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Objective: Unenhanced computed tomography is a rapid, high sensitivie technique for urinary stone determination. In this study, we present alternative causes of flank pain and frequency and charasteritics of incidental findings detected on MDCT. Material And Method: Unenhanced CT scans of 719 patients' abdomen were obtained with 64-MDCT for suspected urolithiasis. The images were analysed retrospectively. Urinary stones and their effects to urinary organs were evaluated, but also alternative and incidental findings were noted. Results: We detected 56 major, 162 moderate and 320 minor findings. The most common findings were renal cortical cysts in 70 (9,7%) patients. A large part of major findings were malignancies. We determined 6(0,8%) lomber disc hernia, 12(1,7%) spondilolisthesis, 8(1,1%) compression fracture with the help of sagittal and coronal reformatted images. Conclusion: Our major findings rate was similar to literature. There were not much vertebral findings in similar studies. We suggest that coronal and sagittal reformatted images contribute to detect these skeletal findings. Although stone disease is the most common cause of flank pain, we have to be aware of alternative diseases that can create similar flank pain and incidental findings that may need rapid treatment. [ABSTRACT FROM AUTHOR]

Copyright of Ortadogu Medical Journal / Ortadogu Tip Dergisi is the property of Bastas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Ortadogu Medical Journal / Ortadogu Tip Dergisi is the property of Bastas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Intestinal lipomatosis also known as lipohyperplasia is a rare disease. Diffuse infiltration of the fatty tissue mainly in the submucosal layer is characteristic. It is usually asymptomatic and found incidentally. We report a case of lipomatosis in the terminal ileum and ileocecal valve. Multidetector computed tomography (MDCT) with contrast enhancement showed fatty infiltration of the terminal ileum and ileocecal valve. [ABSTRACT FROM AUTHOR]

Hepatic artery pseudoaneurysm is a rare but serious complication following liver transplantation. A 50-year-old male patient with ulcerative colitis, sclerosing cholangitis, and end-stage liver disease underwent right lobe transplantation from a living donor. The patient was hospitalized because of impairment in liver function tests and massive pretibial edema three months after surgery. In color Doppler ultrasound and multidetector computed tomography, a pseudoaneurysm with peripheral large thrombus was detected at the anastomosis site extending anterior to the hepatic artery. The patient died as a result of unstable hemodynamic conditions.

The proximity of the vertebral artery (VA) to the odontoid process makes it vulnerable to injury during surgery. Knowledge of the quantitative anatomy of the VA groove is therefore necessary. In this study we assessed the spatial relationship between the VA and the odontoid process on cadavers by direct measurement and in patients by CT angiography. Our goal was to measure the distances from the VA and vertebrobasilar junction to the odontoid tip. The VA and odontoid process of 10 craniocervical cadavers ("cadavers") and of 20 patients were evaluated and average measurements obtained. The measured parameters were: (i) distance from the right VA to the odontoid tip (right VA-odontoid tip); (ii) distance from the left VA to the odontoid tip (left VA-odontoid tip), and (iii) distance from the vertebrobasilar junction to the odontoid tip (vertebrobasilar-odontoid tip). On the cadavers, the right VA-odontoid tip distance was 11.55mm, the left VA-odontoid tip was 11.02mm, and the vertebrobasilar junction-odontoid tip distance was 24.55mm. In patients, using CT angiography, the right VA-odontoid tip distance was 11.47mm and the left VA-odontoid tip distance was 11.50mm. The VA-odontoid tip distance is important in anterior odontoid approaches. Since the odontoid process may be in close contact with the VA, the relationship between them should be evaluated preoperatively in all candidates for odontoid surgery using three-dimensional CT angiography.

Purpose: To investigate the relationship of coronary artery calcification identified by electron beam tomography with age and gender., Materials and Methods: Electron beam tomography was performed in 654 patients to detect coronary artery calcification. Examinations were done with electron beam tomography (Imatron C-150 XP), using prospective electrocardiography triggering to prevent cardiac motion artifacts. Total calcification scores were calculated based on the number, area and computed tomographic number of the calcifications. The influence of age and gender on the presence and amount of coronary artery calcification were evaluated., Results: There were significant differences (p < 0.001) in mean total calcification scores between men and women. Men always had more coronary artery calcification than women at all age groups. The youngest patient with coronary artery calcification was below 40 years of age in men and above 40 years of age in women. The difference in the prevalence of coronary artery calcification between men and women was great at younger ages, and decreased after age 60. The difference in prevalence of coronary artery calcification for men and women was starting to be decreased after age 60., Conclusion: We observed that coronary artery calcification, a marker of arteriosclerosis, is strongly associated with age and gender.