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Öğe Bronchocentric granulomatosis with multifocal lung involvement: A case report(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2012) Kilicgun, Ali; Kurt, Bahar; Boluk, Murat; Yilmaz, FahriBronchocentric granulomatosis is a rare disease which shows no correlation between the clinical findings and radiological imaging. It is seen often in adults and is generally diagnosed by accident; however, a definitive diagnosis can be made with a lung biopsy. A necrotizing granulomatous reaction of the bronchi and bronchioles is generally observed. In this article, we present a 37-year-old male who was admitted for a detailed examination after a suspicious image was discovered on the chest X-ray. Many peripheral nodules were observed on computed tomography (CT) of the lung. Respiratory function tests revealed a mild obstruction, and a fiberoptic bronchoscopy showed no lesion. A nodule excision from the middle lobe in open lung biopsy was performed, and the result was found to be consistent with bronchocentric granulomatosis. We present this case due to its rare nature and believe it is a condition which should be investigated in terms of the etiology of multiple nodules.Öğe Emergent Treatment of Epidural Pneumatosis and Pneumomediastinum Developed Due to Tracheal Injury: A Case Report(Elsevier Science Bv, 2010) Kilicgun, Ali; Gezer, Suat; Korkmaz, Tanzer; Kahramansoy, NurettinThe presence of air in epidural space is called epidural pneumatosis. Epidural pneumatosis is a rarely encountered phenomenon in emergency medicine practice. A 10-year-old patient was admitted with cervical trauma due to a bicycle accident. Subcutaneous emphysema, pneumothorax, pneumomediastinum and epidural pneumatosis were detected. Pretracheal fasciotomy after tube thoracostomy and closed underwater drainage were performed. Since sufficient clinical improvement could not be observed, tracheal exploration and primary repairment were performed. Only after these interventions, epidural pneumatosis and pneumomediastinum completely regressed. The case is presented due to its rarity and with the purpose to remind clinicians of epidural pneumatosis in tracheal injuries.Öğe Surgical treatment of bronchlectasis: clinical characteristics and long-term outcomes(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Dadas, Erdogan; Tanju, Serhan; Kilicgun, Ali; Toker, Alper; Dilege, SukruBackground: This study aims to determine the clinical characteristics of the patients with bronchiectasis and evaluate the long-term outcomes of surgery. Methods: Medical records of 39 patients (23 males and 16 females; mean age 25.6 years; range, 5 to 63 years) with bronchiectasis who underwent surgical resection at Istanbul University, Istanbul Medical Faculty, Thoracic Surgery Department between January 2001 and June 2011 were retrospectively reviewed. Long-term follow-up data of the patients were obtained by the letter, telephone or outpatient control visits. Patients were evaluated according to the age, sex, etiological factors, symptoms, diagnostic methods, localization of lesion, surgery performed, morbidity, duration of hospital stay and long-term outcomes. Results: The most frequent symptoms were cough and sputum, while the most frequent etiological factor was having infections since childhood era. Twenty-two patients (56%) had left lung involvement, 11 patients (28%) had right lung involvement, and six patients (15%) had bilateral lung involvement. There were multiple lobe involvement in 16 patients (41%) and single lobe involvement in 23 patients (59%). The most affected region by bronchiectasis was the left lower lobe in 13 patients (33%). Complete resection was applied to 31 patients (80%), while incomplete resection was applied to eight patients (20%). From 33 patients of whose follow-up data were obtained, 22 (67%) were completely recovered, nine (27%) had improved clinical symptoms, and in two (6%) treatment failed. Complete and partial recovery ratios were 73% and 23% in patients undergoing complete resection, respectively and 43% and 43% in patients undergoing incomplete resection, respectively. Conclusion: In patients of bronchiectasis, surgical resection is a good treatment option with a success rate more than 90%. Complete resection has better long-term outcomes. However, incomplete resection can be also applied to the patients who are ineligible for complete resection.Öğe An Unusual Intrathoracic Mass: Lipoma(Derman Medical Publ, 2013) Karapolat, Sami; Dost, Burhan; Kilicgun, Ali
