Ayak parmağında subungual ekzositoz

Subungual ekzositoz çoğunlukla ayak başparmağını tutan osteokondromun bir varyantı olarak bilinen benign osteokartilajenöz bir tümördür. Klinik olarak, ağrı, tırnak deformitesi ve tipik radyolojik bulgularla ile karakterizedir. Çoğunlukla adelösan ve genç erişkinlerde görülür

Treatment of A Giant Condyloma Acuminatum by Surgical Excision

Dev kondiloma aküminata, Buschke-Löwenstein Tümörü olarak bilinen, seksüel yolla bulaşan ve ano-genital bölgede görülen bir cilt lezyondur. Dev kondiloma aküminata, ağrısız, karnıbahar görünümünde ve basit kondilomanın aksine, lokal agresiv ve destrüktiftir. Histolojik olarak bening görünmesine rağmen, malign karakterde davranabilmektedir. Bu raporda, 55 yaşında evli bir erkek hastada penis, skrotum, perineum ve inguinal bölgeyi kaplayan dev kondiloma aküminata olgusu sunulmuştur. Geniş ve agresif cerrahi eksizyon yapılarak oluşan defekt kısmi kalınlıktaki deri grefti ile onarılmıştır. Postoperatif dönemde tamamen iyileşen hastada yapılan 4 yıllık takibinde nüks görülmemiştir.Giant condyloma acuminatum, also known as Buschke-LÖwenstein tumor that occurs in ano-genital region and transmitted by sexual way. Giant condyloma acuminatum is an indolent cauliflower-like tumor, but unlike simple condyloma, it is locally aggressive and destructive. In spite of its histologically benign appearance, it may behave malignantly. We present in this report a 55 years old married male with giant condyloma located at the involving penis, scrotum, perineum, and inguinal region. An extensive and aggressive surgical excision was performed. The entire wound was repaired with a split thickness graft. He was healthy without any evidence of tumor at the end of four postoperative years

Surgical Management of Pes Cavus Deformity in a Foot Replantation Case

Pes cavus is a deformity of the foot characterized by an abnormally increased arch and hyperextension of the toes that gives the foot the appearance of a claw. We encountered a case of a 54-year-old male patient who presented with total right foot amputation due to injury with the tea harvesting engine. During physical examination, we observed a right foot amputation in the level of the metatarsophalangeal area and a bilateral idiopathic pes cavus deformity. In this unusual case, we aimed to report the difficulties experienced in bone stabilization and tendon repair, which are the first steps in limb replantation, and the tendon lengthening technique used to correct the pes cavus deformity, which is a novel technique for this deformity, along with a review of the related literature. The surgical outcomes of the case were successful

Retrospective analysis of risk factors for development of biliary fistula after liver cyst hydatid surgery

Aim: Hepatic hydatidosis is common parasitosis in Turkey and caused by Echinococcus granulosus. Biliary fistula is the most common complication after liver hydatid cyst surgery. The aim of this study was to investigate an appropriate treatment strategy for patients whose biliary fistula might develop, by revealing variables that affect biliary fistula.Methods: A total of 118 patients who underwent liver hydatid cyst surgery were included in this study. The following variables were analyzed between patients with biliary fistula (group 2) and without fistula (group 1): Age, gender, hematologic and liver function tests, and features of the cysts (type, cyst size, number, and localization).Results: Cystobiliary fistula was detected in 19 (16%) of 118 patients. In-group 2, cyst size, white blood cell, alkaline phosphatase and g-Glutamyl transpeptidase levels were higher than group 1 on univariate analysis (p=0.03, p=0.008, p=0.04 and p=0.001, respectively). In the multivariate model, only cyst diameter remained as an independent predictor (odds ratio 0.03, 95% confidence interval 0.002 to 0.06; p=0.03) On the receiver operating characteristic curve, the 100% sensitive, 100% specific, and optimal cutoffs of the cyst diameter were 7.5 cm, 4.0 cm and14.6 cm, respectively (The area under the receiver operator characteristic curve was 0.67). Conclusion: Preoperative cyst size is a valuable parameter for predicting biliary fistula. Our study suggests that cyst size greater than 7.5 cm is a risk factor for biliary fistula