Erişkin bir hastada gastrik volvulusa yol açan mobil dalak: Olgu sunumu
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Dosyalar
Tarih
2012
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Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Gezici dalağa bağlı gastrik volvulus erişkin yaşta çok nadir görülmektedir. Literatürde şu ana kadar sadece iki olgu bildirilmiştir. 82 yaşında erkek hasta bir haftadır bulantı, kusma, gaita yapamama yakınmalarıyla acil polikliniğimize başvurdu. Fizik muayenede ve bilgisayarlı tomografide sol alt kadranda düzgün konturlu solid kitle saptandı. Eksplorasyonda karın sol alt kadranını dolduran, üzerinde iki adet kitle olan, 13x13x15 cm ebadında kısmen iskemi alanları olan mobil dalak saptandı. Dalağın uzun pedikülünün mide antrum-korpus bileşkesi civarındaki bantlarla birlikte mideyi kardiyopilorik hat boyunca rotasyona uğrattığı ve gastrik pasajı engellediği saptandı. Splenektomi ve anterior gastropeksi yapıldı. Hasta postoperatif 6. günde sağlıklı bir şekilde taburcu edildi.
Gastric volvulus associated with wandering spleen is a rare diagnosis in adult ages. So far, only two cases have been reported in the literature. 82 year old male patients admitted to emergency department with complaint of nausea, vomiting and constipation. Physical examination and computerize tomography detected a big solid mass with regular contour which is full filling abdominal left lower quadrant. Exploratory laparotomy revealed a wandering spleen in sizes of 13x13x15 cm in the mentioned region. The spleen which had two masses on was partially ischemic. The stomach had rotated through cardiopyloric axis due to long pedicle of the spleen and adhesions neighborhood to corpoantral junction. Thus gastric passage was partialy obstructed. Splenectomy and anterior gastropexy were applied. The patient was discharged in health at 6th day postoperatively.
Gastric volvulus associated with wandering spleen is a rare diagnosis in adult ages. So far, only two cases have been reported in the literature. 82 year old male patients admitted to emergency department with complaint of nausea, vomiting and constipation. Physical examination and computerize tomography detected a big solid mass with regular contour which is full filling abdominal left lower quadrant. Exploratory laparotomy revealed a wandering spleen in sizes of 13x13x15 cm in the mentioned region. The spleen which had two masses on was partially ischemic. The stomach had rotated through cardiopyloric axis due to long pedicle of the spleen and adhesions neighborhood to corpoantral junction. Thus gastric passage was partialy obstructed. Splenectomy and anterior gastropexy were applied. The patient was discharged in health at 6th day postoperatively.
Açıklama
Anahtar Kelimeler
Gastrik Volvulus, Gezici Dalak, Splenektomi, Gastropeksi, Gastric Volvulus, Wandering Spleen, Splenectomy, Gastropexy
Kaynak
Journal of Clinical and Analytical Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
3
