Tevfik Demir

Preoperative sonography of nonreducible inguinal masses in girls.

Inguinal hernia is one of the most common surgical pathologies in childhood. Any of the abdominal organs can slide into the hernial sac and become incarcerated there. In girls, the fallopian tubes, ovaries, uterus, and—rarely—ovarian cysts can form the sliding component of an inguinal hernia. The aim of this study was to investigate the diagnostic value of preoperative sonographic examination in girls with nonreducible inguinal masses.

Circadian blood pressure rhythm in normotensive offspring of hypertensive parents.

BACKGROUND The aim of this study was to explore the circadian blood pressure (BP) rhythm using ambulatory BP monitoring (ABPM) in normotensive children with a family history of essential hypertension. METHODS Group 1 consisted of children with hypertensive mothers and/or fathers (n = 20), Group 2 consisted of children with hypertensive grandparents (n = 20), and Group 3 consisted of children with normotensive parents (n = 20). All participating children underwent a 24-h ABPM and echocardiography. RESULTS Significantly higher systolic burden was found in children with hypertensive parents (p < 0.05) and grandparents (p < 0.05) compared to controls. Ambulatory BP measurements had a higher daytime systolic BP in Group 1 compared to controls (p < 0.05). While left ventricular (LV) posterior wall thickness was similar in Group 1 and Group 2, it was significantly higher in both of these groups compared to the controls. The LV mass index (LVMI) was significantly higher in Group 1 than in controls (p < 0.05). However, diastolic BP was significantly higher in dippers compared to non-dippers (p < 0.05). LV posterior wall thickness, interventricular septum thickness and LVMI were significantly higher among non-dippers compared to dippers (p < 0.05). In children with a family history of hypertension, a positive correlation between nocturnal systolic BP and LVMI was found, and increasing nocturnal BP values were associated with increasing LVMI (p < 0.01). CONCLUSIONS In children with a family history of hypertension, target-organ damage may precede the clinical detection of hypertension, and in those with a nocturnal non-dipper status, a more marked effect on LVMI may occur.

Severe tricuspid regurgitation after blunt chest trauma due to chordal rupture: a rare complication.

tion ablation. They correlate magnetic resonance imaging with invasive electro-anatomical mapping in a patient with recurrent atrial fibrillation after multiple unsuccessful ablations for atrial fibrillation. In a study by Estner et al. (6) ablation of the heterogeneous zone resulted in no inducible VT in animals. Our case demonstrated that; 1) MRI identifies the presence of heterogeneous zone that contains critical substrate for VT, 2) Ablation lesions can be visualized by CMR as no-reflow areas, 3) Ablation decreased the heterogeneous zone percentage, which eliminated the VT. To the best of our knowledge this is the first human report identifying that heterogeneous zone ablation seen by CMR may eliminate VT. Therefore, decrease in the heterogeneous zone may be a criterion for successful ablation of ischemic VT and it needs to be studied.

Ayın olgusu Olgu Sunumu

Multipl sclerosis is a chronic disease of the central nervous system characterized by discrete areas of demyelination and axon injury The occurrence of multipl sclerosis in children younger than 16 years has been found to between 2 5 The incidence of posterior fossa plaques and tumefactive lesions were higher in children A fourteen year old boy who had a history of acute disseminhated encsephalomyelitis one year before and demosttrated tumefactive plaques confused with tumor or abscess in the second attack was diagnosed as multipl sclerosis Current knowledge of nbsp; the diagnosis differential diagnosis and therapy of nbsp; multipl sclerosis are discussed Key words: child interferon beta nbsp; multipl sclerosis tumefactive plaque