Erdoğan, Abdullah; Polat, Salih

Objective: This study aimed to evaluate the value of direct and indirect markers showing inf-lammation in the diagnosis of Brucella epidid-ymo-orchitis (BEO) and its differentiation from non-Brucella epididymo-orchitis.Material and Methods: A total of 152 pa-tients that presented to our clinic with acute sc-rotal complaints and were diagnosed with epidid-ymo-orchitis between January 2015 and January 2019 were retrospectively evaluated. Excluded from the study were 15 patients with a hemato-logic disease, coronary artery disease or malig-nant diagnosis, eight patients aged below 18 years, and 13 patients whose hemogram and C-reactive protein (CRP) values were not available in their medical records. The diagnosis of epididymo-or-chitis was based on laboratory (leukocytosis, CRP elevation) and radiological findings. The diagnosis of BEO was defined as ≥1/160 titer value and/or positive blood culture in the standard tube aggluti-nation (STA) test in addition to orchitis symptoms and signs.Results: The median WBC (p=0.033), neut-rophil (p=0.013) and monocyte (p=0.006) counts and NL (p=0.014) and ML (p=0.002) ratios were statistically significantly lower in the BEO group. The ML ratio had the highest predictive value with an AUC of 0.725 (95% CI = 0.146-0.424; p=0.002), as well as high specificity (97.3%) and diagnostic accuracy (83.5%) in predicting a BEO diagnosis. No parameter was an independent factor in the differentiation of BEO and NBEO.Conclusions: Easy, fast and low-cost hemoto-logical inflammatory markers provide diagnostic benefits complementing serological tests in dis-tinguishing BEO from NBEO cases. In particular, MLR has a high diagnostic accuracy compared to other parameters.

Başara, Işık; Serter, Selim; Akin, Yigit

Objective: In this study, computed tomography (CT) findings of the cases with different levels of fat storage in renal sinus tissue are represented and renal sinus lipomatosis is evaluated in the light of recent literature. Material and Methods: In our study, the CT archive was investigated retrospectively. Between 2010 May – 2011 September. Eleven different cases who have been sent to our CT unit from different clinics had been evaluated. Results: Five male, 6 female; totally 11 different patients had been diagnosed as renal sinus lipomatosis with CT findings. The ages of the patients differed between 36 and 80. In 7 of the patients who have been included to this study, had staghorn renal calculi. Two of them had non-spesific abdominal pain, 1 patient had acute pancreatitis and 1 patient had pyelonephritis. All of these patients had renal sinus lipomatosis. Conclusion: Renal sinus lipomatosis is a benign pathology and the diagnosis with conventional radiological methods may be difficult. It may be confused with urological tumors. CT helps us to diagnose correctly, determine the level of adipose tissue proliferation, extention to adjacent tissues and the complications. The patients can be diagnosed definitively with the study of urologists, radiologs and pathologs together.