Yazar "Akdulum, İsmail" seçeneğine göre listele

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  • Küçük Resim Yok
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    CT angiography and Doppler ultrasound evaluation of congenital portosystemic shunts
    (2022) Akdulum, İsmail; Akyüz, Melih; Gürün, Enes; Öztürk, Mehmet; Sığırcı, Ahmet; Boyunağa, Öznur Leman
    Aim: The aim of the study was to describe the Doppler ultrasonography and computed tomography findings that should be considered in the diagnosis and treatment of congenital portosystemic shunts. Methods: Archive retrospectively scanned. In consideration of shunts: communication type and aneurysm were defined. Additional imaging modalities were utilized. Results: 11 patients were included in the study. The ages ranged from 0 to 158 months. There were two patients with shunt connecting segment-4 portal vein - middle hepatic vein, two patients with segment-3 portal vein - left hepatic vein, two patients with left portal vein – middle hepatic vein, two patients with portal vein - left renal vein, two patients with portal vein -inferior vena cava, and one patient with portal vein - perirectal venous plexus. Conclusion: Some classifications used in congenital portosystemic shunts are insufficient in guiding treatment. Elaborate definition of the imaging findings including the involved vessels, type of communication, and presence of aneurysm or dilated vessels is of the prime importance for tailoring clinical management of the patients.
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    Öğe
    Ortopedik Semptomlarla Başvuran İki Nöroblastom Olgusu
    (2019) Özbey, Mehmet Yavuz; Akyay, Arzu; Akdulum, İsmail
    Öz: Nöroblastom sempatik sinir sisteminin ilkel nöroblastik hücrelerinden köken alan çocukluk çağı kanserlerinden biridir.Hastalar tümör lokalizasyonu ve metastazların varlığına göre çok çeşitli klinik semptomlarla başvurabilirler. Abdominal kitle,lokalize sırt ağrısı, alt ekstremitelerde güçsüzlük ve atrofi, parapleji, yürüme sorunları, mesane ve anal sfinkter disfonksiyonu,aksama, orbital-periorbital tutulum (rakun gözü), ekzoftalmus, pitozis, dispne, disfaji, lenfatik kompresyon, superior venakava sendromu, Horner sendromu bunlardan bazılarıdır. Yazıda, alt ekstremite ağrıları ve aksama şikayetleri ile başvuran vedaha sonra nöroblastom tanısı alan iki olgu sunulmuştur.