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Öğe AMYAND'S HERNIA: ULTRASONOGRAPHY FINDINGS(ELSEVIER SCIENCE INC, 2016) Guler, Ibrahim; Alkan, Ender; Nayman, Alaaddin; Tolu, IsmetBackground: Amyand's hernia is described as the presence of an appendix vermiformis in the inguinal hernia sac. The incidence of Amyand's hernia is approximately 1% of all inguinal hernias. Amyand's hernia is diagnosed intraoperatively or preoperatively with radiologic examinations. Case Report: Two cases of Amyand's hernia, with and without acute appendicitis, are reported here. Why Should an Emergency Physician Be Aware of This? Amyand's hernia is a rare entity, and physical signs, laboratory results, and symptoms are not always helpful in diagnosis. Preoperative diagnosis of Amyand's hernia is not straightforward, and is generally an incidental finding during surgery. Imaging modalities, including ultrasound, can be very useful for making this rare diagnosis. (C) 2016 Elsevier Inc.Öğe APPENDIX INVAGINATION MIMICKING ILEOCECAL INTUSSUSCEPTION IN A PEDIATRIC PATIENT: A CASE REPORT(ELSEVIER SCIENCE INC, 2016) Aybay, Muhsin Nuh; Erol, Seyit; Kaya, Hasan Emin; Guler, IbrahimBackground: Appendix invagination is a rare cause of right lower quadrant abdominal pain. Clinical findings are not specific and can mimic a wide range of diseases. Case Report: An 8-year-old girl was admitted with abdominal pain lasting for 2 weeks. Clinical and radiologic findings suggested ileocecal intussusception initially. A failed hydrostatic reduction attempt and subsequent abdominal ultrasound and computed tomography studies showed that the underlying pathology was invagination of the vermiform appendix. The patient was managed conservatively and spontaneous reduction was observed during follow-up. She underwent appendectomy 9 months later due to chronic appendicitis. Why Should An Emergency Physician Be Aware of This?: Appendix invagination should be kept in mind while evaluating patients with suspected ileocecal intussusception. In distinguishing between these two conditions, a blind-ending invaginating segment is an important clue in favor of appendix intussusception. (C) 2016 Elsevier Inc. All rights reserved.Öğe Co-occurrence of Carpenter syndrome and double outlet right ventricle(TURKISH SOC CARDIOLOGY, 2017) Guvenc, Osman; Cimen, Derya; Arslan, Derya; Guler, IbrahimCarpenter syndrome (acrocephalopolysyndactyly type 2, OMIM 201000) is a rarely seen autosomal recessive disorder. In addition to abnormalities such as acrocephaly, craniosynostosis, facial asymmetry, polydactyly and syndactyly, obesity, hypogonadism, mental retardation, and corneal opacity, it may frequently be accompanied by congenital heart diseases such as ventricular septal defect, patent ductus arteriosus and pulmonary stenosis. Double outlet right ventricle is a defect in which both major arter-ies originate in the morphological right ventricle. To the best of our knowledge, this is the first report in the literature of double outlet right ventricle disease in combination with Carpenter syndrome.Öğe Computed tomography findings of polysplenia syndrome with multiple anomalies(UNIV CATHOLIQUE LOUVAIN-UCL, 2016) Guler, Ibrahim; Koplay, Mustafa; Ozbek, Seda; Temizoz, Osman; Cebeci, HakanA 54-year-old patient presented to our hospital with the symptoms of stomach ache, weakness, loss of appetite and weight loss. The patient had mild abdominal sensitivity during physical examination; the results of other systemic examinations were normal. Laboratory findings showed anemia. Since the patient's symptoms were accompanied by weight loss, abdominal CT examination was performed to rule out any malignancies. The abdominal CT examination showed a picture consistent with partial situs inversus. The liver was located on the left, the spleen on the right and the heart was in its normal position. The cecum was observed in the lower left quadrant. Multiple spleens located in the upper right quadrant were observed (Fig. 1). Pancreas was ectopically located in the upper left quadrant and surrounded the second part of the duodenum. A diverticular formation was detected in the second part of the duodenum.Öğe Evaluation of the facet joints with magnetic resonance images in the patients with disc degeneration and spondylolisthesis(SPRINGER FRANCE, 2018) Kundakci, Yunus Emre; Unver Dogan, Nadire; Guler, Ibrahim; Uysal, Ismihan Ilknur; Fazliogullari, Zeliha; Karabulut, Ahmet KaganPurpose We aimed to research in detail the morphology of the facet orientation (FO) and tropism (FT) in degenerative diseases. Method This study consisted of patients with disc degeneration (DD) and with lumbar spondylolisthesis (LS) as well as a control group without these two diseases. The group of patients with DD was separated by DD grades. Vertebral body and intervertebral discs' (IVDs) morphometric values, facet joint osteoarthritis (OA) grading, FO and FT were examined in all the groups. All measurements were applied to MRIs of 353 patients. Result There was a significant difference in facet angle values between the groups at L4-L5 (FO: p = 0.001). There was a significant negative correlation between FO at L4-L5 and L4 vertebral body anterior posterior diameter and L5 mid-vertebral body height, in 353 patients (p = 0.003; p = 0.010). Facet joint OA grading scores were lower in the control group than in the disc degeneration patient (DDP) and LS groups (p < 0.05). Sagittal FO was seen with the increase of facet joint OA scores at L4-L5 in the control and DDP groups (control: p = 0.001; DDP: p = 0.40). Conclusion Facet joints can show different orientation values in LS and DDP groups at L4-L5. The presence of FT is a risk factor for an LS patient at L4-L5. Sagittal FO is seen with vertebral slip at L5-S1. FO is affected by the morphometric changes of the vertebral body at L4-L5. Discussions in this regard need to be resolved through further research.Öğe Fibrous dysplasia mimicking vertebral bone metastasis on 18F-FDG PET/computed tomography in a patient with tongue cancer(ELSEVIER SCIENCE INC, 2015) Guler, Ibrahim; Nayman, Alaaddin; Gedik, Gonca Kara; Koplay, Mustafa; Sari, Oktay[Abstract not Available]Öğe Holospinal epidural abscess in a child patient: magnetic resonance imaging findings(ELSEVIER SCIENCE INC, 2015) Koplay, Mustafa; Sivri, Mesut; Emiroglu, Melike Keser; Guler, Ibrahim; Karabagli, Hakan; Paksoy, Yahya[Abstract not Available]Öğe Hydatid Cyst of the Posterior Cervical Region(LIPPINCOTT WILLIAMS & WILKINS, 2016) Aybay, Muhsin Nuh; Guler, Ibrahim; Oner, Ozgur; Baktik, Suleyman; Tekin, Ali FuatHydatid cyst is an endemically seen parasitic disease and caused by the larval form of Echinococcus parasites. The disease is mostly seen in liver and lung, and the other involvement is rarely seen. Head and neck involvement is extremely rarely seen and its frequency in the literature is reported as less than 1%. It is usually asymptomatic and the symptoms are related to the compression to the adjacent structures. In this paper, the authors report a patient of hydatid cyst localized in the posterior cervical region.Öğe Intrahepatic Portal Vein Aneurysm : An Unusual Entity(UNIV CATHOLIQUE LOUVAIN-UCL, 2016) Nayman, Alaaddin; Guler, Ibrahim; Koplay, Mustafa; Erdogan, Hasan; Cebeci, Hakan[Abstract not Available]Öğe Melorheostosis of the spine and ribs(ELSEVIER SCIENCE INC, 2015) Guler, Ibrahim; Aybay, Muhsin Nuh; Cengiz, Ali; Eser, Gul[Abstract not Available]Öğe A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience(AVES, 2016) Nayman, Alaaddin; Guler, Ibrahim; Keskin, Suat; Erdem, Tuba Berra; Borazan, Hale; Kucukapan, Ahmet; Ozbiner, HuseyinPURPOSE We aimed to demonstrate the success and reliability of a novel puncture, aspiration, injection, and reaspiration (PAIR) technique in liver hydatid cysts. METHODS Percutaneous treatment with ultrasonographic guidance was performed in 493 hepatic hydatid cysts in 374 patients. Patients were treated with a new PAIR technique by single puncture method using a 6F trocar catheter. The results of this novel technique were evaluated with regards to efficacy and safety of the procedure and complication rates. RESULTS Out of 493 cysts, 317 were Gharbi type I (WHO CE 1) and 176 were Gharbi type II (WHO CE 3A). Of all cysts, 13 were referred to surgery because of cystobiliary fistulization. Recurrence was observed in 11 cysts one month later. Therefore, the success rate of the PAIR technique was 97.7% (469/480). Minor complications (fever, urticaria-like reactions, biliary fistula) were seen in 44 treated patients (12%, 44/374); the only major complication was reversible anaphylactic shock which was observed in two patients (0.5%, 2/374). CONCLUSION This novel modified PAIR technique may be superior to catheterization by Seldinger technique due to its efficiency, easier application, lower severe complication rate, and lower cost. Further comparative studies are required to confirm our observations.Öğe Partially thrombosed multiple pulmonary artery aneurysm secondary to Behcet disease(HINDAWI LTD, 2015) Guler, Ibrahim; Odev, Kemal; Tunc, Recep[Abstract not Available]Öğe PERI-AORTIC FAT TISSUE THICKNESS IN PERITONEAL DIALYSIS PATIENTS(MULTIMED INC, 2013) Turkmen, Kultigin; Ozbek, Orhan; Kayrak, Mehmet; Samur, Cigdem; Guler, Ibrahim; Tonbul, Halil ZekiBackground: Thoracic peri-aortic fat tissue (PFT) and epicardial adipose tissue (EAT) are metabolically active visceral fat deposits surrounding the thoracic aorta and the heart, respectively. Various studies have demonstrated a positive predictive value of both PFT and EAT for coronary artery disease in the general population. In the present study, we aimed to investigate PFT thickness and the independent predictors of PFT in peritoneal dialysis (PD) patients. Methods: Our cross-sectional study enrolled 35 PD patients (10 women, 25 men) and 30 age-and-sex-matched healthy subjects (15 women, 15 men). We measured PFT, thoracic artery calcification (TAC), EAT, and coronary artery calcification (CAC) by electrocardiogram-gated 64-multi-detector computed tomography. Results: The measured PFT, EAT, CAC, and TAC were significantly higher in the PD group than in the healthy subjects (p < 0.05 each). In the PD group, PFT and TAC were significantly correlated (r = 0.33, p = 0.007). Also, PFT measurements were positively correlated with EAT and total CAC in the PD and the control group alike (r = 0.58, p = 0.001 and r = 0.54, p = 0.01 respectively). A stepwise linear regression analysis revealed that age, duration of hypertension, and being a PD patient were independent predictors of PFT. Conclusions: Measured PFT was higher in PD patients than in healthy subjects and, in the PD population, was also shown to be related to calcification scores and EAT.Öğe Predictors of Kidney Dimensions Measured by Multi-detector Computed Tomography (MDCT) in 930 Middle-Aged and Elderly Patients(INFORMA HEALTHCARE, 2012) Ozbek, Orhan; Solak, Yalcin; Guler, Ibrahim; Ozbiner, Huseyin; Ozbek, Seda; Turkmen, Kultigin; Nayman, AlaaddinPurpose: A few studies investigated renal size using computed tomography (CT) in middle-aged and elderly patients while taking renal function into account. Thus, we aimed to assess kidney dimensions and their predictors in patients without known renal disease by multi-detector computed tomography (MDCT). Methods: This is a 6-month-long prospective observational study. Estimated glomerular filtration rate (eGFR) was calculated with Cockcroft-Gault (CG) and modification of diet in renal disease (MDRD) formulas. Pole-to-pole kidney length (R1) was determined from coronal and sagittal oblique images. Kidney length (R2), width (R3), and parenchymal thickness were measured in axial slices. Results: The data of the 930 patients were included in this study. CG-eGFR was more closely correlated with R1, R2, and R3 than MDRD-eGFR. CG-eGFR, female gender, and presence of diabetes mellitus were independent predictors of R1 size in logistic regression analyses. Conclusion: Kidney sizes diminish with advancing age. CG-eGFR shows a better correlation with kidney dimensions compared with MDRD. Overall, age was a stronger determinant of eGFR than renal dimensions.Öğe Primary Retroperitoneal Hydatid Cyst(LIPPINCOTT WILLIAMS & WILKINS, 2015) Guler, Ibrahim; Kivrak, Hatice Y.; Tolu, Ismet[Abstract not Available]Öğe Quantitative Assessment of Left Ventricular Function and Myocardial Mass: A Comparison of Coronary CT Angiography with Cardiac MRI and Echocardiography(INT SCIENTIFIC INFORMATION INC, 2016) Kara, Bedia; Nayman, Alaaddin; Guler, Ibrahim; Gul, Enes Elvin; Koplay, Mustafa; Paksoy, YahyaBackground: The purpose of this study was to compare the left ventricular parameters obtained from multidetector row computed tomography (MDCT) studies with two-dimensional echocardiography (2DE), and magnetic resonance imaging (MRI), which is accepted as the gold standard in the evaluation of left ventricular functions. The study also aimed to evaluate whether or not there is a relationship between the MR-Argus and CMR tools software programs which are used in post-process calculations of data obtained by MRI. Material/Methods: Forty patients with an average age of 51.4 +/- 14.9 years who had been scanned with cardiac MDCT were evaluated with cardiac MRI and 2DE. End-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), ejection fraction (EF), cardiac output (CO), and myocardial mass values calculated by MDCT, MRI, and 2DE were compared with each other. Two different MR software programs were used to compare left ventricular functions. The CMR tools LV tutorials method is accepted as the gold standard because it can be used in three-dimensional functional evaluation. The Pearson Correlation and Bland-Altman analysis were performed to compare the results from the two MR methods (MR-Argus and CMR tools) and the results from both the MDCT and the 2DE with the CMR tools results. Results: Strong positive correlations for EF values were found between the MDCT and CMR tools (r=0.702 p<0.001), and between the MR-Argus and CMR tools (r=0.746 p<0.001). The correlation between the 2DE and CMR tools (r=0.449 p<0.004), however, was only moderate. Similar results were obtained for the other parameters. The strongest correlation for ESV, EDV, and EF was between the two MR software programs. The correlation coefficient between the MDCT and CMR tools is close to the correlation coefficient between the two software programs. While the correlation between 2DE and CMR tools was satisfactory for ESV, EDV, and CO values, it was at a moderate level for the other parameters. Conclusions: Left ventricular functional analysis can be performed easily and reliably with cardiac MDCT used for coronary artery evaluation and it also gives more accurate results than 2DE.Öğe Radiofrequency ablation of a rare pathology: vertebral intraosseous lipoma(ELSEVIER SCIENCE INC, 2016) Ozbek, Orhan; Keskin, Fatih; Kaya, Hasan Emin; Guler, Ibrahim; Nayman, Alaaddin; Koc, Osman[Abstract not Available]Öğe A rare cause of back pain: simple bone cyst in the lumbar vertebra(ELSEVIER SCIENCE INC, 2015) Nayman, Alaaddin; Guler, Ibrahim; Erdogan, Hasan; Koplay, Mustafa[Abstract not Available]Öğe The rugger jersey spine sign(ELSEVIER SCIENCE INC, 2015) Guler, Ibrahim; Koplay, Mustafa; Nayman, Alaaddin; Kivrak, Ali Sami; Tolu, Ismet[Abstract not Available]Öğe Sitting Buddha position: Sacral agenesis case(MEDICAL INVESTIGATIONS SOC, 2016) Guvenc, Osman; Guler, Ibrahim; Annagur, AliSacral agenesis syndrome (Caudal regression syndrome) is a neural tube defect that is characterized by absence of the vertebral segment that constitutes the sacrum. It is very rarely seen and generally develops sporadically. Its etiology is influenced by maternal diabetes, genetic factors, teratogenic agents and vascular hypo-perfusion. It is important to make a diagnosis in the prenatal period. This paper presents a newborn diagnosed with sacral agenesis as a case and discusses this disease in the light of the latest literature information.
