Colon resection for endometriosis.

Endometriosis affects the women during reproductive period and can cause functional disorders. Sometimes general surgical intervention is necessary because of disease boundary. Especially the sigmoid colon and rectum are affected due to the close neighboring. In such a case, treatment must be individualized according to the patient and symptoms. If the lesion has penetrated the entire bowel wall, bowel resection may be inevitable. Laparoscopic resection of the sigmoid colon or rectum can be performed safely in this situation. When laparoscopic resection cannot be possible because of technical difficulties, open resection may be performed for treatment. Here we present two cases, one open and one laparoscopic colon resection performed due to endometriosis.

Colon resection for endometriosis.

Endometriosis affects women during the reproductive period and can cause functional disorders. Sometimes general surgical intervention is necessary owing to disease boundary. The sigmoid colon and rectum are particularly affected because of their close relationship. In this case, treatment must be individualized according to the patient and symptoms. If the lesion penetrated the entire bowel wall, bowel resection may be inevitable. Laparoscopic resection of the sigmoid colon or rectum can be performed safely in this situation. When laparoscopic resection is not possible because of technical difficulties, open resection may be performed as a mode of treatment.

Comparison of short and long axis methods in cardiac MR imaging and echocardiography for left ventricular function.

PURPOSE: The purpose of this study was to compare long axis and short axis methods in cardiac magnetic resonance imaging (MRI), and echocardiography for the evaluation of left ventricular function and mass. MATERIALS AND METHODS: The study included 15 patients with a history of myocardial infarction and 5 patients with normal ventricular function who were examined with cardiac MRI and echocardiography. Left ventricular function and mass analyses calculated with Simpson's method from short axis images were compared to the results of horizontal long axis, vertical long axis, and combined axes methods. In addition, results obtained from echocardiography were compared to the short axis method in cardiac MRI. RESULTS: In the patient group, there was no significant difference between ejection fraction calculated by modified Simpson's analysis in echocardiography and short axis imaging in cardiac MRI. In cardiac MRI, there was significant difference between ejection fractions assessed from both horizontal and vertical long axis images, and those assessed from short axis images. There was no significant difference in both patient and control groups between end-diastolic volume determined from short axis and end-diastolic volume determined by horizontal long axis, vertical long axis, and combined long axes. Significant difference between the patient and control groups was observed in end-diastolic volume calculated by modified Simpson's echocardiographic method. CONCLUSION: The present study demonstrated that there were no significant advantages of simplified MRI techniques over modified Simpson's method echocardiography. Therefore, patients who cannot be evaluated by echocardiography optimally should be evaluated by short axis cine MRI sequence.