ABSTRACT Objectives: Uncontrolled blood pressure and nondipping status are closely associated with increased cardiovascular risk. In this study we aimed to evaluate blood pressure control and dipping status in overweighed and obese hypertensive patients. Material and method: Seventy two hypertensive patients (57.4±11.9; 21 male, 51 female) were enrolled. Patients were grouped as with BMI <25 kg/m2 and ?25 kg/m2. Patients with diabetes and coronary artery disease were excluded. All of the patients were performed 24-hour ambulatory blood pressure monitoring. Averages of 24-hour, daytime and nighttime systolic, and diastolic blood pressures were calculated. Dipping feature was determined by the >10% decrease of blood pressures in the nighttime measurements compared to daytime measurements. Statistical analyses were done by Mann Whitney U test and Chi Square test using SPSS 11.0. Results: 24 hour daytime and nighttime SBPs were significantly higher in overweighed and obese patients with the BMI ?25 kg/m2 compared to patients with BMI <25 kg/m2 (p<0.05). Also DBPs were higher in the same group but not statistically significant (p>0.05). Distribution of dipping and nondipping was not different between groups, however nondipping status was increased in both of the groups. Conclusions: Targets of optimal blood pressure in overweighed and obese hypertensive patients could not be achieved. Thus hypertensive patients with BMI ?25 kg/m2 are at risk for cerebrovascular and cardiovascular events due to higher daytime and nighttime blood pressure. Non dipping status is also higher in both groups. Blood pressures should be closely monitored and if necessary, combination therapy should be planned to achieve blood pressure targets and to overcome the nondipping status.

Escobar syndrome is a genetic disease advancing with various malfunctions. Anesthesia application on these patients is of consideration due to risk of respiratory difficulties and malign hypertermia development. In this presentation, our anesthesia approach on the 1 year old female diagnosed with Escobar syndrome, and to have a pyeloplastic operation due to uretero-pelvic stenosis.

Osteopetrosis (Albers-Schonberg disease) is a rare sclerosing bone disorder in which bone marrow is obliterated. Owing to pancytopenia, infections can occur. In this study an infantile osteopetrosis complicated with subperiosteal orbital abscess is presented and magnetic resonance imaging findings described which to our knowledge no such togetherness has been mentioned before.

Osteoid osteoma is benign tumor of unknown cause that is usually located in long bones. We report a case of osteoid osteoma occuring at the site of a previous fracture of the ulna treated by internal fixation. The radiological findings of the patients was similar to osteomyelitis. As far as we know this is the first case in English literature.

Hepatobiliary scintigraphy, with Tc-99m iminodiacetic acid analogs, is indicated for diagnosis of various acute and chronic hepatobiliary diseases. Cholescintigraphy often provides physiological and functional information on bile drainage in patients with suspected biliary obstruction and bile leakage. Important diagnostic information is gained after the assessment of blood flow to the liver, hepatic extraction, biliary excretion, patency of biliary tract and gallbladder contraction. We report cholescintigraphic findings of a patient with a T tube causing a functional biliary obstruction.

We reported the case of an 81 year-old woman who presented with acute abdominal symptoms. The patient underwent multidetector computed tomography (MDCT) showed a hyperdense, suspected foreign body in duodenal lumen. During the operation, it was found that foreign body lodged in the posterior wall of the fourth part of the duodenum and the perforation in the duodenal wall at this level was noticed. Foreign body removed by enterotomy and it was diagnosed as the chicken bone. It must be taken into consideration that in geriatric patients one of the causes of acute abdomen may be perforation of bowel wall due to unconscious foreign body ingestion. MDCT is an effective modality in determining this foreign bodies and complications such as perforation preoperatively.

We report a case of vesicouterin fistula (VUF) secondary to cesarean section. This is a rare complication of cesarean section. Diagnosis was made clinically, radiologically, and endoscopically during the postoperative period. Conservative management with cystoscopic fulguration for 4 weeks failed. Hence the fistula was repaired surgically by an abdominal approach.