Morphologic evaluation of Meckel's diverticulum

Cekic Y, Dalcik H, Demiriz M, Yildiz M

Cerrahpasa J Med 1995;26: 195-198.

BACKGROUND: Meckel's diverticulum (MD) is a well known congenital remnant. It often presents as an incidental finding during laparotomy. It comes to attention with symptomatic complications like bleeding, inflamation or obstruction. DESIGN: Physical and histological features of MD in ninteen cases were examined. Eighteen specimens belonged to the patients who were operated for acute abdomen and one was removed from an adult cadaver which was the only one among 75 cadavers that were evaluated for MD. RESULTS: In all 19 cases MD was located at the antimesenteric side of the ileum and was proximal to the ileocecalis valve on the average of 43.9 cm. The mean length was 2.45 cm and the mean lumen diameter 1.35 cm. None of the specimens contained a heterotopic tissue. The incidence of MD in our 75 cadavers was 1.3%. CONCLUSION: Our results are concordance with the findings of other series of MD that have been reported previously. (Return)

Hysterosalphingograpy vs. laparoscopy in infertility

Idil M, Madazli R, Cepni I, Mutlu H, Yedigoz V, Aksu MF

Cerrahpasa J Med 1995;26: 199-204.

BACKGROUND: Histerosalpingography (HSG) and laparoscopy (LS) are two procedures used in the evaluation of infertility. The role of diagnostic laparoscopy in patients that have been assessed by HSG is controversial. DESIGN: LS was performed to 205 infertile cases who had been evaluated by HSG previously. The mean interval between these two procedures was 2.8±3.4 years. RESULTS: The HSG and LS findings correlated in 77% of the patients with regard to tubal passage, in 78.5% for bilateral distal occlusion, in 66.6% for bilateral proximal occlusion, in 40.9% for pelvic adhesions without tubal block and in 61.6% for bilateral normal tubal anatomy. CONCLUSION: Tubal passage should be reevaluated if a) HSG examination has revealed pelvic adhesion without tubal block, b) more than 3 years have elapsed after initial HSG, c) the patient had undergone an intraabdominal operation after HSG examination. (Return)

Brucella antibodies in diseases with similar clinical course of brucellosis

Mert A, Tabak F, Dumankar A, Kadioglu P, Bilir M, Yavuz S, Soy M, Balic IH, Gumus M, Yazici H, Aktuglu Y

Cerrahpasa J Med 1995;26: 205-208.

BACKGROUND: The presentation and the clinical course of Brucellosis have common features like chills, fever, headache, malaise, diarrhea, myalgia, back pain, hepatosplenomegaly, arthritis with various other diseases. Also false positive Brucella agglutination test results have been reported in number of diseases which are considered in the differential diagnosis of Brucellosis. This study was designed to determine the frequency of false positive Brucella agglutination test among these diseases. DESIGN: A total of 265 cases were tested for Brucella antibodies. The study group consisted of 25 cases of tuberculosis, 15 malaria, 15 typhoid fever, 25 lymphoma, 25 sarcoidosis, 60 collagen-vascular disease and 100 with fever of unknown origin. In 100 patients tube agglutination, in 115 slide agglutination and in 50 both tests were performed. RESULTS: Agglutination was detected only in 2 patients, one with malaria and the other with typhoid fever with dilutions 1/20 and 1/40 respectively. CONCLUSION: No increased frequency of false positive Brucella agglutination test was demonstrated among the disease groups tested. (Return)

The characteristics of DNA and mitosis with flow cytometry in pulmonary tumors

Demir G, Celikoglu S, Yalciner A, Serdengecti S, Berkarda B

Cerrahpasa J Med 1995;26: 209-212.

BACKGROUND: Flow Cytometry (FC) is a method which provides valuable information about the biological characteristics of tumors. This study was designed to determine its contribution in the evaluation of the tissue specimens obtained by bronchoscopy in pulmonary tumors. DESIGN: Twelve patients with small cell (SC) and 38 with non-small cell (NSC) carcinoma were included in the study. The specimens obtained by bronchoscopy were assessed for the characteristic of DNA and mitosis with FC. Our aim is to evaluate this method together with bronchoscopic biopsy in pulmonary tumors. RESULTS: There was no statistical difference between the two groups of carcinoma with regard to aneuploidy, DNA index, non-diploid phase and synthesis phase. However when the patients with NSC carcinoma were assessed with reference to differentiation, a significant difference concerning the synthesis phase and DNA index was found between the well-differentiated and undifferentiated subgroups (p=0.012, p=0.028). CONCLUSION: Our results suggest that, FC, if used concomitantly with brochoscopy is a useful method in the discrimination of benign from malignant pulmonary tumors. (Return)

Pressure sore carcinoma

Ermis I, Aydin A, Bavbek B, Hayirlioglu T

Cerrahpasa J Med 1995;26: 213-215.

OBSERVATION: Pressure sore carcinomas are rarely seen. They have a high recurrence rate with poor prognosis. Generally they require radical surgical excision and elective lymph node dissection. A male patient suffering from paraplegia secondary to a spinal cord injury, for 20 years is reported. The histopathological examination of the sacral pressure sore which developed 15 years later revealed a well- differentiated squamous cell carcinoma. Here we present a review of the literature and the details of the surgical therapy instituted. (Return)

A patient with primary retroperitoneal cold abscess

Mungen B, Kiziltan G, Bulut B, Akyol A, Kerman M, Gokce O, Huseyinoglu K

Cerrahpasa J Med 1995;26: 216-218.

OBSERVATION: A case who presented with a unilateral inguinal pain radiating to the left leg is described. The culture of the aspiration material obtained from the mass located within the left psoas muscle, which was visualised by CT, was positive for acid-resistant bacteria. Albeit extensive investigations no primary focus for tuberculosis was detected. Primary psoas abscess are rare especially in neurology practice. (Return)

Atypical or beta3 adrenoreceptors

Ozyazgan S, Denizbasi A, Ozuner Z

Cerrahpasa J Med 1995;26: 224-228.

BACKGROUND: In the classification of the adrenergic system a new group of beta receptors is brought up. These adrenoceptors are known as beta3 or atypical beta adrenoceptors. Until now, the molecular structure of the receptors has been identified. The presence of these receptors has been verified in the heart, in the airways, in the gastrointestinal system and in the adipose tissue. Their effects on thermogenesis and fat metabolism are especially investigated. In this article up-to-date studies and results about this receptor are described. (Return)