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Öğe Agenesis of the right lung presenting as a pulmonary infection(W B Saunders Co Ltd, 2002) Nazaroglu, H; Mete, A; Bükte, Y; Simsek, M[Abstract Not Available]Öğe Characteristics of penetrating abdominal firearm injuries in children(Hippokrates Verlag Gmbh, 2000) Dokucu, AI; Otcu, S; Öztürk, H; Önen, A; Özer, M; Bükte, Y; Özates, MPenetrating injuries of the abdomen which occur primarily from gunshots and stabbing become increasingly prevalent in children. Our purpose is to assess the presentation, management and outcome of children with penetrating abdominal firearm injuries (PAFI) and to evaluate the value of Injury Severity Score (ISS) for predicting injury severity and eventual morbidity and mortality in children with PAFI. Between 1985 and 1997, 69 children less than or equal to 15 years of age with PAFI were hospitalized at our institution. Their hospital records were reviewed retrospectively. Of the 69 children with PAFI, 53 were boys and 16 were girls. The mean age was 9.6. The causes of PAFI were explosives (44%), gunshot (39%) and shotgun injuries (17%). The most common organ injured was the small bowel followed by colon and liver respectively. Postoperative complications were seen in 12 children. The mean value of ISS was 16.8: 41 children had an ISS value of greater than or equal to 16. The value of ISS was significantly higher in children with complication than in those without complication. The children with ISS value greater than or equal to 16 were hospitalized significantly longer than those with less than or equal to 15 of ISS. Particularly shotgun injuries were commonly associated with severe morbidity. ISS can be useful for predicting the severity of injury and the occurrence of morbidity.Öğe Effects of extracorporeal shock-wave lithotripsy on intrarenal resistive index(Taylor & Francis As, 2003) Nazaroglu, H; Akay, AF; Bükte, Y; Sahin, H; Akkus, Z; Bilici, AObjective: This prospective study was performed to determine whether extracorporeal shock-wave lithotripsy (ESWL), widely used for treating renal and ureteral stones, affects the kidney interlobar artery resistive index (RI). Material and Methods: A total of 43 patients (30 with renal and 13 with ureteral stones) underwent color Doppler examination before and 30 min and 3 h after ESWL. Seventeen patients with renal and nine with ureteral stones underwent Doppler examination 2 weeks later. Measurements were made near the stones (nearby region), at least 2 cm from the stones (remote region) and in the contralateral kidney for renal stones, and in the ipsilateral and contralateral kidneys for ureteral stones. Results: In patients with renal stones, the RI was increased 30 min and 3 h after ESWL in the nearby and remote regions, and more markedly in the former. In the contralateral kidney, there was an increase in RI only at 3 h, which was less than that in the ipsilateral kidney. The RI at 2 weeks post-ESWL in the nearby region and contralateral kidney did not differ from the pre-ESWL values. ESWL performed for ureteral stones caused no increase in RI in the ipsilateral kidney. Conclusion: Patients with renal stones had a temporary increase in RI in the hours following ESWL in both the ipsilateral and contralateral kidneys, which was highest in the region near the stones and lowest in the contralateral kidney. Two weeks later, the RI in both areas had returned to pre-ESWL levels.Öğe Giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum(Southern Medical Assn, 2002) Nazaroglu, H; Balci, A; Bükte, Y; Simsek, MLiver and lung are the most common sites of hydatid disease, but it can also be seen elsewhere in the body. Extrapulmonary intrathoracic location of the disease is rare. This case of giant intrathoracic extrapulmonary hydatid cyst manifested as unilateral pectus carinatum serves to illustrate that hydatid disease can produce various symptoms and that it may also exist in locations apart from lung and liver.Öğe Growth rate of cerebral hydatid cyst, with a review of the literature(Springer, 2001) Kemaloglu, S; Ozkan, U; Bükte, Y; Acar, M; Ceviz, AThis extremely rare case was one of secondary solitary cerebral echinococcosis associated with possible cerebral thromboembolism. A 7-year-old girl living in a rural area was admitted to our hospital with a history of headache, right-sided hemiparesis, and dysphasia. She had been treated 6 months previously for a cerebral infarct, diagnosed from sudden altered consciousness and a myoclonic generalised convulsion. The growth rate determined for the cerebral hydatid cyst was about 4.5 cm during the 6-month period. In children a parasitic cyst can be the source of a cerebral embolus, particularly in areas where hydatid disease resulting from cardiac echinococcosis is endemic.Öğe Lumbar epidural brucellar abscess causing nerve root compression(Stockton Press, 1999) Ozates, M; Özkan, Ü; Bükte, Y; Ceviz, A; Sari, I; Simsek, MObjectives: To evaluate the usefulness of MR sequences for the differential diagnosis of spinal brucellar abscesses which mimic lumbar disc herniation. Methods: We analyzed six patients with brucellar abscesses. who had symptoms mimicking lumbar disc herniation. The study group consisted of three women. and three men who were 15 - 67 (mean = 37) years old. Patients were imaged in the axial and sagittal planes with a I.0-T MR scanner using a spine coil. Results: The level of abscesses were accurate in 100% (six of six)of patients with MR imaging. MRI examinations revealed an extradural soft tissue mass which were iso- to hypointense compared to spinal cord on T1WI and hyperintense on T2-weighted images. By contrast study, diffuse homogeneous or slightly heterogeneous enhancements were seen. Conclusion: Lumbar extradural brucellar abscess can have lumbar disc disease symptoms. MRI may non-invasively and rapidly reveal the presence of spinal abscess and degree of extension to the spinal canal. Extradural brucellar abscess should be included in the differential diagnosis of radicular symptoms caused by disc herniation.Öğe Prune-belly syndrome and pulmonary hypoplasia(Blackwell Science Asia, 2001) Soylu, H; Kutlu, NO; Sönmezgöz, E; Bükte, Y; Özgen, Ü; Akinci, A[Abstract Not Available]Öğe Recurrent malignant schwannoma of the small bowel(Springer-Verlag Wien, 2004) Yilmaz, F; Uzunlar, AK; Bükte, YPrimary malignant schwannoma of the small bowel is an extremely rare disease. Only 24 malignant schwannomas of the small bowel have been reported in the medical English literature. We report a primary malignant schwannoma of the distal ileum in a 53-year old woman, who was admitted to the hospital because of abdominal pain. CT scan revealed a semisolid mass in the small intestine of the serosa. The tumour measuring 14 x 13 x 8 cm and 100 cm of the distal ileum were resected. We observed a recurrence after seventeen months and the recurrent tumour measured 6 x 2.5 x 1 cm was excised.Öğe The results of rehabilitation on motor and functional improvement of the spinal tuberculosis(Editions Scientifiques Medicales Elsevier, 2004) Nas, K; Kemaloglu, MS; Çevik, R; Ceviz, A; Necmioglu, S; Bükte, Y; Cosut, AObjectives. - To evaluate the result of rehabilitation on motor and functional improvement in spinal tuberculosis. Method. - Prospective case study. Data were collected from 47 patients with spinal tuberculosis medically and/or surgically treated, and rehabilitated over 6 months of period, after spinal decompression and fusion. The main outcome measures were motor development of the patients who were evaluated at the beginning, in the 1st week, in the 3rd month, and in the 6th month. Functional development of the patients was evaluated at the beginning and in the 6th month. Functional assessment was made according to Modified Barthel Index (MBI), and motor examination was made according to American Spinal Injury Association (ASIA). Results. - The study population consisted of 47 patients (22 males and 25 females) mean aged 37.9 +/- 18.3 years (range 5-76 years). The most common site of spinal tuberculosis was the thoracic region. Localized back pain, paraparesis, sensory dysfunction and fever were typical clinical manifestations. Surgical management was performed as anterior or posterior drainage of abscess and/or stabilization of the spine. The rehabilitation program was performed in all patients during the preoperative, early postoperative and late postoperative 6 month periods. Muscle-strengthening exercises on necessary localization such as pectoral, abdominal, lower extremities; truncal and sacrospinal extensors were started for the rehabilitation. The motor score for the lower limbs and the MBI scores for activities of daily living (ADL) and mobility improved significantly (P < 0.001). The self-care and mobility categories of the MBI on admission; were 14.8% severely dependent and 10.6% independent. However, at the end of the rehabilitation program, 4.2% were severely dependent and 70.2% independent. In conclusion. - Early diagnosis and appropriate medical and/or surgical treatment together with a rehabilitation program will improve the life quality of patients with spinal tuberculosis. (C) 2003 Elsevier SAS. All rights reserved.Öğe Retroperitoneal lipoblastoma involving the right common iliac artery and vein(Georg Thieme Verlag Kg, 2003) Dokucu, AI; Öztürk, H; Yildiz, FR; Kaya, M; Aras, N; Bükte, Y; Özçetin, CA case of benign lipoblastoma of the retroperitoneum in a 12-month-old boy, presenting as a huge abdominal mass and right lower extremity swelling, was reported. Surgery revealed involvement of the right common iliac artery and vein by lipoblastoma, requiring the sacrifice of both vessels for complete removal of the tumour. Vascular continuity of both vessels was re-established by a saphenous vein graft interposition. Involvement of a great artery by benign lipoblastoma has not been reported before.Öğe Role of diffusion-weighted MR in differential diagnosis of intracranial cystic lesions(W B Saunders Co Ltd, 2005) Bükte, Y; Paksoy, Y; Genç, E; Uca, AUAIM: The purpose of this study was to evaluate the role of diffusion-weighted imaging (DWI) in characterizing cerebral. cystic lesions. The usefulness of the apparent diffusion coefficient (ADC) map in lesion characterization was also evaluated. METHODS: We compared the findings of conventional MR images with those of DWI: 63 cystic masses in 48 patients were examined with routine MR imaging and echo-planar DWI. The routine MR imaging included at least the axial T2- and T1-weighted sequences, and post-contrast T1 axial sequences. The DWI included an echo-planar spin-echo sequence with three values (0, 500 and 1000 s/mm(2)) sensitizing gradient in the x, y, z direction, and it obtained an ADC map. RESULTS: The sensitivity of DWI for differentiating abscesses from primary brain tumours was 100%; for differentiating abscesses from metastatic tumours was 73%; for differentiating benign from malignant lesions was 90%. CONCLUSION: Although some metastatic lesions may appear hyperintense on DWI thus imitating an abscess, evaluation of the Lesions with both DWI and conventional MRI may have an important contribution to the differentiation of tumours from abscesses. (C) 2005 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.Öğe Visceral leishmaniasis with multiple nodular lesions of the liver and spleen(Springer-Verlag, 2004) Bükte, Y; Nazaroglu, H; Mete, A; Yilmaz, FVisceral leishmaniasis is a severe disease caused by the intracellular protozoa Leishmania donovani. Diagnosis is based on examination of bone marrow or serology. The role of imaging techniques as diagnostic tools remains to be established in visceral leishmaniasis. We report multiple nodular lesions in the liver and spleen on ultrasonography and computed tomography in a patient with visceral leishmaniasis. To our knowledge, this is the first reported case of multiple nodular hepatosplenic lesions in visceral leishmaniasis.Öğe Zenker's diverticulum in childhood(Georg Thieme Verlag Kg, 2000) Dokucu, AI; Fabre, M; Otçu, S; Sari, I; Önen, A; Öztürk, H; Bükte, YZenker's diverticulum (ZD) is a very rare pathology in childhood and to date only few pediatric cases have been reported in literature. Herein we report on a case of ZD with cervical abscess formation and oral purulent drainage in a 6-year old girl with severe malnutrition. Diverticulectomy was performed as surgical treatment. The patient is free of symptoms after two years' follow-up.