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    A Wegener Granulomatosis Case Presented with Arthralgia
    (2019) Yılmaz, Demet; Toprak, Dilek; Karatemiz, Güzin; Borlu, Fatih
    Granulomatosis with polyangitis (GPA/WG) (previously known as Wegener granulomatosis) is a multisystemsystemic necrotizing non-caeseating granulomatous vasculitis affecting small to medium sized arteries, capillaries andveins, with a predilection for the respiratory system and kidneys. The average incidence of this disease is 40-55. 90% of theWG patients have pulmonary involvement. Wegener Granulomatosis is a disease with high mortality when its diagnosisand treatment is delayed. Although WG may have symptoms such as hemoptysis and hematuria, it should be noted that itmay present with severe arthralgia and arthritis which may be in many connective tissue diseases and vasculitis. Malepatient, 52 years old. Analgesic treatment was applied when he came to the center due to arthralgia two months ago,however, there was no change in his complaints and intra-articular injection treatment was applied on left knee and bothshoulders. The symptoms did not regress and the patient lost 20 kg within the last two months. In urine analysis, 14-15erythrocyte and 10-15 leucocyte detected in every field; 1 positive detected. The patient was hospitalized in order to makefurther examination upon the determination of CRP: 61 mg/L and ESR: 82 mm/hr in the next polyclinic control after threedays. In the kidney biopsy report, “Pauci-immun glomerulonephritis” was primarily considered in the phenomenon. For thefirst three days 1 gr pulse and by the fourth day 1 mg/kg methylprednisolone and cyclophosphamide treatment was applied
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    Chilaiditi Syndrome After Colonoscopy: A Case Report and Review of the Literature
    (2020) Gökseven, Yağmur; Zerenöztürk, Güzin; Borlu, Fatih; Toprak, Dilek
    Chilaiditi Syndrome (CS) was first described by Demetrius Chilaiditi in 1910 as a condition characterized radiologically by thepositioning of the colon between the liver and the diaphragm. This condition of unknown cause is very rare in the general population. Although it is usually asymptomatic, it may present with acute, chronic, or recurrent forms and might be associated with symptoms such as constipa-tion, dyspnea, loss of appetite and chest pain. Diagnosis of CS is important since it might be confused with pneumoperitoneum, may cause intestinal obstruction, perforation, and ischemia, and might possibly result in intestinal perforations during colonoscopy. We report the case of a 62-year-old woman who presented with sudden dyspnea and abdominal pain after colonoscopy and was diagnosed as CS after radiolog-ical imaging.