Management of a splenic hydatid cyst is not consensual. Total splenectomy is optimal because it provides definitive treatment. However, spleen-preserving surgery is the preferred treatment in selected patients. The choice of technique depends on the localization, number, and size of hydatid cysts, and the absence or presence of other hydatic organ cysts.

Dalbaşı E, Akgül Ö. The effectiveness of methotrexate and low-dose steroid therapy in the treatment of idiopathic granulomatous mastitis [published online as ahead of print on September 9, 2021].

Background: Acute appendicitis (AA) is the most common cause of surgery performed for the acute abdomen. The standard treatment for AA patients has been appendectomy for more than a century. The use of broad-spectrum antibiotics, the medical treatment option has come to the fore in the treatment of uncomplicated AA. Aim: Evaluate whether white blood cell (WBC), platelet count, mean platelet volume (MPV), platelet distribution width (PDW), red cell distribution width (RDW) and Creactive protein (CRP) values of patients diagnosed with uncomplicated AA clinically, with laboratory tests and radiologically with abdominal computed tomography (CT) could be a marker for choosing medical or surgical treatment. Materials and Methods: 519 patients aged between 20 and 65 years who were diagnosed with uncomplicated AA by abdominal CT in our centre between January 2016 and January 2019 were retrospectively analysed. The presence of at least one How to cite this article: Dalbaşı E, Akgül ÖL. Are average platelet volume, red cell distribution width and platelet distribution width guiding markers for acute appendicitis treatment options?.

ÖZETAmyand herni nadir olup, herni kesesi içinde apandiksin bulunmas› olarak tan›mlan›r. Amyand herni sa¤ taraf ile karfl›laflt›r›ld›¤›nda sol tarafta daha nadir olarak görülür. Tan› genellikle introperatif olarak konulur. Çal›flmam›zda 22 yafl›nda sol inguinal herni nedeniyle opere edilen erkek hasta sunuldu. Herni kesesi içerisinde apandiks görüldü ve appendektomi uyguland›. Hasta postoperatif 3. gün sorunsuz taburcu edildi.Anahtar Kelimeler: Amyand herni, ‹nguinal herni, Apandiks ABSTRACT Amyand's hernia is a rare condition and defined as presence of the appendix within the hernial sac. In comparison, Amyand's hernia is seen more rarely on the left side than the right. Amyand's hernia diagnosis is generally made intra-operatively. A twenty-two-year old male patient with left-sided inguinal hernia diagnosis was operated. Appendix within hernial sac was seen and appendectomy was performed. The patient was discharged uneventful in the third day of postoperation.

Background: Acute appendicitis (AA) is the most common cause of surgery performed for acute abdomen. The standard treatment for AA patients has been appendectomy for more than a century. use of broad-spectrum antibiotics, the medical treatment option has come to the fore in the treatment of uncomplicated AA. Aim: Evaluate whether WBC, platelet count, MPV, PDW, RDW, and C-reactive protein (CRP) values of patients diagnosed with uncomplicated AA clinically, with laboratory tests and radiologically with abdominal CT could be a marker for choosing medical or surgical treatment. Material and Method: 519 patients aged between 20 and 65 years who were diagnosed with uncomplicated AA by abdominal CT in our centre between January 2016 and January 2019 were retrospectively analysed. . The presence of at least one of the criteria of 7 mm or more appendix diameter and oedema or fluid accumulation around the appendix was accepted as uncomplicated AA. After the diagnosis of AA, 223 patients were treated medically, while 296 patients underwent laparoscopic appendectomy. The first group included patients who were treated medically and the second group included patients who underwent laparoscopic appendectomy. Results: Group 2 patients had higher mean platelet count (p <.005) and RDW (p = .003) values compared to Group 1 patients, while mean PDW (p <.001) values were lower compared to those of Group 1 patients. The differences between the mean WBC, CRP and MPV values of the groups were not statistically significant (p>0.05). Conclusions: The standard treatment for acute appendicitis is surgery. Recently, studies supporting antibiotic therapy have been conducted in patients diagnosed with AA. As a result, we think that PDW, RDW, and platelet values in patients diagnosed with uncomplicated AA may be a guide in choosing patients to be treated with surgery or antibiotics. Key Words: acute appendicitis, laparoscopic appendectomy, antibiotic therapy.