Exercise-induced left bundle branch block during thallium 201 myocardial perfusion scintigraphy--a case report.

Exercise-induced left bundle branch block (Ex-LBBB) is a rare entity encountered during exercise testing. The authors present a 53-year-old woman who developed intermittent Ex-LBBB asymptomatically during Tl 201 myocardial perfusion scintigraphy. Scintigraphic findings revealed septal-anteroseptal ischemia while the coronary arteriogram appeared normal.

Corona mortis: an anatomic study in seven cadavers and an endoscopic study in 28 patients.

Background: The corona mortis is defined as the vascular connections between the obturator and external iliac systems. While detailed information on the arterial anastomoses in corona mortis is available, a complete description of the venous system is lacking. Although the tiny anastomoses behind the pubic symphysis between the obturator and external iliac arteries have been described in classical anatomy textbooks, these texts neglect to mention that these anastomoses can be life threatening.

Assessment of penile bone graft viability by bone scintigraphy: a case report.

A 20-year-old man, who had penile reconstruction surgery with an iliac bone graft a year ago due to malcircumcision at 6 years old underwent bone scintigraphy in order to detect bone graft viability. The accumulation of 99mTc-MDP in the penile region revealed the viability of the bone graft. This case report shows that bone scintigraphy can be used to assess the viability of a bone graft located inside the penis as well as bone grafts placed elsewhere in the extremities.

Comparison of lymphocyte populations in cutaneous and electrical burn patients: a clinical study.

Immunosuppression following thermal injury has been noted in recent years. Both cellular and humoral immune systems have been reported to be affected. The present study aimed to compare the quantitative differences between cutaneous and electrical burn patients in respect to the partition and levels of lymphocyte populations.

The distal fascicle of the anterior inferior tibio-fibular ligament as a cause of anterolateral ankle impingement: results of arthroscopic resection.

We arthroscopically resected the impinged distal fascicle of the anterior inferior tibiofibular ligament (AIT-FL) in 21 patients (mean age 31 (11-68) years, 14 women) with chronic ankle pain after an ankle sprain. Clinical tests revealed moderate laxity in 2 and severe laxity in another 2, the remaining 17 ankles showing only mild laxity. During arthroscopy, an impinging distal fascicle of the AITFL was found in all cases.

Anatomic variations of the paranasal sinuses: CT examination for endoscopic sinus surgery.

Chronic rhinosinusitis endoscopic surgery requires an accurate evaluation of diseases and paranasal sinus anatomic variations. This study aims to show the main anatomical variations in the ostiomeatal complex and paranasal sinuses which are usually depicted by computed tomography (CT). CT scans obtained 2 mm thickness in axial and coronal plane from a series of 200 patients with chronic sinusitis were examined to determine the prevalence of anatomic variants.

The role of power Doppler sonography in the evaluation of superficial soft tissue abscesses.

Objective: To evaluate the efficacy of power doppler ultrasonography in depicting increased vasculature and hyperemia around the superficial soft tissue abscess.

Materials And Methods: 21 patients with soft tissue abscess were evaluated with gray scale imaging, color doppler sonography, power doppler sonography and computed tomography. In each case attempts were made using power doppler sonography to demonstrate any areas of increased vascularity around the lesion.

Management of pilonidal sinus with the Limberg flap.

Purpose: The aim of this study was to demonstrate the advantages of rhombic excision and Limberg flap closure in the treatment of pilonidal sinus disease.

Methods: We treated 24 patients who had chronic pilonidal sinus disease with rhomboid excision and Limberg flap closure.

Results: All patients were followed up for a period of 27 months.

Free hydatid cyst only covered with germinative membrane disrupted from fibrotic capsule in the peritoneal cavity: a case report.

Echinococcosis, an endemic disease on the Asian continent, is caused by ecinococcus granulosus and rarely ecinococcus alveolaris. Although it occurs frequently in the liver and the lung, it can be localized in all tissues and organs. The purpose of this study is to report a rare localization and the complication of hydatid cyst in the pelvis : it pushed forward and upward the urine bladder and there was bilateral hydroureteronephrosis causing uraemia because of outflow obstruction.

Distraction of lumbar vertebrae in gravitational traction.

Study Design: Experimental study of 30 patients diagnosed with low back pain resulting from lumbar disc herniation, disc degeneration, and segmental instability. Patients underwent gravitational traction, and widening of the intervertebral space and posterior facets was measured on radiographs. This same procedure was performed with a group of 30 healthy individuals.

Dislocating anterior horn of the medial meniscus.

Dislocating anterior horn of the medial meniscus was found in 15 knees of 13 patients during arthroscopic examinations done between 1992 and 1995. All of them were available for follow-up evaluation (4 by telephone). There were 11 men and 2 women (average age, 28 years; range, 17 to 49 years).

Power Doppler findings in nasopharingeal angiofibroma.

Juvenile nasopharingeal angiofibroma (JNA) is a rare, histologically benign but clinically malign hypervascular tumor localized in the nasopharynx which occurs exclusively in adolescent boys. There is no definite attitude towards etiology of angiofibroma. In diagnostics, besides epypharyngoscopy, computed tomography and magnetic resonance imaging are the primary diagnostic tests.

The role of power Doppler ultrasonography in the diagnosis of acute pyelonephritis.

Objective: To assess the ability of power Doppler ultrasonography (PDU) to detect acute pyelonephritis and to compare the findings from PDU with those from enhanced computed tomography (CT).

Patients And Methods: Eleven patients (mean age 18.5 years, range 5-37) admitted to hospital with a clinical diagnosis of pyelonephritis were assessed with PDU and enhanced CT.

The diagnosis by fine needle aspiration biopsy of hydatid cyst of the pancreas.

We describe a case of pancreatic hydatid cyst in which the definitive diagnosis was made at fine needle aspiration cytology. The most common site of hydatid cyst is the liver (65%), followed by the lungs (25%). The hydatid cyst of the pancreas is rare since it accounts for less than 1% of the various sites of hydatid disease.

Intra-articular hemangioma of the knee with meniscal and bony attachment.

A hemangioma in the knee joint of a 37-year-old woman was diagnosed by magnetic resonance imaging. The case presented with pain and a tender localized swelling lateral to the patellar tendon. Arthroscopy verified the diagnosis but did not allow visualization of the full extent of the tumor.

Bone bruises detected by magnetic resonance imaging following lateral ankle sprains.

Although bone bruises have been well described in the knee joint, little is known about their presence in the ankle joint. The present study attempted to document the association of bone bruises with lateral ankle sprains. Magnetic resonance (MR) images were obtained from 60 consecutive patients with lateral ankle sprains between April 1994 and June 1995.

Herniography and ultrasonography. A prospective study comparing the effectiveness of laparoscopic hernia repair with extraperitoneal balloon dissection.

Background: This study was designed to assess differences between pre- and postoperative herniography and ultrasonography in inguinal hernia performed laparoscopically with balloon dissection and mesh without suture.

Methods: Pre- and postoperative herniographic and ultrasonographic findings were analyzed in ten consecutive patients. Postoperative ultrasonography was performed on the 3rd and 7th days and herniography was performed on the 7th day.

A suspected case of bilateral crossed renal ectopia or bilateral jet effect.

Crossed renal ectopia is a relatively unusual congenital anomaly. Bilateral crossed renal ectopia is considered the rarest form of this anomaly. A 19-year-old girl with intermittent flank pain was admitted to our department.

Natural cellular cytotoxicity in Behçet's disease.

This study evaluated the cytotoxic activity of natural killer cells in the active and inactive stages of Behçet's disease (BD) and attempted to develop a new explanation for its immunopathogenesis. Blood samples were taken from 16 BD patients and compared with 11 healthy individuals. The lymphocyte fraction was separated and diluted in RPMI-1640.

Behçet's disease and surgical intervention.

Behçet's Disease (BD) is a systemic disorder with an unknown etiopathogenesis. The need for clinical criteria in the establishment of diagnosis is of great importance. We present the case of a 27-year-old man with BD, who had a surgical operation during the active period of his disease and experienced subsequent complications.