We conclude that brachiobasilic and brachiocephalic AVF are equally effective alternatives; however, a longer and demanding operation with BB AVF construction should be considered.

Appendiceal mucocele is a rare entity which is characterized by cystic dilatation due to abnormal accumulation of mucus in the lumen of the appendix. Patients are often diagnosed incidentally by abdominal screening or abdominal surgery for other causes. Pain in the right lower quadrant of the abdomen, which may present as acute or chronic appendicitis, is the most common symptom of appendix mucocele, when the patient is symptomatic. This study describes the case of a 26-year-old female for whom surgical intervention for a complex ovarian cyst was planned, but who instead underwent laparoscopic appendectomy because appendiceal mucocele was determined during laparoscopic exploration.

ÖZET

No abstract

Introduction: Rectal cancer presenting with Fournier's gangrene (FG) is a very rare life threatening surgical emergency that presents a challenge for clinicians for diagnosis and management. Case Report: We report case of a 57yearold male patient having a low rectal tumor and presenting with Fournier's gangrene. The patient first underwent surgical debridement and fecal diversion for treatment of Fournier's gangrene. Following a fast and successful wound healing with the application of a vacuum assisted wound closure device, surgical removal of the rectal tumor was performed on the 11th day. After receiving chemotherapy and radiotherapy and one year of followup, the patient is currently disease free. Conclusion: In our opinion a fecal diversion is necessary in case of Fournier's gangrene not only to control the source of infection but in cases of Fournier's gangrene also to provide a chance of applying a vacuum assisted wound closure device which dramatically shortens the duration of wound contraction and granulation in Fournier's gangrene. After this initial effort is accomplished a definitive surgery can be successfully implemented.