Sıra Dışı Bir İzole Çekum Nekrozu Olgusu
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Tarih
2018 Aralık
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
İzole çekum nekrozu genel olarak daha çok ileri yaş hastalarda görülmekle beraber erken yaşlarda oldukça nadir bir durumdur ve kronik kalp hastalığı, sistemik enfeksiyonlar, fırsatçı mantar enfeksiyonları, hipovolemik şok, romatoid ateş, kronik böbrek yetmezliği gibi sistemik hastalıklarla birliktelik gösterir. Daha önceden bilinen herhangi bir hastalığı ve geçirilmiş cerrahisi olmayan 36 yaşında kadın hasta 2 gündür olan sağ alt kadran ağrısı, bulantı-kusma ve iştahsızlık şikayetleri ile başvurdu. Hastada fizik muayene ve laboratuvar bulguları eşliğinde ön planda akut apandisit düşünülerek ameliyatı planlandı. Ameliyat esnasında izole çekum nekrozu ile karşılaşıldı, iskemik alana kısmi çekum rezeksiyonu ve primer onarım işlemi uygulandı. Her ne kadar literatürde sunulan vakaların tamamına yakını ileri yaş ve ek problemi olan hastalar olsa da sunduğumuz vaka göstermiştir ki izole çekum nekrozu genç ve herhangi bir ek hastalığı olmayan kişilerde de sağ alt kadran ağrısının ayırıcı tanısında akla gelmelidir
Although isolated cecal necrosis is generally seen in elderly patients, it is a very rare condition in adolscent patients and coexists with such systemic diseases as chronic heart disease, systemic infections, opportunistic fungal infections, hypovolemic shock, rheumatoid fever, and chronic renal failure. A 36-year-old female patient, who had no known history of disease or previous surgical procedures, presented with complaints of pain in the lower right quadrant, nausea, vomiting, and loss of appetite for the last two days. Acute appendicitis surgery was planned for the patient in the light of physical examination and laboratory results. Isolated cecal necrosis was seen intraoperatively, thus partial cecal resection in the ischemic area and primary repair were performed. Our case report reveals that isolated cecal necrosis should be taken into consideration in the differential diagnosis of pain in the lower right quadrant in young patients with no comorbid conditions as well, although almost all the cases presented in literature are cases of elderly patients with comorbid conditions.
Although isolated cecal necrosis is generally seen in elderly patients, it is a very rare condition in adolscent patients and coexists with such systemic diseases as chronic heart disease, systemic infections, opportunistic fungal infections, hypovolemic shock, rheumatoid fever, and chronic renal failure. A 36-year-old female patient, who had no known history of disease or previous surgical procedures, presented with complaints of pain in the lower right quadrant, nausea, vomiting, and loss of appetite for the last two days. Acute appendicitis surgery was planned for the patient in the light of physical examination and laboratory results. Isolated cecal necrosis was seen intraoperatively, thus partial cecal resection in the ischemic area and primary repair were performed. Our case report reveals that isolated cecal necrosis should be taken into consideration in the differential diagnosis of pain in the lower right quadrant in young patients with no comorbid conditions as well, although almost all the cases presented in literature are cases of elderly patients with comorbid conditions.
Açıklama
Anahtar Kelimeler
Çekum nekozu, iskemik kolit, rezeksiyon, Cecal necrosis, ischemic colitis, resection
Kaynak
Selçuk Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
28
Sayı
4
Künye
Taşcı, H. İ., Öztürk, Ş., (2018). Sıra Dışı Bir İzole Çekum Nekrozu Olgusu. Selçuk Genel Tıp Dergisi, 28(4), 165-167.
