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    Colorectal stenting for obstruction due to retrorectal tumor in a patient unsuitable for surgery
    (Sciendo, 2017) Ersan, Veysel; Kutlu, Ramazan; Erdem, Ceyhun; Karagul, Servet; Kayaalp, Cuneyt
    Fund of knowledge on palliative treatment of unresectable retrorectal tumors is scare. Here, we reported a non-surgical treatment of a huge retrorectal malignant tumor in an aged and debilitated patient complicated with colorectal obstruction. An 86-year-old male with severe comorbidities was admitted with acute colorectal obstruction owing to an untreated retrorectal malign epithelial tumor. There was a lobulated retrorectal mass, 20 cm x 15 cm at largest size, extending to the superior iliac bifurcation level, caused an obstruction of the rectal lumen. He was not suitable for surgical excision because of the severe comorbidities. Rectal obstruction was palliated by two self-expandable metallic stents. He tolerated the procedures well and post-procedural course was uneventful. After four months, stents were patent and the patient was continent. Stenting for colorectal obstruction owing to a retrorectal tumor can be feasible in patients who are not suitable for surgery (aged, debilitated, advanced tumor). It avoided the surgical trauma to a high-risk patient and ensured the continuity of continence. As far as we know, this was the first report on colorectal stenting for a retrorectal tumor.
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    Meme Kanserinde Geç Dönem Lokal Nüksü Taklit Eden Ksantogranülomatöz İnflamasyon
    (Causapedia, 2016) Bayraktar, Hüsamettin; Kanat, Burhan Hakan; Erdem, Ceyhun; Karabulut, Ertuğrul; Ünal, Bülent
    Abstract: Xanthogranulomatous inflammation (XGI) containscommon lipid-laden macrophages in the microscopicstructure. It can be seen in various parts of the body.Macroscopically, it is characterized by common brightyellow abscesses, and it may mimic a tumor. A sixtyyear-old woman, who had a mastectomy for breastcancer 10 years ago, referred to our polyclinic with apalpable mass under the incision line. The patient hasbeen initially considered to have a local recurrenceafter the investigations and operated for the secondtime. However, pathology results were reported asXGI. This situation has supported the tumorimmitating ability of XGI
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    Memede Nekrotizan Fasiit
    (Causapedia, 2017) Karabulut, Ertuğrul; Bayraktar, Hüsamettin; Erdem, Ceyhun; Kanat, Burhan Hakan; Ünal, Bülent
    Öz: Nekrotizan fasiit progresif bir yumuşak dokuenfeksiyonudur. İdiyopatik olabileceği gibi travma,yabancı cisim reaksiyonu veya cerrahiye sekonderolabilir. Sıklıkla ileri yaş diyabetik hastalarda görülür.Obezite,immunsüpresyon, kronik böbrek yetmezliği nekrotizanfasiit gelişimini kolaylaştıran faktörlerdir. Kutanoz ,subkutanöz dokuları ya da fasyayı tutabilir. Literatürdememe tutulumu nadirdir. Acil şartlarda nekrozektomi vedebridman yaptığımız hastada mevcut patoloji cok hızlıilerlemiştir.Toraks duvarına invaze olabilecek bu durumvarlığındakaçınılmazdır Başlık (İngilizce): Necrotizing Fasciitis of The Breast Öz (İngilizce): Necrotizing fasciitis is a progressive infection of thesoft tissue. As it can be idiopathic, it also can besecondery after a trauma, foreign body reaction orsurgery. It often seen in older age patients with diabet.Obesity, smoking, alcoholism, use of steriods,immunsuppression, chronic kidney failure are thepredisposing factors of the evolution of disease. It cankeep the cutaneous and subcutaneous tissues or fascia.Breast involvement is rare on the literatüre. On ourcase which is required urgent necrosectomy anddebridement , the patology has progressed quiterapidly. In case of probability of chest wallinvolvement, urgent necrosectomy and debridement isanavoidable