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Giant vesical diverticulum:A rare cause of defecation disturbance

World Journal of Gastroenterology 2009年第31期15卷 3957-3959页

作者： Sami Akbulut bahri cakabay Arsenal Sezgin Kenan Isen Ayhan Senol Department of Surgery Diyarbakir Education and Research Hospital Department of Pathology Diyarbakir Education and Research Hospital Department of Urology Diyarbakir Education and Research Hospital Department of Radiology Diyarbakir Education and Research Hospital

Vesical diverticula frequently result from bladder outlet obstructions. However, giant vesical diverticula which cause acute abdomen or intestinal obstruction are very rare. Our review of the English medical literature found 3 cases of bladder diverticula which caused gastrointestinal symptoms. Here, we present a 57-yearold man with a giant diverticulum of the urinary bladder who complained of abdominal pain, nausea and vomiting, constipation, no passage of gas or feces, and abdominal distension for 3 d. A 20 cm x 15 cm diverticulum was observed upon laparotomy. The colonic obstruction was secondary to external compression of the rectum against the sacrum by a distended vesical diverticulum. We performed a diverticulectomy and primary closure. Twelve months postoperatively, the patient had no difficulty with voiding or defecation.

关键词： Colonic obstruction Defecation Diverticulectomy Urinary bladder Vesical diverticulum

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Radical vs conservative surgery for hydatid liver cysts:Experience from single center

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World Journal of Gastroenterology 2010年第8期16卷 953-959页

作者： Sami Akbulut Ayhan Senol Arsenal Sezgin bahri cakabay Mehmet Dursun Omer Satici Department of Surgery Diyarba-kir Education and Research Hospital Department of Radiology Diyarbakir Education and Research Hospital Department of Pathology Diyarbakir Education and Research Hospital Department of Gastroenterology Veni Vidi Hospital Department of Biostatistics Dicle University Faculty of Medicine

AIM:To compare the efficacy and safety of radical and conservative surgical interventions for liver hydatid ***:The study comprised 59 patients in two groups who had undergone radical and conservative surgical procedures for liver hydatid disease in our department between 2004 and 2009. Preoperative diagnostic tools,medical treatments,demographic and clinical characteristics,postoperative follow-up,and recurrence were compared in both groups. RESULTS:This non-randomized retrospective studyincluded 59 patients who had undergone liver hydatid disease surgery. The radical technique was used in 18 patients (mean age:42.1 ± 13.5 years,seven male,11 female),and the conservative technique was used in 41 patients (mean age:43.5 ± 13.9 years,17 male,24 female). The follow-up period ranged from 3 to 58 mo. Although operative time was significantly shorter in the conservative group (P < 0.001),recurrence was significantly reduced in the radical group (P = 0.045). No statistically significant differences were found in terms of hospitalization duration,cyst count and size,location,postoperative complications,scolicidal solution usage,or follow-up duration between the two ***:The more effective method for pre-venting postoperative recurrence is radical surgery. En-doscopic retrograde cholangiopancreatography for bile leakage in the early postoperative period may decrease the requirement for repeat surgery.

关键词： Echinococcosis Endoscopic retrograde chol-angiopancreatography Digestive system surgery

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An unusual cause ofileal perforation:Report of a case and literature review

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World Journal of Gastroenterology 2009年第21期15卷 2672-2674页

作者： Sami Akbulut bahri cakabay Cihan Akgul Ozmen Arsenal Sezgin Mahsuni Mert Sevinc Department of Surgery Diyarbakir Education and Research Hospital Department of Radiology Dicle University Faculty of Medicine Department of Pathology Diyarbakir Education and Research Hospital

An ileal perforation resulting from a migrated biliary stent is a rare complication of endoscopic stent placement for benign or malignant biliary tract *** describe the case of a 59-year-old woman with a history of abdominal surgery in which a migrated biliary stent resulted in an ileal *** with comorbid abdominal pathologies,including colonic diverticuli,parastomal hernia,or abdominal hernia,may be at increased risk of perforation from migrated stents.

关键词： Adhesion Biliary stent Ileal perforation Migration Choledocholithiasis

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