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Öğe Acute pancreatitis due to pancreatic involvement of Burkitt's lymphoma in a child(AVES, 2015) Erol, Cengiz; Kose, Dogan; Yuksekkaya, Hasan Ali; Koksal, Yavuz[Abstract not Available]Öğe Behçet hastalığında iyatrojenik sağ internal mamaryan arter çalma sendromu(2014) Erol, Cengiz; Paksoy, Yahya; Kanat, Fikret; Özbek, Seda; Kıvrak, A.Sami; Koplay, Mustafa; Özbek, OrhanSubklaviyan arter anevrizması nedeniyle opere edilen bir Behcet olgusunda anevrizmaya açılan vertebral arter ve sağ internal mamaryan arterin, anevrizma kesesi içerisinde bırakılması sonucu, post operatif dönemde iatrojenik olarak ortaya çıkan sağ internal mamaryan arter çalma sendromunun görüntüleme bulgularını sunmak istedik. Bizim bilgilerimize göre bugüne kadar, sağ internal mamaryan arterin sorumlu olduğu çalma sendromu literatürde tariflenmemiştir. Kesitsel noninvaziv radyolojik görüntüleme yöntemleri, bu olguda anatomik detayın gösterilmesi, cerrahi sonrası değişen ve yeni ortaya çıkan anatominin ortaya konmasında oldukça başarılı olmuştur.Öğe Cardiovascular MR imaging findings of total anomalous pulmonary venous connection to the portal vein in a patient with right atrial isomerism(SPRINGER WIEN, 2012) Koplay, Mustafa; Paksoy, Yahya; Erol, Cengiz; Arslan, Derya; Kivrak, Ali Sami; Karaaslan, SevimTotal anomalous pulmonary venous connection (TAPVC) is a rare congenital cardiovascular anomaly in which the pulmonary veins fail to join to the left atrium and drain directly to the right atrium or to one of the systemic veins. This anomaly is frequently seen together with complex cardiac anomalies especially as a part of right atrial isomerism syndrome. Atrial isomerism is called that the same morphological structure of both atria. We reported a very rare case demonstrating TAPVC between the portal vein and the pulmonary veins in a patient with right atrial isomerism by magnetic resonance imaging.Öğe Comparison of apparent diffusion coefficient values among different MRI platforms: a multicenter phantom study(AVES, 2013) Kivrak, Ali Sami; Paksoy, Yahya; Erol, Cengiz; Koplay, Mustafa; Ozbek, Seda; Kara, FatihPURPOSE We aimed to compare apparent diffusion coefficient (ADC) values among magnetic resonance imaging (MRI) scanners from different vendors. MATERIALS AND METHODS We used a custom-made phantom solution consisting of distilled water, 0.9% NaCl, 25% NaCl, and shampoo for diffusion-weighted MRI (DW-MRI) examinations. DW-MRI was performed with similar sequence parameters using six different 1.5 Tesla MR scanners (scanners A F). ADC maps were automatically constructed for all DW-MR images (b factors of 0 and 1000 s/mm(2)). ADC measurements were performed using regions of interest and seven different software programs, including four different postprocessing workstations, two different picture archiving and communication systems, and operator console software for each MR scanner. RESULTS The ADC values generated by scanners A and F were higher and those of scanner B were lower than those generated by the other scanners (P = 0.002). The intravendor difference in the ADC values averaged from scanners D, E, and F was statistically significant (P < 0.001). The difference between the ADC values obtained by scanners C and E was not statistically different (P = 0.15). CONCLUSION ADC values may differ among different MRI systems used for DW-MRI. Thus, the MRI vendor should be considered when using DW-MRI in a clinical setting.Öğe Congenital left ventricular wall abnormalities in adults detected by gated cardiac multidetector computed tomography: Clefts, aneurysms, diverticula and terminology problems(ELSEVIER IRELAND LTD, 2012) Erol, Cengiz; Koplay, Mustafa; Olcay, Ayhan; Kivrak, Ali Sami; Ozbek, Seda; Seker, Mehmet; Paksoy, YahyaObjectives: Our aim was to evaluate congenital left ventricular wall abnormalities (clefts, aneurysms and diverticula), describe and illustrate imaging features, discuss terminology problems and determine their prevalence detected by cardiac CT in a single center. Materials and methods: Coronary CT angiography images of 2093 adult patients were evaluated retrospectively in order to determine congenital left ventricular wall abnormalities. Results: The incidence of left ventricular clefts (LVC) was 6.7% (141 patients) and statistically significant difference was not detected between the sexes regarding LVC (P = 0.5). LVCs were single in 65.2% and multiple in 34.8% of patients. They were located at the basal to mid inferoseptal segment of the left ventricle in 55.4%, the basal to mid anteroseptal segment in 24.1%, basal to mid inferior segment in 17% and septal-apical septal segment in 3.5% of cases. The cleft length ranged from 5 to 22 mm (mean 10.5 mm) and they had a narrow connection with the left ventricle (mean 2.5 mm). They were contractile with the left ventricle and obliterated during systole. Congenital left ventricular septal aneurysm that was located just under the aortic valve was detected in two patients (0.1%). No case of congenital left ventricular diverticulum was detected. Conclusion: Cardiac CT allows us to recognize congenital left ventricular wall abnormalities which have been previously overlooked in adults. LVC is a congenital structural variant of the myocardium, is seen more frequently than previously reported and should be differentiated from aneurysm and diverticulum for possible catastrophic complications of the latter two. (C) 2012 Elsevier Ireland Ltd. All rights reserved.Öğe Coronary Artery Anomalies: The Prevalence of Origination, Course, and Termination Anomalies of Coronary Arteries Detected by 64-Detector Computed Tomography Coronary Angiography(LIPPINCOTT WILLIAMS & WILKINS, 2011) Erol, Cengiz; Seker, MehmetObjective: The purpose of this study was to determine the prevalence of origination, course, and termination anomalies of coronary arteries, all of which were detected by 64-detector coronary computed tomography angiography (CTA). Methods: Images of 2096 patients who underwent CTA were evaluated retrospectively to determine coronary artery anomalies (CAAs). Results: Anomalies in origin and course were detected in 1.96% of the cases. The prevalence rates of the right coronary artery (RCA) branching from the left coronary sinus, the circumflex artery from the right coronary sinus (RCS) or from the RCA, absence of the left main coronary artery, and high takeoff coronary arteries were similar and seen in 0.43% of the cases. The left main coronary artery originating from the RCS, a single coronary ostium from the RCS, the circumflex artery from the distal RCA, and the RCA from the pulmonary artery were observed in 0.1%, 0.05%, 0.05%, and 0.05% of the cases, respectively. A coronary artery fistula, which is a termination anomaly, was detected in 0.33% of the patients. The presence of coronary atherosclerosis with CAAs was less than the study group that was statistically not significant (64.6% vs 72.5%, P = 0.213). Conclusions: Computed tomography angiography provides essential information about CAAs to interventional cardiologists and surgeons that helps to prevent incorrect procedures by showing the exact origin, complex anatomy, course, and termination of the coronary arteries.Öğe Development of fatty liver in children with non-Hodgkin lymphoma(TURKISH J PEDIATRICS, 2014) Kose, Dogan; Erol, Cengiz; Kaya, Fatma; Koplay, Mustafa; Koksal, YavuzThe aim of this study is to investigate the development of hepatosteatosis in children with non-Hodgkin lymphoma. Twenty-eight patients were evaluated retrospectively for hepatosteatosis by computed tomography. Mild, moderate and severe hepatosteatosis were defined as the difference between the average liver attenuation and the average spleen attenuation, equaling (- 10) - (- 19); (- 20) - (- 29); and >= 30 HU, respectively. "Vaguely" and "obvious" hepatosteatosis were defined as none or mild hepatosteatosis, and moderate and severe hepatosteatosis, respectively. In T-cell lymphoma, obvious hepatosteatosis was determined in 1 of 12 patients (8.3%) at the first evaluation, 8 of 12 patients (66.7%) at the second evaluation and 4 of 12 patients (33.3%) at the third evaluation. In B-cell lymphoma, obvious hepatosteatosis was determined in none of 16 patients at the first evaluation, 2 of 16 patients (12%) at the second evaluation and none of the patients at the third evaluation. In the second evaluation, severe high serum total cholesterol and triglyceride levels were determined in 4 of 5 patients. We observed higher fatty liver ratios, and high triglyceride and cholesterol levels, although the data were obtained from a small number of patients.Öğe Diagnostic efficacy of diffusion-weighted MRI for pre-operative assessment of myometrial and cervical invasion and pelvic lymph node metastasis in endometrial carcinoma(WILEY-BLACKWELL, 2014) Koplay, Mustafa; Dogan, Nasuh Utku; Erdogan, Hasan; Sivri, Mesut; Erol, Cengiz; Nayman, Alaaddin; Karabagli, PinarIntroduction: To determine the diagnostic accuracy of diffusion-weighted magnetic resonance imaging (DW-MRI) for the pre-operative assessment of patients with endometrial carcinoma and to assess myometrial and cervical invasion as well as pelvic lymph node metastasis. Methods: Fifty-eight women who underwent surgery for histopathologically confirmed endometrial carcinoma were included in the current study. Prior to surgery, patients were evaluated using pelvic DW-MRI and gadolinium-enhanced T1-weighted imaging (Gd-T1WI). Gd-T1WI was evaluated together with T2-weighted images. DW-MR images were obtained in the axial plane using echo-planar spin-echo pulse sequences with different b factors. Endometrial carcinomas were observed as areas of increased intensity on DW-MRI images, and their intensity was compared with the surrounding hypo-intense myometrium. Pre-operative DW-MRI and Gd-T1WI results were compared with post-operative histopathological findings that served as reference standards. Results: The sensitivity, specificity, positive (PPV) and negative predictive values (NPV), and diagnostic accuracy of DW-MRI for differentiation between superficial myometrial invasion and deep myometrial invasion were 85%, 89%, 81%, 92% and 88%, respectively. The sensitivity, specificity and diagnostic accuracy rates were 82%, 91% and 89.6% for cervical invasion and 100%, 96% and 96.5% for pelvic lymph node metastasis, respectively. The sensitivity, specificity, PPV and NPV, and diagnostic accuracy of Gd-T1WI for differentiation between superficial myometrial invasion and deep myometrial invasion were 85%, 81.5%, 71%, 91% and 83%, respectively. The sensitivity, specificity and diagnostic accuracy were 73%, 89% and 86% for cervical invasion, respectively. Conclusions: These findings suggest that DW-MRI may be a good diagnostic tool with high sensitivity and specificity for assessing myometrial invasion and detecting tumour extension. We suggest that DW-MRI should be considered as a routine part of the pre-operative pelvic MRI in all patients with endometrial carcinoma.Öğe Elevated alpha-fetoprotein in benign/borderline liver masses in children(KARE PUBL, 2015) Kose, Dogan; Erol, Cengiz; Koksal, YavuzOBJECTIVES The purpose of this retrospective study is to share the data of the patients with high alpha-fetoprotein and benign/borderline liver mass with literature. METHODS Between 2006 and 2012, 5 of our patients were diagnosed with benign/borderline liver mass in connection with high alpha-fetoprotein. RESULTS During the diagnostic procedure, alpha-fetoprotein values of our patients were varying between 123-4905 U/L. While one of the patients diagnosed with hemangioendothelioma was transferred for liver transplantation, the other passed away during the early stages under steroid treatment. After observing malign cells in tissue biopsy, chemotherapy was started for the patient diagnosed with mesenchymal hamartoma and the mass was removed completely. It is currently being monitored and is free of any diseases. Patients, who were diagnosed with hemangioma and focal nodular hyperplasia, were monitored without receiving any treatment. CONCLUSION Since it is possible to observe high alpha-fetoprotein in non-malign liver masses, tissue diagnosis must be confirmed before starting treatment.Öğe Epiploic Appendagitis: Is There Need for Surgery to Confirm Diagnosis in Spite of Clinical and Radiological Findings?(SPRINGER, 2012) Hasbahceci, Mustafa; Erol, Cengiz; Seker, MehmetThe present retrospective study was conducted to review the authors' experience and describe clinical and radiologic features of epiploic appendagitis (EA), which is an uncommon, self-limiting clinical entity mimicking acute appendicitis and diverticulitis. Awareness of the features of EA would allow a correct diagnosis and avoid unnecessary surgical interventions. Patients diagnosed as EA in one regional medical center between June 2006 and June 2010 were included. Clinical, laboratory, and imaging features of EA were studied, with particular attention to its unique radiologic appearances. Twenty patients (13 men and 7 women; average age 43.2 years) diagnosed with EA were included in the study. Localized abdominal pain without nausea, vomiting, and fever were the major presenting symptoms for all patients. Laboratory blood tests were normal, except in one patient with leukocytosis and two patients with increased serum C-reactive protein (CRP) levels. A noncompressible hyperechoic ovoid mass with hypoechoic border and without central blood flow on Doppler ultrasound (US) was detected in five of six patients. In all patients, the computed tomography (CT) scans revealed an ovoid fatty mass with hyperattenuating rim and disproportionate adjacent fat stranding. Central dot sign, concomitant old infarct, and lobulation were present in 75%, 20%, and 10% of the patients, respectively. All of the patients were treated conservatively. No recurrences occurred during the follow-up period (average: 24.8 months) in 18 (90%) of the patients. In patients with localized abdominal pain without other symptoms, diagnosis of EA should be considered. Recognizing the US and CT features of EA may allow an accurate diagnosis and avoid unnecessary surgery.Öğe Evaluation of anatomy, variation and anomalies of the coronary arteries with coronary computed tomography angiography(TURKISH SOC CARDIOLOGY, 2013) Erol, Cengiz; Koplay, Mustafa; Paksoy, YahyaRecent technical advances in computed tomography (CT) have improved image quality, diagnostic performance and accuracy of coronary CT angiography (CCTA). Latest dose-reduction strategies reduce radiation dose to an acceptable level even lower than that from conventional coronary angiography. CCTA is a noninvasive imaging modality which can effectively show complex coronary artery anatomy, variations and congenital anomalies of the coronary arteries. Congenital coronary artery anomalies are rare entities, but sometimes have a potential of producing fatal consequences. CCTA is now the primary imaging modality for the evaluation and diagnosis of coronary artery anomalies. Reporters should, therefore, have knowledge of the normal coronary artery anatomy and variations, and understand the different types of coronary artery anomalies and their respective prognostic implications in order to provide correct diagnosis and to prevent undesirable mistakes during interventional and surgical procedures. (Anadolu Kardiyol Derg 2013; 13: 154-64)Öğe Hemitruncus Arteriosus: Cardiac Magnetic Resonance Angiography Findings(Wiley Periodicals, Inc, 2012) Koplay, Mustafa; Erol, Cengiz; Paksoy, Yahya; Uysal, Emine; Arslan, Derya; Oran, BulentHemitruncus arteriosus (HA) is an uncommon congenital cardiac malformation in which one pulmonary artery branch originates from the ascending aorta. A 2-month-old male was referred to our hospital for failure to thrive, cyanosis, and tachypnea. A chest radiograph demonstrated moderate cardiomegaly and peribronchial thickening. Echocardiography demonstrated right atrial and ventricular enlargement and increased gradient (25 mm Hg) in the right pulmonary artery. Cardiac magnetic resonance angiography was performed and clearly revealed typical imaging findings of a right HA which had complex cardiac and vascular anatomy. This case report presents cardiac magnetic resonance angiography findings of HA.Öğe Internal Pancreatic Stent Causing Irreversible Dilatation of Pancreatic Duct(SPRINGER INDIA, 2014) Hasbahceci, Mustafa; Erol, CengizA 28-year-old woman underwent a pylorus preserving Whipple procedure for pancreatic serous cystadenoma located on the head of the pancreas. During the operation, an internal stent (7F silastic catheter, 9 cm in length) was placed within the pancreatic duct in the area of pancreaticojejunal end-to-end Dunking type anastomosis to prevent development of fistula. The stent was positioned so that one third of its length would lie into the pancreatic duct, and it was anchored to the periductal pancreatic tissue with only one rapidly absorbable chromic suture. Leakage from the anastomosis was not observed, and she was discharged without any complaint. Early postoperative abdominal CT examination revealed that the stent was retained within the normal caliber pancreatic duct (Fig. 1a). Six months after the operation, she began to complain to epigastric pain triggered by the meals. The laboratory analysis was normal, particularly liver biochemical tests and serum amylase. The internal pancreatic stent within the dilated pancreatic duct was detected by an additional CT examination (Fig. 1b). The stent was removed endoscopically at the third attempt. The pain was resolved after its removal. Control CT examination which was taken at the 18th month after removal of the stent showed dilatation of the pancreatic duct (Fig. 2a). The patient remained free of any complaint, although regressed pancreatic duct dilatation has persisted over 4 years of follow-up (Fig. 2b).Öğe An investigation of the anatomical variations of left atrial appendage by multidetector computed tomographic coronary angiography(ELSEVIER IRELAND LTD, 2012) Koplay, Mustafa; Erol, Cengiz; Paksoy, Yahya; Kivrak, Ali Sami; Ozbek, SedaPurpose: The left atrial appendage (LAA) is usually known as a long, tubular, hooked structure derived from the left atrium. However, it varies widely in terms of anatomical shape. In this study, anatomical shape variations of the LAA were investigated and classified in vivo in a large group of patients by multidetector computed tomography (MDCT) coronary angiography. Materials and Methods: The study included 320 consecutive patients (223 men and 97 women, with a mean age of 58 years) who underwent MDCT coronary angiography. MDCT was performed with a 64-detector-row computed tomographic scanner. LAA anatomical variations were classified as five main types and further divided into subtypes. In addition, we gave the classifications descriptive names according to the anatomical external appearance of the LAA: horseshoe (type 1), hand-finger (type 2a), fan (type 2b), wing (type 2c), hook (type 3), wedge (type 4) and swan (type 5) shapes. The types and subtypes of the LAA variations and the presence of thrombus were recorded. Results: In our study, the LAA tip orientation was used and the LAA was divided into type 1, type 2a, 2b, 2c, type 3, type 4 and type 5 in 44 (13.8%), 65 (20.3%), 155 (48.4%), 8 (2.5%), 27 (8.4%), 6 (1.9%) and 15 (4.7%) patients, respectively. LAA thrombus was detected in four patients (1.25%), who had classified LAA shapes of type 2a and type 2b. Conclusions: The LAA has multiple anatomical shape variations. We demonstrated previously undefined new shape types of LAA. Knowledge of LAA variations is important in order to avoid procedure-related complications when ablative treatment is to be performed or if surgical procedures are indicated in this region. MDCT coronary angiography provides important and detailed information about determining and evaluating these variations before undertaking a planned procedure in this region. (C) 2011 Elsevier Ireland Ltd. All rights reserved.Öğe Laparoscopic Cholecystectomy in a Single, Non-Teaching Hospital: An Analysis of 1557 Patients(Mary Ann Liebert, Inc, 2012) Hasbahceci, Mustafa; Uludağ, Murat; Erol, Cengiz; Özdemir, ArifBackground: Laparoscopic cholecystectomy may lead to serious complications, although it is the gold standard treatment for gallstones. In this article, the aim was to review our experience with laparoscopic cholecystectomies. Subjects and Methods: All laparoscopic cholecystectomies were performed in a single, non-teaching hospital between January 2000 and October 2010 and were reviewed retrospectively to analyze the effect of preoperative risk factors on outcome and the associated major complications. Results: This study included 1557 laparoscopic cholecystectomies, and the mean age of the patients was 54.1 +/- 12.3 years. The mean duration of the operation and the mean length of stay were 43.4 minutes and 1.2 days, respectively. Conversion to an open cholecystectomy was necessary in 39 patients, and thus the conversion rate was 2.5%. In total, 57 (3.7%) complications occurred in 51 patients. Serious common bile duct injury was seen in 4 (0.27%) cases. The other common complications included bile leakage in 10 (0.64%) and postoperative bleeding in 7 (0.45%) patients. The mortality rate was 0.13%. Risk factors for conversion to open surgery were male gender, age >55 years, emergency admission due to acute cholecystitis, and a history of previous acute cholecystitis attacks. Factors that increased the morbidity rate were male gender, an American Society of Anesthesiologists score of III, emergency admission due to acute cholecystitis, and a history of previous acute cholecystitis attacks. Conclusions: Our results may serve as a baseline for comparison with future studies done at single, non-teaching hospitals where surgical teams perform laparoscopic cholecystectomies over a long period of time.Öğe Left femoral vein is a better choice for cannulation in children: a computed tomography study(WILEY-BLACKWELL, 2013) Ozbek, Seda; Aydin, Bahattin K.; Apiliogullari, Seza; Kara, Inci; Erol, Cengiz; Ciftci, Ilhan; Duman, AtesBackground Central venous catheters are often required in emergency rooms and intensive care and/or those undergoing major surgical procedures. In this study, we aimed to gain a better understanding of the anatomy of the femoral vessel in relation to central venous cannulation. Methods The right and left (total of 180) femoral veins (FVs) of 90 consecutive pediatric patients were retrospectively evaluated using computed tomography images. Patients were divided into two groups according to their age: group 1, patients up to 9years of age; and group 2, patients between 9 and 16years of age. Results The position and overlap of femoral artery (FA) to FV are significantly different between the left and right sides in both groups (P=0.001). The left FV was most commonly located medial to the FA. However, the right FV was most commonly located posterior-medial to the FA. The incidence of overlap of the FA over the FV was significantly lower at the left side in both groups. Conclusion The incidence of overlap of the FA over the FV was significantly lower at the left side in pediatric patients. This finding was similar between the patients aged 28years and those aged 916years and may have significant clinical implications. Guiding clinicians to select the left FV of children for cannulation may result in lower arterial puncture rates while accessing the central vein.Öğe Magnetic resonance imaging findings of absent pulmonary valve syndrome associated with tetralogy of fallot(SPRINGER WIEN, 2011) Koplay, Mustafa; Erol, Cengiz; Uysal, Emine; Paksoy, Yahya[Abstract not Available]Öğe Maksiller fibröz displazinin egzofitik varyantı; Fibröz displazi protuberans(2014) Erdoğan, Hasan; Paksoy, Yahya; Sivri, Mesut; Erol, Cengiz; Uysal, Emine; Koplay, MustafaFibröz displazi, normal kemik dokunun yerini fibröz doku içeren mineralize bir dokunun aldığı, gelişimsel, neoplastik olmayan bir kemik hastalığıdır. Direkt radyografi, bilgisayarlı tomografi ve manyetik rezonans görüntüleme, fibröz displazi tanısında kullanılan radyolojik görüntüleme yöntemleridir. Bu yazıda maksiller fibröz displazinin oldukça nadir görülen egzofitik varyantının klinik özel- likleri, radyolojik görüntüleme bulguları ve ayırıcı tanısı sunulmuşturÖğe Optimal Angle of Needle Entry for Internal Jugular Vein Catheterization with a Neutral Head Position: A CT Study(INFORMA HEALTHCARE, 2013) Ozbek, Seda; Apiliogullari, Seza; Erol, Cengiz; Kivrak, Ali Sami; Kara, Inci; Uysal, Emine; Koplay, MustafaPurpose: The aim of this study is to determine the optimal angle of needle entry in the sagittal plane for internal jugular vein (IJV) catheterization with the central approach while the head is in the neutral position. Methods: The contrast-enhanced carotid artery computed tomography angiographies of 123 consecutive patients were retrospectively reviewed. The point of merger between the sternal and clavicular heads of the sternocleidomastoid muscle was assumed as a clinical entry (CE) point. The angle between CE point and the center of the IJV, the depth, diameter of the vessels and the degree of overlap between the IJV and carotid artery (CA) were measured. Results: The angles between the CE point and the center of the IJVs were similar, 7 degrees +/- 13 degrees medial and 8 degrees +/- 12 degrees medial on the right and the left side, respectively. The center of IJVs from the CE point was between 0 degrees and 16 degrees toward the medial in 79.8% on the right side and 89.9% on the left side of patients. The diameters of the right IJVs were greater than the left IJVs (p = 0.001). The depth from the skin and overlap between IJV and CA did not vary between the two sides. Conclusions: When a central approach is used for right internal jugular vein (RIJV) cannulation with a neutral head position, the orientation of the angle of needle entry (i.e., 16 degrees) medially in the sagittal plane may quadruple the success rate of RIJV catheterization compared to the success rate of a laterally oriented angle of entry as recommended by the classic method.Öğe Penile Mondors Disease(2014) Koplay, Mustafa; İslamoğlu, Necat; Erol, Cengiz; Paksoy, YahyaPenil Mondor hastalığı (PMH) penisin yüzeyel dorsal veninin tromboflebitidir. Nadirdir, fakat kolay tanı konabilen ve tedavi edilebilen bir hastalıktır. PMH, benign bir hastalık olmasına rağmen, anksiyete gibi psikolojik problemlere neden olabilir. Ayrıca, klinik olarak Peyroni hastalığı ve sklerozan lenfanjit gibi penis lezyonlarıyla karışabilir. Bu yüzden, erken tanı ve tedavi önemlidir. Ayırıcı tanıda, renkli Doppler ultrasonografi faydalıdır. Biz, 25 yaşında bir erkek hastada tespit edilen PMHın klinik bulguları, tanı ve tedavisini literatür bilgileriyle birlikte rapor ettik.
