Purpose The purpose of this study was to compare the efficacy of percutaneous aspiration thrombectomy (PAT) followed by standard anticoagulant therapy, with anticoagulation therapy alone, for the treatment of acute proximal lower extremity deep vein thrombosis. Methods In this randomised, prospective study, 42 patients with acute proximal iliofemoral deep vein thrombosis documented via Doppler ultrasound examination, were separated into an interventional treatment group (16 males, 5 females, average age 51 years) and a medical treatment group (13 males, 8 females, average age 59 years). In the interventional group, PAT with largelumen 9-F diameter catheterisation was applied, after initiation of standard anticoagulant therapy. Balloon angioplasty (n 19) and stent implementation (n: 14) were used to treat patients with residual stenosis ([50 %) after PAT. Prophylactic IVC filters were placed in two patients. The thrombus clearance status of the venous system was evaluated by venography. In both the medical and interventional groups, venous patency rates and clinical symptom scores were evaluated at months 1, 3, and 12 after treatment.Results Deep venous systems became totally cleared of thrombi in 12 patients treated with PAT. The venous patency rates in month 12 were 57.1 and 4.76 % in the interventional and medical treatment groups, respectively. A statistically significant improvement was observed in clinical symptom scores of the interventional group (PAT) with or without stenting (4.23 ± 0.51 before treatment; 0.81 ± 0.92 at month 12) compared with the medical treatment group (4.00 ± 0.63 before treatment; 2.43 ± 0.67 at month 12). During follow-up, four patients in the medical treatment and one in the interventional group developed pulmonary embolisms. Conclusions For treatment of acute deep vein thrombosis, PAT with or without stenting is superior to anticoagulant therapy alone in terms of both ensuring venous patency and improving clinical symptoms. PAT is a safe, inexpensive, and easily performed method of endovascular treatment

Magnetic resonance imaging (MRI) of the internal acoustic canal is the standard diagnostic tool for a wide range of indications in patients. This study aims to investigate the vascular variations and compression of the cranial nerves (CNs) VII and VIII at the cerebellopontine angle in patients with neuro-otologic symptoms using 3D-fast imaging employing steady-state acquisition (FIESTA) MR imaging. One hundred and eighty-seven patients (374 temporal bones) were examined on a 1.5-T MRI. In addition to conventional MR sequences, a 3D-FIESTA MR imaging was acquired. Magnetic resonance images thus obtained were evaluated with special regard to the presence of vascular contact to the CNs VII and VIII, as well as the presence of the vascular variations of the anterior inferior cerebellar artery (AICA) causing the compression of CNs. The Chi-squared test was used for statistical analysis. No statistically significant differences were found between the presence and absence of the AICA loop and/or vascular contact for the clinical symptoms of patients (P > 0.05). The cisternal and canalicular segments of CNs VII and VIII and adjacent vascular variations are well identified using 3D-FIESTA, especially by determining the relationship of the AICA variations between CNs.

The prevalence of posterior semicircular canal dehiscence was determined to be 1.2%. No superior or lateral semicircular canal defect was detected in these five patients. All cases with posterior semicircular canal defect were male. In two cases the canal was located unilaterally, while in three cases the defects were present bilaterally. Otological examination and audiovestibular tests revealed no abnormal findings in any of the individuals.

It is important to know the arterial anatomy within the lateral cervical region before the flap-planning. We evaluated the arterial anatomy in this area using multidetector computed tomography (CT) angiography and our aim was to establish the arterial variations. Both sides of individuals in a total number of 155 carotid CT angiographies are reviewed by using 64-detector CT, retrospectively. The variations of suprascapular artery, superficial cervical artery, dorsal scapular artery that are inclusive of the lateral cervical region were assessed. Three arteries originated individually in 67 (23.8 %) sides. They arose by trunk formation in 214 (76.2 %) sides. The most common type of trunk formation was cervicodorsal trunk (107; 38 %). The others were cervicoscapular trunk, cervicodorsoscapular trunk, dorsoscapular trunk and detected in 66 (23.4 %), 40 (14.3 %), 1 (0.3 %) sides, respectively. The origins of arteries within the lateral cervical region may show variations and they may originate from subclavian artery or its branches individually or by trunk formations. It may be beneficial to know these variations before the reconstructive surgical procedures in head and neck. CT angiography is a non-invasive method that enables to evaluate the arterial anatomy and variations in this area.

Amaç: Bu çalışmada, pediatri pratiğinde çeşitli endikasyonlar nedeni ile transfontanel ultrasonografi (TFUSG) istenilen hastaların tanısal profilinin ortaya çıkarılması hedeflenmiştir. Gereç ve Yöntem: Bu çalışmada, 01.08.2019-18.10.2021 tarihleri arasında, Balıkesir Üniversitesi Tıp Fakültesi çocuk sağlığı ve hastalıkları ile çocuk nöroloji polikliniklerinde çeşitli endikasyonlar ile transfontanel ultrasonografi istenilen 0-2 yaş arasındaki hastaların dosyaları retrospektif olarak incelendi. TFUSG bulguları normal/normalin varyasyonları ve anormal olarak ikiye ayrıldı. Bulgular: 77’si (%42,1) kız ve 106’sı (%57,9) erkek olmak üzere toplam 183 olgu çalışmaya dahil edildi. Olguların yaş ortalaması 119,55±134,52 gün (1-700 gün) idi. En sık TFUSG istem nedenleri; çeşitli etiyolojiler (n=79, %43,2), nöbet (n=37, %20,2), ve yenidoğan yoğun bakım ünitesine yatış öyküsü (n=23, %12,6) idi. 30 (%16,4) olguda TFUSG anormal olarak raporlandı. En sık anormal TFUSG bulguları; beyin omurilik sıvısı (BOS) mesafelerinde genişleme (n=8,%4,4), hidrosefali (n=7, %3,8), subaraknoid mesafede genişleme (n=5, %2,7) idi. TFUSG normal veya anormal olanlar arasında cinsiyet, gestasyon yaşına göre doğum ağırlığı ve baş çevresi açısından istatiksel olarak anlamlı farklılık saptandı (p=0,007, p=0,048, p=0,00). Sonuç: 0-2 yaş arası hastalarda TFUSG bulgularında cinsiyet, gestasyon yaşına göre doğum ağırlığı ve baş çevresi açısından anlamlı farklılık saptanması çalışmamızı öne çıkaran özelliktir ve üzerinde daha kapsamlı çalışılması gereken bir bulgudur.

We report a case of a 60-year-old hemodialysis patient who clinically mimicked psoas abscess, which was subsequently proven to be from metastatic disease seconddary to uroepithelial tumor. The patient presented with 3 weeks history of fever, weight loss and back pain. Computer tomography (CT) scan of abdomen and pelvis revealed psoas muscle infiltration not amenable to drainage by interventional radiology. Careful history to provide additional clues to the diagnosis is of paramount importance in this condition.

No abstract

Öz Bochdalek hernisi konjenital diyafragmatik herniler arasında en sık görülen tiptir. Posterolateral diyafragmatik defektten abdominal organların intratorasik kaviteye herniye olması ile karakterizedir. Yenidoğanda sık olmasına rağmen yetişkinlerde nadir olarak görülür. Literatürde yaklaşık 100-150 yetişkin vaka raporlanmıştır. Bochdalek hernili hastalarda herni içeriği sıklıkla batın içi yağdan ibarettir. İntratorasik böbrek görülmesi son derece nadir bir durumdur. Biz bu olgu sunumunda 51 yaşındaki kadın hastayı nadir görülen bu durumlardan dolayı sunuyoruz. Anahtar Sözcükler: Bochdalek hernisi, intratorasik böbrek, toraks çok kesitli bilgisayarlı tomografi, yetişkin.