Abdominal cocoon syndrome: Preoperative diagnostic criteria, good clinical outcome with medical treatment and review of the literature

WOS: 000317376400026PubMed ID: 23864454Sclerosing encapsulating peritonitis, or abdominal cocoon syndrome, was described firstly in young adolescent girls. It is characterized by a thick fibrotic peritoneum that wraps the bowel in a concertina-like fashion with some adhesions. We report a man with intermittent intestinal obstruction and an abdominal cocoon encasing the small bowel. Our patient had no history of peritonitis or tuberculosis. We think he had primary abdominal cocoon syndrome. To the best of our knowledge, very few male patients have been reported in the medical literature as developing this condition. We treated the patient with drug therapy, including steroid and mycophenolate mofetil, and a liquid diet program, without surgical operation. He was symptom-free on follow-up over a period of 11 months

Deneysel kanama şokunda Thyroxin'in femoral arter hemodinamiği üzerine etkisi

-41- ÖZET Bu çalışmada, kanama şokunda THYROXIN (T4) Unfemoral arter hemodinamiği üzerine etkileri araştırıldı. Bu a- maçla herbiri yedişer köpekten oluşan iki deney gurubu oluşturuldu. Kanama şoku meydana getirmek için modifiye LAMSON DE TURC metodu kul

The role of diffusion-weighted examination in non-polyploid gallbladder malignancies: A preliminary study

WOS: 000323531100011PubMed ID: 23934462Background/aims: The aim. of the present study was to investigate the diagnostic value of diffusion-weighted magnetic resonance imaging in gallbladder malignancies, which are typically diagnosed during surgery because the radiologic findings are similar to those of cholecystitis-caused diffuse thickening of the gallbladder wall. Materials and Methods: Seven patients with gallbladder malignancies and nine patients with benign gallbladder pathology were included in this study. In one of the patients with a malignancy, a lesion was determined on the porcelain gallbladder; in another patient, acute myeloblastic leukemia had infiltrated the gallbladder, causing the diffuse wall thickening. Five subjects had a primary malignant gallbladder. The view of the bladder wall was evaluated visually in increasing b values. Apparent diffusion coefficient measurements were obtained from at least three sites of the bladder wall in each patient, and the results of the measurements were analyzed after comparing the malignant and benign groups. In the malignant group, the results of the radiological outcomes were compared with histological examinations. In the benign group, cholecystitis was diagnosed by observing normalization of the bladder wall thickening via surgery or medical treatment. Results: There was a statistically significant difference in apparent diffusion coefficient levels between the malignant group, which caused diffuse thickening of the gallbladder wall, and the benign group (Student t test, p<0.01). Conclusions: According to this preliminary study, observation of distinct brightness of the gallbladder wall in diffusion-weighted examination with a high b value is a significant finding in terms of diffuse gallbladder malignancy. A value below the 0.86 mm(2)/sn cut-off was significant for malignancy in apparent diffusion coefficient mapping

A rare manifestation of achalasia: Huge esophagus causing tracheal compression and progressive dyspnea

Achalasia is a primary esophageal motility disorder characterized by the absence of primary peristalsis and a failure of the lower esophageal sphincter to relax, resulting in a dilated esophagus. Dysphagia is the classic and most common symptom. Respiratory obstruction due to tracheal compression caused by a massively dilated esophagus is a very rare but fatal complication. Herein, we report a case of a patient with long-stand- ing achalasia who had tracheal compression secondary to a markedly dilated, giant esophagus. These findings are documented with CT scans. His symptoms regressed after a Heller myotomy and fundoplication operation.Akalazya, özofagusta genişlemeye yol açan, alt özofageal sfinkterin gevşeme boukluğu ve özofagusta primer peristaltizm yokluğuyla karakterize özofageal motilite hastalığıdır.Disfaji en sık rastlanan yakınmadır. Massif olarak genişleyen özofagusun trakeaya basısı sonucu oluşan solunumsal obstrüksiyon, çok nadir ancak ölümcül bir komplikasyondur.Burada ileri derecede dilate, dev özofagusun yol açtığı trakeal kompresyonu olan uzun süredir akalazya tanısı alan olguyu sunuyoruz. Hastanın semptomları laparoskopik Heller myotomi operasyonu sonrasında gerilemiştir.Bulgular Bilgisayarlı Tomografi incelemesiyle dökümante edilmiştir