Background: The free nipple breast reduction method has certain disadvantages, such as hyposensitivity, loss of lactation, and projection. To eliminate these risks, the authors describe a patient-based technique in which major supplier vessels nipple-areola complex were determined by color Doppler ultrasonography. Pedicles containing designed for reductions. Methods: Sixteen severe gigantomastia patients with mean age 41 years (range, 23 to 60 years) included study. Major perforators 13-...

Abstract A 38‐year‐old gravida 4, para 2 woman with a history of two Cesarean sections and one curettage was referred to our hospital, because painless vaginal bleeding 6 weeks + days amenorrhea. The first diagnosis scar pregnancy, managed methotrexate. Subsequently, an arteriovenous malformation developed, which diagnosed color Doppler imaging. confirmed angiography. Successful bilateral uterine artery embolization performed ethylene vinyl alcohol copolymer (Onyx), n‐butyl‐2‐cyanoacrylate...

Cardiovascular problems are a major cause of morbidity and mortality in patients with autosomal dominant polycystic kidney disease (ADPKD). Endothelial dysfunction (ED), which is an early manifestation vascular injury, has been shown ADPKD. Statins have beneficial effect the reversal ED. The aim this study was to investigate effects statin, simvastatin, on ED Sixteen ADPKD having well-preserved renal function were included study. brachial artery evaluated by using high-resolution ultrasound....

Background This study addresses the “pre‐expanded perforator flap concept” by demonstrating a case series of relevant reconstructive procedures and evaluate vessel diameter changes that happen during pre‐expansion procedure. Methods Fourteen patients were treated with 15 flaps. One patient was two pre‐expanded internal mammary artery In other cases, thoracodorsal, circumflex scapular, lumbar, intercostal, lateral femoral, deep inferior epigastric flaps used. Technical details rate...

Although some algorithms are defined for the treatment of advanced hepatocellular carcinoma (HCC), expected survival cannot be prolonged as it is intended. Treatment options this group patients limited. Radioembolization with yttrium-90 (Y-90) microspheres a new modality, which has also been used in HCC patients. In study, authors aimed to assess efficiency radioembolization Y-90 and evaluate prognostic factors that influence patients.The retrospectively evaluated data 29 who had resin or...

The aim of the study was to retrospectively evaluate potential benefit on survival outcomes selective intraarterial radionuclide therapy (SIRT) with Yttrium-90 microspheres as a salvage in liver metastasis different tumors.Sixty-one patients who had unresectable metastases from colorectal carcinoma (n=23), neuroendocrine tumor (NET; n=12), cholangiocarcinoma (n=9), and others (n=17) received yttrium-90 microspheres. All were treated setting an 11-month mean follow-up. Early metabolic...

The aim of this study was to determine the prevalence and aberrant venous supply (inferior veins Sappey) hypoattenuating hepatic pseudolesions seen around falciform ligament on portal-dominant phase multidetector computed tomography (MDCT) frequency fatty infiltration these chemical-shift magnetic resonance imaging.Portal-dominant abdominal MDCT examinations 728 patients were evaluated for presence a pseudolesion ligament, those with presumed underwent imaging detect infiltration....

The aim of the study was to evaluate local thrombolytic therapy (LTT) in combination with laparoscopy, management acute mesenteric ischemia (AMI). From January 2000 2010, patients who were admitted hospital AMI due arterial occlusion analysed retrospectively. Patients presenting abdomen a suspicion evaluated computerized tomography angiography (CTA). had findigs on CTA, underwent selective and LTT eventhough without peritoneal signs. carried out before or after laparoscopy laparotomy,...

Foreign body ingestion is a common problem in children, but it also seen among adults. Most foreign bodies pass through the gastrointestinal tract without causing complications. Perforation of gut by body, followed migration to liver quite rare. Herein we report case inadvertent sewing needle that perforated duodenum and migrated liver. The patient was monitored weekly with abdominal radiographs, displacement could not be observed. At follow-up, right upper quadrant pain noted. Two weeks...

Hemobilia is a rare cause of upper GI bleeding and the reasons for majority cases are iatrogenic. It also one rarest vascular complication following laparoscopic cholecystectomy but acute pancreatitis due to postcholecystectomic hemobilia as late not yet described.We presented case 32-year-old female, admitted our emergency surgery clinic with hematemesis, jaundice abdominal pain who had history 4 months ago. Patient was diagnosed obstructive caused by hemobilia. Afterwards she successfully...

We report a case of pseudoaneurysm the medial circumflex femoral artery that presented 4 months following cementless left total hip arthroplasty (THA). A successful embolization was achieved using super-selective catheterization and coil embolization. Arterial complications associated with THA are remarkably rare. Endovascular techniques have been shown to be effective considered valid alternative conventional surgery.

Primary teratomas of retroperitoneum are not usual in the adult population. These tumors most commonly seen at gonadal and sacrococcygeal regions. Herein we describe a case an 18-year-old female who had benign cystic teratoma retroperitoneum.The patient underwent operation another hospital following misdiagnosis hydatid cyst. The was referred to our because detection unresectable tumor during her operation. A computerized tomography (CT)-angiography revealed mass, with diameter 14cm which...

The popularity of the fibular free flap in mandibular reconstructions is persisting, and major donor area complications rarely occur after operations. Still, we have observed a pseudo–compartment syndrome 52-year-old patient on 12th postoperative day reconstruction with flap. When an obstruction deep venous system (deep vein thrombosis) was Doppler ultrasound-guided imaging, has been taken to operating room for emergency surgery completely reopened (in manner fasciotomy). After this...

This paper aims to evaluate the extremity function and vascular outcome after limb-sparing surgery for musculoskeletal tumors invading structure required reconstruction.Of 507 patients with tumors, who underwent between 2004 2007, 17 (3,3%) major vessel involvement were included in study. The mean age was 37.8 ± 14.5, a female/male ratio of 8/9. Thirteen (76.4%) had Stage IIb disease, 2 (11,7%) III disease. In have locally aggressive tumor that 3. Fifteen (88.2%) cases involved lower...

Traumatic occlusion of the renal artery is a serious injury. Management differs according to grade In most circumstances, emergency surgical revascularization or endovascular intervention required. We describe case child with multiorgan injuries and spasm main after blunt trauma simulating arterial end-organ infarction.

Mediastinal lipomatosis (ML) is a benign condition characterized by the accumulation of mature adipose tissue within mediastinum. ML usually associated with Cushing syndrome and obesity. Most patients are asymptomatic, but some have thoracic pain, dyspnea, cough, dysphonia, dysphagia, supraventricular tachycardia. We report case compressing right ventricular outflow tract in patient Behçet disease.

Focal nodular hyperplasia (FNH) and hemangioma are benign generally asymptomatic hepatic tumors. With distinctive imaging findings on dynamic computed tomography (CT) magnetic resonance (MRI), differentiation of these tumors from metastases can be made. We described lesions in a 57-year-old man who presented with rectal adenocarcinoma for staging.