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Öğe Degenerated leiomyoma of the round ligament: A case report(2006) Imir, Ayşe Gonca; Piçak, Alparslan; Arici, Sema; Kilçik, Mehmet Ali; Çetin, MeralTumors of the round ligament are very uncommon and leiomyoma is the most frequent one among these tumors. Most of leiomyomas of the round ligament are asymptomatic. In this report, we present the diagnosis, treatment, and clinical outcome of a myoma originating from the abdominal portion of the round ligament, a A 38-year-old female presented with a complaint of intermittent right groin pain has been diagnosed as degenerated leiomyoma of the round ligament after sonographic and pathological examination. Round ligament myomas are reported only 16 cases in the literature. The pathologic evaluation after surgical management is mandatory for the diagnosis of round ligament myomas.Öğe Effect of angiotensin-converting enzyme inhibition on experimental hepatic fibrogenesis(SPRINGER, 2008) Turkay, Cansel; Yonem, Ozlem; Arici, Sema; Koyuncu, Ayhan; Kanbay, MehmetThe renin-angiotensin system is suggested to be important in liver fibrogenesis. It induces hepatic stellate cell proliferation and up-regulates transforming growth factor beta-1 (TGF-beta 1) expression. Matrix metalloproteinase-2 (MMP-2) is involved in extracellular matrix remodelling. Fibrosis, a consequence of most chronic liver diseases, may be the result of a disturbed balance between fibrogenesis and fibrolysis. The aim of this study was to investigate the effect of enalapril on liver fibrogenesis induced in rats by bile-duct ligation. Forty-seven rats were divided into two groups: bile-duct ligated (BDL) (n = 24) and BDL + enalapril (n = 23). Fibrosis was evaluated by the Knodell scoring system, and TGF-beta 1 and MMP-2 were assessed with immunohistochemistry at the second, fourth and sixth weeks after bile-duct ligation. In the BDL group, TGF-beta 1 increased by the second week and this increase continued through weeks 4 and 6. In the BDL + enalapril group, TGF-beta 1 was significantly lower than the other group (P < 0.05). MMP-2 progressively decreased after week 2 in the BDL group. In the BDL + enalapril group, MMP-2 was significantly higher than the BDL group at the fourth and sixth weeks. These results suggest that enalapril reduces the liver tissue TGF-beta 1 and has an ameliorating effect on the fibrosis markers TGF-beta 1 and MMP-2.Öğe Effects of contrast media on the hepato-pancreato-biliary system(W J G PRESS, 2009) Topcu, Omer; Kurt, Atilla; Nadir, Isilay; Arici, Sema; Koyuncu, Ayhan; Aydin, CengizAIM: To determine the effects of high osmolarity contrast media (HOCM) and iso-osmolar contrast. media (CM) application, with or without pressure, on hepato-pancreato-biliary (HPB) system. METHODS: Sixty rats were divided into six equal groups as follows: Group 1: (0.9% NaCl, control), Group 2: (diatrizoate meglumine Na, ionic HOCM, Urographin (R)), Group 3: (iodixanol, iso-osmolar nonionic CM, Visipaque (R)); each of which was applied without pressure, whereas the animals of the remaining three groups (1p, 2p, 3p) were subjected to the same CM with pressure. We performed a duodenal puncture and introduced a catheter into the ampulla. After the catheterization, 0.2 mL CM or 0.9% NaCl was injected with or without pressure. Blood samples were taken for biochemical evaluations. The histopathological examinations of liver, common bile duct, and pancreas were performed. RESULTS: There were no significant differences between the six groups for blood amylase, alanine aminotransferases, aspartate aminotransferases, bilirubin levels (P > 0.05). Alkaline phosphatase and gamma glutamyl transaminase levels were higher (P < 0.05) in the Urographin (R) groups (2, 2p) than the Visipaque (R) groups (3, 3p), or control groups (1, 1p). Hepatocyte necrosis, portal area inflammation, and Kupffer's cell hyperplasia were higher (P < 0.05) in the study groups than the control group. However, there were no significant differences (P > 0.05) between HOCM (2, 2p) and iso-osmolar CM (3, 3p) groups. Bile duct proliferation and regeneration in the Urographin (R) groups (2, 2p) were significantly higher (P < 0.05) than the Visipaque (R) groups (3, 3p) or the control groups (1, 1p). Although CM caused minor damage to the pancreas, there were no statistically significant differences (P > 0.05) between the groups. Application of the CM with pressure did not cause additional damage to the HPB system. CONCLUSION: Iso-osmolar, non-ionic CM could be more reliable than the ionic HOCM, whereas the application of pressure during the CM application had no effect on the HPB system. (C) 2009 The WJG Press and Baishideng. All rights reserved.Öğe Effects of NO/L-Arginine Pathway on Gallbladder Contractility in Bile Duct Ligated Guinea Pigs(ACADEMIC PRESS INC ELSEVIER SCIENCE, 2009) Soylu, Sinan; Aydin, Cengiz; Bagcivan, Ihsan; Yildirim, Sahin; Koyuncu, Ayhan; Topcu, Omer; Arici, SemaBackground. Common bile duct ligation (CBDL) produces gallbladder distension and acute inflammation similar to that seen in human acute acalculous cholecystitis. CBDL in the guinea pig affects smooth muscle contractility. The aim of this study was to determine whether the nitric oxide-L-arginine pathway plays a role in the inflammatory process and abnormal gallbladder contractility that occur after CBDL. Materials and Methods. Contractility of gallbladder muscle from CBDL and sham-operated guinea pigs was studied in vitro. Animals were treated with saline, aminoguanidine (AG), or an aminoguanidine + L-arginine combination (AG + L-Arg) in vivo. Potassium chloride, carbachol, and electric field stimulation (EFS) were used for contracting the gallbladder muscle strips or activating intrinsic nerves. Hematoxylin and eosinstained slides of muscle strips were scored for inflammation. Results. Contraction responses to carbachol and EFS were decreased significantly in CBDL guinea pigs compared with those in the sham-operated group. AG partly reversed the smooth muscle contractile response to carbachol and EFS, but did not reduce the inflammation score. Treatment with AG + L-arg did not reverse either the contraction response or the inflammation score. Conclusions. These findings suggest that AG and AG + L-Arg treatments have no beneficial effect on inflammation in guinea pigs after CBDL, although AG significantly reversed the effect on muscle contractility (P < 0.05). This improvement was independent of inflammation and may be due to a decreased level of NO and its diminished relaxant effect. (C) 2009 Elsevier Inc. All rights reserved.Öğe Effects of the Chemokine Receptor 5 (CCR5)-Delta32 Mutation on Hepatitis C Virus-Specific Immune Responses and Liver Tissue Pathology in HCV Infected Patients(KOWSAR PUBL, 2014) Yilmaz, Abdulkerim; Alagozlu, Hakan; Ozdemir, Ozturk; Arici, SemaBackground: The specific antiviral T cells provide CC chemokine receptor 5 (CCR5) for the immune response during the hepatitis C virus (HCV) infection. Heterogenous and/or homozygous 32 base pair deletion in CCR5 gene (CCR5 432 bpdel) leads to reduced protein expression. Objectives: In the current case control study, we aimed to compare the histopathological findings of liver to the CCR5 432 bpdel mutation profiles, expression and some other clinical findings in patients with chronic HCV infection. Materials and Methods: Multiple Strip Assay reverse hybridisation and Real Time PCR techniques were used to determine the germline CCR5 mutations and immunohistochemical technique was used to evaluate the gene expression in targer tissue biopsies. Results: Target CCR5 WT/WT, WT/ Delta 32, and Delta 32/ Delta 32 genotypes were observed in 91.4%, 8.6% and 0.0% for HCV positive patients and 98.3%, 1.7% and 0.0% for control group respectively. The histologic activity index(HAI) was significantly lower(4.0 +/- 1.0) in the mutated group than the non-mutated group (5.7 +/- 1.0). Decreased fibrosis levels were detected in HCV positive mutated group. Conclusions: Results showed that CCR5 polymorphism was more frequent in HCV positive patients than in healthy population in Turkish population. Current results also showed that mutated CCR5 signalling pathway due to CCR5-Delta32 may potentially result in subtle reduction of HCV specifity to the drug responses due to the positive impact on liver inflammation, fibrosis levels and liver destruction in HCV infection.Öğe The effects of various scolicidal agents on the hepatopancreatic biliary system(KARGER, 2006) Topcu, Omer; Aydin, Cengiz; Arici, Sema; Duman, Mustafa; Koyuncu, Ayhan; Sen, MetinBackground: Sclerosing cholangitis is a rare but dreadful complication of liver hydatid surgery. Almost all scolicidal agents were shown to be potentially associated with this complication clinically or experimentally. This experimental study was designed to examine the effects of 0.04% chlorhexidine gluconate and 95% ethanol on the hepatobiliary system and pancreas and also to compare their effects with 10% povidone iodine and hypertonic 20% saline. Materials and Methods: 50 Wistar rats were divided into equal five groups identified as: 0.9% NaCl ( control group), 0.04% chlorhexidine gluconate, hypertonic 20% saline, 10% povidone iodine, and 95% ethanol. Scolicidal agents were injected into the biliary tract through a duodenal puncture. The animals were kept for 3 months. The animals were sacrificed, and histopathological examinations of the liver, biliary tract, and pancreas were performed. Results: The most severe histopathological changes of the liver, biliary tract, and pancreas were found in the ethanol group, and the least changes were detected in the chlorhexidine gluconate group. Conclusion: This experimental study confirms the deleterious effect of 95% ethanol on hepatopancreatic biliary system when used for the percutaneous drainage of hydatid diseases. For treatment of hydatid cysts in the hepatobiliary system, 0.04% chlorhexidine gluconate should be used as scolicidal agent.Öğe Epigenetic Inactivation of Tumor Suppressor SFRP2 and Point Mutation in KRAS Proto-Oncogene in Fistula - Associated Mucinous Type Anal Adenocarcinoma: Report of Two Cases(JAPAN SOC INTERNAL MEDICINE, 2010) Sen, Metin; Ozdemir, Oztuerk; Turan, Mustafa; Arici, Sema; Yildiz, Fazilet; Koksal, Binnur; Goze, FahrettinThe secreted frizzled-related proteins (SFRPs) genes are unmethylated in normal colorectal mucosa tissue but abberant methylation profiles can be detected in colorectal cancer (CRC), adenomas, and in aberrant crypt foci. The aim of the current study was to clarify whether SFRP2 methylation and K-ras structural mutation in fecal DNA can be found in stool and tumoral tissues of individuals with fistula-associated mucinous type anal adenocarcinomas (MTAA). Two man patients (68 and 56 years old) were treated for anorectal fistula in the surgical department. Patients were evaluated for clinical findings, tumoural tissue samples were examined histopathologically and DNA from fecal and tumoral tissue samples were isolated. K-ras mutation and promoter hypermethylation of SFRP2 gene in tumoral tissues were assessed by methylation-specific PCR based stripAssay hybridisation technique (Me-PCR) and compared to the healthy controls. Fecal and tumoural tissue samples from both patients were found to be fully hypermethylated profiles for SFRP2 gene and combined point mutations were detected in codon 12 and 13 of K-ras proto-oncogene. The current results showed that the combined effects of somatic mutations in K-ras and epigenetic alterations in SFRP2 genes may play an active role in the development of mucinous type anal adenocarcinoma.Öğe Evaluation of histopathologic and immunohistochemical features of gastrointestinal stromal tumors(Turkish Surgical Society, 2006) Elagöz, Şahande; Arici, Sema; Karakaya, Esra Aydin; Özer, Hatice; Turan, MustafaPurpose: To determine the importance of immunohistochemical panel including CD117 in the differential diagnosis of gastrointestinal mesenchymal tumors. Introduction: Gastrointestinal stromal tumors are rare mesenchymal tumors of the gut wall. The most important features of these tumors are the expression of CD117 and CD34. There are difficulties in their differential diagnosis with other mesenchymal tumors. In this contexte immunohistochemical panel including CD117, CD34, actin and desmin should be utilized. The variability of their biological behaviour and their eventual curability, increase the importance of these tumors. Material and Methods: In this study mesenchymal tumors of the gastrointestinal tract diagnosed in the Pathology Department of Cumhuriyet University Faculty of Medicine were revised. The immunohistochemical panel necessary for the diagnosis of stromal tumors was applied to all of these cases, to find the rate of occurrence of stromal tumors. Results: Six tumors previously diagnosed as mesenchymal tumor and 11 cases diagnosed as stromal tumor were positive for CD117. After CD117 staining 17 tumors among 20 were diagnosed as stromal tumors. Conclusion: CD117 and CD34 are important markers and it seems that by performing immunohisto-staining to all mesenchymal tumors, stromal tumors will be diagnosed more frequently.Öğe Expression of p16 Protein and Cyclin D1 in Periampullary Carcinomas(Federation Turkish Pathology Soc, 2011) Tuncer, Ersin; Turk, Nilay Sen; Arici, Sema; Duzcan, Suleyman Ender; Demirka, Nese CalliObjective: The majority of the tumors in periampullary region are pancreatic and ampulla of Vater carcinomas. The aim of this study was to compare histopathological features of ampulla of Vater carcinomas with pancreatic ductal adenocarcinomas and to determine diagnostic and predictive values of p16 protein and cyclin D1 expression. Material and Method: Tissue samples from pancreatic ductal adenocarcinomas and ampulla of Vater carcinomas were obtained from 31 patients who underwent pancreticoduodenectomy for periampullary carcinoma. The study group was composed of 12 women and 19 men. Their median age was found to be 62.32 years (range 26-85 years). The parameters analyzed in the study included lymph node metastases, perineural invasion, differentiation, duodenal invasion, grade of intraepithelial neoplasia and p16 and cyclinD1 expression in tumoral and peritumoral pancreatic tissues. Results: In both tumor groups, the loss of p16 protein expression was significantly correlated with perineural invasion (p= 0.0001). Perineural invasion was more frequent in the pancreatic ductal adenocarcinoma group than the ampulla of Vater carcinoma group (p= 0,01). When desmoplasia and lymphoplasmacytic stromal infiltration were examined, desmoplastic reaction was significantly higher in pancreatic ductal adenocarcinomas than ampulla of Vater carcinomas (p= 0.01). No significant difference was observed between tumor groups for Cyclin D1 (p> 0.05). Conclusion: The results suggest that loss of p16 protein expression may be a sign for poor prognosis in periampullary cancers that is correlated mainly with perineural invasion. Desmoplastic stromal reaction may be a distinctive feature for pancreatic ductal adenocarcinoma compared with ampulla of Vater carcinoma.Öğe Homozygous hypermethylation of tumor suppressor SFRP2 gene in a case with mucinous anal adenocarcinoma(SPRINGER, 2009) Sen, Metin; Ozdemir, Oztuerk; Colak, Ahmet; Turan, Mustafa; Arici, Sema; Oezcan, Dogan; Yildirim, Yesim; Koksal, Binnur…Öğe Immunohistochemistry with apoptotic-antiapoptotic proteins (p53, p21, bax, bcl-2), c-kit, telomerase, and metallothionein as a diagnostic aid in benign, borderline, and malignant serous and mucinous ovarian tumors(BIOMED CENTRAL LTD, 2012) Ozer, Hatice; Yenicesu, Goncalmir; Arici, Sema; Cetin, Meral; Tuncer, Ersin; Cetin, AliBackground: In many tumors including ovarian cancer, cell proliferation and apoptosis are important in pathogenesis and there are many alterations in most of the genes related to the cell cycle. This study was designed to evaluate immunohistochemistry with apoptotic-antiapoptotic proteins (p53, p21, bax, and bcl-2), c-kit, telomerase, and metallothionein as a diagnostic aid in typing of benign, borderline, and malignant serous and mucinous ovarian tumors. Methods: Total of 68 ovarian tumors, 25 benign [13 (19.1%) serous and 12 (17.6%) mucinous], 16 borderline [9 (13.2%) serous and 7(10.3%) mucinous], and 27 malignant ovarian tumors [24 (35.3%) serous and 3 (4.4%) mucinous tumors] were included in the study. Immunohistochemical expression of p53, p21, bax, bcl-2, telomerase, c-kit, and metallothionein were evaluated. Results: When all 68 cases were evaluated as benign, borderline, and malignant ovarian tumors without considering histopathological subtypes, the p53, p21, bax and metallothionein showed significantly higher staining scores in the borderline and malignant ones (p < 0.05). After evaluation of all 68 cases, the serous tumors showed significantly higher staining scores of p53, p21, c-kit, and metallothionein compared to the mucinous ones (p < 0.05). For differentiation of benign and borderline and malignant tumors combined, p53 was not used because all benign tumors has no staining, and p21, bax, and metallothionein was determined the significant predictors for borderline and malignant tumors combined (p < 0.05). For differentiation of borderline and malignant tumors, only p53 was determined the significant predictor for malignant tumors (p < 0.05). Conclusions: In conclusion, p53, p21, bax, c-kit, and metallothionein may be helpful for the typing of ovarian tumors as benign, borderline and malignant or serous and mucinous. p53, p21, bax, c-kit, and metallothionein may have different roles in the pathogenesis of ovarian tumor types. p53 and metallothionein may be helpful in the typing of borderline and malignant ovarian tumors. The immunohistochemical staining with bcl-2 and telomerase may not provide meaningful contribution for the typing of ovarian tumors.Öğe Inflammatuar markers in the diagnosis of acute appendicitis(2002) Köylüo?lu, Gökhan; Arpacik, Mehmet; Arici, Sema; Ceran, Canan; Kivanç, FügenAim: To analyze the preoperative white blood cell count (WBC), C-reactive protein (CRP) concentration, fraction of neutrophil granulocytes (neutrophil count), and erythrocyte sedimentation rate (ESR), of the patients who were operated on for a clinical suspicion of acute appendicitis and who were separated into five groups with different findings at histopathologic examination. Method: 110 patients, who were operated on for suspected acute appendicitis in the last two years were evaluated prospectively. Blood was collected preoperatively from the patients for the measurement of serum CRP, WBC, ESR and neutrophil count. The histopathology of appendices were grouped into normal, grade 1, 2, 3 and 4 appendicitis. The relationship between inflammatory markers and histopathologic findings were examined. Results: In 10 (9%) of the 110 patients operated on, normal histopathologic findings were confirmed, in 13 (11.8 %) appendix was grade 1 (minor inflammation), in 29 (26.4%) appendix was grade 2 (inflammed), in 47 (42.8 %) appendix was grade 3 gangrenous and in 11 (10%) appendix was grade 4 (peforated). WBC was not amarker of increasing appendiceal inflammation. CRP increased markedly after appendiceal inflammation and increased gradually with histopathologic findings. Neutrophil count and ESR increased significantly after appendiceal inflammation but did not increase parallel to histopathologic findings. Conclusion: CRP level is an early marker of appendiceal inflammation and moreover repeated controls of the CRP concentrations may improve the accuracy of the diagnosing acute appendicitis.Öğe Investigation of the effects of heparin and low molecular weight heparin on E-cadherin and laminin expression in rat pregnancy by immunohistochemistry(OXFORD UNIV PRESS, 2006) Erden, Omer; Imir, Ayse; Guvenal, Tevfik; Muslehiddinoglu, Ahmet; Arici, Sema; Cetin, Meral; Cetin, AliBACKGROUND: Heparin and low molecular weight heparin (LMWH) are used widely to improve the pregnancy outcome in women with thrombophilia, miscarriage, recurrent miscarriage and fetal death. This study was designed to investigate the effects of heparin and LMWHs, enoxaparin and tinzaparin, on E-cadherin and laminin expression in placental and decidual tissues in rat pregnancy. METHODS: Wistar albino female rats (n = 48) were randomly assigned to four study groups (normal saline, heparin, enoxaparin and tinzaparin) in the preconceptional period. Tissue sections of placenta and decidua were immunohistochemically examined for the expression of E-cadherin and laminin. RESULTS: E-cadherin placental staining score of heparin group was significantly lower and E-cadherin decidual staining score of heparin and enoxaparin groups were significantly lower than control group. There were no significant differences in placental and decidual laminin staining scores among the study groups. CONCLUSIONS: Heparin and enoxaparin can reduce E-cadherin expression but not laminin expression in rat pregnancy. They might modulate trophoblast invasion. We suggest that this is the possible underlying mechanism involving in improvement of trophoblast invasion by the use of heparin and LMWH in patients with the history of miscarriage.Öğe Prevalence of cervical cytological abnormalities in Turkey(WILEY, 2009) Kara, Fadil; Kiran, Guerkan; Metindir, Jale; Ozan, Hakan; Ozalp, Sinan; Vardar, M. Ali; Zeren, Handan; Dilek, Saffet; Bozkaya, Hasan; Guven, Sueleyman; Ersoz, Safak; Acikalm, Arbil; Meydanli, Mutlu; Cetinarslan, Ilknur; Gokaslan, Huesnu; Eren, Funda; Celik, Cetin; Yilmaz, Osman; Celik, Huesnue; Aksaz, Zeliha; Kocak, Cengiz; Bagci, Hafize; Davutoglu, Bilge Sel; Hakverdi, Ali Ulvi; Soysal, Mehmet Emin; Kaya, Guelcan; Yanik, Ali; Arici, Sema; Cetin, Halit; Mutlu, Ahmet Emin; Kolusari, Ali; Kosem, Mustafa; Sahin, Guler; Demirturk, Fazli; Gultekin, Murat; Karaca, Mehmet; Harma, Mehmet; Harma, Muege; Batur, Sebnem; Demirbag, Nilgun; Baykal, Cem; Dogan, Isin; Sam, Asli DemirObjective: To evaluate retrospectively the prevalence of cervical cytological abnormalities in patient records obtained from healthcare centers in Turkey. Method: Demographic characteristics and data on cervical cytological abnormalities were evaluated from patients who underwent flap tests in healthcare centers in 2007. Results: Data were collected from 33 healthcare centers totaling 140 334 patients. Overall, the prevalence of cervical cytological abnormalities was 1.8%; the prevalence of ASCUS, ASC-H, LSIL, HSIL, and AGC was 1.07%, 0.07%, 0.3%, 0.17%, and 0.08%, respectively. The prevalence of preinvasive cervical neoplasia was 1.7% and the prevalence of cytologically diagnosed invasive neoplasia was 0.06%. Conclusion: The abnormal cervical cytological prevalence rate in Turkey is lower than in Europe and North America. This might be due to sociocultural differences, lack of population-based screening programs, or a lower HPV prevalence rate in Turkey. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.Öğe Problems in grading and staging of nonalcoholic steatohepatitis: A study of 597 cases by Turkish National Working Group of Hepatopancreatobiliary Pathology(SPRINGER, 2007) Ozbay, Gulsen; Erdamar, Sibel; Erden, Esra; Savas, Berna; Akyol, Gulen; Celikel, Cigdem Ataizi; Sagol, Ozgul; Turhan, Nesrin; Ozdamar, Sukru; Yilmaz, Banu; Gucin, Zuhal; Arici, Sema; Doran, Figen; Dilek, Fatma Husniye…Öğe Small bowel tumors in emergency surgery(Turkish Association of Trauma and Emergency Surgery, 2010) Turan, Mustafa; Karadayi, Kursat; Duman, Mustafa; Özer, Hatice; Arici, Sema; Yildirir, Cihan; Koçak, OsmanBACKGROUND The aim of the present study was to describe the clinical presentation, diagnostic work-up, surgical therapy, and prognosis of 13 patients with small bowel tumor admitted for surgical procedures in an emergency setting. METHODS From 1996 to 2008, 13 consecutive surgical cases of small bowel tumors were treated at the Cumhuriyet University Faculty of Medicine, Department of General Surgery, and Kütahya State Hospital, Department of General Surgery. Clinical and radiological charts of these patients were reviewed retrospectively from the department database. RESULTS Intestinal obstruction (7 cases) and perforation (5 cases) were the most common clinical presentations, followed by intussusception (1 case). Adenocarcinoma was the most frequent histologic type (4 cases), while small bowel sarcoma was seen in three cases and non-Hodgkin lymphoma in two cases. The remaining cases had carcinoid tumor, small bowel angioleiomyoma, Brunner's gland adenoma, and inflammatory pseudotumor of the small intestine. CONCLUSION Small bowel tumors are rare, the symptoms often non-specific, and the accuracy of different diagnostic tests remains to be improved. Timing and type of the intervention to the process and biological behavior of the pathological cells predict the prognosis.Öğe Supernumerary ovary on sigmoid colon resembling an endometriotic lesion(BLACKWELL PUBLISHING, 2006) Imir, Gonca; Arici, Sema; Cetin, Meral; Kivanc, FigenA 30-year-old woman with a history of endometriosis and chronic pelvic pain had right-sided pain and sonographic evaluation demonstrated a right ovarian cyst 5 cm in diameter. Laparotomy revealed a right ovarian cystic mass and the cystic mass was found on the sigmoid colon. After excision, histopathologic study revealed endometrioma for the ovarian cyst and a supernumerary ovary for the cystic mass on the sigmoid colon.
