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    Large mucinous neoplasm of the appendix mimicking adnexal mass in a postmenopausal woman
    (Elsevier Ltd, 2014) Akman L.; Hursitoglu B.S.; Hortu I.; Sezer T.; Oztekin K.; Avsargil B.D.
    INTRODUCTION: Appendiceal tumors are rare, late-diagnosed neoplasms that may not be differentiated from adnexal masses even by advanced imaging methods and other diagnostic procedures. They may be asymptomatic and remain undiagnosed until surgery. PRESENTATION OF CASE: We report a case of 81-year-old postmenopausal woman presented with abdominal pain. A magnetic resonance imaging revealed right adnexal mass. Laparotomy was performed and detected a 12 cm × 9 cm mucinous tumoral mass arising in the appendix. An appendectomy and a right hemicolectomy with ileo-transverse anastomosis were performed. Histopathological examination was revealed appendiceal mucinous neoplasm with low malignancy potential. DISCUSSION: Gastrointestinal tumors such as appendiceal tumors can mimicking adnexal mass. Therefore, appendiceal tumor kept in mind in a patient with diagnosed adnexal mass, especially patient had non-specific clinical symptoms, laboratory and radiologic findings. CONCLUSION: Gastrointestinal tumors such as appendiceal tumors kept in mind in a patient with diagnosed adnexal mass. © 2014, Elsevier Ltd. All rights reserved.
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    Secondary abdominal pregnancy following silent uterine rupture of five-fold cesarean section scar during early pregnancy
    (2012) Akman L.; Hursitoglu B.S.; Eminov E.; Terek M.C.; Yilmaz H.
    Abdominal pregnancy is a relatively infrequent form of ectopic pregnancy; its diagnosis is difficult even with the routine use of abdominal sonography in daily obstetrical practice. Secondary abdominal pregnancies are generally due to the intraperitoneal translocation of the fetus following a tubal rupture; they may also develop, however, as a result of a dehiscence resulting from rupture along the scar of a previous cesarean section or the rupture of a rudimentary horn. Abdominal pregnancy being generally asymptomatic, routine obstetrical history, physical examination and abdominal ultrasound may fail to elicit subjective elements that could allow a differential diagnosis from intrauterine pregnancy. Our paper presents the case of a patient of ours with a history of five cesarean sections, in whom the last pregnancy continued in the peritoneal cavity following a scar rupture, probably during the first trimester, and resulted in fetal death in the 22nd week.