Von Willebrand Tip 1 Hastalığı Olan Genç Bir Hastada Akut Apandisitin Konservatif Tedavisi

Year 2024, Volume: 2 Issue: 1, 37 - 39, 29.02.2024

Vefa Atış

https://doi.org/10.61845/agrimedical.1363925

Abstract

Akut apandisit (AA), acil servislere başvuran her yaş grubundaki hastalarda akut karın ağrısının en sık nedenidir. Çalışmamızda şiddetli karın ağrısı nedeniyle acil servise başvurduktan sonra akut apandisit tanısı konulan 25 yaşında kadın hasta olgusunu sunmayı amaçladık. Hastanın Tip 1 von Willebrand hastalığı (vWH) olduğundan hastaya apendektomi yapılmadan konservatif olarak tedavi ettik. Konservatif tedavi akut apandisitte alternatif bir tedavi şeklidir ve uygun olan hastalarda apendektomi yerine antibiyoterapi ile tedavi edilebilir.

Keywords

Akut Apandisit, Konservatif Tedavi, Antibiyotik

Conservative Treatment of Acute Appendicitis in a Young Patient with von Willebrand Type 1 Disease

Abstract

Acute appendicitis is one of the most common causes of abdominal surgery emergencies worldwide. We presented the case of a 25-year-old female patient who was diagnosed with acute appendicitis after applying to the emergency department due to severe abdominal pain. The patient had Type 1 von Willebrand disease (vWD), and we treated her with conservative treatment without appendectomy. Conservative treatment is an alternative treatment method for acute appendicitis. In selected patients, it can be treated with appropriate antibiotics instead of appendectomy.

Keywords

Acute Appendicitis, Conservative Treatment, Antibiotic

References

• Schappert SM, Rechsteiner EA. Ambulatory medical care utilization estimates for 2006. Natl Health Stat Report. 2008;8:1-29.
• Yeni M, Kalayci T, Kartal M. Apendiks güdüğünün kapatılmasında kullanılan hem-o-lok klips ile intrakorporal sütürün erken ve geç dönem sonuçlarının karşılaştırılması. Celal Bayar Ünv Sağ Bil Enst Derg. 2021;9(1):120-5.
• Jones MW, Lopez RA, Deppen JG. Appendicitis. 2018.
• Snyder MJ, Guthrie M, Cagle S. Acute appendicitis: efficient diagnosis and management. Am Fam Physician. 2018;98(1):25-33.
• Kartal M, Kalaycı T, Çöpelci Y, Ali K. Clinicopathological evaluation of parasitic infections in appendectomy specimens. Arch Curr Med Res 2023;4(1):40-46
• Withers A, Grieve A, Loveland J. Correlation of white cell count and CRP in acute appendicitis in paediatric patients. S Afr J Surg. 2019;57(4):40.
• Pooler BD, Repplinger MD, Reeder SB, Pickhardt PJ. MRI of the nontraumatic acute abdomen: description of findings and multimodality correlation. Gastroenterol Clin North Am. 2018;47(3):667-690.
• Hwang ME. Sonography and computed tomography in diagnosing acute appendicitis. Radiol Technol. 2018;89(3):224-37.
• Kave M, Parooie F, Salarzaei M. Pregnancy and appendicitis: a systematic review and metaanalysis on the clinical use of MRI in diagnosis of appendicitis in pregnant women. World J Emerg Surg. 2019;14:1-14.
• Kalaycı T. Flank abscess after perforated acute appendicitis. Anatolian J Emerg Med 2021;4(3):106- 109.
• Lugo JZ, Avgerinos DV, Lefkowitz AJ, Seigerman ME, Zahir IS, Lo AY, et al. Can interval appendectomy be justified following conservative treatment of perforated acute appendicitis? J Surg Res. 2010;164(1):91-4.
• Kalaycı T, Balcı S. Factors affecting morbidity in appendectomy: A single center experience. Turk J Colorectal Dis 2022;32:41-47.
• Nawar EW, Niska RW, Xu J. National hospital ambulatory medical care survey: 2005 emergency department summary. Adv Data. 2007;386:1-32.
• Yang Z, Sun F, Ai S, Wang J, Guan W, Liu S. Meta-analysis of studies comparing conservative treatment with antibiotics and appendectomy for acute appendicitis in the adult. BMC Surg. 2019;19(1):1-10.
• Teixeira PG, Sivrikoz E, Inaba K, Talving P, Lam L, Demetriades D. Appendectomy timing: waiting until the next morning increases the risk of surgical site infections. Ann Surg. 2012;256(3):538-43.
• Varadhan KK, Humes DJ, Neal KR, Lobo DN. Antibiotic therapy versus appendectomy for acute appendicitis: a meta-analysis. World J Surg. 2010;34:199-209.
• Hansson J, Körner U, Khorram-Manesh A, Solberg A, Lundholm K. Randomized clinical trial of antibiotic therapy versus appendicectomy as primary treatment of acute appendicitis in unselected patients. Br J Surg. 2009;96(5):473-81.
• Liu K, Ahanchi S, Pisaneschi M, Lin I, Walter R. Can acute appendicitis be treated by antibiotics alone? Am Surg. 2007;73(11):1161-5.
• Aprahamian CJ, Barnhart DC, Bledsoe SE, Vaid Y, Harmon CM. Failure in the nonoperative management of pediatric ruptured appendicitis: predictors and consequences. J Pediatr Surg. 2007;42(6):934-8.
• Shindoh J, Niwa H, Kawai K, Ohata K, Ishihara Y, Takabayashi N, et al. Predictive factors for negative outcomes in initial non-operative management of suspected appendicitis. Journal of Gastrointestinal Surgery. 2010;14:309-14.
• Levin T, Whyte C, Borzykowski R, Han B, Blitman N, Harris B. Nonoperative management of perforated appendicitis in children: can CT predict outcome? Pediatric radiology. 2007;37:251-5.