Browsing by Author "Türko, E."

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Computed Tomography Findings of Isolated Peripheral Pulmonary Artery Aneurysms
(Tabriz University of Medical Sciences, 2021) Dündar, İ.; Türko, E.
Introduction: In this study, we aimed to evaluate computed tomography (CT) findings of peripheral pulmonary artery aneurysms (PPAA) associated with Behcet’s 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 PPAA 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 of 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 a solitary lesion was seen in 3 patients. 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 subjects (40%) had BD, 2 (20%) HS and 4 (40%) idiopathic origin. In 5 patients (50%), there was accompanying PAE and 3 patients had (30%) DVT history. Patients with BD and HSS tended to have multiple lesions than those with idiopathic origin. Accompanying PAE was observed in 2 (100%) of patients with HSS, 2 (50%) with BD, and 1 (25%) patient in the idiopathic group. A DVT history was recorded in 2 (100%) patients with HSS, 1 (25%) with BD. None of the patients 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 which are more likely to be associated with complications and additional morbid conditions than idiopathic processes. © 2021 The Author(s).
Radiological Appearance of Hiatal Hernias on Computed Tomography
(Yuzuncu Yil Universitesi Tip Fakultesi, 2022) Ayyildiz, V.A.; Özgökçe, M.; Türkoğlu, S.; Dündar, I.; Durmaz, F.; Özkaçmaz, S.; Türko, E.
A hiatal hernia is the herniation of organs and structures in the abdominal cavity through the esophageal opening of the diaphragm. We aimed to present the tomographic findings of hiatal hernia types. The computed tomography (CT) images and demographic characteristics of the patients diagnosed with hiatal hernias based on contrast-enhanced and/or non-contrast thorax-abdominal CT scan between January 2016 and December 2019 were retrospectively reviewed (Material & Method shortened in abstract.). Oral contrast material wasn’t given to the patients. (Added) 210 patients with hiatal hernias, 126 (60%) were female and 84 (40%) were male. Among these patients, 124 (59 %) had type 1, 76 (36 %) had type 2, nine (4.2 %) had type 3, and one (0.4 %) had type 4 hiatal hernia. The most common complaints were cough (64%) and mild shortness of breath (34%). The most common clinical signs seen in the majority of patients were weight loss (73%) and loss of appetite (41%). All of the cases were mainly diagnosed based on radiological (CT) findings. With the increase in the use of CT for thoracic and abdominal diseases, there has been an increase in the frequency of incidental detection of hiatal hernias. Hernia diagnosis is important for preoperative surgical planning. Radiologists should be aware that complications of hiatal hernia can cause morbidity and mortality. The best diagnosis method is considered as CT, which is also useful in determining the type of hiatal hernias. © 2022, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.