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    Bleeding Caecal Angiodysplasia Diagnosed by CT-Angiography
    (Derman Medical Publ, 2016) Kilic, Murat Ozgur; Degirmencioglu, Gurkan; Kilic, Yeliz
    [Abstract Not Available]
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    EVALUATION OF TWENTY-SEVEN PATIENTS WITH TUBERCULOUS PERITONITIS
    (Carbone Editore, 2016) Kilic, Murat Ozgur; Saglam, Cemile; Caner, Sevkan Sultan; Kilic, Yeliz; Icen, Duygu
    Introduction: Tuberculosis (TB) remains a public health problem worldwide. Peritoneal tuberculosis or tuberculous peritonitis (TBP) is an uncommon form of extrapulmonary infection with a proportional increasing of its incidence. This disease is seen most commonly in young adults, and has a highly variable clinical symptomatology. Our aim is to highlight the nonspecific presentation and diagnostic difficulties of the TBP. Materials and methods. We retrospectively reviewed 27 TBP cases diagnosed between 2003 and 2014. Clinical features, all diagnostic methods, and the outcomes of treatment were analyzed in view of literature. Results: Abdominal distension and pain were the most frequent symptoms. A past history of pulmonary TB was obtained in 4 patients. Additionally, concomitant extraperitoneal TB was found in 15 cases. Ascites was the most sonographic finding. Acid-fast staining of ascitic fluid was positive in 1/19. Peritoneal biopsy via laparoscopy or laparotomy was positive for TBP in 13/14. Duration of symptoms prior to diagnosis was found to be associated with prolongation of the treatment (p<0.001). In addition, pretreatment c-reactive protein was found to be significantly different between the patients requiring a standard therapy of 9 months and the patients requiring additional therapy of 3 months (p=0.023). Conclusion: The diagnosis of TBP is often difficult due to diverse presentation. The patient's anamnesis and the presence of ascites are the most significant marks in diagnosis. Laparoscopy with peritoneal biopsy seems to be the gold standard diagnostic method.
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    Non-Operative Management of Isolated Pneumoperitoneum Due to Severe Blunt Abdominal Trauma
    (Derman Medical Publ, 2015) Kilic, Murat Ozgur; Bozer, Mikdat; Turkan, Ahmet; Kilic, Yeliz
    Nonperative management of blunt abdominal trauma is the treatment of choice for hemodynamically stable patients. The results of nonoperative management are more successful in isolated solid organ injuries such as the liver and spleen than hollow viscus injury. In this approach, both the clinical course of the patient and the computed tomography findings play an important role. Isolated pneumoperitoneum in blunt abdominal trauma may be a surgical challenge for clinicians because it is usually a significant radiological sign for hallow viscus perforations. Here, we report a case of isolated pneumoperitoneum detected on computed tomography and managed non-surgically, in a young man suffered from a severe blunt abdominal trauma. Our aim is to attract the attention of surgeons to the management problems of the presence of pneumoperitoneum in the absence of other radiological findings in blunt abdominal trauma.