1
|
Dadalı Y, Özkaçmaz S, Ünlü E, Özkaçmaz A, Alparslan M, Dündar İ, Turko E, Özgökçe M, Durmaz F, Göya C. Comparison of Computed Tomography Findings between Adult and Pediatric COVID-19 Patients. Curr Med Imaging 2024; 20:1-7. [PMID: 38389344 DOI: 10.2174/0115734056248266230921072432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 07/13/2023] [Accepted: 08/10/2023] [Indexed: 02/24/2024]
Abstract
PURPOSE This study aims to compare chest computed tomography (CT) findings between adult and pediatric patients with coronavirus disease-19 (COVID-19) pneumonia. MATERIALS AND METHODS This study included 30 pediatric patients aged 1 to 17 years and 30 adult patients over 18 years of age with COVID-19 pneumonia confirmed by reverse transcriptase-polymerase chain reaction (RT-PCR) who have findings related to COVID-19 on Chest Computed Tomography. The CT findings of adult and pediatric patients were compared with a z-test. RESULTS Bilateral involvement (p:0.00056), involvement in all five lobes (p<0.00001), and central and peripheral involvement (p:0.01928) were significantly higher in the adult group compared to the pediatric group. In the pediatric group, the frequency of unilateral involvement (p:0.00056), involvement of solitary lobe (p:0.00132), and peripheral involvement (p: 0.01928) were significantly higher than in the adult group. The most common parenchymal finding in adults and pediatric patients was ground-glass opacities (100% and 83%, respectively). Among the parenchymal findings in adults, ground-glass opacities with consolidation (63%) were the second most common finding, followed by air bronchogram (60%) in adults, while in pediatric patients, halo sign (27%) and nodule (27%) were the second most common, followed by the ground-glass opacities with consolidation (23%). CONCLUSION The CT findings of pediatric COVID-19 patients must be well-known as the course of the disease is usually less severe, and the radiological findings are uncertain when compared with adults.
Collapse
Affiliation(s)
- Yeliz Dadalı
- Department of Radiology, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkey
| | - Sercan Özkaçmaz
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Erdal Ünlü
- Department of Child Health and Diseases, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkey
| | - Ayşe Özkaçmaz
- Department of Microbiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Muhammed Alparslan
- Department of Radiology, Faculty of Medicine, Ahi Evran University, Kirsehir, Turkey
| | - İlyas Dündar
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Ensar Turko
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Mesut Özgökçe
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Fatma Durmaz
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Cemil Göya
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| |
Collapse
|
2
|
Akkaş Ö, Özgökçe M, Aydemir S, Dündar İ, Ekici A. Genotyping of Echinococcus granulosus Human Isolates Obtained from the Puncture, Aspiration, Injection, and Re-Aspiration (PAIR) Process in Türkiye. Iran J Parasitol 2023; 18:427-434. [PMID: 38169642 PMCID: PMC10758082 DOI: 10.18502/ijpa.v18i4.14242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 10/14/2023] [Indexed: 01/05/2024]
Abstract
Background Echinococcus granulosus is spread by the excretion of cystic organs into the environment. The dog is infected via eating the cystic organ. It then contaminates the environment with eggs of E. granulosus, which are infective to humans and animals. We aimed to determine the E. granulosus genotypes that cause infection in humans in the Van region, Türkiye. Methods Sixty patients between 18 and 100 years of age, who underwent the puncture, aspiration, injection, re-aspiration (PAIR) procedure in the Department of Radiodiognastics of Van Yüzüncü Yıl University, Van, Türkiye were included in the study. PAIR fluids were examined microscopically and DNA was isolated from the fluids. After DNA isolation, polymerase chain reaction (PCR) was performed using primers that amplify the E. granulosus NADH dehydrogenase subunit 1 (NAD1) gene region. After sequence analysis of the PCR amplicons, Basic Local Alignment Search Tool (BLAST) was performed. Results In the microscopic examination, protoscolex or hook was detected in 42 (70%) of the samples. DNA was successfully extracted from all of the cyst fluids containing protoscolex and hook, and the NAD1 gene region was PCR-amplified. After using BLAST, all of the samples were determined to be an E. granulosus sensu stricto G1 genotype. Sequence comparison revealed that four (9.5%) isolate sequences showed single nucleotide polymorphism (SNP). Sequences of isolates with SNP submitted to the GenBank with accession numbers OR565864 to OR565867. Conclusion E. granulosus s.s. G1 genotype, known as sheep strain, is common in human hydatid disease in the Van region of Türkiye.
Collapse
Affiliation(s)
- Önder Akkaş
- Department of Microbiology, Medical Faculty, Erzincan Binali Yıldırım University, Erzincan, Türkiye
| | - Mesut Özgökçe
- Department of Radiology, Medical Faculty, Van Yüzüncü Yıl University, Van, Türkiye
| | - Selahattin Aydemir
- Department of Parasitology, Medical Faculty, Van Yüzüncü Yıl University, Van, Türkiye
| | - İlyas Dündar
- Department of Radiology, Medical Faculty, Van Yüzüncü Yıl University, Van, Türkiye
| | - Abdurrahman Ekici
- Department of Parasitology, Medical Faculty, Van Yüzüncü Yıl University, Van, Türkiye
| |
Collapse
|
3
|
Türkoğlu S, Ekici A, Turgut Çoban L, Dündar İ, Okyay O, Gürbüz E. A Ruptured Cystic Echinococcosis in the Gallbladder and Intra/Extrahepatic Biliary Tract, Radiological and Surgical Imaging Findings. Turkiye Parazitol Derg 2023; 47:200-203. [PMID: 37724371 DOI: 10.4274/tpd.galenos.2023.65265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/20/2023]
Abstract
Cystic echinococcosis is a common parasitic infestation that can still cause serious complications in endemic areas. Intrabiliary rupture is a well-defined complication, but rupture into the gallbladder is rare. The disease may present with cholecystitis and cholangitis. Clinicians and radiologists working in the emergency room will find the management of the disease much easier if they become familiar with the clinical and radiological findings of the cyst. In this article, a 28-year-old male admitted to the emergency department with acute abdominal pain who was examined for suspected acute cholecystitis and diagnosed with a rupture of the hydatid intra/extrahepatic bile ducts and gallbladder is presented. Our aim is to present the clinical findings and surgical images of the case (ultrasonography, computed tomography, magnetic resonance imaging) and compare them with the literature.
Collapse
Affiliation(s)
- Saim Türkoğlu
- University of Health Sciences Türkiye, Van Training and Research Hospital, Clinic of Radiology, Van, Türkiye
| | - Abdurrahman Ekici
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Parasitology, Van, Türkiye
| | - Leyla Turgut Çoban
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Radiology, Van, Türkiye
| | - İlyas Dündar
- Van Yüzüncü Yıl University Faculty of Medicine, Department of Radiology, Van, Türkiye
| | - Ozan Okyay
- Van Yüzüncü Yıl University Faculty of Medicine, Department of General Surgery, Van, Türkiye
| | - Esra Gürbüz
- University of Health Sciences Türkiye, Van Training and Research Hospital, Clinic of Radiology, Van, Türkiye
| |
Collapse
|
4
|
İnce S, Özgokçe M, Özkaçmaz S, Dündar İ, Türko E, Ayyıldız VA, Göya C. Comparison of Medical Treatment Efficiency With Shear Wave Elastography Values of Thrombus in Patients With Lower Extremity Deep Vein Thrombosis. Ultrasound Q 2023; 39:158-164. [PMID: 37289425 DOI: 10.1097/ruq.0000000000000643] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
ABSTRACT In lower-extremity deep vein thrombosis (DVT), thrombus age is essential for successful treatment. The aim of our study was to compare the shear wave elastography (SWE) values measured before treatment and achieved lumen patency after treatment in lower-extremity DVT patients with total occlusion. Patients diagnosed with DVT in the acute-subacute stage (<4 week) with total thrombosis in lower extremity were included in this prospective study. Shear wave elastography measurements were performed where the thrombus was most prominent and homogeneous. To evaluate patient response to treatment, lumen patency (partial [>25%] or total recanalization) was examined using color Doppler imaging in the first and third months posttreatment. Shear wave elastography values with and without patency were compared using an independent t test. Among 75 patients in this study, at the first-month color Doppler imaging examination, the SWE values were 1.77 ± 0.49 (1.09-3.03) m/s in patients who achieved lumen patency (n = 42) and 2.21 ± 0.54 (1.24-3.36) m/s in those who did not show lumen patency (n = 33). The difference between the groups' mean elastography value was statistically significant ( P < 0.001). At the third-month examination, the SWE values were 1.76 ± 0.46 (1.09-3.03) m/s in patients with lumen patency (n = 55) and 2.52 ± 0.48 (1.74-3.36) in patients without lumen patency (n = 20). The difference between the 2 groups' mean elastography value was statistically significant ( P < 0.001). We concluded that it is more difficult to achieve lumen patency in veins occluded by thrombus with higher elasto values, and endovascular interventional procedures should be considered during the initial treatment of high SWE value thrombosis.
Collapse
Affiliation(s)
- Suat İnce
- Department of Radiology, Van Training and Research Hospital
| | - Mesut Özgokçe
- Department of Radiology, Medical Faculty, Van Yuzuncu Yıl University, Van
| | - Sercan Özkaçmaz
- Department of Radiology, Medical Faculty, Van Yuzuncu Yıl University, Van
| | - İlyas Dündar
- Department of Radiology, Medical Faculty, Van Yuzuncu Yıl University, Van
| | - Ensar Türko
- Department of Radiology, Medical Faculty, Van Yuzuncu Yıl University, Van
| | - Veysel A Ayyıldız
- Department of Radiology, Medical Faculty, Süleyman Demirel University, Isparta, Turkey
| | - Cemil Göya
- Department of Radiology, Medical Faculty, Van Yuzuncu Yıl University, Van
| |
Collapse
|
5
|
Dündar İ, Özkaçmaz S, Demir M, Özgökçe M, Durmaz F, Özkaçmaz A, Taken K, Göya C. Radiological Evidence of Testicular Damage in Severe Acute Respiratory Syndrome Coronavirus 2 Infection: A Sonoelastography's Potential Role. Ultrasound Q 2023; 39:145-151. [PMID: 36728735 DOI: 10.1097/ruq.0000000000000632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
ABSTRACT This preliminary study aimed to evaluate the possible damage to the male reproductive system that the severe acute respiratory syndrome coronavirus 2 virus causes by quantitatively measuring and comparing the tissue stiffness of the testis and epididymis with acoustic radiation force impulse sonoelastography in patients who have COVID-19 with a healthy control group. This prospective study was conducted between February and July 2021 with 65 cases. We used sonoelastography to evaluate male patients 18 years or older, who had applied to the urology clinic with nontesticular complaints, and were found to not have any underlying testicular pathology after a clinical-laboratory evaluation. The clinical-laboratory imaging findings and reverse transcription-polymerase chain reaction test results of all patients diagnosed with COVID-19 were reviewed from the hospital database. We measured the shear wave velocity values of the epididymis and the testes of 31 proven severe acute respiratory syndrome coronavirus 2 patients and 34 healthy subjects and compared them with an independent t test. For the patient and control group subjects, the mean age was 37.55 ± 13.08 (23-71) and 40.5 ± 16.25 (18-81) years, respectively. The mean shear wave velocity values of the left-right and bilateral testes and epididymis of the patient group were statistically substantially higher ( P ˂ 0.05) than in the control group. In the receiver operating characteristic analysis, when the cutoff values for the bilateral testes and epididymis were determined as 1.39 and 1.64 m/s, respectively, the AUC was 77% to 73.4%, the sensitivity was 87% to 74%, and the specificity was 65% to 62%. Our findings show that testicular and epididymal tissue stiffness increased in patients with COVID-19. We recommend adding sonoelastography to urogenital examinations of male reproductive system in patients who are recovering from COVID-19.
Collapse
Affiliation(s)
| | | | | | | | | | - Ayşe Özkaçmaz
- Microbiology, Medical Faculty, Van Yüzüncü Yıl University, Van, Turkey
| | | | | |
Collapse
|
6
|
Durmaz F, Özgökçe M, Aydin Y, Yildiz H, Özkaçmaz S, Dündar İ, Türko E, Arisoy A, Göya C. The Efficiency of Diffusion-weighted Magnetic Resonance Imaging in the Differentiation of Malign and Benign Cavitary Lung Lesions. J Thorac Imaging 2023; 38:154-158. [PMID: 36728491 DOI: 10.1097/rti.0000000000000695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE The present study investigates the diagnostic efficiency of apparent diffusion coefficient (ADC) values in differentiating between malignant and benign cavitary lesions on diffusion-weighted magnetic resonance imaging (DWI). MATERIALS AND METHODS This prospective study included 45 consecutive patients identified with a cavitary lung lesion with a wall thickness of ≥5 mm on thoracic computed tomography in our clinic between 2020 and 2022, and who underwent thoracic DWI within 1 week of their original computed tomography. ADC measurements were made on DWI by drawing a region of interest manually from the cavity wall, away from the lung parenchyma in the axial section where the lesion was best demonstrated. The patients were then classified into benign and malignant groups based on the pathology or clinico-radiologic follow-up. RESULTS The sample included 29 (64.4%) male and 16 (35.6%) female patients, with a mean age of 59.06±17.3 years. Included in the study were 1 patient with 3 and 3 patients with 2 cavitary lesions each, with a total for the sample of 50 cavitary lesions. There were 23 (46%) malignant and 27 (54%) benign cavitary lung lesions. The mean ADC value (×10 -3 mm 2 /s) of the malignant and benign cavitary lesions was 0.977±0.522 (0.511 to 2.872) and 1.383±0.370 (0.930 to 2.213), respectively. The findings were statistically significant using an independent samples t test ( P =0.002). The mean wall thickness of the malignant and benign lesions was 12.47±5.51 mm (5 to 25 mm) and 10.11±4.65 mm (5 to 22 mm), respectively. Although malignant cavities had a higher mean wall thickness than benign cavities, the difference was statistically insignificant ( P =0.104). CONCLUSION A significant difference was identified between the ADC values measured in DWI of the malignant and benign cavitary lung lesions. DWI, a noninvasive and rapid imaging method, can provide useful information for the differential diagnosis of cavitary lesions and can minimize unnecessary biopsies.
Collapse
Affiliation(s)
| | | | - Yener Aydin
- Department of Chest Surgery, Ataturk University School of Medicine, Erzurum, Turkey
| | - Hanifi Yildiz
- Chest Disease, Van Yuzuncu Yil University School of Medicine, Van
| | | | | | | | - Ahmet Arisoy
- Chest Disease, Van Yuzuncu Yil University School of Medicine, Van
| | - Cemil Göya
- Chest Disease, Van Yuzuncu Yil University School of Medicine, Van
| |
Collapse
|
7
|
Dündar İ, Türko E. Computed tomography findings of isolated peripheral pulmonary artery aneurysms. J Res Clin Med 2021. [DOI: 10.34172/jrcm.2021.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Background: In this study, we aimed to evaluate computed tomography(CT) findings of peripheral pulmonary artery aneurysms(PPAA) associated with Behcet Disease(BD), Hughes Stovin Syndrome(HSS), and idiopathic origin. Methods: Contrast-enhanced CT scans of the patients were retrospectively reviewed regarding PPAA. The patients with PPA were classified into BD, HSS, and idiopathic groups according to the etiology. The groups were compared for demographical features including age and gender, multiplicity, distribution thrombosis and accompanying pulmonary artery embolism(PAE), and deep venous thrombosis(DVT) history. Results: A total of 30 PPAA (25.4±13.4 (11-62) mm) were detected in 10(2.3%) (mean age 39.8±22-1.0[8-73] years, female/male:3/7) among 4391 patients reviewed. In 7 patients multiple aneurysms were detected while in 3 a solitary lesion was seen. Most commonly lower lobes (right 8-left 8, 53.2%) involvement was observed. A thrombosis was detected within 19(63.4%) aneurysms. Among 10 patients with PPAA 4(40%) ones have BD, 2(20%) HS and 4(40%) idiopathic origin. In 5(50.%) patients there was accompanying PAE and 3 (30%) DVT history. Patients with BD nad HSS tended to have multiple lesions than with idiopathic origin. Accompanying PAE was observed in 2(100%) of HSS, 2(50%) BD, and 1(25%) patient in the idiopathic group. A DVT history was recorded in 2(100%) of HSS, 1(25%) BD. None of in the idiopathic group had a DVT history. The only rupture was observed in the HSS group. Conclusion: Vasculitic diseases lead to PPAA, including BD and HSS are more likely to be associated with complications and additional morbid conditions than idiopathic processes.
Collapse
Affiliation(s)
- İlyas Dündar
- Department of Radiology, Faculty of Medicine, Van Yuzuncu Yil University, 65080, Van, Turkey
| | - Ensar Türko
- Department of Radiology, Faculty of Medicine, Van Yuzuncu Yil University, 65080, Van, Turkey
| |
Collapse
|
8
|
Dündar İ, Göya C, Hattapoğlu S, Özkaçmaz S, Özgökçe M, Türkoğlu S, Türko E. Clinical Impacts of Juxtapapillary Duodenal Diverticulum Detected on Computed Tomography. Curr Med Imaging 2021; 18:346-352. [PMID: 34825876 DOI: 10.2174/1573405617666211126153042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 09/14/2021] [Accepted: 09/27/2021] [Indexed: 11/22/2022]
Abstract
BACKGROUND Diverticula are commonly observed in the duodenum. Duodenal diverticulum (DD) usually does not give symptoms throughout life and is diagnosed by coincidence. However, it may present with different symptoms in patients. OBJECTIVE This study aims to evaluate the prevalence of DD and juxtapapillary duodenal diverticulum (JDD) and its association with other possible pathologies and to determine its clinical impact by using Computed Tomography (CT). METHODS This retrospective observational study, which was taken consecutively between the years of 2013-2020, was evaluated in the Radiology Department. The total number of cases was 4850 (male-2440; female-2410). CT images were evaluated by two experienced radiologists at the workstation. DD and JDD prevalence and clinical findings in the hospital registry system were examined. RESULTS The age of the patients included in the study ranged from 17 to 92 years (mean age 46.94±16.42). In patients with DD (female-130; male-101), mean age was 62.24 ± 12.69 (21-92). The prevalence of DD was 4.76% (n=231). The prevalence of JDD was 4.02% (n=195) and increased with age (p<0.01). The average diameter of the JDD was measured as 23.29±8.22(9.5-55.3) mm. A significant positive correlation was found between age and DD diameter (p=0.039). DDs were found most commonly 84.42% (n=195) in the second segment of the duodenum as JDD. In patients with JDD, the mean diameter of choledochus and wirsung canal were 6.7 ± 2.4 (3-15.3) mm and 0.31 ± 0.1 (0.1-6.5) mm respectively. The choledochal diameter was correlated with the JDD size (p = 0.004). Cholelithiasis (n=56), choledocholithiasis (n=20), cholecystitis (n=52), diverticulitis (n=15), duodenitis (n=37), pancreatitis (n=5) and hiatal hernia (n=60) with JDD were observed. Periampullary carcinoma was detected in one patient. CONCLUSION Our study shows that cholelithiasis, choledocholithiasis, cholecystitis, diverticulitis, duodenitis, pancreatitis may be associated with JDD. Therefore, in contrast-enhanced abdominal CT scans taken for various reasons, investigation of the presence and characteristics of JDD and detection of pathologies that may be associated with JDD are important for patients to benefit from early diagnosis and treatment opportunities and to take precautions against possible complications.
Collapse
Affiliation(s)
- İlyas Dündar
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Cemil Göya
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Salih Hattapoğlu
- Department of Radiology, Dicle University, Faculty of Medicine, Diyarbakır, Turkey
| | - Sercan Özkaçmaz
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Mesut Özgökçe
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Saim Türkoğlu
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| | - Ensar Türko
- Department of Radiology, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey
| |
Collapse
|
9
|
Göya C, Özkaçmaz S, Özgökçe M, Turko E, Dündar İ, Durmaz F. Radiological evaluation of response to treatment in hepatobiliary fascioliasis. Gastroenterol Hepatol 2021; 45:507-514. [PMID: 34634428 DOI: 10.1016/j.gastrohep.2021.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 08/11/2021] [Accepted: 09/27/2021] [Indexed: 10/20/2022]
Abstract
PURPOSE In this study, we aimed to evaluate the computed tomography (CT) findings of Fasciola hepatica infestations on initial and follow-up imagings after treatment, and also to describe the role of CT during diagnosis. METHODS In this retrospective study, patients with a diagnosis of fascioliasis by clinical and laboratory examination who underwent initial and follow-up contrast-enhanced abdominal CT scans after treatment (a single oral dose of 10mg/kg Triclabendazole) were included. The CT scans were evaluated regarding liver and spleen sizes, portal and splenic vein diameters, involved hepatic segment numbers and involvement patterns, the presence of focal perihepatic hyperdensity, gallbladder wall thickening, dilatation of the intrahepatic biliary tract, periportal-right subdiaphragmatic lymphadenopathy, hepatic subcapsular and intra-abdominal bleeding, and perihepatic/intraabdominal free fluid. Initial (pre-treatment) and post-treatment CT scans (average 25 months after the treatment) were compared with for these features. RESULTS A total of 36 patients with a mean age of 39.28±14.64 [15-83] years, were included in this study. After treatment, marked improvement in liver parenchymal involvement, biliary system findings, hepatomegaly-splenomegaly, periportal-peridiaphragmatic lymphadenopathy, and hepatic subcapsular hematoma were detected and focal perihepatic hyperdensity, free intraperitoneal fluid disappeared. CONCLUSION Contrast-enhanced abdominal CT can be used in the diagnosis and post-treatment follow-up of fascioliasis. Awareness of intrahepatic/extrahepatic lesions and all the complications of fascioliasis can greatly aid the diagnosis and also evaluation of the response to treatment.
Collapse
Affiliation(s)
- Cemil Göya
- Yuzuncu Yıl University, Faculty of Medicine, Department of Radiology, Turkey
| | - Sercan Özkaçmaz
- Yuzuncu Yıl University, Faculty of Medicine, Department of Radiology, Turkey.
| | - Mesut Özgökçe
- Yuzuncu Yıl University, Faculty of Medicine, Department of Radiology, Turkey
| | - Ensar Turko
- Şarkışla State Hospital, Department of Radiology, Turkey
| | - İlyas Dündar
- Yuzuncu Yıl University, Faculty of Medicine, Department of Radiology, Turkey
| | - Fatma Durmaz
- Yuzuncu Yıl University, Faculty of Medicine, Department of Radiology, Turkey
| |
Collapse
|
10
|
Yokuş A, Toprak N, Gündüz AM, Akdeniz H, Akdemir Z, Dündar İ, Arslan H. Anterior Cerebral Artery and Anterior Communicating Artery Variations: Assessment with Magnetic Resonance Angiography. World Neurosurg 2021; 155:e203-e209. [PMID: 34400324 DOI: 10.1016/j.wneu.2021.08.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 08/06/2021] [Accepted: 08/07/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Although anterior cerebral artery (ACA) and anterior communicating artery (AcomA) variations have been frequently investigated by contrast-enhanced angiography, the number of studies performed with magnetic resonance angiography is quite low. Our aim in this study is to investigate ACA and AcomA variations with time of flight magnetic resonance angiography (TOF MRA). METHODS Source and maximum intensity projection images of 581 adult patients (273 males, 308 females) who were scanned for intracranial arteries with the TOF MRA method were retrospectively analyzed. RESULTS We found the typical configuration rate of the ACA and AcomA complex to be 40.6%. The most common structural anatomic variations out of typical configuration were AcomA aplasia (18.9%) and AcomA hypoplasia (17.9%), respectively. The least frequent variation that we found was duplicated AcomA (0.9%). When we examined gender comparatively, unilateral A1 segment aplasia was found to be higher in males and azygos ACA was found to be higher in females (P = 0.001 and P = 0.029, respectively). CONCLUSIONS In this study, in which we used the TOF MRA technique, we detected high rates of anatomic variations of ACA and AcomA. This method, which is noninvasive, does not require contrast material and does not contain ionizing radiation, can be preferred especially in the evaluation of patients with kidney disease and contrast allergy.
Collapse
Affiliation(s)
- Adem Yokuş
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey.
| | - Nurşen Toprak
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| | - Ali Mahir Gündüz
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| | - Hüseyin Akdeniz
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| | - Zülküf Akdemir
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| | - İlyas Dündar
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| | - Harun Arslan
- Department of Radiology, Faculty of Medicine, Van Yüzüncü Yıl University, Van, Turkey
| |
Collapse
|
11
|
Özkaçmaz S, Akıncı MB, Özgökçe M, Dündar İ, Durmaz F, Göya C. Computed Tomography findings of atypical intralobar pulmonary sequestration: Research Article. J Res Clin Med 2021. [DOI: 10.34172/jrcm.2021.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Backgrounds: Bronchopulmonary sequestration (BPS) is a rare congenital anomaly of the lung that has two different types as intralobar and extralobar. In this study, we aimed to present six cases of intralobar sequestration with atypical findings in terms of feeding, drainage and, localization. Methods: Patients diagnosed with intralobar pulmonary sequestration in our clinic between 2015-2019 were evaluated retrospectively. Demographical features and atypical Computed Tomography (CT) findings of the patients were presented by literature. Results: Among 45 patients with intralobar sequestration, six ones (13.3%) (5 males and 1 female) with a mean age of 43.5±25.4 (0-78) years old) had atypical pulmonary findings on CT images. Atypical features regarding arterial supply was detected in 8.9%, venous drainage in 2.2%, location in 4.4%, radiological appearance ın 4.4% and co-existing lesion in 2.2% of the patient with intralobar sequestration. Conclusion: Typical and atypical features of pulmonary sequestration must be well-known for differential diagnosis of solid or cystic pulmonary lesions.
Collapse
Affiliation(s)
- Sercan Özkaçmaz
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | | | - Mesut Özgökçe
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - İlyas Dündar
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Fatma Durmaz
- Department of Radiology, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| | - Cemil Göya
- Department of Chest Surgery, Faculty of Medicine, Yüzüncü Yıl University, Van, Turkey
| |
Collapse
|
12
|
Turkoglu S, Batur A, Yokuş A, Dündar İ, Akinci MB. Contrast enhanced computed tomography findings of persistent truncus arteriosus; A rare congenital heart disease. Radiol Case Rep 2020; 15:795-798. [PMID: 32346456 PMCID: PMC7178326 DOI: 10.1016/j.radcr.2020.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2020] [Revised: 04/06/2020] [Accepted: 04/07/2020] [Indexed: 11/16/2022] Open
Abstract
Persistent Truncus Arteriosus is a cyanotic congenital heart anomaly in which a single trunk supplies both the pulmonary and systemic circulation, instead of a separate aorta and a pulmonary trunk. It is usually classified as a conotruncal anomaly. Due to parallel fetal circulation, truncus arteriosus does not cause any haemodynamic problem in utero. However it is a major problem postnatally and, if left untreated, approximately 80% of infants die within the first year. Diagnosis should be made early by radiologists and cardiologists due to fatal illness. We found it valuable to present a case of truncus arteriosus with computerized tomography findings because of its rare occurrence.
Collapse
Affiliation(s)
- Saim Turkoglu
- Department of Radiology, Medical Faculty, Yuzuncu Yıl University, Van 65100, Turkey
| | - Abdussamet Batur
- Faculty of Medıcıne Department of İnternal Medıcıne Program of Radıology, Konya, Turkey
| | - Adem Yokuş
- Department of Radiology, Medical Faculty, Yuzuncu Yıl University, Van 65100, Turkey
| | - İlyas Dündar
- Department of Radiology, Medical Faculty, Yuzuncu Yıl University, Van 65100, Turkey
| | | |
Collapse
|