Diskovertebral Enfeksiyon Tanısında 18f-Fdg Pet/Bt Olgu Sunumu

Yıl 2012, Cilt: 6 Sayı: 1, 13 - 18, 22.04.2012

Elif Özdemir

Öz

Spinal enfeksiyonların görülme sıklığı ve tanı alması giderek artmaktadır. Erken tanı, görüntüleme ve erken girişim ile olası kritik komplikasyonların önüne geçilebilir.
Tanı sıklıkla klinik ve laboratuar bulgularının görüntüleme ile kombinasyonu ile konulur. Bu olgu sunumunda spondilodiskit tanılı bir hastada 18F-FDG PET/BT’nin rolü değerlendirilmiştir. 18FFDG PET/BT spinal enfeksiyonların görüntülemesinde faydalı bir tanısal yöntem olup; enfeksiyonun yaygınlığını belirlemede ek bilgiler verebilmektedir.

Anahtar Kelimeler

Spondilodiskit, FDG PET/BT, pet/bt,

Kaynakça

• 1. Hay JM, Boudet MJ, Fingerhaut A et al. Shouldice inguinal hernia repair in the male adult: The gold standart? A multicenter controlled trial in 1578 patients. Ann Surg 1995;222:719-727.
• 2. Bay-Nielsen M, Kehlet H, Strand L et all. Quality assessement of 26304 herniorraphies in Denemark: a prospective nationwide study. Lancet 2001; 358:1124–1128.
• 3. EU Hernia Trialists Collaboration. Mesh compared with nonmesh methods of open groin hernia repair: systematic review of randomized controlled trials.Br. J. Surg 2000;87:854–9.
• 4. Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open ‘tension-free’ hernioplasty.Am. J. Surg 1993;165 : 369–71.
• 5. Robbins AW, Rutkow IM. The meshplug hernioplasty. Surg. Clinic. North Am 1993;73 : 501–12.
• 6. KugelRD. Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorrhaphy. Am. J. Surg 1999;178:298–302.
• 7. Corcione F, Cristinzio G, Maresca M, Cascone U, Titolo G, Califano G Primary inguinal hernia: the held-in mesh repair. Hernia 1997, 1:37–40.
• 8. Amid PK, Lichtenstein IL Long-term result and current status of the Lichtenstein open tension-free hernioplasty. Hernia 1998; 2:89–94.
• 9. Özgün H, Yardım SR, Çanakkalioğlu L ve ark. Aydın şehrinde inguinal cerrahisinin durumu. Ulusal Cerrahi Dergisi 2001; 27:117-124.
• 10. Kartal A, Tekin A, Vatansev C ve ark. Selçuk Üniversitesi Meram Tıp Fakültesi Genel Cerrahi AD Ulusal Cerrahi Dergisi 2008;24:21-26.
• 11. Pélissier E, Fingerhut A, Ngo P. Inguinal hernia. What techniques are available for the surgeon? Theoretical and practical advantages and disadvantages. J Chir 2007;144 4:535-40.
• 12. Amid PK. Groin hernia repair: open techniques. World J Surg 2005;29:1046- 1051.
• 13. Beattie DK, Foley RJE, Callam MJ. Future of laparoscopic inguinal surgery. Br J Surg 2000; 87: 1727-1728.
• 14. Halverson K, Mc Vay CB. Inguinal and femoral hernioplasty. Arch Surg 1970;101:127-132.
• 15. Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tensionfree repair. Int Surg 1986;71:1-7.
• 16. Amid PK. Lichtenstein tension-free hernioplasty: Its inception, evolution and principles. Hernia 2004; 8:1-7.
• 17. Kurzer M, Belsham PA, Kark AE. The Lichtenstein repair for groin hernias. Surg Clin North Am 2003;83:1099-1117.
• 18. Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh repair for primary inguinal hernias,results of 3019 operations from five diverse surgical sources. Am Surg1992;58:255-257.
• 19. Shulman AG, Amid PK, Lichtenstein IL. A survey of nonexpert surgeons using the opentensionfree mesh patch repair for primary inguinal hernias. Int Surg 1995;80: 35-6.
• 20. Voyles CR. Outcomes analysis for groin hernia repairs. Surg Clin North Am 2003;83 1279- 1287.
• 21. Grant AM. Laparoscopic versus open groin hernia repair: Metaanalysis of randomised trials based on individual patient. The EU Hernia Trialists Collaboration Hernia 2002;6: 2-10.
• 22. Chung RS, Rowland DY. Meta-analyses of randomised controlled trials of laparoscopic vs conventional inguinal hernia repairs. Surg Endosc 1996;13:689-694.
• 23. Memon MA, Feliu X, Sallent EF et al. Laparoscopic repair of reccurent hernias. Surg Endosc 1999;13: 807-810.