Browsing by Author "Türkoğlu, S."

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Could Bladder Wall Elastography Be Used as an Indicator for the Diagnosys of Bladder Outlet Obstruction by Benign Prostate Hyperplasia
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Eryılmaz, R.; Aslan, R.; Arslan, H.; Demir, M.; Türkoğlu, S.; Araz, Ş.; Taken, K.
Benign prostatic hyperplasia (BPH) is one of the most common causes of bladder outlet obstruction in men. In this study we aimed to evaluate the elasticity of the bladder by Acoustic Radiation Force Impulse (ARFI) elastography in BPH patients. Fifty benign prostate patients were included in the study. After evaluation of patients in the outpatient clinic. A RFI elastography was performed with full bladder. Elastography was performed separately on the anterior, right and left walls of the bladder. Then the patient underwent uroflowmetry. The maximum flow rate and post-mix residual values in uroflowmetry were recorded. The mean age of the patients was 45.6 ± 3.77 The average of bladder anterior wall elasticity 3.39 ± 0.89, Bladder left wall elasticity 2,69 ± 0,82 and Bladder right wall elasticity was 3.69 ± 0.89.The mean prostate size 52.58 ± 24.16 The average of Qmax11.96 ± 4.85 The mean of PMR 77.8 ± 59.6 and mean of prostate elasticity was 2.97 ± 1.1 Urinary bladder wall elasticity with ARFI can be a diagnostic indicator for bladder outlet obstruction due to BPH. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Detection of Incidental Findings on Chest Ct Scans in Patients With Suspected Covid-19 Pneumonia
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Dündar, İ.; Özkaçmaz, S.; Durmaz, F.; Çoban, L.T.; Aygün, G.; Yıldız, R.; Türkoğlu, S.
This study aimed to evaluate the chest Computed Tomography (CT) scans of COVID-19 suspected patients in the first period of the pandemic, to reveal the frequency of parenchymal-extraparenchymal incidental findings (IFs). Our single-center retrospective observational study was initiated with the approval of the ethics committee. Chest CT records taken during March-August 2020 due to the suspicion of COVID-19 pneumonia were scanned using the imaging archive of our center. The study was conducted with 1540 patients with non-contrast chest CT without prior CT imaging to detect IFs. Histopathological results and clinical-radiological follow-up data of the patients were scanned from medical records. Of the 1540 patients in our study, 902 (58.57%) were male and 638 (41.43%) were female, with a mean age of 41.96±17.08 (5-92) years. While 248 (16.1%) patients had a typical appearance for COVID-19 pneumonia on thorax CT, no findings were found in 1180 (76.6%) patients. Except for COVID-19 pneumonia, parenchymal IFs(primary malignant lung lesions, metastatic lesions, benign pathologies) were detected in 73 patients (4.74%) and extraparenchymal IFs(lymphadenopathy, breast lesions, thyroid nodule, bone, liver and kidney lesions…) in 280 patients (18.8%). Our study showed that the number of patients without any findings in terms of COVID-19 pneumonia on CT scans is high. It is understood that CT scans for pneumonia are unnecessary due to radiation exposure and should be used when clinically necessary. However, due to the ability of CT to detect incidental findings, it is also important to define IFs oth er than pneumonia in patients who underwent chest CT examination during the pandemic. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Evaluation of Clinical and Laboratory Findings in Patients Diagnosed With Covid-19
(Verduci International, 2023) Gürbüz, E.; Çelik, M.; Türkoğlu, S.; Elasan, S.; Yürektürk, Ş.; Sünnetçioğlu, M.
Objective: Coronavirus disease 2019 (COVID-19) is an infectious disease that can lead to condi-tions ranging from mild upper respiratory tract infection to severe clinical manifestations, such as respiratory and multiorgan failure. Thus, this study was aimed at evaluating the clinical and laboratory findings of the patients followed up for COVID-19 in our hospital. Patients and Methods: A total of 497 patients who were older than 18 years of age and had been diagnosed with COVID-19 were included in this study. Of the 497 patients diagnosed with COV-ID-19, 57.2% were male and 42.8% were female, and the mean age was 51.59±19.95 years. While the case-death rate was 9.2%, it was 36.8% in the intensive care unit. While lung involvement was detected in 72.2% of the patients, this rate was higher in the patients followed up in the ICU (98.8%). Results: In the laboratory tests, the leukocytosis, lymphopenia, thrombocytopenia, C-reactive pro-tein, alanine aminotransferase, aspartate aminotransferase, lactate dehydrogenase, creatinine, cre-atine kinase, ferritin, procalcitonin, and D-dimer levels were higher in the deceased patients than in the surviving patients and were associated with mortality. The neutrophil/lymphocyte ratio was higher in the deceased patients when compared to the other patient groups, and it was also associated with increased mortality. Hypertension (8.6%) and diabetes mellitus (11.2%) were the most common underlying diseases in all of the patient groups. Conclusions: It was observed that the case-death rate was significantly higher in the ICU and mortality increased with advanced age. Moreover, comorbid factors were higher in patients who were followed up in the ICU and died. In the laboratory examinations, pathological findings were encoun-tered at a higher rate, especially in the patients who died. © 2023, Verduci International. All rights reserved.
Histopathological and Radiological Correlation of Lung Mass Lesions With Transthoracic Biopsy and Endobronchial Biopsy
(Ondokuz Mayis Universitesi, 2025) Türkoğlu, S.; Oğuzsoy, T.
The aim of this study is to correlate radiological CT imaging approaches to the lesion and pathology results in lung lesions. In this study, lung biopsy pathology results of 54 cases sent to the pathology department between 2020-2023 were compared with existing radiological CT images. The cases were grouped pathologically as benign and malignant, and the malignant cases were classified according to their tumor types. Radiologically, the cases were divided into groups as benign or malignant, peripheral or centrally located. In this study, core biopsies of a total of 54 cases, 15 female (27.7%) and 39 (72.3%) male, were evaluated. The average age of the patients was found to be 61.1 (21-95). Of a total of 54 lung solid mass lesions, 38 (70.4%) were peripheral and 16 (29.6%) were centrally located. In the radiological double-blind evaluation, 29 (53.7%) of the cases were diagnosed as malignant, while 24 (44.4%) were pathologically diagnosed as malignant. While squamous cell carcinoma (SCC), the most common pathologically malignant tumor, was seen in 9 cases, the second most common small cell carcinoma (SCLC) was detected in 7 cases. In conclusion, pathology and radiological imaging in lung lesions are important in early diagnosis, effective treatment and prolonged survival, and correctly performed radiological imaging and histopathological correlation with biopsy with today's interventional techniques in early suspicious cases have an important place in reducing morbidity and mortality. © 2025 Ondokuz Mayis Universitesi. All rights reserved.
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.
A Ruptured Cystic Echinococcosis in the Gallbladder and Intra/Extrahepatic Biliary Tract, Radiological and Surgical Imaging Findings
(Galenos Publishing House, 2023) Türkoğlu, S.; Ekici, A.; Turgut Çoban, L.; Dündar, İ.; Okyay, O.; Gürbüz, E.
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. © 2023, Galenos Publishing House. All rights reserved.
A Tumor-Mimicking Parasitic Disease: Radiological Findings of Alveolar Echinococcosis
(Tabriz University of Medical Sciences, 2021) Türkoğlu, S.; Özgökçe, M.
Introduction: Alveolar echinococcosis (AE) is a tumor-mimicking parasitic disease caused by Echinococcus multilocularis. In this study, we aimed to present the radiological imaging findings of AE characterized by malignant features. Methods: The radiological findings of 20 patients who were admitted to our hospital in Van province between years 2014 and 2020 and were diagnosed with AE were retrospectively evaluated. Of these patients, 30% had been operated due to a preliminary diagnosis of a tumor. The study was conducted retrospectively by examining the drawback radiological images of patients from the radiological data archiving system. The diagnosis of AE was confirmed when lesions manifested the following radiological imaging findings: irregular margins, no contrast uptake in dynamic contrast images or late peripheral enhancement, presence of calcifications, and contralateral lobe hypertrophy. Results: The mean age of the patients at the time of diagnosis was 50.95 (12-86) years. Of the patients, 15 (75%) were women and 5 (25%) were men. Typical histopathological and radiological imaging findings were present in 8 (40%) and 17 (85%) patients, respectively. Only 12 (60%) out of 20 patients had seropositivity by ELISA. The remaining 8 (40%) patients were seronegative. Conclusion: Radiological imaging examinations are essential in diagnosis and evaluation of the extent of the disease. Different radiological techniques can be used to differentiate AE from other diseases. Early diagnosis is important for avoiding unnecessary or inadequate operations due to a misdiagnosis and preventing potential complications. © 2021 The Author(s).