Apendektomi İnsizyonunda Gelişen Pilonidal Sinüs

Year 2023, Volume: 10 Issue: 3, 204 - 206, 19.12.2023

Mesud Fakirullahoğlu Tolga Kalaycı Mustafa Yeni Murat Kartal

https://doi.org/10.47572/muskutd.1172477

Abstract

Pilonidal sinüs, cildin epidermis tabakasına nüfuz eden kıllar nedeniyle iltihaplanma ile ilerleyen bir hastalıktır. Bu olgu sunumunda apendektomi kesisinde oluşan insizyonel pilonidal sinüs olgusunun tanı ve tedavi süreci sunulmuştur. 47 yaşında erkek hasta apendektomi kesisinde yaklaşık üç gündür pürülan akıntı ve kızarıklık şikâyeti ile başvurdu. Hastaya yaklaşık sekiz yıl önce sağ paramedian kesi ile apendektomi yapılmış olup ameliyat sonrasındaki dönemde kesi izinde tekrarlayan apseler gelişmişti. Apse kesesi de dahil olmak üzere deri ve deri altı dokuları cerrahi olarak eksize edildi. Hastadan alınan eksizyon materyalinde tüm dermisi kaplayan kıllarla yoğun inflamatuar reaksiyon ve epidermisin erozyon ve ülserasyonu mevcuttu.

Keywords

Apendektomiler, Cerrahi Yara, Pilonidal Sinüs

Pilonidal Sinus at The Appendectomy Incision

Abstract

Pilonidal sinus is a disease that progresses with inflammation due to hairs that penetrate the epidermis layer of the skin. This case report presented the diagnosis and treatment process of the incisional pilonidal sinus case, which occurred at an appendectomy incision. A 47-year-old male patient was admitted with purulent discharge and erythema for about three days in the appendectomy incision. The patient underwent appendectomy with a right paramedian incision approximately eight years ago, and recurrent abscesses developed in the incision scar in the postoperative period. The skin and subcutaneous tissues, including the abscess sac, were surgically excised. In the excision material taken from the patient, there was an intense inflammatory reaction with hair covering the entire dermis and erosion and ulceration of the epidermis.

Keywords

Appendectomies, Surgical Wound, Pilonidal Sinus

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