Late pancreatic metastasis of renal cell carcinoma with absence of FDG-uptake in PET-CT

2016-09-15T17-13-56Z
Source: Cukurova Medical Journal
Elif Karadeli, Sermin Tok, Gürcan Erbay, Mehmet Reyhan.
The primary tumors, which raise isolated pancreas metastases are frequently of renal origin, where colorectal cancer, melanoma, breast and lung cancers and sarcoma are the following causes of metastatic pancreas cancer . In this article, we present a case of pancreas-metastatic renal cell carcinoma with its radiological features, which did not exert anF-18 FDG-uptake in the whole-body positron emission tomography (PET).


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Radiologic findings mimicking acute abdomen in a patient with colorectal cancer: are these side effects of FOLFIRI therapy?

2016-09-15T17-13-56Z
Source: Cukurova Medical Journal
Elif Karadeli, Gürcan Erbay, Zafer Koç.
Bowel perforation is an emergency problem, it presents as an acute abdomen. Computurize tomography (CT) is important imaging modality used to evaluate patients with acute abdomen. CT shows anatomical detail and intestinal wall, evaluating secondary signs of bowel disease within the surrounding mesentery and detecting even small amounts of extraluminal air or oral contrast leakage into the peritoneal cavity. The aim of this article is to illustrate acute abdominal CT findings due to FOLFIRI therapy of a patient with colorectal cancer. Interestingly, this patient was an emergency case based on radiologic findings, but he felt good, had no emergency problem clinically.


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Perforation without manifestations of acute abdomen after ERCP

2016-09-15T17-13-56Z
Source: Cukurova Medical Journal
Elif Karadeli, Sermin Tok, Gürcan Erbay.
Perforations are rare after endoscopic retrograde cholangiography (ERCP) but they are serious complications. Perforations may occur due to patient-related factors or procedural technique. The mortality rate is higher than 37.5%. We are presenting a patient with perforation detected on a CT scan after ERCP for obstructive jaundice that was treated conservatively. Perforation after ERCP can be operated or treated conservatively according to the patients condition.


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Indications and complications of endoscopic retrograde cholangiopancreatography procedures in a tertiary care centre

2016-09-15T08-00-53Z
Source: International Journal of Advances in Medicine
Parvesh Kumar Jain, Vinay B. N..
Background: ERCP is commonly performed for the management of choledocholithiasis, diagnosis and management of biliary and pancreatic neoplasms, and postoperative management of biliary perioperative complications. The aim of this study was to review the indications and complications of endoscopic retrograde cholangiopancreatography (ERCP) procedures in a tertiary care centre. Methods: From April 2012 to March 2016, consecutive patients undergoing ERCP procedure in medical and surgical gastroenterology department were included in the study. Patients with any previous papillary intervention like papillotomy, sphincterotomy or stent placement were excluded from the study. Patients demographic characters, ERCP indications and post-ERCP complications were reviewed. Results: Four hundred and ninety patients were included in the study. Among them male patients were 240 and females were 250. Mean age was 44.6 years and the age range was 18 to 82 years. Most common indication for ERCP was choledocholithiasis (N=377, 76.93%). and malignant obstructive jaundice (N=57, 11.63%). Post ERCP complications developed in 29 patients (5.91%). Pancreatitis was the most common post-ERCP complication. Conclusions: ERCP is a safe procedure. ERCP complications in our center are similar to those reported from other centres.


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