Enfekte Lumbosakral Spinal Dermoid Kist
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Dosyalar
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu olgu sunumun amacı nadir görülen ve tanıda karışıklığa sebep olabilecek intradural yerleşimli enfekte olmuş bir dermoid kist olgusu sunmaktır. Olgu sunumu: Beş aylık kız bebek, belinde hassasiyet ve kızarıklık oluşturan şişlik ve iltihabi akıntı şikayetleri ile başvurdu. Lumbosakral bölgede eritemli, ısı artışı olan şişlik mevcut olup, şişliğin ortasındaki cilt lezyonundan iltihabi akıntı oluşmakta idi. Manyetik rezonans görüntülemesinde L3- S1 arasında uzanım gösteren; hiperintens, heterojen, intradural yerleşimli, spinal kordda ekspansiyona yol açan kitle lezyonu tespit edildi. Hasta opere edilerek L3-4 total laminektomi ile abse drenajı, traktus ve subtotal kitle eksizyonu uygulandı. Eksize edilen tümöral dokunun histopatolojik incelemesinde kistik dermoid tümör tanısına ulaşıldı. Abseye yönelik antibiyotik tedavisi düzenlenen hasta tedavisi tamamlandıktan sonra önerilerle taburcu edildi. Sonuç: Dermoid tümörler nadir görülen spinal tümörlerdir. Genellikle yavaş ve asemptomatik seyrederlerken araya giren enfeksiyon ya da tümöral kistin rüptürü gibi nedenlerle akut ve bazen geri dönüşümsüz tehlikeli sonuçlara neden olabilirler. Bu olgu sunumu ile özellikle pediatrik çağda görülen spinal kitlelerin ayırıcı tanısında dermoid tümörlerin akılda tutulması ve bunlarda görülebilen enfeksiyon ve rüptür riski göz önüne alınarak uygun zamanda cerrahi tedavi planlanması gerekliliği hatırlatılmak istenmektedir.
Objective: To present a case of an infected dermoid cyst. Infected dermoid cyst can be seen rarely and may exist some difficulties in the differential diagnosis of spinal tumor like lesions. Case report: Five-month-old patient was admitted to our clinic with lumbar tenderness and redness complaints. An erythematous lumbosacral hump with local temperature increase found in physical examination. A purulent discharge was found in the middle of the hump. Magnetic resonance imaging was showed a hyperintense, heterogeneous mass lesion located intradurally between the L3-S1 levels. The patients was operated with L3-4 total laminectomy and abscess drainage, tract excision and subtotal tumor excision performed. Histopathologic examination was consistent with infected dermoid cyst. Conclusion: Dermoid tumors are uncommon spinal tumors. They grow slowly and their courses are usually asymptomatic. Infection or acute tumoral cyst rupture can be seen in the course of the disease and this situation may cause dangerous irreversible consequences. Spinal dermoid cysts should keep in mind in the differential diagnosis of spinal tumor like lesions especially in pediatric population. Planning the appropriate time of surgical treatment in these cases is necessary for avoiding undesirable risks such as cyst rupture and infection.
Objective: To present a case of an infected dermoid cyst. Infected dermoid cyst can be seen rarely and may exist some difficulties in the differential diagnosis of spinal tumor like lesions. Case report: Five-month-old patient was admitted to our clinic with lumbar tenderness and redness complaints. An erythematous lumbosacral hump with local temperature increase found in physical examination. A purulent discharge was found in the middle of the hump. Magnetic resonance imaging was showed a hyperintense, heterogeneous mass lesion located intradurally between the L3-S1 levels. The patients was operated with L3-4 total laminectomy and abscess drainage, tract excision and subtotal tumor excision performed. Histopathologic examination was consistent with infected dermoid cyst. Conclusion: Dermoid tumors are uncommon spinal tumors. They grow slowly and their courses are usually asymptomatic. Infection or acute tumoral cyst rupture can be seen in the course of the disease and this situation may cause dangerous irreversible consequences. Spinal dermoid cysts should keep in mind in the differential diagnosis of spinal tumor like lesions especially in pediatric population. Planning the appropriate time of surgical treatment in these cases is necessary for avoiding undesirable risks such as cyst rupture and infection.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Spinal dermoid kist, enfeksiyon, cerrahi, Spinal dermoid cyst, infection, surgery
Kaynak
Genel Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
1
Künye
Kalkan, E., Erdi, F., Keskin, F., Kaya, B., İlik, K., Karataş, Y., (2010). Enfekte Lumbosakral Spinal Dermoid Kist. Genel Tıp Dergisi, 20(1), 31-34.
