Makale Arama

The aim of the study is determine the incidence of pathologies detected by abdominal ultrasonography in Konya. Screening has begun in 2011 after the necessary permissions from local ethical committee. Participators’ identity, age, gender, history and family history has been recorded. Abdominal ultrasonography has been performed in supine position. Hepatobiliary, genitourinary systems, spleen, midline structures and anterior abdominal wall has been evaluated. The mean age of 2010 participants was 46 (18-94). There were 1071 (53.3%) female and 939 (46.7%) male. In abdominal ultrasonography; hepatosteatosis in 371 (18.5%), liver hemangioma in 14 (0.7%), hidatic cyst of liver in 11 (0.5%), cholelithiasis in 60 (3%), splenomegaly in 13 (0.6%), simple cyst of spleen in 3 (0.1%), aortic aneurism in 4 (0.2%) participants were detected. In renal evaluation; nephrolithiasis in 34 (1.7%) and simple cyst in 145 (7.2%) participants were detected. In pelvic evaluation; prostatic hypertrophy in 4 (0.4%) males and myoma uteri in 8 (0.7%) females were detected. In Konya population most common pathologies at abdominal ultrasonography were hepatosteatosis, renal cyst, cholelithiasis and nephrolithiasis.

Purpose: In this study, contrubitions of computed tomography (CT) and magnetic resonance imaging (MRI) were researched in the diagnosis of benign paranasal sinüs (PNS) lesions. Materials and methods: According to the clinical findings, between January 2001 – February 2004, 30 cases have been studied who were thought to have benign lesions belonging to nasal cavity, PNS or neighboring structures. CT and MRI studies are made to the all case. Inner structure characteristics, locations and radiological apperarances coursing pathological diagnosis of lesions in CT and MRI have been assessed. Results: The histopathological diagnoses of lesions were mucocele (8), odontogenic cysts (4), fibrous dysplasia (3), inverted papilloma (2), hemangioma (2), menengioma (2), schwannoma, osteoma, osteochondroma, paget disease, ameloblastom, giant cell tumor, central giant cell granuloma. Whwn assessed according to pathological results, sensitivity of CT and MRI were found to be 86.6% and 83.3% respectively. In 3 cases showing radiological malign feature (1 giant cell tumor, 2 inverted papillomas) the correct diagnosis was made histopathologically. Canclusion: CT is an effective method to show bone expansion and destructions, tumors originated from bone and intratumoral calcifications. MRI offers better the inner structures of cystic lesions, intratumoral hemorhages and differentiation of tumor from inflammation. Therefore, CT and MRI should be used jointly in the evaluation of the PNS lesions.

Split hand-foot malformation is a congenital limb malformation, characterized by a deep median cleft of the hand and/or foot due to the absence of the central rays. Split hand-foot malformation can occur as isolated anomalies or as one component of multisystem syndromes. The majority of the familial cases are inherited in an autosomal dominant manner. Some patients with split handfoot malformation have been found to have mental retardation, ectodermal and craniofacial findings. We presented a split handfoot malformation case with liver and cutaneous hemangioma by the literature. According to our investigations, this is the first case of split hand-foot malformation with existence liver and cutaneous hemangioma.

Hemangiomas are the most common congenital lesions and they are the most common tumors of childhood(1). Vascular malformations are common lesions accounting for approximately 7% of all benign tumours(2). Although the head and neck region comprises only 14% of the body surface, 65% of hemangiomas arise from this region(1). MRI in the diagnosis of hemangiomas and hemangiomas regressed with medical therapy in childhood is a very useful imaging method for assessing response to treatment.

 Fourty one years old female and 64 years old man were admitted to our clinic  because of abdominal pain. In investigating the liver was reported with a giant hemangioma. It was symptomatic and look like malignancy for each cases so they were operated. In operation it was not a liver mass , one of them observed right giant adrenal adenoma and the second one is renal cell carsinoma.  Resection was performed for each cases. Adrenal mass could be noted that mixed hemangiomas.

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Aim: We used Ligasure vessel sealing system in order to lessen the bleeding while cutting the parenchyma or to have a non-bleeding resection at 15 patients with mass at the liver. We aimed to present the data of the 15 patients where we applied hepatectomy and pericystectomy by the help of Ligasure, as a preliminary study. Material and Method: The records of 15 liver patients for whom we applied hepatectomy and pericystectomy by the help of Ligasure at Selcuk University Meram Medical Faculty of General Surgery Department during 2005-2007, were examined retrospectively. 10 of the patients were liver tumors (4 of them were hemangiomas, 2 were an adenoma and 4 were hepatocellular carsinoma), 3 of them were liver cyst hydatid, one of them was gall bladder Ca and the other was hepatolithiazis. Ligasure vessel sealing system (Ligasure Valleylab®) was used for all cases. Hepatectomy and pericystectomy by the help of Ligasure were applied to the patients. During parenchyma transection, sutures were used for great vessels a one patient. Result: The mean age of the patients was 53.7(32-65) and male/female ratio was 15/17. Mean blood loss was 217(30-700)cc and blood transfusion was not needed accept one case. Mean transection time was 48.93(25-85) minutes. There were no significant increases at biochemical parameters at the postoperative period. There was no morbidity at the late postoperative period. Conclusion: Ligasure application seems to be the precursor of a non-bleeding period at liver transection at them treatment of benign and malignant diseases of the liver

Aim: We aimed to present the anesthetic management of a case with giant liver hemangioma. Case Report: An 66 years old man with abdominal mass was diagnosed with giant liver hemangioma. Mass excision surgery continued 5.5 hours. The patient was discharged home 5 days later without any problem from department of general surgery. Conclusion: The patients should be evaluated detailed preoperatively and proper preparations must be planned to prevent intraoperative hypotention.

A patient wirh diffuse cystic angiomatosis of bone which is very rare entity was reported in this article. This disease should be considered in the differential diagnosis of the patients characterized ikvith diffiıse cystic lesions .of their skeleton on radi-ographic examination.