Cazip Üstün

Sonographic evaluation of the wall thickness of the lower uterine segment in patients with previous cesarean section

In pregnant women with a history of cesarean section, wall thickness of the lower uterine segment may help determine the risk and safety of vaginal delivery. Determination of wall thickness may help identify the potential risk of uterine rupture in pregnant women who do not wish to have another cesarean section or who are not eligible for surgery due to other systemic disorders.

Peritoneal tuberculosis in premenopausal patients with elevated serum CA 125

IntroductionPeritoneal tuberculosis predominantly involves the omentum, intestinal tract, liver, spleen, and genitourinary tract and occurs in 1–4% of patients with pulmonary tuberculosis. Peritoneal tuberculosis may mimic a pelvic mass in imaging studies and also may increase CA-125 levels. Peritoneal tuberculosis may also produce massive ascites, and intraperitoneal gross appearance might be similar to the peritoneal carcinomatosis. Therefore, peritoneal tuberculosis is often confused with advanced-stage epithelial carcinoma because of similar clinical, radiologic, and laboratory findings and later intraoperative findings.Materials and methodsThe pathology records between January 2000 and August 2008 were retrospectively reviewed at 19 Mayis University Hospital. Twenty-two patients were found to have peritoneal caseating necrosis. A total of 13 out of 22 patients were found to have high CA 125 level.ResultsAmong these 13 patients, 8 patients received/are receiving anti-tuberculous therapy after they were incidentally diagnosed with peritoneal tuberculosis.ConclusionIncreased CA 125 levels should be evaluated carefully prior to aggressive surgical approach, especially in premenopausal women and frozen section evaluation should be done before extensive surgical procedure if there is any suspicion.

Case Report: Dicephalus Dipus Dibrachius Conjoined Twins Diagnosed Prenatally

In this article, a case of dicephalus dipus dibrachius conjoined twins diagnosed by ultrasonography at the 21st week of gestation, which is the rarest form of symmetrical conjoined twins, is presented. Prenatal ultrasonographic diagnosis criteria of conjoined twins are reviewed.

Case Report of an Enteric Cyst Diagnosed Antenatally and the Differential Diagnosis of Fetal Mediastinal Cystic Masses

Fetal mediastinal cystic masses occur rarely. We present a case in which a large fetal mediastinal cystic mass was visualized at the first antenatal visit in the third trimester of pregnancy. A 4-week ultrasonographic follow-up demonstrated the slow growth of the mass until delivery, when the fetus was considered to he mature. Removal of the entire cyst was performed 8 h after abdominal delivery, and the newborn did well postoperatively. The histopathologic examination of the removed cystic mass showed an enteric cyst. We also reviewed the differentia! diagnosis of the fetal mediastinal masses.