Akut sağ kolon volvulusu: Olgu sunumu
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Tarih
2009
Dergi Başlığı
Dergi ISSN
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Akut sağ kolon volvulusu, çoğunlukla tanısı operasyon sırasında konan ve nadir görülen bağırsak tıkanması nedenlerinden biridir. Bu yazıda, sağ kolon volvulusu’nun klinik özellikleri ve tedavi yöntemlerinin tartışılması amaçlandı. İnkarsere sol inguinal herni nedeniyle beş gün önce ameliyat edildiği merkezden karın ağrısı distansiyon ve kusma gelişmesi nedeniyle sevk edilen 81 yaşındaki erkek hasta “ileus” tanısıyla ameliyata alındı. Çekum ve sağ kolonun ileri derecede distandü olduğu, saat yönünde dönerek karnın sol tarafına yerleştiği görüldü. Hastaya genişletilmiş sağ hemikolektomi yapıldı. Sağ kolon volvuluslarına cerrahi yaklaşım tartışmalıdır. Literatüre baktığımızda, sağ hemikolektomi, konservatif yaklaşımlarda rekürrens ve mortalite riski daha yüksek olduğundan, uygun tedavi seçeneği olarak görünmektedir.
Acute volvulus of the right colon is an uncommon cause of intestinal obstruction and is rarely diagnosed correctly at the time of presentation. The aim of the study is to discuss the clinical features and management volvulus of right colon. We report a case in an 81-year-old man was referred from a primary care centre with a four-day history of abdominal pain, distension and vomiting. He had undergone left inguinal hernioraphy for incarseration before 5 days. An emergency laparotomy was performed. The caecum was grossly distended with several areas of gangrene, and lay in the left side of the abdomen in operation. Right colon had rotated in a counter-clockwise rotation. An extended right hemicolectomy was subsequently performed. The operative management of volvulus of the right colon remains controversial. A review of the literature, it appears that right hemicolectomy is the treatment of choice for volvulus of the right colon, as it avoids all risk of recurrence and mortality is lower than that obtained with conservative treatment.
Acute volvulus of the right colon is an uncommon cause of intestinal obstruction and is rarely diagnosed correctly at the time of presentation. The aim of the study is to discuss the clinical features and management volvulus of right colon. We report a case in an 81-year-old man was referred from a primary care centre with a four-day history of abdominal pain, distension and vomiting. He had undergone left inguinal hernioraphy for incarseration before 5 days. An emergency laparotomy was performed. The caecum was grossly distended with several areas of gangrene, and lay in the left side of the abdomen in operation. Right colon had rotated in a counter-clockwise rotation. An extended right hemicolectomy was subsequently performed. The operative management of volvulus of the right colon remains controversial. A review of the literature, it appears that right hemicolectomy is the treatment of choice for volvulus of the right colon, as it avoids all risk of recurrence and mortality is lower than that obtained with conservative treatment.
Açıklama
Anahtar Kelimeler
İleus, Sağ Kolon Volvusu, Volvulus, Ileus, Righ Colon Volvulus, Volvulus
Kaynak
Türkiye Acil Tıp Dergisi
Turkish Journal of Emergency Medicine
Turkish Journal of Emergency Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
3
