methods: 27 patients having amblyopia associated strabismus classified as group 1, 18 patients having amblyopia associated anisometropia classified as group 2 and 45 healthy volunteers classified as group 3 were enrolled into the study. All participants were underwent into the full ophthalmological examination and were measured MT by OCT.
Results: There was a statistical significance between control group and group 1 in central MT (p=0.01). But there was no significant differences between areas as we divided the macular thicknesses other quadrants. When we compare group 2 and group 3 there was thinner statistical significance in temporal quadrants (p=0.04). There was no significant difference between the other quadrants and central MT (p<0.05). There was significant difference between group 1 and group 2 in central MT (p=0.03). No significant difference was found between group 1 and group 2 in other quadrants (p<0.05).
Conclusion: Changes in macular thicknesses in strabismic amblyopia measured by OCT shows that structural changes can develop in amblyopia. OCT gives hope as early diagnosis tool with the non-invasive feature in vivo.
Keywords: Amblyopia, macular thickness, optical coherence tomography
Evaluation of TNFRSF11B Gene Polymorphism in Patients with Acute Stroke
Pınar Çoğaş, Nevin Karakuş, Nurşah Başol, Serbulent Yiğit
J Clin Exp Invest 2016;7(2):184-189.
https://doi.org/10.5799/ahinjs.01.2016.02.0594
Research Article
[Abstract]
[PDF]
ABSTRACT
Objective: Tumor necrosis factor receptor superfamily, member 11b (TNFRSF11B) has been suggested to be a risk factor for atherosclerosis and cardiovascular diseases because of the observation of osteoporosis and vascular diseases together in human, and the high levels of serum TNFRSF11B in these patients in clinical trials. In this study, we aimed to investigate the association between TNFRSF11B gene 1181G˃C polymorphism and acute stroke as a cerebrovascular disease.
Methods: In this study, the DNAs of 107 acute stroke patients and 100 healthy controls have been analyzed by polymerase chain reaction (PCR) and restriction fragment length polymorphism (RFLP). Statistical analyses were performed by using chi-square and analysis of variance tests.
Results: When we compared the genotype and allele frequencies of patients and controls, any statistically significant differences was not found between them (p=0.476 and p=0.622, respectively). Any association also was not observed when demographical and clinical characteristics of patients was compared with TNFRSF11B gene 1181G˃C polymorphism (p>0.05).
Conclusion: As a result, our findings showed that there was no association between TNFRSF11B gene 1181G>C polymorphism and acute stroke. However, further studies can reveal more clearly whether there is a relationship between TNFRSF11B gene polymorphism and acute stroke in Turkish population.
Keywords: TNFRSF11B, acute stroke, polymorphism
Effect of a Single Intravitreal Ranibizumab Injection on Diabetic Macular Edema in Patients Who Discontinued Treatment
Erhan Yumusak, Murat Kücükevcilioglu, Kemal Ornek, Nesrin Büyüktortop
J Clin Exp Invest 2016;7(2):190-194.
https://doi.org/10.5799/ahinjs.01.2016.02.0595
Research Article
[Abstract]
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ABSTRACT
Objective: To evaluate the effect of a single dose of ranibizumab in patients with diabetic macular edema who discontinued treatment.
Methods: One eye of 85 patients with diabetic macular edema who discontinued treatment after a single injection of ranibizumab was studied. Best corrected visual acuity (BCVA), intraocular pressure (IOP), central macular thickness (CMT), and optical coherence tomography imaging were evaluated retrospectively. Changes in BCVA, IOP, CMT, and their correlations with the follow-up period were statistically analyzed.
Results: At baseline, the mean BCVA was 0.26 ± 0.20 (Snellen equivalent [SE]) and CMT was 469.04 ± 144.6 μm. After a mean period of 6.12 ± 2.46 months, mean BCVA was 0.316 ± 0.23 SE and CMT was 403.07± 139.7 μm. There was a statistically significant increase in BCVA and decreased in CMT (p= 0.02, p< 0.01, respectively), whereas mean IOP values did not significantly change (p=0.24). There was no statistically significant correlation between the follow-up duration and BCVA or CMT (p=0.928 and p=0.992, respectively).
Conclusions: Visual outcome and CMT thickness were still superior to those before treatment even after a single ranibizumab injection.
Keywords: Diabetic macular edema, ranibizumab, single dose
Tissue and Plasma Endocan and Endoglin Levels in Patients with Bladder Cancer
Ömer Kurt, Cenk Murat Yazıcı, Murat Aydın
J Clin Exp Invest 2016;7(2):195-199.
https://doi.org/10.5799/ahinjs.01.2016.02.0596
Research Article
[Abstract]
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ABSTRACT
Objective: In this study, we aimed to compare plasma endoglin and endocan levels between bladder cancer patients and the control group. The secondary aim of the study was to compare plasma and tissue endoglin and endocan levels between high grade and low grade bladder cancers.
Methods: A total of 36 patients with bladder cancer and 20 patients as control group were included. Eight milliliters of peripheral venous blood sample was taken from both study and control group to determine plasma Endocan and Endoglin levels. A tissue sample of 0.5 cm3 was obtained by cystoscopy and resection of papillary lesion of bladder to determine tissue Endocan and Endoglin levels. Results were compared between bladder cancer and control group.
Result: The mean plasma Endoglin levels were 10.2 (4.5-13.7) ng/mL in low grade bladder cancer, 14.6 (8.4-22.3) ng/mL in high grade bladder cancer and 8.8 (6.3-19.4) ng/mL in the control group. The mean plasma Endocan levels were 520.4 (346.9-647.6) ng/L in low grade bladder tumors; 728.5 (311.4-1518.1) ng/L in high grade bladder tumors and 479.9 (140.6-864.7) ng/L in the control group. Plasma Endoglin level of control group was significantly lower than bladder cancer group (p<0.001). Plasma Endocan level was not different between bladder cancer and control group (p=0.117).
Conclusions: Plasma Endoglin level was up-regulated in bladder cancer patients whereas plasma Endocan level did not show any difference.
Keywords: Bladder cancer, endocan, endoglin, diagnosis
The Success of the Single-Dose Methotrexate Treatment in an Atypical Heterotopic Pregnancy
Serdar Basaranoglu, Ayşegül Deregözü, Elif Ağaçayak, Mehmet Sıddık Evsen, Talip Gul
J Clin Exp Invest 2016;7(2):200-202.
https://doi.org/10.5799/ahinjs.01.2016.02.0597
Case Report
[Abstract]
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ABSTRACT
Heterotopic pregnancy refers to simultaneous presence of intrauterine and ectopic gestational sacs. Its incidence exhibits a rising trend due to the increased use of assisted reproductive technology (ART). This paper aims to present a rare case of tubal and cesarean scar heterotopic pregnancy that occurred following a spontaneous pregnancy. The patient presenting with delayed menstruation and abdominal-inguinal pain was evaluated. Transvaginal ultrasonography revealed a gestational sac located in the scar of a previous cesarean section and in the left tubal region corresponding to a gestational age of 4 weeks and 5 days. The patient was hospitalized and informed about conservative and surgical methods. Then, she was administered a single dose of methotrexate 75 mg intramuscularly. Post-operative period included ultrasonographic and laboratory follow-up. In conclusion, it should be remembered that single-dose systemic methotrexate therapy might constitute an alternative to surgery in unruptured hemodynamically stable cases.
Keywords: heterotopic pregnancy, ectopic pregnancy, methotrexate, β-hCG
Coexistence of Major Complications in Pancreatic Pseudocyst: Case report
Ömer Fatih Nas, Murat Pekgöz, Emre Ökeer, Cüneyt Erdoğan, Gürsel Savcı, Selim Gürel
J Clin Exp Invest 2016;7(2):203-206.
https://doi.org/10.5799/ahinjs.01.2016.02.0598
Case Report
[Abstract]
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ABSTRACT
Pancreatic pseudocyst is the most common cystic lesion of the pancreas seen following acute and chronic pancreatitis in 2-10% and 10-30%, respectively. Imaging findings vary depending on the age and severity of the attack. Infection, hemorrhage and rupture are the most frightening complications. The possibility of spontaneous recovery is considerably low. A 63-year old male patient who has history of longstanding alcohol consumption presented to the emergency department with complaints of abdominal pain. On computerized tomography (CT), an encapsulated and round peripancreatic collection with a size of approximately 8.5x7.5 cm was detected in pancreatic head. In the literature, no article is published mentioning coexistence of complication such as infection, hemorrhage and rupture. We present the association of these three complications observed in our case.
Keywords: Pancreatic pseudocyst, infection, hemorrhage, rupture
Intra-Abdominal Hydatidosis: Hydatid Cyst Related to Right Hepatic Colon Lumen
Bircan Alan, Murat Kapan, Hıdır Budak, Hekim Kuzu
J Clin Exp Invest 2016;7(2):207-210.
https://doi.org/10.5799/ahinjs.01.2016.02.0599
Case Report
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ABSTRACT
Hydatid disease is very common in endemic areas and is one of the most frequent parasitoses in Turkey. We present a rare case of hydatidosis related to the right hepatic colon lumen. Hydatid cysts were present on the liver, in the right adrenal region, and also on the hepatic flexura, surrounded by the right colon and omentum. In our case, a cyst adjacent to the ascending colon had ruptured into the colon lumen and developed a cystocolonic communication. Cysts may not always be detectable by ultrasound (US); adrenal and right colonic cysts may not be detected, depending on the patient’s colonic gas superposition factors or other reasons related to the operator. In our case, multiple hydatid cysts and cystocolonic communication of complications of the cyst were found with multidetector computerized tomography (MDCT), and then, a colonoscopy identified the cystocolonic communication. These results reveal the important role of CT in the differential diagnosis process
Keywords: Cyst hydatic, multidetector computerized tomography, ultrasound, cystocolonic communication