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Öğe BILATERAL PRIMARY BREAST LYMPHOMA: A RARE CASE(Aves, 2011) Yetim, Ibrahim; Yetim, Tulin Durgun; Ozkan, Orhan Veli; Diner, Guvenc; Savas, Nazan; Davran, Ramazan; Helvaci, RahmiPrimary non Hodgkin's lymphoma of the breast is rare. Bilateral involvement of the breasts is even morerare. Lymphomas are divided into two groups: Hodgkin's Lymphoma and non Hodgkin's lymphoma. Diffuse large cell non Hodgkin's lymphoma is the most common type. A 56 year old female presented with masses in both breasts. An excisional biopsy was obtained from both tumoral masses. Histopathological assessment revealed diffuse large cell non Hodgkin's lymphoma and chemotherapy was started. Here we present the case of bilateral primary breast lymphoma while discussing clinical characteristics, treatment modalities and the outcomes.Öğe Delayed diagnosis of traumatic diaphragmatic hernia may cause colonic perforation: A case report(2009) Ozkan, Orhan Veli; Semerci, Ersan; Yetim, Ibrahim; Davran, Ramazan; Diner, Guvenc; Paltaci, IlhanEarly diagnosis of diaphragmatic rupture after traumas may be difficult, and delayed diagnosis may result in increased morbidity and mortality. This paper describes the case of a 32-year-old man who experienced a traffic accident and had diagnosis of traumatic diaphragmatic hernia nearly four months later. The patient was referred to our emergency room suffering from ileus symptoms. Physical examination demonstrated an apparent abdominal distention, tenderness at the upper abdominal quadrants, rebound, and defense. Thoraco-abdominal X-rays and computerized tomography imaging demonstrated intestinal segments with air-fluid levels in thorax. Laparotomy was performed after a preoperative diagnosis of a strangulated-diaphragmatic hernia. At abdominal exploration, it was found that transverse colon and omentum entered into thorax through diaphragmatic defect located at the left diaphragm. Herniating colon segment was complicated with ischemic necrosis and perforation. In conclusion, colon necrosis and perforation may develop when early diagnosis of diaphragmatic ruptures are missed. © 2009 Ozkan et al.; licensee Cases Network Ltd.Öğe Necrotizing pancreatitis with hypertriglyceridemia development result: A cese port(Derman Medical Publ, 2011) Yetim, Ibrahim; Ozkan, Orhan Veli; Diner, Guvenc; Yilmaz, Aydin; Gokce, Cumali; Kaya, HasanAcute pancreatitis due to hypertriglyceridemia is a relatively rare clinical entity. Acute pancreatic necrosis is a life threatening form of acute pancreatitis in which early recognition and treatment is important. Necrotising pancreatitis should be treated immediately. We presented a case of pancreatic necrosis due to hypert-riglyceridemia which required surgical intervention. We performed necro-sectomy. After surgery the patient recovered. We presented the case in order to mention necrotising pancreatitis arising from hypertriglyceridemia and requiring surgical exploration.Öğe Squamous Cell Carcinoma Arising in Etiology of Chronic Pilonidal Sinus Disease: A Case Report(Derman Medical Publ, 2011) Yetim, Ibrahim; Semerci, Ersan; Ozkan, Orhan Veli; Paltaci, Ilhan; Diner, GuvencPilonidal sinus disease is usually placed in sakrokoksigeal area. The etiology is unknown exactly. The pathogenesis is assumed to deciduous hair penetration into the subcutaneous tissues and a foreign body-type reaction may then lead to formation of an abscess. Cellulitis, abscesses, fistulas are common complications in pilonidal sinus disease. Chronic inflammation may be factors in the development of some malignancies. Malignant degeneration is very rare complication in chronic pilonidal disease. We reported in this case, a squamous cell carcinoma in caused by untreated chronic pilonidal sinus.