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Öğe A Case of Prenatally Diagnosed Arthrogryposis Multiplex Congenita(Düzce Üniversitesi, 2025) Ertem, Şenay Bengin; Demir, Süreyya Sarıdaş; Reşorlu, Mustafa; Kılın, Seda AtmacaArthrogryposis multiplex congenita (AMC) is a clinical entity characterized by reduced fetal movements (fetal akinesia), fetal growth restriction (FGR), joint contractures (arthrogryposis), facial anomalies, lung developmental delay (pulmonary hypoplasia), and other developmental abnormalities. It is accepted that this condition is a description of a group of abnormalities resulting from reduced fetal movements rather than a true diagnosis or a specific syndrome. In many arthrogryposis cases, the etiology has not yet been determined. Prenatal diagnosis of AMC is critical for providing adequate counseling to families. When a fetus with multiple congenital contractures is detected on prenatal ultrasound (US), management of the pregnant woman should be undertaken by a multidisciplinary team. In this report, a case of AMC detected in the prenatal period, together with US and fetal magnetic resonance imaging (MRI) findings, was presentedÖğe A Rare Cause of Median Nerve Entrapment Neuropathy: Carpal Lipoma(2019) Aylanç, Nilüfer; Kaymaz, Burak; Reşorlu, Mustafa; Toprak, Canan AkgünLipomas are common benign soft tissue tumors andmay appear in different anatomical regions of thebody. They are rarely seen in the hand. These lesions,in varying sizes, can cause some complications andclinical symptoms depending on the mass effect onthe anatomic region. Especially lesions in the hand,can cause carpal tunnel syndrome (CTS), due to theproximity to the median nerve or to compressioneffect. In this article, the lipoma causing median nerveentrapment will be discussed, although it is notlocated just in the carpal tunnel but distally.Öğe A rare cause of respiratory distress in newborns: Case report of a premature infant with congenital cystic adenomatoid malformations type 3(2014) Reşorlu, Mustafa; Topalo?lu, Naci; Uysal, Fatma; Adam, Gürhan; Karata?, Ozan; Kaymaz, Nazan; Yildirim, ŞuleCongenital cystic adenomatoid malformations (CCAMs) are hamartomatous lesions of pulmonary airway which are characterized by proliferations of terminal brochioles. They are usually infiltrated to one lobe. These patients are during the postnatal period at a level of 80% and adult patients are rare. We report a case of Stocker type 3 CCAM which caused respiratory distress in a premature born infant weighing 1940 g who was delivered by emergency caesarean section. Radiological imaging results revealed CCAM. He subsequently underwent right lobectomy. Pathological examination showed immature airspaces and interstitium, including bronchioles and cartilage as type 3 CCAM. CCAM should be considered in newborns with respiratory distress.Öğe Abdominal Ağrı ile Prezente Olan Duodenal Lipom Radyoloji(2017) Reşorlu, Mustafa; Karatağ, Ozan; Toprak, Canan AkgünDuodenal lipomlar nadir, benign tümörlerdir ve küçükboyutlu olduklarında asemptomatiktirler. Özellikle dörtcm den büyük olduklarında ağrı gibi semptomlara yadaintusepsiyon, obstrüksiyon gibi komplikasyonlara nedenolabilirler. Tanıda fluroskopik inceleme, endoskopikultrasonografi, bilgisayarlı tomografi ve manyetikrezonans görüntüleme kullanılabilirÖğe Acute Measurement of Developmental Dysplasia of the Hip: Comparing Two Approaches for Measuring the Alpha Angle Using the Graf Technique(Sage Publications Inc, 2025) Dindar, Fırat; Aylanç, Nilüfer; Aylanç, Hakan; Ertem, Şenay Bengin; Sıddıkoğlu, Duygu; Reşorlu, MustafaObjective: The Graf method, in ultrasonography screening of developmental hip dysplasia, is based on angle measurements. Using different reference points may cause varied results. The aim of this study was to investigate to what extent the alpha angle obtained, varied at different reference points.Materials and Methods: There were 178 hips evaluated by two trained observers. Both measured the alpha angle with different reference points and these were labeled as methods A and B, for all the hips evaluated. The statistical analysis was performed with SPSS Version 21.Results: The average of observer 1, based on measurements with method A, were 65.63 (SD +/- 5.95) and based on method B were 73.39 (SD +/- 6.29). The average of the measurements of observer 2, utilizing method A were 64.39 (SD +/- 4.85) and based on method B were 69.92 (SD +/- 6.08). It was observed that method B showed higher mean and variability compared to method A. The agreement between observers was moderate in method A and poor in method B. The intraobserver correlation coefficient (ICC) was 0.69 for method A and 0.47 for method B. The ICC was considered good (e.g., 95%) for both observers in terms of using methods A and B.Conclusion: The use of ultrasonography still maintains its place in the diagnosis of developmental hip dysplasia. The Graf method is based on precise measurements, and the most decisive parameter is the alpha angle. Reference points in method A would be more useful in patient management and may increase the diagnostic accuracy.Öğe AĞRILI TOTAL OFTALMOPAREZİ İLE SEYREDEN İNDİREKT KAROTİKOKAVERNÖZ FİSTÜL OLGUSU I(2014) Özkan, Adile; Adam, Gürhan; Güllüoğlu, Halil; Çınar, Celal; Uysal, Fatma; Reşorlu, Mustafa; Özdemir, HüseyinÖzet 84 yaşında kadın hasta iki haftadır sağ göz kapağında düşme ve ağrı şikayeti ile başvurdu. Nörolojik muayenesinde sağ gözde her yöne hareketlerinin kısıtlılık ve pitoz saptandı. Sağ gözde direkt ve indirekt ışık refleksi pozitifti. Olgunun görme keskinliği tam olarak değerlendirildi. Kraniyal magnetik rezonans anjiografi tetkikinde 3 D TOF slab sekansında ,superior oftalmik vende dilatasyon ve kavernöz sinüste sinyal artışı izlendi. Serebral anjiografide (DSA) sağda kavernöz sinüs düzeyinde bilateral eksternal karotid arterin multipl meningeal dalından beslenen sağ inferior petrosal sinüse ve superior oftalmik vene direne olan indirekt KKF saptandı. Transvenöz yolla kavernöz sinüs ve inferior petrosal ven koil embolizasyon yöntemi ile fistülde total oklüzyon sağlandı . Tedavi sonrası dördüncü haftada hastanın sağ göz ağrısı tamamen geçti, pitoz ve göz hareketlerindeki kısıtlılık tama yakın düzeldi.Öğe Anjiomatoid Fibröz Histiositom(Çanakkale Onsekiz Mart Üniversitesi, 2014) Güven, Mustafa; Topaloğlu, Naci; Aras, Adem Bozkurt; Şen, Halil Murat; Reşorlu, Mustafa; Coşar, MuratAnjiomatoid fibröz histiositom nadir görülen bir yumuşak doku tümörüdür. Düşük grade malign potansiyele sahiptir. En sık görülme yerleri alt ve üst ekstremitelerdir. Ekstremiteleri gövde, boyun ve nazolabial bölge takip eder. Literatür taramasında skalpte angiomatoid fibrous histiositoma bulunan bir olgu saptanmadı. Bu sunumda oksipital yerleşimli anjiomatoid fibröz histiositom tanısı alan bir olgu literatür eşliğinde tartışıldı.Öğe Bilateral double contour on the cardiac borders and a review of the literature(Çanakkale Onsekiz Mart Üniversitesi, 2022) Gönlügür, Uğur; Yılmaz, Merve; Reşorlu, Mustafa; Kapıcıbaşı, Hasan OğuzThere is not a systematic review about double contour in thoracic radiography in the literature. We present a 64-year-old male patient with bilateral double density sign in chest X-ray. The case was admitted with complaints of syncope to the emergency department. Arterial blood gas analysis was consistent with respiratory failure. A mucoid impac-tion in the right lower lobe was aspirated during bronchos-copy. Chest computerized tomography demonstrated a huge diaphragmatic hernia and intrathoracic stomach in the posterior mediastinum. The patient was treated with intra-venous diazepam for delirium tremens. All related papers were reviewed with Google and Pubmed search using keywords “double contour sign” or “double density sign”. In conclusion, pulmonary, cardiac, and retrocardiac medi-astinal diseases can cause double density signÖğe Böbrek Yaralanmasını Taklit Eden Nadir Bir Renal Kolik Olgusu : Koç Toslaması Sonrası Gelişen Renal Kolik(Çanakkale Onsekiz Mart Üniversitesi, 2014) Sancak, Eyüp Burak; Reşorlu, Mustafa; Akbaş, Alpaslan; Gülpınar, Murat TolgaHayvanlarla ilişkili travmalar, ciddi morbidite ve mortalite potansiyelinden dolayı, önemli bir tıbbi problemdir. Türkiyede hayvancılığın halen önemli bir geçim kaynağı oluşu, bu problemin riskini artırmaktadır. Koç saldırısı sonucu oluşan travma ile ilgili literatürde çok az veri vardır. Ancak hayvanla ilişkili travma sonrası renal kolik vakasına literatürde rastlanmamıştır. Biz burada genç erişkin bir hastada, koç saldırısı sonrası gelişen akut renal kolik olgusunu sunmayı planladık.Öğe Böbrek Yaralanmasını Taklit Eden Nadir Bir Renal Kolik Olgusu: Koç Toslaması Sonrası Gelişen Renal Kolik(Çanakkale Onsekiz Mart Üniversitesi, 2014) Sancak, Eyüp Burak; Reşorlu, Mustafa; Akbaş, Alpaslan; Gülpınar, Murat TolgaÖzet Hayvanlarla ilişkili travmalar, ciddi morbidite ve mortalite potansiyelinden dolayı, önemli bir tıbbi problemdir. Türkiyede hayvancılığın halen önemli bir geçim kaynağı oluşu, bu problemin riskini artırmaktadır. Koç saldırısı sonucu oluşan travma ile ilgili literatürde çok az veri vardır. Ancak hayvanla ilişkili travma sonrası renal kolik vakasına literatürde rastlanmamıştır. Biz burada genç erişkin bir hastada, koç saldırısı sonrası gelişen akut renal kolik olgusunu sunmayı planladıkÖğe Dermatomyositis complicated case with muscular hematoma(Çanakkale Onsekiz Mart Üniversitesi, 2014) Aylanç, Nilüfer; Reşorlu, Mustafa; Adam, Gürhan; Karatağ, Ozan; Uysal, Fatma; Öğretmen, ZerrinA 62 years old woman diagnosed with dermatomyositis went to MRI examination because of her left hip pain and on her imaging findings the high signal intensities on iliopsoas, proximal thigh muscles and some pelvic muscles we determined, in addition there was no any contrast enhancement. However, there are haemorrhages on her left psoas muscle. We evaluated these findings as haemorrhagic myositis, which is the rare situation seen during follow up such these patients.Öğe Evaluation of Platelet Distribution Width and Mean Platelet Volume in Patients With Carotid Artery Stenosis(Sage Publications Inc, 2015) Adam, Gürhan; Koçak, Erdem; Özkan, Adile; Reşorlu, Mustafa; Çınar, Celal; Bozkaya, Halil; Kurt, TolgaPlatelets contribute to the pathogenesis of atherosclerosis. Platelet activation has been linked with increased mean platelet volume (MPV) and platelet distribution width (PDW). We investigated the association between PDW, MPW, and the degree of carotid artery stenosis (CS). Patients (n = 229) were divided into 3 groups according to the North American Symptomatic Carotid Endarterectomy Trial criteria. Demographic and clinical features were collected retrospectively. Correlation analysis showed a positive association between PDW and the degree of CS. However, there was no significant correlation between CS and MPV. Moreover, we observed that PDW and low-density lipoprotein cholesterol were independent predictors of the degree of CS. This study showed that PDW, not MPV, is related to the degree of CS. Platelet distribution width could be a useful biomarker for CS. Whether targeting PDW will be of clinical benefit remains to be established.Öğe Hybrid Approach to Coronary Artery Disease During the COVID-19 Pandemic Period(Çanakkale Onsekiz Mart Üniversitesi, 2021) Duygu, Ali; Kırılmaz, Bahadır; Reşorlu, MustafaCoronary artery disease (CAD) is a common cause of morbidity and mortality worldwide. CAD is an atherosclerotic disease manifested by stable angina, unstable angina, myocardial infarction (MI) or sudden cardiac death. In the COVID 19 pandemic, coronary angiography, which is used for the diagnosis and interventional treatment of coronary artery disease for diagnostic purposes all over the world, is less preferred due to the risk of infection. A 42-year-old male patient was admitted to our outpatient clinic with chest pain for 15 days. Considering that the most effective and beneficial method for our patient was coronary CT angiography, it was decided to perform coronary CT angiography in our center on the patient with a known family history. Although catheter coronary angiography is the gold standard, coronary CT angiography is increasingly used as a non-invasive diagnostic test that can easily identify the type of plaque and the severity of coronary occlusion and provides direct visualization of the plaque in the coronary arteries. According to the 2019 ESC Chronic Coronary Artery Disease Guidelines, coronary CT angiography is the test of choice in patients with a lower clinical probability of CAD, no previous diagnosis of CAD, and features associated with a higher likelihood of image quality.Although it has side effects, the accurate diagnostic feature of coronary CT angiography maintains its usefulness as it reduces the risk of contact during the pandemic period and helps to reduce the amount of contrast agent administeredÖğe İnflamatuvar Barsak Hastalığını Taklit Eden Renal Enfarkt: Olgu Sunusu(2017) Reşorlu, Mustafa; Öztürk, Muhsin Özgün; Aylanç, Nilüfer; Toprak, Canan AkgünAkut etyolopatogenezinde tromboemboli major rol oynar.Akut renal enfarkt için en önemli risk faktörleri; atrialfibrilasyon, ateroskleroz, geçirilmiş emboli öyküsü vekalp hastalıklarıdır. Sıklıkla ileri yaş grubunuetkilemekte ve cinsiyet ayrımı göstermemektedir.Hastalarda genellikle yan ağrısı, üst abdominal ağrı,bulantı, kusma ve ateş gibi nonspesifik semptomlarvardır. Klinik tablonun spesifik olmaması nedeniyle tanıkonulması birçok olguda gecikmektedir. Bu çalışmada,hastanemize karın ağrısı, kusma şikayeti ile başvuran veyapılan bilgisayarlı tomografi tetkiki ile renal enfarkttanısı konulan 45 yaşındaki olgumuzu sunuyoruzÖğe Karyotipik bozukluk gösteren intratestiküler leyomiyom(2015) Gülpınar, Murat Tolga; Akbaş, Alpaslan; Sancak, Eyüp Burak; Aydın, Hatip; Reşorlu, Mustafa; Özkanlı, Sıdıka Şeymaİntratestiküler leyomiyom benign karakterli ve nadir görülen bir skrotal kitle sebebidir. Preoperatif klinik bulgular ile malign bir testiküler kitleden ayrımı mümkün olmamaktadır. Bu durum benign karakterdeki bir tümör nedeniyle testis kaybına yol açmaktadır. Klinik olarak malign-benign ayrımı yapılamayan şüpheli durumlarda peroperatif yapılacak frozen inceleme ile doğru tanı ve tedavi yapılabilir. Erkeklerde düz kas dokusu kaynaklı benign tümörlerde karyotipik anormallik görülmesi son derece ender bildirilen bir durumdur. Leyomiyom patogenezinin altında yatan moleküler mekanizmaların henüz anlaşılamamış olması saptanan karyotipik anomalilerin önemini arttırmaktadır.Öğe Neurophysiological monitoring in tethered cord syndrome surgery: Two case reports(Anatolian Journal of Clinical Investigation, 2014) Güven, Mustafa; Aras, Adem Bozkurt; Şen, Halil Murat; Karavelioğlu, Ergün; Reşorlu, Mustafa; Coşar, MuratTethered cord syndrome (TCS) is a neural tube defect that results from an attachment of the conus medullaris that limits movement of the spinal cord within the spinal canal. Temporary and permanent neurological complications may be observed after microsurgical release of the spinal cord. Currently, intraoperative neuromonitorization is used to decrease morbidity during TCS microsurgery.Pre-and postoperative results for 2 patients with tethered cord syndrome followed by intraoperative neuromonitorization are reported here. © 2014, Anatol J Clin Investig. All rights reserved.Öğe Patellar tendon ganglion cyst with Osgood Schlatter disease: a rare coexistence(Kuwait Medical Association, 2021) Aylanç, Nilüfer; Eker, Nebil; Reşorlu, MustafaPatellar tendinopathy is one of the causes of anterior knee pain. Osgood Schlatter disease (OSD) is another reason for pain in this location, occasionally accompaning patellar tendinopathy. We present magnetic resonance imaging and radiographic findings in a case of OSD with incidentally diagnosed patellar intratendinous ganglion that is a rare coexistence. We report a case of a 30-year-old male who presented with anterior knee pain, prolonged for 20 years. In radiologic evaluation, there was opacity in the patellar tendon and there was osseous fragment near the tibial tuberosity on lateral radiographic image. Except for this lesion, patellar tendon had the signal intensity changes indicating patellar tendinopathy. Besides these findings, there was bone irregularities and bone marrow edema on the tibial tuberosity and osseous fragment neighboring these structures with surrounding soft tissue edema. Patellar tendinopathy is a pathophysiological process that can be seen in people with knee pain and can occur due to recurrent trauma. Radiological findings can be encountered in a wide range from mild structural changes in the tendon due to degeneration to intratendinous lesions and adjacent bone pathologies such as OSD. Therefore, there is a relationship between two pathologies and magnetic resonance imaging plays an important role in the radiological diagnosis of these two entities.Öğe Periaortitli Hastada Retroperitoneal ve Mediastinal Fibrozis Birlikteliği: Olgu Sunusu(2017) Toprak, Canan Akgün; Öztürk, Muhsin Özgün; Reşorlu, MustafaKronik periaortit daha sık orta yaş erkekleri etkilemekte ve nadir olarak görülmektedir. Patofizyolojisinde otoimmünitenin etkili olduğu ve idiopatik retroperitoneal fibrozis, perianevrizmal fibrozis, enflamatuar abdominal aort anevrizması ile ilişkili olduğu ileri sürülmektedir. Retroperitoneal fibrozis olgularının büyük kısmı idiopatiktir. Mediastinal fibrozis ise sıklıkla enfeksiyoz süreçle ilişkilidir. Bu iki patolojik tablonun birlikteliği ise oldukça nadirdir. Biz bu çalışmamızda periaortiti olan bir hastamızda eşlik eden retroperitoneal ve mediastinal fibrozis birlikteliğini sunmayı amaçladık.Öğe Persistan Sol Süperior Vena Kava: Nadir Bir Olgu Sunumu(2016) Reşorlu, Mustafa; Aylanç, Nilüfer; Adam, Gürhan; Özcan, Sedat; Eker, NebilPersistan sol süperior vena kava, genel popülasyonda %0,3-0,5 prevalansa sahip nadir görülen vasküler bir anomalidir. Sol anterior kardinal venin obliterasyonundaki yetersizlik sonucunda meydana gelmektedir ve konjenital kalp hastalığı olanlarda sıklığı artmaktadır. Bu olgularda aynı zamanda sağ süperior vena kava da sıklıkla mevcuttur. Persistan sol süperior vena kava tanısı genellikle kardiyovasküler görüntüleme sırasında insidental olarak konulmaktadır.Öğe Prediction of mortality in COVID-19 through combing CT severity score with NEWS, qSOFA, or peripheral perfusion index(W.B. Saunders, 2021) Akdur, Gökhan; Daş, Murat; Bardakçı, Okan; Akman, Canan; Sıddıkoğlu, Duygu; Akdur, Okhan; Akçalı, Alper; Erbaş, Mesut; Reşorlu, Mustafa; Beyazıt, YavuzIntroduction: The assessment of disease severity and the prediction of clinical outcomes at early disease stages can contribute to decreased mortality in patients with Coronavirus disease 2019 (COVID-19). This study was conducted to develop and validate a multivariable risk prediction model for mortality with using a combination of computed tomography severity score (CT-SS), national early warning score (NEWS), and quick sequential (sepsis-related) organ failure assessment (qSOFA) in COVID-19 patients. Methods: We retrospectively collected medical data from 655 adult COVID-19 patients admitted to our hospital between July and November 2020. Data on demographics, clinical characteristics, and laboratory and radiological findings measured as part of standard care at admission were used to calculate NEWS, qSOFA score, CT-SS, peripheral perfusion index (PPI) and shock index (SI). Logistic regression and Cox proportional hazard models were used to predict mortality, which was our primary outcome. The predictive accuracy of distinct scoring systems was evaluated by the receiver-operating characteristic (ROC) curve analysis. Results: The median age was 50.0 years [333 males (50.8%), 322 females (49.2%)]. Higher NEWS and SI was associated with time-to-death within 90-days, whereas higher age, CT-SS and lower PPI were significantly associated with time-to-death within both 14 days and 90 days in the adjusted Cox regression model. The CT-SS predicted different mortality risk levels within each stratum of NEWS and qSOFA and improved the discrimination of mortality prediction models. Combining CT-SS with NEWS score yielded more accurate 14 days (DBA: −0.048, p = 0.002) and 90 days (DBA: −0.066, p < 0.001) mortality prediction. Conclusion: Combining severity tools such as CT-SS, NEWS and qSOFA improves the accuracy of predicting mortality in patients with COVID-19. Inclusion of these tools in decision strategies might provide early detection of high-risk groups, avoid delayed medical attention, and improve patient outcomes.
