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Öğe Bilateral endometriotic cyst with extremely high Ca-125 and Ca-19-9 levels caused by chronic leakage of cyst fluid: A case report(2021) Ozdemir, Belma Gozde; Kahyaoglu, Serkan; Cetinkaya, KadirEndometriosis is a chronic and enigmatic disease that affects reproductive-age women exhibiting chronic pelvic pain and infertility. The advanced stage of the disease can be diagnosed when a cystic ovarian lesion called endometrioma exists. Endometrioma is a condition that occurs when endometriotic cells invade the ovarian cortex and manifest themselves as a mass within the ovary on ultrasonography. In general, malignant transformation of ovarian endometriomas is rare, but the possibility of underlying malignancy requires individualization and caution in managing these patients. Serum tumor markers, imaging modalities, clinical conditions of the patient, and risk scoring algorithms should be taken into account for evaluating endometriotic cysts as other adnexal masses. In this rare case, we tried to present the importance of the preoperative estimation of serum HE-4 level and Risk of Malignancy Algorithm (ROMA) risk scoring index in a patient with colossal endometrioma and extremely high CA-125 and CA-19-9 levels.Öğe A new sonographic marker in the diagnosis of prenatal bilateral renal agenesis, segmental anterior deviation of the aorta(Walter De Gruyter Gmbh, 2022) Ozdemir, Halis; Ozdemir, Belma Gozde; Kavak, Songul Yerlikaya; Sik, SuleObjectives: Bilateral renal agenesis is a rare congenital anomaly that is associated with high neonatal mortality. Bilateral renal agenesis is most often present with anhydramniosis in the mid-trimester. Case presentation: We report a case of bilateral renal agenesis diagnosed prenatally. We presented the ultrasound and pathology images of this fetus with a new sonographic sign, segmental anterior deviation in the abdominal aorta. Conclusions: To our knowledge, this is the first reported case of a fetus with a segmental aortic anterior deviation.