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Öğe Abdominal Aortic Aneurysm as a Long Time Cause of Low Back Pain and Vertebral Scalloping(Oxford Univ Press, 2016) Yildizgoren, Mustafa Turgut; Ogut, Halil; Kayali, Alperen; Turhanoglu, Ayse Dicle[Abstract Not Available]Öğe Colon Perforations Causing Morgagni Hernia Case(Derman Medical Publ, 2014) Ugur, Mustafa; Akkucuk, Seckin; Oruc, Cem; Kayali, Alperen; Aydogan, AkinHerniation of the intraabdominal organs through a diaphragmatic defect that occurs due to the joining anomaly of the sternal and costal segments of diaphragm is known as Morgagni Hernia. Although most of the patients with Morgagni Hernia are asymptomatic, intestinal obstruction, incarceration and strangulation can rarely occur. An 83 years old female patient admitted with acute abdomen to our clinic. Morgagni hernia was detected with preoperative thoracic and abdominal computed tomography. We aimed to present our management in Morgagni Hernia in this study.Öğe Comparison of ethanol and hypertonic saline as a single intracystic agent in the percutaneous treatment of liver hydatid cysts(Springer, 2023) Kayali, Alperen; Ugur, MustafaPurpose In this study, the effects of hypertonic saline and ethanol as a single intracystic agents in the percutaneous treatment of liver hydatid cysts were compared.Methods The 50 patients were separated into two groups as those administered 30% hypertonic saline alone as the intracystic agent in percutaneous treatment (33 patients, 52 cysts), and those administered 96% ethanol alone (17 patients, 26 cysts). Both groups were compared in terms of percentage of cyst volume reduction, complications, and treatment success.Results The follow-up period was median 17.0 months (11.0-20.0) in the ethanol group and 17.0 (14.0-22.0) in the hyper tonic saline group (p = 0.269). Complications were observed in 5 (19.2%) cysts applied with ethanol as the intracystic agent and in 7 (13.5%) of the cysts where hypertonic saline was used (p = 0.521). Clinical success was evaluated as 100% in both groups. The percentage of cyst volume reduction according to the initial volume was determined as mean 75.6 +/- 20.43 (28.19-98.13) in the ethanol group cysts and as 68.2 +/- 16.45 (26.39-97.48) in the hypertonic saline group (p = 0.427).Conclusion The results of this study demonstrated similar efficacy of hypertonic saline and ethanol in the percutaneous treatment of CE1 and CE3A liver hydatid cysts. These results suggest that the use of hypertonic saline as a single intracystic agent in the percutaneous treatment of CE1 and CE3A liver hydatid cysts provides sufficient efficacy of treatment and cyst volume reduction. Nevertheless, there is a need for further prospective, randomized studies to support these findings.Öğe Congenital abnormalities of the ribs: evaluation with multidetector computed tomography(Pakistan Medical Assoc, 2017) Davran, Ramazan; Bayarogullari, Hanifi; Atci, Nesrin; Kayali, Alperen; Ozturk, Fatma; Burakgazi, GuelenObjectives: To evaluate congenital abnormalities of ribs using multidetector computed tomography. Methods: The retrospective study was conducted at Mustafa Kemal University Research Hospital, Hatay, Turkey and comprised data of patients aged 1-45 years who attended the Radiology Department for computed tomography of the thorax between January 2010 and July 2013. Multiplanar reconstructions, maximum intensity projections, and 3-dimensional images were acquired to investigate numerical and structural abnormalities of the ribs of the patients who underwent multidetector computed tomography for a variety of indications. Results: The study comprised 650 patients. Of them, 231(35.5%) were female and 419(64.5%) male. The overall mean age was 20.9 +/- 5.1 years. However, data of 90(13.8%) patients was excluded from cervical rib evaluation and of 120(18.5%) from lumbar rib evaluation as these regions were out of the section because of the positioning. Finally, 560(86.5%) patients were included in the cervical rib evaluations, and 530(81.5%) in the lumbar rib evaluations. All the 650(100%) patients were included in the thoracic rib evaluations. Numerical abnormalities were observed in cervical ribs in 19(3.6%), in thoracic ribs in 1(0.15%) and in lumbar ribs in 7(1.3%) cases. The structural abnormalities were bifid rib in 44(6.7%) and fused type in 17(2.6%) cases. Conclusion: Multidetector computed tomography enabled evaluation of the thoracic cage as a whole.Öğe Corrigendum to “The Efficacy of Shear-Wave Elastography-Performed Simultaneously with Doppler Sonography-For Differentiating Between Testicular Torsion and Epididymo-Orchitis” [J Pediatr Surg 54/8 (2019) 1644–1649](S0022346818308145)(10.1016/j.jpedsurg.2018.12.005)(W.B. Saunders, 2019) Atici, Ahmet; Kayali, Alperen; Çelikkaya, Mehmet E.; Akçora, BülentThe publisher regrets that the author names and corresponding author were not shown for the article. © 2019 Elsevier Inc.Öğe The efficacy of shear-wave elastography - performed simultaneously with Doppler sonography - for differentiating between testicular torsion and epididymo-orchitis(W B Saunders Co-Elsevier Inc, 2019) Atici, Ahmet; Kayali, Alperen; Celikkaya, Mehmet Emin; Akcora, Bulent[Abstract Not Available]Öğe Efficacy of ultrasound-guided percutaneous drainage in the treatment of psoas abscess(Bayrakol Medical Publisher, 2022) Kayali, Alperen; Beyazit, Selen; Keles, Fatma Ozturk; Bal, Tayibe; Seyfettin, Ayca; Ugur, MustafaAim: In this study, we aimed to evaluate the efficacy of ultrasound-guided percutaneous drainage applied to cases determined with psoas abscess, and to investigate predisposing factors and micro-organisms causing the disease.Material and Methods: Twenty-eight patients were examined, including 15 males and 13 females, aged 22-87 years, who underwent ultrasound-guided percutaneous drainage. Predisposing factors for the development of psoas abscess, the need for an additional surgical procedure after percutaneous abscess drainage, length of stay in hospital after the procedure, complications, and agent micro-organisms were evaluated. The efficacy of percutaneous drainage in the treatment was investigated.Results: The most common agents were determined to be Staphylococcus aereus, Escherichia coli, and Mycobacterium tuberculosis. Primary psoas abscess was determined in 6 (21.4%) patients and secondary psoas abscess in 22 patients. In cases with secondary psoas abscess, skeletal origin predisposing factors (spondylodiscitis, history of abdominal or vertebral surgery) were seen to most often play a role in the etiology. In 20 of the 22 (78.5%) patients with secondary psoas abscess, effective treatment was applied with antibiotherapy and percutaneous drainage. The mortality rate was 10.7%.Discussion: Low morbidity and mortality rates are the greatest advantages of percutaneous drainage. Although CT has emerged as a better diagnostic method for psoas abscess, ultrasound-guided percutaneous drainage has the advantages of easy availability, low cost, and it does not contain radiation. Ultrasound -guided percutaneous drainage is an effective and reliable method in the treatment of psoas abscess.Öğe Endovascular Treatment of Acute Renal Artery Hemorrhages: Efficacy and Effect on Renal Functions(Duzce Univ, Fac Medicine, 2022) Kayali, Alperen; Gorur, SadikAim: The aim of this study was to investigate the efficacy and complications of endovascular treatment of acute renal artery hemorrhage and the etiology of the condition. Material and Methods: Twenty-two patients who underwent endovascular embolization with renal acute artery hemorrhage between 2016 and 2020 were evaluated retrospectively. Etiologies of the acute renal artery hemorrhage were investigated. Laboratory and clinical follow-up information were analyzed for the efficacy and the complication of the treatment. The serum creatinine levels of the patients before and after the procedure were compared. Results: Selective renal artery embolization procedures were performed in a total of 22 patients. Of the 22 patients, 10 (45.5%) were male and 12 (54.5%) were female. The patients' ages ranged from 5 to 79 years, and the mean age of the patients was 51.5 +/- 18.6 years. Clinical success was achieved in 91.7% of embolization procedures. A statistically significant increase was seen in the serum creatinine levels of the patients after the procedure compared to 24 hours before the angiography procedure (median: 0.97 vs. 0.93, p=0.046). No significant change was observed in serum blood urea nitrogen and the estimated glomerular filtration rate levels (p=0.338, and p=0.067, respectively). Acute renal failure and postembolization syndrome were observed in only one patient as complications. The complication rate was found to be 4.5%. Conclusion: Selective embolization of the renal artery has high clinical success in acute renal artery hemorrhages without impairing renal function. The treatment has advantages such as no need for general anesthesia, and low complication rates.Öğe An evaluation with shear wave elastography of kidney elasticity in patients with familial Mediterranean fever(Wiley, 2023) Kayali, Alperen; Keles, Fatma Ozturk; Seyfettin, Ayca; Dirican, Emre; Celik, Muhammed MuratPurpose To investigate the changes in kidney elasticity in patients with familial Mediterranean fever using the non-invasive diagnostic method of shear wave elastography (SWE). Methods The kidney elasticity of 35 FMF patients and 23 healthy control subjects was evaluated with SWE. The relationships were evaluated of the SWE values with eGFR, microproteinuria, FMF severity score, number of attacks per month, and colchicine doses of the FMF patients. Results The kidney stiffness and velocity values of the FMF patients were found to be higher than those of the control group (p < 0.001). A negative correlation was found between the renal stiffness and velocity values and the colchicine dose (r = -0.48, p = 0.004, and r = -0.50, p = 0.003, respectively). Conclusion The results of the current study demonstrated that the SWE values of the FMF patients were significantly higher than those of the control group. SWE can be used as an alternative method in the follow up of FMF patients. In addition, a negative correlation was determined between the colchicine dose and renal stiffness. This suggests that SWE values could be used in the adjustments of colchicine doses. However, there is a need for further studies with greater numbers of patients to support this hypothesis.Öğe Transhepatic Embolisation of the Cystic Duct Stump with a Glue and Lipiodol Mixture(Springer, 2023) Kayali, Alperen[Abstract Not Available]
