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  • Küçük Resim
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    Inguinal hydatid cyst
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Arer, İlker Murat; Yabanoğlu, Hakan; Aydincan Akdur; Caliskan
    Dear Editor, Commonly involving the liver and lungs, Hydatid disease (HD) is a common health problem in developing countries. Echinococcus granulosus infestation has world wide distribution particularly in sheep-rearing countries (1). HD occurs in the liver (55‑70%), followed by the lung (18‑35%); the two organs can be affected simultaneously in about 5‑13% of cases and the incidence of unusual sites is about 8‑10% (2). We report a case of HD in an unusual location; inguinal region. A 25-year-old male patient was admitted to our hospital with complaint of swelling in the left inguinal region gradually increasing in size. He had a history of liver HD followed at another hospital for almost a year. The physical examination showed a mobile cystic lesion of 10x5 cm in size in the left inguinal region. The lesion was irreducible. The laboratory tests were normal except for a slight increase in transaminases (AST-Aspartate transaminase level 109 IU/L). Abdominopelvic MRI (Magnetic resonance imaging) revealed a 47x40 mm HD cyst in segment 5 of the liver and a 8.5x5.5 cm HD cyst in left inguinal region in close relationship with femoral and external iliac vasculature (Figure 1).
  • Küçük Resim
    Öğe
    Retrospective cohort study of elderly patients with acute appendicitis
    (2017) Arer, İlker Murat; Kus, Murat; Akkapulu, Nezih; Akkur, Aydincan; Avcı, Tevfik; Hargura, Abdirahman Sakulen; Yabanoğlu, Hakan
    Abstract:Aim: Appendicitis is the most common surgical cause of abdominal pain among the patients being admitted to Emergency department. Although it affects younger patients, its incidence increases in elderly as the population gets older. Higher perforation and complication rates have been reported in elderly patients. The aim of this study is to investigate appendicitis in patients older than 65 years. Material and Methods: A total of 61 patients with performed appendectomy older than 65 years age were included in this study. Laparoscopic and open appendectomies were included. Data were collected retrospectively. Patients were analyzed according to demograhic data, operative findings, complications and mortality. Results: Of 61 patients, 34 (55.7%) were male and 27 (44.3%) were female. The mean age was found to be 71.59 years. The average duration of symptoms were 3.2 days. Laparoscopic appendectomy was performed in only 4 (6.6%) patients. The mean hospital stay was found to be 3.89 days. Complications were found in 13 (21.3%) patients. Mortality was found to be 3.3%. Perforated appendicitis was found to be associated with physical findings, CRP level and hospital stay (p<0.05). Abdominal ultrasound has a sensitivity of 45.2% and specificity of 66.7% and computerized tomography has higher sensitivity (82.1%) and specificity (100%). Conclusion: Prompt diagnosis and treatment should be performed in the elderly patients with suspected appendicitis in order to prevent complications and mortality. Radiological modalities should be used to ensure accurate diagnosis of appendicitis in elderly patients.