Preoperative Embolization in Surgical Treatment of a Primary Hemangiopericytoma of the Rib : A Case Report

Primary hemangiopericytoma of the rib is extremely rare and only a few cases have been reported. A 62-yr-old man presented with an aching chest pain and dyspnea. Thoracic computed tomography revealed a homogenous mass expanding the right seventh rib. A diagnosis of hemangiopericytoma was established by percutaneous needle biopsy. Preoperative embolization of the feeding vessels of the tumor was performed in order to prevent perioperative bleeding. There was no significant bleeding during the surgery, where complete resection of the tumor with 7th to 9th ribs with a surgical margin of 5 cm was performed. Postoperative course was uneventful and there has been no recurrence for thirteen months. To our knowledge, there has been no report to apply a preoperative embolization of a primary hemangiopericytoma of the rib

Investigation of Immunogenicity and Protective Efficiency of Bordetella Bronchiseptica Fimbriae in Mice

Fimbrial proteins are important for adhesion and colonization of Bordetella bronchiseptica in the upper respiratory tract. In this study, determination of immunogenicity of the fimbrial proteins isolated from different strains of B. bronchiseptica and their protective efficacy against fetal challenge was aimed. For this purpose, fimbrial proteins of seven standard strains and clinical isolates of B. bronchiseptica were partially purified by gel filtration chromatography and analysed by SDS-PAGE. In microagglutination test, whole cell F415 was used as the antigen and the agglutination of sera from mice immunized with the purified fimbrial proteins was observed at titers of 1:128 for strains 219 and 4617 and the isolate CA; 1:256 for strain F415 and the isolate UK7; 1:512 for the isolate UK6 and 1:4096 for strain 3036. In addition, by ELISA against F415 fimbrial antigen, the antifimbriae antibody levels of the immune mouse sera were observed at serum dilutions of 1:6400 for UK7; 1:3200 for UK6, F415 and 3036; 1:1600 for CA; 1:800 for 219 and 1:400 for 4617. The protective values of the fimbrial proteins against fetal challenge with strain F415 in mice immunized with the fimbrial proteins (2x25 mu g/dose) were; 100% for F415 and 3036, 84% for UK6 and 50% liar UK7, but no protection was observed with the other strains and isolates. In conclusion, fimbrial antigens were determined to have important protective efficacy and anti-fimbriae antibody levels were found correlated with that protective efficacy.Wo

Laparoscopic Conservative Approach to Non Communating Rudimentary Uterin Horn Pregnancy

A 20 year old patient referred to our clinic with complaints of secondary amenorrhea and pain. In transvaginal ultrasonography, an embryo was observed with no cardiac activity at right adnexial area. In the laparoscopy, it was seemed like bicornuate uterus.In hysteroscopy, normal left cornu, where gestational sac was not present,was entered. For this reason, unruptured ectopic pregnancy was considered in right rudimentary horn. By laparoscopy, linear incision was carried out, pregnancy material was evacuated and incision repaired primarily. Two months later, it was observed that rudimentery horn was not communicated with uterine cavity by histerosalpingography. Then, metroplasty with laparatomy was carried out. Six months later patient had had a pregnancy and delivered by cesarean section while the fetus was at the 37th gestational week. If rudimentary horn has adequate size and active endometrial tissue, metroplasty operation could be performed instead of horn excision in selected patients