Background: Wandering spleen (WS) is a rare clinical condition which may cause fatal complication like torsion with subsequent infarction. Determination of splenic parenchyma viability is very important in deciding whether splenopexy rather than splenectomy is an option. Contrast- enhanced computed tomography (CECT) is important for the diagnosis of WS and assessment of the viability of spleen. Discussion: We reviewed the CT studies of four cases with WS. We measured the mean splenic and liver density and calculated liver-to-spleen attenuation ratio (LSAR). We also assessed the CT findings for each patient. Mean splenic density was measured as 40.77 Hounsfield Unit (HU) in cases with infarction, 127.1 HU in case without infarction. LSAR was calculated as 2.55 in cases with infarction, 0.99 in case without infarction. We detected whirlpool sign, intraperitoneal free fluid, splenic arterial enhancement in all patient, parenchymal and splenic vein enhancement in one patient without infarction, fat rim sign in three patients with infarction, capsular rim sign in one patient with infarction. Conclusion: CECT should be obtained for the diagnosis of WS and assessment of the viability of spleen. CECT could suggest the diagnosis of infarction of the spleen with following findings; absence of parenchymal enhancement, very low density of spleen (<45 HU), and LSAR which is greater than 2.
Background Tendinosis in the common extensor tendon and accompanying ligament, bone, and plica abnormalities can be observed on magnetic resonance imaging (MRI). Purpose To determine whether there is a difference between accompanying abnormalities according to the degree of common extensor tendon injury Material and Methods Patients who underwent 1.5-T MRI tests with a prediagnosis of lateral overuse syndrome were retrospectively reviewed, and 56 patients who had an injury in the common extensor tendon (CET) were included. The degree of tendon and ligament injury, muscle signal change, bone marrow signal change, presence of joint effusion, and morphological features in the presence of plica were evaluated via MRI examinations of the elbow. Results Overall, 32, 16, and eight patients had mild, moderate, and severe CET damage, respectively. As the severity of CET damage increased, the presence of joint effusion, and the presence and degree of damage to the lateral ulnar collateral ligament (LUCL) and radial collateral ligament (RCL) increased. The radiohumeral (RH) plica area was significantly larger in the group with mild CET damage. There was no statistically significant correlation between the severity of CET damage and the end of RH plica with a blind-end, coverage of one-third or more of the radius, its signal, thickness, and presence of olecranon fold. Conclusion As the severity of CET injury increases, damage to the LUCL, RCL, and the presence of effusion in the joint increases. RH plica should be evaluated in terms of concomitant pathology in patients with mild CET injuries on MRI.
Amaç: Akdeniz Üniversitesi Tıp Fakültesi'nde beş yıl önce özel çalışma modüllerinin uygulanmasına başlanmıştır. "Dövme ve "piercing" gibi deri süsleme sanatları" özel çalışma modülünde, deriyle ilgili temel kavramların öğrenilmesi, bilimsel sunu hazırlanması, deri süslemeleri ile ilgili bilgilenme, toplumu bilgilendirici broşür hazırlaması amaçlanmıştır. Yöntem: Açılan özel çalışma modülüne 2008-2009 eğitim öğretim yılında dört öğrenci, 2009-2010 eğitim öğretim yılında ise yedi öğrenci başvurmuştur. Öğrenciler bu konu hakkındaki bilgi gereksinimini ortaya çıkarmak için Tıp Fakültesi, Güzel Sanatlar Fakültesi ve Eğitim Fakültesi öğrencilerine "dövme" ve "piercing" ile ilgili anket formu uygulanmıştır. Anket formu ile ortaya çıkan gereksinimler doğrultusunda sunum yapılmış ve hazırlanan broşürleri öğrencilere dağıtılmıştır. Bulgular: Toplam öğrenciler arasında "dövme ya da piercing" sıklığı %12,3 olarak bulunmuştur (%47,6'sı (n=10) sadece dövme, %42,9'u (n=9) sadece "piercing" ve %9,6'sı (n=2) her ikisi). Tıp Fakültesi öğrencilerinin %6,3, Eğitim Fakültesi öğrencilerinin %10,5'i, Güzel Sanatlar Fakültesi öğrencilerinin %25,5'i "dövme ya da piercing"inin bulunduğunu belirtmiştir. Tıp Fakültesi öğrencileri diğer fakülte öğrencilerine göre "piercing" ve "dövme" ile ilgili bilgilere daha çok doğru yanıt vermiştir. "Piercing" ya da "dövme" yaptırmaktan en fazla oranda hoşlananlar ise Güzel Sanatlar Fakültesi öğrencileridir. Yine bu öğrencilerin bu uygulamaları en fazla oranda yaptırdıkları saptanmıştır. Uygulama yaptıranların işlem sonrası komplikasyonlar ile ilgili bilgi seviyelerinin yeterli düzeyde olmadığı görülmektedir. Sonuç: Çalışmamız deri süsleme sanatı ile ilgili bilgilendirilme çalışmalarının yapılması gerekliliğini vurgulamaktadır. Objective: Special Study Modules were firstly introduced five years ago at Akdeniz University Faculty of Medicine. The learning of basic concepts related with the skin and skin decorative arts, scientific presentations, informational society brochure were aimed in skin decorative arts such as tattoos and piercing, special study module. Methods: Four students admitted special study module opened in 2008-2009 academic year and 7 students in 2009-2010. Students organized a questionnaire to reveal the need for information on the subject. A questionnaire for tattoo and piercing were applied to students of Faculty of Medicine, Faculty of Fine Arts and the Faculty of Education. Presentation was performed in accordance with the requirements revealed by the questionnaire form and prepared leaflets were distributed to the students. Results: The prevalence of tattooing and body piercing was 12.3% in all students (n=154). 47.6% (n=10) for only tattoo, 42.9% (n=9) for only piercing, 9.6% (n=2) for both tattoo and piercing). Of the Medical Faculty students, 6.3% reported having both piercing and tattoo; 10.5% of the Faculty of Education students reported having both tattoo and piercing and 25.5% of the Faculty of Fine Arts students reported having both piercing and tattoo. Students of Medical ...
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