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Öğe Acute 'upside-down' visual inversion due to multiple sclerosis(Sage Publications Ltd, 2008) Okuyucu, Esra Emine; Okuyucu, Semsettin; Karazincir, Sinem; Akoglu, Ertap; Duman, TaskinIn a 20- year- old male patient, a 180 degree inversion of visual image was found as a manifestation of multiple sclerosis. Upside down reversal of vision is not a well- known sign in multiple sclerosis. Exact mechanism is still unknown. Lesions involving cortical areas, mainly the parieto- occipital region, have occasionally been documented. To our knowledge this is the first report of upside- down reversal of vision in multiple sclerosis with cerebra lesion on MRI.Öğe Brakial pleksopatide klinik, EMG ve MR nörografi bulgularının değerlendirilmesi(2022) Karazincir, Sinem; Turhanoğlu, Ayşe Dicle; Okuyucu, Emine Esra; Burakgazi, GülenAmaç: Çalışmanın amacı brakial pleksopatide MR nörografi sonuçlarını elektrodiagnostik test ile birlikte değerlendirmek ve MR nörografinin yararlığını saptamaktır. Yöntem: Brakial pleksopati şüphesi bulunan ve elektrodiagnostik test yapılan 50 hasta çalışmaya dahil edildi. MR nörografide Brakiyal pleksusun kök, gövde ve kord seviyesinde seyri, kalibrasyonu, sinyal yoğunluğu ve devamlılığı 2 bağımsız radyolog tarafından değerlendirildi. Bulgular: Elektrodiagnostik test altın standart tanı testi kabul edilerek yapılan analizde MR nörografinin tanısal doğruluk, duyarlılık, özgüllüğü; 1. okuyucu için sırasıyla %64, %45.16, %94.73; 2. okuyucu için sırasıyla %74, %67.74, %84.21 idi. Okuyucular arası tutarlılık %78 idi. Sonuç: Brakial pleksopati klinik şüphesi bulunan hastalarda MR’ın duyarlılığı ve okuyucular arasındaki uyum orta derecede bulundu. MR nörografi brakial pleksopatiyi gösterebilir ancak pleksusun normal görünümü pleksopati tanısını dışlamamalıdır.Öğe Bronşektazili bir hastada gecikmiş tanı: Swyer-James / Macleod sendromu(2007) Karazincir, Sinem; Babayiğit, Cenk; Balcı, Ali; Akoğlu, Sebahat; Seyfeli, Ergün; Sumbas, HaldunSwyer-James/MacLeod Sendromu pulmoner arter hipoplazisine bağlı unilateral hiperlüsent akciğer görünümü ve etkilenen tarafta bronşektazi ile karakterize nadir görülen bir hastalıktır. 57 yaşında sigara içmeyen bayan hasta, öksürük, bol balgam çıkarma ve ateş yakınmalarıyla başvurdu. Öyküsünden bu şikayetlerinin çocukluk yaşlarından beri tekrarladığı, hastanemiz dışında, 6-7 yıl öncesine kadar kronik bronşit, son 6-7 yıldır da bronşektazi tanısıyla takip ve tedavi edildiği öğrenildi. Fizik incelemede; solunum seslerinin şiddeti sol orta ve alt zonda sağa göre hafif azalmış, bu alanda kaba raileri mevcuttu. PA akciğer grafisinde; sol hiperlüsent akciğer görünümü, sol akciğerde hacim kaybı ve sol alt zonda bronşektazik alanlar izlendi. Toraksın bilgisayarlı tomografisi (BT) ve yüksek rezolusyonlu BTde; sol pulmoner arterde hipoplazi, sol pulmoner arter dallarının çapında azalma, hiperlüsensi, sol akciğer üst lob posterior ve linguler segment ile alt lobda kistik bronşektazi saptandı. Renkli doppler ekokardiyografide; sol pulmoner arter hipoplazik ve ana pulmoner arter hafif genişlemiş olarak izlendi. Swyer- James/MacLeod Sendromu olguların çoğunda çocukluk ve genç erişkin dönemde teşhis edilen bir hastalık olmasına karşın, olgumuzda 57 yaşına kadar şikayetleri nedeniyle çeşitli defalar tetkik edilmesine rağmen tanımlanamadığı ve hiperlüsent akciğer görünümü saptandığında bu sendromun ayırıcı tanıda düşünülmesi gerektiğini vurgulamak için sunuyoruz.Öğe A case of allergic bronchopulmonary aspergillosis with atypical clinical presentation(2012) Akoğlu Genç, Sebahat; Özer, Burçin; Babayiğit, Cenk; Balcı, Ali; Karazincir, Sinem; Dikmen, NurselAllerjik bronkopulmoner aspergilloz (ABPA) astım ya da kistik fibrozisli hastalarda görülen ve Aspergillus fumigatus ’a karşı gelişen yaygın bir hipersensitivite reaksiyonudur. Astımı olmayan hastalarda da nadiren bildirilmiştir. Burada atipik klinik bulgularla gelen ve “High attenuation mucoid impaction” saptanan bir ABPA olgusu sunulmaktadır. Amaç, ABPA’nın atipik klinik bulgularla ortaya çıkabileceğini vurgulamaktır.Öğe Çocukta rüptüre akciğer kist hidatiği olgusu(2012) Çelik, Tanju; Akçora, Bülent; Tutanç, Murat; Durgun Yetim, Tülin; Karazincir, Sinem; Akın, Mehmet Mustafa; Çelikkaya, Mehmet Emin; Kurtoğlu, AhmetABSTRACT Hydatid cyst (HD), a very common disease in the world, is often transmitted to humans through dog feces. HD is especially common in countries where agriculture and animal husbandry is prevalent. HD is caused by Echinococcus granulosus. The clinic course of HD usually features settling in the liver and lungs. Lung involvement with chest pain, cough, shortness of breath can cause non specific symptoms such as fever and hemoptysis. Diagnostic interventions for HD include chest X-ray tomography, and physical examination. Although the treatment options of HD vary according to the clinical findings of the patients, the primary treatment may be considered as surgery. The most frequently applied methods of surgical treatment are cystectomy and capitonnage. Medical treatment is usually warranted for complicated cases, including the patients with multiple and unresectable lesions, patients who refuse surgery and the patients who cannot tolerate surgery. Treatment with albendazole and its derivatives are used. In this case report, we present a child with primary complaints of cough, chest pain, dyspnea, fatigue and fever who was latterly diagnosed with lung HD.(Turkiye Parazitol Derg 2012; 36: 45-7)Öğe Comparison of the Efficacy of Extracorporeal Shock Wave Therapy and Traditional Physiotherapy in Myofascial Trigger Points(2022) Güler, Kadir; Güler, Hayal; Yıldızgören, Mustafa Turgut; Seyfettin, Ayça; Karazincir, Sinem; Turhanoğlu, Ayşe DicleObjective: The main purpose of this study is to compare the\refficacy of radial-extracorporeal shock wave therapy (r-ESWT) and traditional physiotherapy (TP) in the treatment of myofascial trigger points in\rthe upper trapezius muscle. Material and Methods: A total of 74 patients\rwith myofascial trigger points were randomly separated into the ESWT\r(n=37) group and the TP (n=37) group. The groups received treatment for\r2 weeks. A total of 66 (r-ESWT, n=30; TP, n=36) patients completed the\rstudy. Neck pain and disability were evaluated with Visual Analogue Scale\r(VAS), Quick-Disabilities of Arm, Shoulder and Hand Questionnaire (QDASH), and the Nottingham Health Profile (NHP). Active trigger points\rwere evaluated using ultrasound shear wave elastography (SWE). All outcome measurements were assessed before treatment, then at 2 weeks, and 1\rmonth after the completion of the treatment. Results: Significant improvements of VAS, Q-DASH, NHP, and SWE scores were observed at all time\rpoints after treatment in both treatment groups. When the change levels were\rcompared between the groups, the decrease in VAS, and the improvement\rin Q-DASH and NHP scores were significantly higher in the TP group than\rin the ESWT group. There was no significant difference between the groups\rin terms of the amount of change in SWE. Conclusion: The both methods\rwere useful in alleviating pain, improving function, and reducing shear modulus in myofascial trigger points, although TP seemed to be more effective\rthan ESWT.Öğe CT assessment of main pulmonary artery diameter(Turkish Soc Radiology, 2008) Karazincir, Sinem; Balcı, Ali; Seyfeli, Erguen; Akoglu, Sebahat; Babayigit, Cenk; Akgul, Ferit; Yalcin, FatihPURPOSE The purpose of this study was to determine the normal range of the main pulmonary artery diameter (MPAD) by computed tomography (CT) in persons with normal pulmonary artery pressure, and then to evaluate the relationship of the diameter with age, gender, and body surface area (BSA). MATERIALS AND METHODS Between October 2005 and June 2007, among patients who had previously undergone a contrast-enhanced thorax CT scan, 112 persons (47 females, 65 males) without pulmonary pathology were selected for the study. A patients had normal mean pulmonary artery pressure. The widest diameter perpendicular to the long axis of the main pulmonary artery was measured at the pulmonary artery bifurcation level. The outer limits of the contrast were used to determine vessel diameter. RESULTS Pulmonary artery diameters showed a homogeneous distribution; the CT-determined mean pulmonary artery diameter was 26.6 +/- 2.9 mm. The mean MPAD in males was 27 2,8 mm, and 25.9 +/- 3.0 mm in females. This difference was considered to be statistically significant (P = 0.048). There was a significant relationship between the MAPD and age and BSA (P = 0.043, P < 0.001). CONCLUSION The present study demonstrated that in individuals with normal pulmonary artery pressure, the upper limit of the MPAD is 32.6 mm and that MPAD is well-correlated with BSA.Öğe A Delayed Diagnosis of a Patient with Bronchiectasis: Swyer-James/MacLeod Syndrome(Aves, 2007) Karazincir, Sinem; Babayigit, Cenk; Balcı, Ali; Akoglu, Sebahat; Seyfeli, Ergun; Sumbas, HaldunSwyer-James/MacLeod Syndrome is a rare disease which is characterized by unilateal hyperlucent lung due to hypoplasia of its pulmonary artery. A non-smoker, 57 years old female patient admitted to our clinic with cough, sputum production and fever. Her medical history revealed that these symptoms has been recurrent since her childhood. Furthermore she had been followed up with as a patient of chronic bronchitis or bronchiectasis outside of our clinic so far. Physical examination revealed diminished respiratory sounds and coarse crackles onmiddle and lower zones of left hemithorax. Chest X Ray showed hyperluceny and volume loss of the left lung and bronchiectasis at the left lower zone. Computerized and High Resolution Computerized Tomography revelaed hypoplasia of left pulmonary artery with reduced diameters of its branches, hyperlucent left lung and cyctic bronchiectasis in left lower, and superior and lingular segments of the left upper lobes. Colored Doppler Echocardiography showed hypoplasia of the left pulmonary artery and enlargement of the main pulmonary artery. Swyer-James/MacLeod Syndrome is diagnosed in childhood or early adulthood of most of the cases. We present this case to emphasize the delayed diagnosis until the age of 57 although she had been investigated several times because of her recurrent symptoms since her childhood and to emphasize considering this syndrome especially when a hyperlucent lung was detected on chest X ray.Öğe Dimensions of internal jugular veins in Turkish children aged between 0 and 6 years in resting state and during Valsalva maneuver(Elsevier Ireland Ltd, 2007) Karazincir, Sinem; Akoglu, Ertap; Balcı, Ali; Sangun, Ozlem; Okuyucu, Semsettin; Ozbakis, Cagla; Karazincir, OlgunObjective: We aimed to establish the values of the internal jugular vein (IJV) sizes in Turkish children aged between 0 and 6 years. Methods: Ninety-four normal children included in this study. All of the children were imaged by ultrasonography (USG) at the level of the cricoid cartilage. The maximal antero-posterior (AP) and transverse (T) diameters of the IJV were measured during regular breathing and Valsalva maneuver. Results: The mean transverse diameter of the right and left IJV were 8.11 +/- 3.01 and 7.64 +/- 2.68 mm in resting state. These values changed to 12.57 +/- 4.34 and 10.82 +/- 3.80 mm in Valsalva state, respectively. The AP diameters were found to be 5.43 +/- 2.07 for the right and 5.86 +/- 4.53 mm for the left IJV at rest. During VM, these values changed to 8.70 +/- 2.40 and 8.30 +/- 2.90 mm for the right and left IJV, respectively. There was no significant difference on the evaluation of the relationship between the right and left diameters of the IJV. While there were significant differences in sizes between the resting and Valsalva states. Also, the T diameter of the right IJV during Valsalva state was greater than those of the left. There were significant correlations between the diameters of the IJV and the age, weight and height of the children. Conclusion: The results we obtained in this study may be important in an attempt of intravascular intervention to IJV. These values may also be important for the comparison with the IJV sizes of the patients who have phlebectasia. (c) 2007 Elsevier Ireland Ltd. All rights reserved.Öğe Effect of Coexisting Foot Deformity on Disability in Women with Knee Osteoarthritis(Amer Podiatric Med Assoc, 2009) Guler, Hayal; Karazincir, Sinem; Dicle Turhanoglu, Ayse; Sahin, Gunsah; Bald, Ali; Ozer, CahitBackground: Knee osteoarthritis, a common musculoskeletal disorder, can cause considerable pain and disability. This study investigates the effect of certain foot deformities on the functional status of women with knee osteoarthritis. Methods: The common foot deformities pes planus and hallux valgus were evaluated in 115 women with knee osteoarthritis and Kellgren-Lawrence grade 2 and 3 osteoarthritis. Anteroposterior and lateral foot-ankle standard radiographs were obtained bilaterally. A lateral talometatarsal angle greater than 4 degrees was defined as pes planus. A hallux valgus angle greater than 21 degrees was defined as hallux valgus. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to objectively assess functional impairment. Knee pain intensity was measured with a visual analog scale. Results: Fifty-nine patients had bilateral pes planus, hallux valgus, or both. The mean visual analog scale value was higher for the deformity group, but the difference was not statistically significant. There was a significant difference in WOMAC scores between the group with foot deformities versus the group without (P = .000). Visual analog scale scores were positively correlated with WOMAC scores (r = 0.499, P = .000). Also, there was a significant correlation between WOMAC scores and lateral talometatarsal angle (r = 0.266, P = .004) and hallux valgus angle (r = 0.362, P = .000) values. Conclusions: There is a significant correlation between indicators of pain and disability (visual analog scale and WOMAC scores). Also, the presence of foot deformities increased disability levels in women with knee osteoarthritis. (J Am Podiatr Med Assoc 99(1): 23-27, 2009)Öğe Effect of Sickle Cell Anemia on Pelvic Dimensions: A Magnetic(Kowsar Publ, 2017) Atci, Nesrin; Gozukara, Ilay; Ozturk, Fatma; Burakgazi, Gulen; Kurt, Raziye Keskin; Karazincir, SinemBackground: The cesarean delivery rate tends to be higher in women with sickle cell anemia (SCA) and sickle cell trait (SCT) for various reasons. However, pelvic contracture, which may lead to cesarean sections, has never before been studied in these groups. Objectives: The aim of this study was to investigate magnetic resonance (MR) pelvimetry findings of women with SCA and SCT. Patients and Methods: We studied 66 women who underwent MR pelvimetry between March and June 2015 at our center. Our prospective study included 21 women with SCA, 20 women with SCT, and 25 control women. Sagittal inlet, sagittal mid-pelvis, transverse inlet, transverse mid-pelvis and transverse outlet diameters were measured on MR images. The mean diameters were compared with each other and with the control group Results: Sagittal inlet and transverse inlet were not significantly different between the groups. Also, mid-pelvic diameters for the sagittal and transvers mid-pelvis were similar between the groups. Even though the transverse outlet seems to be lesser in the SCA group compared with other groups, it was not statistically significant. Conclusion: Our study demonstrated that the pelvic roofs of women with SCA and SCT are indistinguishable from healthy women. Thereby, maternal pelvic structures that impact delivery types may not be significantly changed in SCA and SCT diseases. We believe that when making decisions about modes of delivery, these results should be taken into consideration.Öğe Effects of a fixed-payment method on demand for imaging tests in a university hospital(Oxford Univ Press, 2008) Inandi, Tacettin; Ozer, Cahit; Balcı, Ali; Karazincir, SinemBackground In 2006, a new medical payment framework such as fixed-payment method was implemented in Turkey and then cancelled 5 months later. The aim of this study was to explore the effects of this payment method on the demand for imaging tests. Methods Data were obtained retrospectively from electronic medical records. The main outcome measures were the number of imaging tests, the payment per outpatient and the rate of negative results of imaging tests. Results The overall mean number of imaging tests per outpatient was 0.75 +/- 0.13. This value decreased significantly after implementation of the fixed-payment method, and then increased after its cancellation (P < 0.01). The overall mean payment per outpatient was $14.1 +/- 2.3. For patients with social security, there was a significant decrease in the mean payment after implementation of the new method, followed by an increase after its cancellation (P = 0.02); in contrast, no significant changes were observed in patients not covered by social security (P > 0.05). No significant differences were observed in the rate of negative results for imaging tests (P > 0.05). Conclusions The use of a fixed-payment method reduces the demand for imaging tests when there is a strong financial relationship between the hospital and its personnel.Öğe Effects of diffuse fatty infiltration of the liver on portal vein flow hemodynamics(Wiley, 2008) Balcı, Ali; Karazincir, Sinem; Sumbas, HaIdun; Oter, Yasemin; Egilmez, Ertugrud; Inandi, TacettinPurpose. To investigate the effects of various degrees of diffuse fatty infiltration of the liver on portal vein blood flow with Doppler sonography. Methods. One hundred forty subjects were examined with color and spectral Doppler sonography. The subjects were divided into 4 groups of 35 subjects each according to the degree (normal, grade 1, grade 2 and grade 3) of hepatic fatty infiltration assessed on gray-scale images. The portal vein pulsatility index (VPI) and time-averaged mean flow velocity (MFV) were calculated for each subject. VPI was calculated as (peak maximum velocity - peak minimum velocity) peak maximum velocity. Results. VPI and MFV values were, respectively, 0.32 +/- 0.06 and 16.8 +/- 2.6 cm/second in the normal group, 0.27 +/- 0.07 and 14.2 +/- 2.2 cm/second in the group with grade 1 fatty infiltration, 0.22 +/- 0.06 and 12.2 +/- 1.8 cm/second in the group with grade 2 fatty infiltration, and 0.18 +/- 0.04 and 10.8 +/- 1.5 cm/second in the group with grade 3 fatty infiltration. There was a negative inverse correlation between the grade of fatty infiltration and both VPI (f = 55.3, p < 0.001) and MFV (f = 43.9, p < 0.001). Conclusion. The pulsatility index and mean velocity of the portal vein blood flow decrease as the severity of fatty infiltration increases. (C) 2008 Wiley Periodicals, Inc.Öğe Erratum: Giant left atrium mimicking a right thoracic mass: Case report (Journal of the American Geriatrics Society (2006) 54, (183-184))(2006) Seyfeli, Ergun; Akoglu, Sebahat; Karazincir, Sinem; Akgul, Ferit; Seydaliyeva, Tunzale; Yalcin, Fatih; Duru, Mehmet[No abstract available]Öğe The evaluation of early pulmonary involvement with high resolution computerized tomography in asymptomatic and non-smoker patients with rheumatoid arthritis(Turkish Assoc Tuberculosis & Thorax, 2009) Karazincir, Sinem; Akoglu, Sebahat; Guler, Hayal; Balcı, Ali; Babayigit, Cenk; Egilmez, ErtugrulTo investigate pulmonary involvement by high resolution computerized tomography (HRCT) in patients with rheumatoid arthritis (RA) who are asymptomatic and lifelong non-smoker. Twenty-five patients with RA who are asymptomatic and lifelong non-smoker were included in the study. After clinical and laboratory investigations, plain chest X-rays, pulmonary function tests (PFT) and HRCT were performed. End expiratory HRCT slices were obtained for air trapping. Chest X-ray, PFT and HRCT findings showed 12%, 16%, 48% abnormalities, respectively. Interstitial involvement was the most common finding on HRCT (36%) and followed by air trapping (20%). Bronchiectasis, pulmonary nodule, and pleural disease were seen in 16%, 12%, and 12% of patients, respectively. None of patients had emphysema and honeycomb pattern. There was no statistically significant correlation between HRCT findings and disease activity criteria, RF positivity, PFT results and duration of the disease. Our study shows that pulmonary involvement is not always together with respiratory symptoms and impaired pulmonary function in patients with RA. New studies are needed which investigating the effects of radiologically detected lung involvement on prediction of survival and treatment choice in asymptomatic and nonsmoker RA patients.Öğe Evaluation of the postnatal development of the sternum and sternal variations using multidetector CT(Turkish Soc Radiology, 2014) Bayarogullari, Hanifi; Yengil, Erhan; Davran, Ramazan; Aglagul, Ela; Karazincir, Sinem; Balcı, AliPURPOSE We aimed to evaluate the postnatal development and the maturation of the sternum and sternal variations using multidetector computed tomography (MDCT). Additionally, we aimed to examine the roles of gender and age in sternal development. MATERIALS AND METHODS Two hundred and fifty patients who underwent thorax MDCT examinations were evaluated for sternal development and variations. Coronal curved planar reconstruction and maximum intensity projection images were used to better assess the ossification centers in the manubrium and the body of the sternum. Multiplanar images were used to accurately measure the thickness and the sagittal dimension of the manubrium, the sagittal dimension of the body, and the total sagittal dimension of the sternum in the sagittal plane. RESULTS No significant differences in the manubrium measurements were observed between the genders. The thickness and sagittal dimension of the manubrium, sagittal dimension of the body, and total sagittal dimension of the sternum in the sagittal plane were significantly different between the age groups. We evaluated the ossification centers; shape and developmental variations in the manubrium and body; direction, calcification, and termination of the xiphoid process; developmental variations in the xiphoid process; and manubriosternal and sternoxiphoidal fusion. Significant variations were observed from person to person. CONCLUSION The anatomy and the developmental properties of the sternum should be well understood in cases of potential chest and sternum injuries and in several surgical procedures. Therefore, knowledge of the development and the maturation of the sternum, and sternal variations and anomalies is important. We suggest that the postnatal development and the morphogenesis of the sternum can be adequately assessed using MDCT.Öğe Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum(Mosby-Elsevier, 2007) Akoglu, Ertap; Karazincir, Sinem; Balcı, Ali; Okuyucu, Semsettin; Sumbas, Haldun; Dagli, Ali SafakOBJECTIVES/HYPOTHESIS: To determine the dimensions of the compensatory hypertrophic inferior turbinate and investigate the radiological changes in the morphology of the conchal bone in patients with septal deviation. STUDY DESIGN: A retrospective chart review. METHODS: The mucosal and bone compartments of the hypertrophic turbinate were measured using computed tomography (CT) in patients with septal deviation, and the conchal bones were classified radiologically as lamellar, compact, and combined types. The results were compared with those of controls. RESULTS: The dimensions of the bony and mucosal components of the inferior turbinate were significantly greater than those of controls in the anterior and middle segments, while the morphological changes in the conchal bone were not different. CONCLUSION: The significant bony and mucosal enlargement in the anterior and middle segments of the inferior turbinate supports turbinate reduction at the time of septoplasty and the CT findings should be considered when making a decision about the reduction type. (c) 2007 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.Öğe Giant left atrium mimicking a right thoracic mass: Case report (vol 54, pg 183, 2006)(Blackwell Publishing, 2006) Seyfeli, Ergun; Akoglu, Sebahat; Karazincir, Sinem; Akgul, Ferit; Seydaliyeva, Tunzale; Yalcin, Fatih; Duru, Mehmet[Abstract Not Available]Öğe A giant serous cystadenoma developing in an accessory ovary(Springer Heidelberg, 2008) Temiz, Muhyittin; Aslan, Ahmet; Gungoren, Arif; Diner, Guevenc; Karazincir, SinemBackground Accessory ovaries are rare anomalies and cysts arising from accessory ovaries are extremely rare. Their reported incidence is 1/29,000-1/700,000. Establishing the diagnosis preoperatively is difficult. Radiologic methods are usually inadequate in recognizing the origin of these tumors. Thus, they are usually confused with other intraabdominal tumors. Case A 22-year-old nulliparous girl presented with abdominal pain and tumoral growth for 1.5 years. Abdominal ultrasound and computed tomography revealed a 33 x 26 x 15 cm cystic mass filling the abdominal cavity. The preoperative diagnosis was a mesenteric cyst. Diagnostic laparotomy revealed a giant cystic mass arising in an accessory ovary. The left tuba and fimbrias were adhered to the cyst. The tumor was totally removed and fimbrioplasty performed. Conclusion In spite of being rare entities, paraovarian anomalies should be considered in the differential diagnosis of intraabdominal tumors, especially when the origin is not identified by radiologic means. Case A 22-year-old single, nulliparious female was admitted to our hospital with abdominal pain, nausea and a growing abdominal swelling since 1.5 years. A tumoral mass was palpated on physical examination. Abdominal ultrasound and computed tomography revealed a 33 x 26 x 15 cm cystic mass filling the abdominal cavity. The origin of the tumor could not be detected. Operation revealed a giant cystic mass arising from an accessory ovary. Histopathologic diagnosis was serous cystadenoma. Conclusion Ovarian or accessory ovarian pathologies must be considered in the differential diagnosis of intraabdominal tumors, especially in young female population.Öğe Hairy polyp arising from oropharynx as a cause of neonatal intermittent respiratory distress(2007) Okuyucu, Semsettin; Hakverdi, Sibel; Karazincir, Sinem; Ako?lu, Ertap; Balcı, Ali; Gümüş, Ramazan; Daşlı, ŞafakBackground: Hairy polyps which contain elements of ectoderm and mesoderm are rare cases that can occur anywhere in the body. Although they are rarely seen in the pharynx, they are the most common congenital nasopharyngeal masses. Case Report: Intermittent airway obstruction and feeding difficulties are the main symptoms the patients suffer from. We represent a 3 months old baby girl having a hairy polyp arising from the left palatopharyngeal fold and soft palate junction with symptoms of respiratory difficulties, whom underwent surgery and recovered from her complaints after. Conclusions: We discuss the clinicopathological features, etiology, terminology, differential diagnosis, and modality of the treatment of this condition.
