Sella turcica is a saddle-shaped depression located in the middle cranial fossa on the upper surface of the sphenoid bone. It is enclosed by the pituitary fossa in which the pituitary gland is lodged, tuberculum sellae on the front and dorsum sellae in the rear. [1][2][3][4] Two anterior and two posterior clinoid processes form a protrusion on the pituitary fossa, and these are the structures that protect the pituitary gland in the sella turcica. The extensions of the sphenoid bone's ala minor to the anterior and medial form the anterior clinoid processes.The endings of the dorsum sellae form the posterior clinoid processes. [1,4,5] Sella turcica is a bony structure that is closely related with the pituitary gland, and is of both anatomical and clinical importance. The sellar and parasellar regions are anatomically complex structures where neoplastic, infectious, inflammatory, developmental and vascular pathologies may develop. [2,6] Research on sella turcica focuses not only on its dimensions, but also on its morphology. Sella morphology is important in both evaluating treatment outcomes AbstractObjectives: Morphometry of sella turcica should be known to evaluate pathological sella turcica. The aim of this study was to measure the size and describe the morphology of sella turcica in a Turkish population.Methods: This study included 101 individuals aged 17 to 70 years who went under CT scan. Sella length, sella width, sella height anterior, sella height median, sella height posterior, sella area, sella depth and sella anteroposterior (AP) diameter were measured.Results: Sella length was measured as 9.18±1.91 mm, sella width 10.41±1.74 mm, sella height anterior 8.09±1.65 mm, sella height median 7.71±1.24 mm, sella height posterior 7.48±1.34 mm, sella area 69.15±17.45 mm 2 , sella depth 7.87± 1.37 mm and antero-posterior sella diameter as 11.48±1.82 mm. When these sizes were compared between males and females, only sella length and width differed significantly. When compared by decades, there was a statistically significant difference only in the sella area parameter. Conclusion:Sella turcica dimensions of the Turkish population obtained by CT in this study can be used in estimating pituitary gland size and in determining any pathology in the sellar and parasellar regions. In addition, these results may help clinicians who encounter pathologically large sella areas in easily distinguishing it. Therefore, knowing the normal anatomy and variations of sella turcica is important for neurologists and neurosurgeons who deal with the pathologies of this area.

No abstract

SummaryBackgroundJejunal diverticulosis is a rare, usually asymptomatic disease. Its incidence increases with age. If symptomatic, diverticulosis may cause life-threatening acute complications such as diverticulitis, perforation, intestinal hemorrhage and obstruction. In this report, we aimed to present a 67-year-old male patient with jejunal diverticulitis accompanying with abdominal pain and vomiting.Case ReportA 67-year-old male patient complaining of epigastric pain for a week and nausea and fever for a day presented to our emergency department. Ultrasonographic examination in our clinic revealed diverticulum-like images with thickened walls adjacent to the small intestine loops, and increase in the echogenicity of the surrounding mesenteric fat tissue. Contrast-enhanced abdominal computed tomography showed multiple diverticula, thickened walls with showing contrast enhancement and adjacent jejunum in the left middle quadrant, increased density of the surrounding mesenteric fat tissue, and mesenteric lymph nodes. The patient was hospitalized by general surgery department with the diagnosis of jejunal diverticulitis. Conservative intravenous fluid administration and antibiotic therapy were initiated. Clinical symptoms regressed and the patient was discharged from hospital after 2 weeks.ConclusionsIn cases of diverticulitis it should be kept in mind that in patients with advanced age and pain in the left quadrant of the abdomen, diverticular disease causing mortality and morbidity does not always originate from the colon but might also originate from the jejunum.

No abstract

The results of the present study show that idiopathic incidental misty mesentery appearance has a significant prevalence. Also, the high body mass index of these patients and the growing evidence of obesity-induced inflammatory changes in adipose tissue are suggestive of an association between obesity and misty mesentery appearance on CT.