Browsing by Author "Karadeli, Elif"

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Abdominal CT Findings in Patients with Primary Lymphoma Causing Small Bowel Obstruction
(2017) Karadeli, Elif; Erbay, Gurcan; Parlakgumus, Alper; Yabanoglu, Hakan; 0000-0002-0352-8818; 0000-0002-1706-8680; 0000-0002-1161-3369; 29132484; AAK-5399-2021; AAK-5370-2021; AAJ-7865-2021
The purpose of this study was to investigate retrospectively CT findings in patients with primary lymphoma causing small bowel obstruction. CT scans of 11 patients with small bowel lymphoma were separately analysed in terms of affected section of the small bowel, focality, wall thickness, pattern and degree of contrast enhancement, lymphadenopathy, organ involvement, perforation, and the presence of intraabdominal fluid. Eight patients had diffuse large B-cell lymphoma, and one patient each had marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT), T-cell lymphoma, and anaplastic T-cell lymphoma. Affected sections of the bowels involved were jejunum (n=5, 45.4%), ileum (n=2, 18.1%), and one case (9%) each of distal ileum, distal jejunum, distal jejunum and ileum, and distal jejunum and colon. Primary gastrointestinal (GI) lymphoma is an uncommon disease, that may lead to small bowel obstruction sometimes.
A Case of Mediastinal Mesenchymal Tumor Resembling Hemopericardium
(2021) Acibuca, Aynur; Yilmaz, Mustafa; Karadeli, Elif; Canpolat, Emine Tuba; Erol, Tansel; 34404995
Mediastinal neoplasms are rare in the elderly, and clinical suspicion is the first and most important step of differential diagnosis. Mediastinal tumors can be misdiagnosed because their symptoms or signs can overlap with cardiovascular diseases, which have a higher prevalence among the older population. The diagnostic process should be managed with multimodality imaging and clinical judgement. Here, the case of a 74-year-old male patient, who presented with shortness of breath, is examined. A chest X-ray revealed an increased cardiothoracic ratio, and he was diagnosed with hemopericardium following an emergent chest computed tomography. In the echocardiography, it was suspected that a hyperechogenic area adjacent to the heart might be due to a mass, and further examinations confirmed a mediastinal neoplasm. A surgical biopsy was performed, and it was determined to be a mesenchymal tumor. To conclude, clinicians should keep in mind the possibility of paracardiac neoplasm in the elderly, as well as in other age groups, when encountering mediastinal widening so that the patient can be protected from unnecessary interventions such as pericardiocentesis.
Correlation of Clinical Risk Factors with Diffusion-Weighted Magnetic Resonance Images in Prostate Cancer Patients Treated with Definitive Radiotherapy
(2015) Erbay, Gurcan; Onal, Cem; Guler, Ozan C.; Karadeli, Elif; Koc, Zafer
This study is aimed to correlate apparent diffusion coefficient (ADC) values and clinical T-stage, serum PSA, pathology Gleason scores. We also further analyzed whether ADC values could be used to appropriately define the risk groups. 135 biopsy-proven, radiotherapy-(RT)-treated, prostate cancer patients who underwent pre-RT DW-MRI and standard T2W pelvic MRI were included. ADC and normalized ADC (nADC) values were calculated from DW-MRI delivered a median 8.1 weeks after prostate biopsy. ADC values were correlated with clinical risk factor values by using Pearson correlation test. ADCs in low-, intermediate-, and high-risk patients were 0.873 +/- 0.122X10(-3) mm(2)/s, 0.763 +/- 0.124X10(-3) mm(2)/s, and 0.701 +/- 0.132X10(-3) mm(2)/s (p = 0.001), respectively. Patients with preRT PSA <10 ng/mL had significantly higher ADCs than patients with preRT PSA 10-20 ng/mL (p = 0.02) or >20 ng/mL (p < 0.001). Mean ADC for patients with Gleason score <7 was significantly higher than patients scoring 7 (p = 0.001) or >7 (p < 0.001). Clinical stage
CT findings of Intramural Small Bowel Hematoma Secondary to use of Oral Anticoagulant Therapy
(2016) Karadeli, Elif; Tok, Sermin; Erbay, Gurcan
Cyst associated with ectopic tooth in the unilateral maxillary sinus
(2016) Karadeli, Elif; Tok, Sermin; 0000-0002-0352-8818; AAK-5399-2021
Teeth are rarely found out side the alveolar arch. Nasal septum, mandibular condyle, coronoid process and maxillary sinus are areas where ectopic teeth are usually observed. We hereby a case of a 38-year-old woman presented with hoarseness and post-nasal drainage, which was present for the last 1 year with ectopic teeth located in a cyst in the maxillary sinuses.
Cystic lymphangioma of the ascending colon and cecum
(2018) Karadeli, Elif; Erbay, Gurcan
Ekstrakorporeal şok dalga litotiripsi öncesi ve sonrası böbreklerin difüzyon MRG ve renal doppler ultrasonografi ile değerlendirilmesi
(Başkent Üniversitesi Tıp Fakültesi, 2015) Özen, Merve; Karadeli, Elif
Böbrek taşı sebebiyle ESWL uygulanan hastalarda, bu tedavinin; tedavi edilen böbrek ve tedavi edilmeyen karşı böbrek üzerindeki etkilerinin renkli Doppler ultrasonografi ve difüzyon ağırlıklı manyetik rezonans görüntüleme ile değerlendirilmesi. Bu prospektif çalışmaya Mart 2013 ile Haziran 2015 tarihleri arasında hastanemizde ESWL tedavisi yapılan böbrek taşı olan 18 hasta (8 kadın, 10 erkek; yaş ortalaması 40,56 ±11,5) dahil edildi. Her iki böbrekte ESWL öncesi ve sonrası renkli Doppler ultrasonografi ile rezistif indeks (Rİ) değerleri ölçüldü. Düşük (0, 50,100, 200 s/mm2) ve yüksek (0,400, 600, 1000 s/mm2) b değerleri kullanılarak DAG ve ADC haritaları elde edildi. Her iki böbrek korteks ve kortikomedüller bölge üst, orta ve alt bölgelerden ADC değerleri ölçüldü. Tedavi öncesi ve sonrası her iki böbrekteki Rİ ve ADC değerlerindeki değişiklikler değerlendirildi ve karşılaştırıldı. ESWL’den sonra her iki böbreğin üst, orta ve alt kesimlerinde, Rİ değerlerinde anlamlı artış saptandı (p<0,05). Her iki böbrek için tedavi sonrasındaki Rİ değerlerindeki artış kıyaslandığında, tedavi olan böbrek orta kesimde istatistiksel olarak anlamlı artış saptandı (p<0,05). Tedavi edilen böbrek alt pol korteksinde; düşük b değerlerinden elde olunan ADC değerlerinde istatistiksel olarak anlamlı azalma bulundu (p<0,05). Tedavi edilen ve edilmeyen böbrek karşılaştırıldığında; tedavi sonrası alt pol korteksinde, düşük b değerlerinden elde olunan ADC değerleri açısından tedavi gören böbrekte anlamlı azalma saptandı (p<0,05). Tedavi edilen böbreklerin alt pol kortikomedüller bölgesinde, yüksek b değerlerinden elde olunan ADC değerlerinde istatistiksel olarak anlamlı azalma (p<0,05), tedavi edilmeyen kontralateral böbreklerin alt pol kortikomedüller bölgesinde yüksek b değerlerinden elde olunan ADC değerinde tedavi sonrası anlamlı azalma bulundu (p<0,05). ESWL sonrası böbrekteki etkileri değerlendirmede Doppler Ultrasonografi invaziv olmayan güvenli ve tekrarlanabilir bir yöntemdir. Erken dönemde Rİ değerlerinde artış olması vasküler rezistansı göstermektedir. Düşük ve yüksek b değerlerinden elde olunan ADC haritaları da böbrekteki ödem ve perfüzyon değişiklikleri hakkında bilgi verir. To evaluate the effects of ESWL on both ipsilateral and contralateral kidneys by using color Doppler Ultrasonography (US) and diffusion weighted magnetic resonance imaging. This prospective study included 18 patients with nephrolithiasis (8 females, 10 males; average age: 40.56±11,5 years) who underwent ESWL between March 2013 and June 2015 in our hospital. Resistive index (RI) values of both kidneys of every patient were measured with color Doppler US, before and after ESWL. ADC maps were formed by using low (0, 50, 100, 200 s/mm2) and high (0,400, 600, 1000 s/mm2) b values. The cortical and corticomedullary ADC values of the kidneys were measured separately at superior, middle and inferior parts of both kidneys. Differences between pre- and post-treatment RI and ADC values were evaluated and compared on both the treated and untreated kidneys. A significant increase in post-ESWL RI values was detected to increase in the superior, middle and inferior parts of both treated and untreated kidneys (p<0,05). The comparison of the amounts of post-ESWL RI difference between the contralateral and ipsilateral kidneys yielded a significantly higher difference in the middle part of the treated kidneys (p<0,05). The ADC values derived from low b values of the inferior cortex were significantly lower (p=,048) in the treated kidneys. When the treated and untreated kidneys were compared, ADC values derived from low b values in the inferior cortex were significantly lower in the treated kidneys (p<0,05). ADC values derived from high b values in the inferior corticomedullary region were detected to decrease significantly for both treated (p=0,006) and untreated (p<0,05) kidneys. Color Doppler ultrasonography is a reliable, non-invasive and repeatable tool for evaluation of post-ESWL kidney changes. Early increase in RI values indicates the increase in vascular resistance. The ADC maps, derived using low and high b values suggest information on kidney edema and perfusion changes.
Generalist versus Abdominal Subspecialist Radiologist Interpretations of Abdominopelvic Computed Tomography Performed on Patients with Abdominal Pain and its Impact on the Therapeutic Approach
(2020) Yesilagac, Hasan; Arer, Ilker Murat; Gulalp, Betul; Yabanoglu, Hakan; Karagun, Ozlem; Karadeli, Elif; 0000-0003-0681-8375; 0000-0002-2045-2771; 0000-0002-0352-8818; 0000-0002-1365-9256; 0000-0002-1161-3369; 32322789; U-4084-2017; P-6931-2016; AAK-5399-2021; AAJ-6068-2021; AAJ-7865-2021
Introduction: Abdominal pain is one of the most common patient complaints in the emergency department (ED) and abdominopelvic computed tomography (ACT) scan plays an important role in evaluation of these patients. Objective: The aim of this study was to determine the differences between interpretations by generalist radiologists and abdominal subspecialist radiologists regarding the abdominopelvic computed tomography (ACT) of patients who were admitted to the Emergency Department (ED) and to investigate its effect on the patients' therapeutic approach. Methods: The records of 16452 patients who were admitted to the emergency department with complaint of abdominal pain between January 2015 and April 2017 were reviewed, retrospectively. Out of these patients, 245 (1.5%) underwent ACT for differential diagnosis and among them, 137 (0.8%) patients had their ACT reports evaluated by generalist radiologists in 45 minutes and by abdominal subspecialist radiologist 8-12 hours later and were included in the study. Patients were divided into three groups according to the effect of ACT reports on the performed treatment. Group 1: no effect on planned treatment, group 2: minor effect on planned treatment, which did not result in a change in the treatment process and group 3: major effect on planned treatment approach, which resulted in a change in the treatment process. These changes included at least one of the two criteria: changing the indication of surgery from emergency surgery to elective surgery and/or discharge of the patient from the ED, when actually hospitalization was required. Results: Out of the 137 patients, 87 (63.5%) were male, 50 (36.5%) were female and the patients' mean age was 56 (27-93) years. There were 117 (85.4%) patients in group 1, 15 (10.9%) patients in group 2, and 5 (3.7%) patients in group 3. We determined minor inconsistency between the reports in group 2 and major inconsistency in group 3. Patients in group 3 suffered from delayed surgical intervention due to inconsistency of the CT reports resulting in prolonged hospital stay and increased morbidity. In 17 patients (four patients in Group 1 and 13 patients in Group 2) treatment plan was changed due to CT results; and while surgical treatment was planned for them prior to CT scan, they were discharged with medical treatment after that and overtreatment was prevented. Conclusion: Contribution of abdominal radiologists to evaluation of ACT images in the ED would reduce the inconsistency in ACT reports and prevent the patients from receiving insufficient treatment or overtreatment.
Internal Comparison Standard for Abdominal Diffusion-Weighted Imaging
(2017) Koc, Zafer; Erbay, Gurcan; Karadeli, Elif; 0000-0002-1706-8680; 0000-0002-0352-8818; 0000-0003-0987-1980; 27956463; AAK-5370-2021; AAK-5399-2021; S-8384-2016
Background: Standards for abdominal diffusion-weighted imaging (DWI), apparent diffusion coefficient (ADC) measurements, and analysis are required for reproducibility. Purpose: To identify optimal internal comparison standards for DWI to normalize the measured ADC for increased accuracy of differentiating malignant and benign abdominal lesions. Material and Methods: We retrospectively studied 97 lesions (89 patients; age, 57 +/- 13 years) with histopathologically confirmed abdominal disease. Seven normal body parts/contents (normal parenchyma, spleen, kidney, gallbladder bile, paraspinal muscle, spinal cord, and cerebrospinal fluid [CSF]) were assessed as internal references for possible use as comparison standards. Three observers performed ADC measurements. Statistical analyses included interclass correlation coefficients (ICCs), Mann-Whitney and Kruskal-Wallis tests, and coefficient of variation (CV). ROC analyses were performed to assess diagnostic accuracy of lesion ADC and normalized ADC for differentiating lesions. Pathology results were the reference standard. Results: Mean and normalized ADCs were significantly lower for malignant lesions than for benign lesions (P< 0.001). ICC was excellent for all internal references. Gallbladder had the lowest CV. Receiver operating characteristic (ROC) analyses showed that normalized ADCs obtained using normal parenchyma were better than lesion ADCs for differentiating malignant and benign abdominal lesions (area under the curve [AUC], 0.808 and 0.756, respectively). The normalized ADCs obtained using CSF shows higher accuracy than lesion ADCs (0.80 and 0.76, respectively) for differentiating between malignant and benign abdominal lesions. Conclusion: The normal parenchyma from a lesion-detected organ can be used as an internal comparison standard for DWI. CSF can be used as a generalizable in plane reference standard.
Large bursitis formation associated with osteochondroma of the scapula: magnetic resonance imaging findings
(2016) Karadeli, Elif; Tok, Sermin; 0000-0002-0352-8818; AAK-5399-2021
Osteochondroma is the most common benign bone tumors. 27-year-old man was admitted with complaints of increased swelling of the left shoulder motion. After imaging and histological examination diagnosed osteochondroma. Pain is often connected to the mechanical effect of environmental osteochondroma tissue mass is the result of symptoms. This can result in bursitis.
Late pancreatic metastasis of renal cell carcinoma with absence of FDG-uptake in PET-CT
(2016) Karadeli, Elif; Tok, Sermin; Erbay, Gurcan; Reyhan, Mehmet; 0000-0002-1706-8680; 0000-0002-0352-8818; 0000-0001-8550-3368; AAK-5370-2021; AAK-5399-2021; AAJ-5242-2021
The primary tumors, which raise isolated pancreas metastases are frequently of renal origin, where colorectal cancer, melanoma, breast and lung cancers and sarcoma are the following causes of metastatic pancreas cancer. In this article, we present a case of pancreas-metastatic renal cell carcinoma with its radiological features, which did not exert anF-18 FDG-uptake in the whole-body positron emission tomography (PET).
Magnetic resonance imaging findings of primar bone lymphoma presenting with pathologic fracture
(2016) Karadeli, Elif; Tok, Sermin; 0000-0002-0352-8818; AAK-5399-2021
Malignant bone lymphomas are uncommonly encountered clinically. Men, 77-years-old, was admitted to hospital because of pain in the left shoulder. After imaging and histological examination diagnosed primary bone lymphoma. Primary lymphoma of the bone is an extranodal lymphoma that arises from the medullary cavity and manifests as a localized, solitary lesion, which represents 1% of all malignant lymphomas.
MRI Findings of Borderline Retroperitoneal Serous Cystadenocarcinoma
(2019) Erbay, Gurcan; Karadeli, Elif; Parlakgumus, Alper; 30823957
Retroperitoneal serous cystadenocarcinoma is an extremely uncommon lesion. Here, we present MR imaging findings of a 40-year woman who was admitted to the hospital due to abdominal pain. The patient was evaluated with abdominal Computed Tomography (CT) and Magnetic Resonance Imaging (MRI). Abdominal CT revealed a 13x18 cm large retroperitoneal and cystic mass with polypoid projections. MRI was superior than CT in showing polypoid projections. Contrast enhanced MRI detected enhancement of thin septations and cyst appearance inner the cyst. Diffusion-weighted MRI showed restricted diffusion in the polypoid component with contrast enhancement. Therefore, we thought malignant lesion. The findings of contrast-enhanced CT and MRI were helpful in the diagnosis of those lesions. In addition, diffusion weighted MRI with multi parametric modalities played unlimited role in the assesment of the differential diagnosis.
Perforation without manifestations of acute abdomen after ERCP
(2016) Karadeli, Elif; Tok, Sermin; Erbay, Gurcan; 0000-0002-0352-8818; 0000-0002-1706-8680; AAK-5399-2021; AAK-5370-2021
Perforations are rare after endoscopic retrograde cholangiography (ERCP) but they are serious complications. Perforations may occur due to patient-related factors or procedural technique. The mortality rate is higher than 37.5%. We are presenting a patient with perforation detected on a computed tomography (CT) scan after ERCP for obstructive jaundice that was treated conservatively. Perforation after ERCP can be operated or treated conservatively according to the patient's condition.
Polycystic Ovary Syndrome: The Correlation Between Renal Doppler Ultrasound and Laboratory Parameters
(2016) Karadeli, Elif; Uckuyu, Ayla; Ciftci, Faika Ceylan; Toprak, Erzat; Turhan, Erdem; Ozcimen, Emel; Niron, Emin Alp
Aim: To investigate whether there is alteration both right and left kidney lenght, parenchymal thickness, renal arterial, venous blood flow measurements in normotensive reproductive age women with polycystic ovary syndrome (PCOS). Material and Method: Forty women with PCOS according to Rotterdam criteria and thirty-six healthy volunteers women were included in our study. Hormonal, biochemical analysis, renal Doppler ultrasonography were performed and were investigated in terms of both left and right renal lenght, parenchymal thickness, peak systolic velocity (PSV), resistive index (RI), venous impedance index (VI), metabolic characteristics having insulin resistance, impaired glucose tolerance, serum lipid concentration. The student t test and pearson corelation test were used for statistical analysis. Results: The measurements for kidneys were not different between women with PCOS and healthy women. The peak systolic velocity of mean renal artery was lower in PCOS group. The mean renal venous impedance also was higher in PCOS group than control group. The mean renal resistive index was slightly higher in PCOS but not statistical significant. In bivariate corelation analyse including all patients, it was seen that BMI, WHR, level of serum fasting glucose, insulin, LDL, trigliserides were positively related with mean renal length and mean parenchymal thickness measurements. Discussion: We found that there was alterations kidney blood flow in normotensive reproductive age women with PCOS. This findings may indicate results of long term renal and cardiovascular complications of PCOS.
Predicting Tumor Recurrence in Patients with Cervical Carcinoma Treated with Definitive Chemoradiotherapy: Value Of Quantitative Histogram Analysis On Diffusion-Weighted MR Images
(2017) Erbay, Gurcan; Onal, Cem; Karadeli, Elif; Guler, Ozan C.; Arica, Sami; Koc, Zafer; https://orcid.org/0000-0002-1706-8680; https://orcid.org/0000-0002-0352-8818; https://orcid.org/0000-0001-6908-3412; https://orcid.org/0000-0003-0987-1980; 27445314; AAK-5370-2021; HOC-5611-2023; AAK-5399-2021; AAC-5654-2020; S-8384-2016
Background: Further research is required for evaluating the use of ADC histogram analysis in more advanced stages of cervical cancer treated with definitive chemoradiotherapy (CRT). Purpose: To investigate the utility of apparent diffusion coefficient (ADC) histogram derived from diffusion-weighted magnetic resonance images in cervical cancer patients treated with definitive CRT. Material and Methods: The clinical and radiological data of 50 patients with histologically proven cervical squamous cell carcinoma treated with definitive CRT were retrospectively analyzed. The impact of clinicopathological factors and ADC histogram parameters on prognostic factors and treatment outcomes was assessed. Results: The mean and median ADC values for the cohort were 1.043 +/- 0.135 x 10(-3) mm(2)/s and 1.018 x 10(-3) mm(2)/s (range, 0.787-1.443 x 10(-3) mm(2)/s). The mean ADC was significantly lower for patients with advanced stage (>= IIB) or lymph node metastasis compared with patients with stage < IIB or no lymph node metastasis. The mean ADC, 75th percentile ADC (ADC75), 90th percentile ADC (ADC90), and 95th percentile ADC (ADC95) were significantly lower in patients with tumor recurrence compared with patients without recurrence. In multivariate analysis, tumor size, ADC75 and ADC95 were independent prognostic factors for both overall survival and disease-free survival. Conclusion: ADC histogram parameters could be markers for disease recurrence and for predicting survival outcomes. ADC75, ADC90, and ADC95 of the primary tumor were significant predictors of disease recurrence in cervical cancer patients treated with definitive CRT.
Prognostic values of ADC(mean) and SUVmax of the primary tumour in cervical cancer patients treated with definitive chemoradiotherapy
(2019) Yildirim, Berna Akkus; Onal, Cem; Erbay, Gurcan; Guler, Ozan Cem; Karadeli, Elif; Reyhan, Mehmet; Koc, Zafer; 0000-0002-2742-9021; 0000-0003-0987-1980; 30354907; D-5195-2014; S-8384-2016
We analysed the correlation of F-18-fluorodeoxyglucose uptake into primary tumours using the maximum standardised uptake value (SUVmax) and the mean apparent diffusion coefficient (ADC(mean)) values in magnetic resonance imaging (MRI) with the clinical and pathological factors in patients with cervical cancer who were treated with concurrent chemoradiotherapy. The patients were stratified according to the primary tumour pre-treatment ADC(mean) and SUVmax cut-off values. There were significant correlations between the SUVmax of the primary tumour and tumour size, and the treatment response. The correlation between the ADC(mean) and FIGO stage, tumour size, and the lymph node metastasis was significant. The SUVmax was significantly and inversely correlated with the ADC(mean) for cervical cancer (r = -0.44, p <.001). In the multivariate analysis, the primary tumour ADC(mean), treatment response and the lymph node metastasis emerged as significant independent predictors of both OS and DFS, and of the primary tumour SUVmax for DFS. Tumour size has a borderline significance for OS. High SUVmax and low ADC(mean) of the primary tumour are important predictive factors for identifying high-risk patients with cervical cancer who are treated with definitive chemoradiotherapy. These results point to a future role for the diffusion-weighted MRI and for F-18-fluorodeoxyglucose positron emission tomography, not only in the staging of cervical cancer but as an aid in the selection of an adjuvant treatment regimen after chemoradiotherapy for individual patients.
Radiologic findings mimicking acute abdomen in a patient with colorectal cancer: are these side effects of FOLFIRI therapy?
(2016) Karadeli, Elif; Erbay, Gurcan; Koc, Zafer; 0000-0002-1706-8680; 0000-0002-0352-8818; 0000-0003-0987-1980; AAK-5370-2021; AAK-5399-2021; S-8384-2016
Bowel perforation is an emergency problem, it presents as an acute abdomen. Computurize tomography (CT) is important imaging modality used to evaluate patients with acute abdomen. CT shows anatomical detail and intestinal wall, evaluating secondary signs of bowel disease within the surrounding mesentery and detecting even small amounts of extraluminal air or oral contrast leakage into the peritoneal cavity. The aim of this article is to illustrate acute abdominal CT findings due to FOLFIRI therapy of a patient with colorectal cancer. Interestingly, this patient was an emergency case based on radiologic findings, but he felt good, had no emergency problem clinically.
A Rare Triplet Found in a Patient With Drug-Resistant Hypertension: Adnexal-Adrenal Sex Cord-Stromal Tumors and Castleman?s Disease
(2022) Erbay, Gurcan; Pehlivan, Umur Anil; Karadeli, Elif; 36158343
Adrenal and ovarian sex cord-stromal tumors which originate from the ovarian stroma and adrenal cortex, have an extremely low incidence even alone. Castleman's disease is also one of the rare causes of non-neoplastic lymphadenopathy. The aim of this case report was to contribute to the literature by identifying the coexistence of these three pathologies, which are encountered with a low incidence even alone.A 46-year-old female patient had experienced drug-resistant hypertension. In the laboratory test, electrolyte imbalance was detected. Imaging modalities revealed left adrenal and adnexal mass lesions as well as a right paraspinal intramuscular nodular lesion. When hypertension and electrolyte imbalance were evaluated together with their etiology, it was thought that the left adrenal lesion, which also has a chemical shift, may be compatible with functional adenoma. Left adrenalectomy was planned. The ovarian lesion and right paraspinal intramuscular lesion were also excised during the same session with the suspicion that the ovarian lesion may be hormone-active neoplasia and the intramuscular lesion may be a metastasis. The diagnosis of adnexal-adrenal sex cord-stromal tumors and unicentric Castleman's disease were made histopathologically.Radiologically, it should be kept in mind that the radiological manifestations of adrenal sex cord-stromal tumors can be confused with adrenal adenomas. Even when these extremely rare tumors are encountered, avoiding the "satisfaction of search" plays a crucial role in the identification of additional pathologies that can explain the etiology.
Repair of calcified left ventricular pseudoaneurysm of long duration
(2017) Demirturk, Orhan Saim; Karadeli, Elif; Alemdaroglu, Utku; Yilmaz, Mustafa; 0000-0002-0352-8818; 28329289; AAK-5399-2021
Cardiac pseudoaneurysm is a contained rupture of the myocardium limited by pericardial adhesions or the epicardial wall. Cardiac pseudoaneurysm may cause sudden death with a mortality of 30-45% in the first year, mostly resulting from rupture. Coronal and axial T2-weighted magnetic resonance images of a 65-year-old male patient admitted with dyspnoea, coughing and chest pain, present for the last 10 days, revealed a large pseudoaneursym of the left ventricle. Coronary bypass and left ventricular restoration operation was performed. The patient was eventlessly discharged 8 days after operation. He is in NYHA Class I 21 months postoperatively. The interval between myocardial insult and establishment of diagnosis is unknown in our patient. This is a patient whose left ventricular rupture had been contained for a very long time, possibly years, because a heavily calcified thick pseudoaneurysm wall was encountered during operation, making this case rare in the literature.