Year 2020, Volume 22 , Issue 1, Pages 51 - 53 2020-04-30

Spontaneous Perforation of Jejunal Ulcer
Spontan Jejunal Ülser Perforasyonu

Semra DEMİRLİ ATICI [1] , Değercan YEŞİLYURT [2] , Göksever AKPINAR [3] , Mehmet ÜSTÜN [4] , Cengiz AYDIN [5]


Spontaneous perforation of the nonspecific small bowel ulcer is a rarely seen condition that causes acute abdomen and mostly diagnosed perioperatively. A 72-year old female patient was admitted to emergency service with abdominal pain. Her physical examination was compatible with acute abdomen and peritonitis. Abdomen computerized tomography showed free air under the right diaphragm. She was operated with a presumptive diagnosis of gastrointestinal perforation. An isolated jejunal perforation on the opposite side of the mesentery was found perioperatively. A biopsy was taken, and the perforation was repaired with primary sutures. The patient died in the intensive care unit due to pulmonary complications on the fifth postoperative day. Although the biopsy was taken from the superficial tissue, it was consistent with an ulcer. Nonspecific jejunal ulcer perforations can be life-threatening because of the delayed diagnosis. Especially in elderly patients, it should be kept in mind as a cause of acute abdomen.
Non spesifik spontan ince bağırsak ülser perforasyonu akut karına neden olan ve çoğunlukla perioperatif olarak tanı alan, nadir görülen bir durumdur. Yetmiş iki yaşında kadın hasta karın ağrısı yakınması ile acil servise başvurdu. Yapılan fizik muayenesi akut batın ve peritonit ile uyumluydu. Çekilen abdomen bilgisayarlı tomografide sağ diyafram altında serbest hava saptandı. Hasta gastrointestinal perforasyon ön tanısı ile operasyona alındı. Operasyon sırasında jejunum ansında antimezenterik yüzde perforasyon alanı saptandı. Bu alandan biyopsi alındı ve perforasyon primer suturasyon ile onarıldı. Hasta pulmoner komplikasyonlar nedeniyle postoperatif beşinci gün yoğun bakım ünitesinde exitus oldu. Alınan biyopsi yüzeyel olmakla birlikte ülser tanısını desteklemekteydi. Non spesifik jejunal ülser perforasyonları gecikmiş tanı nedeniyle hayatı tehdit edici olabilir. Özellikle ileri yaş hastalarda bir akut karın nedeni olarak akılda tutulmalıdır.
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Primary Language en
Subjects Medicine
Journal Section Case Report
Authors

Orcid: 0000-0002-8287-067X
Author: Semra DEMİRLİ ATICI (Primary Author)
Institution: University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey
Country: Turkey


Orcid: 0000-0001-6938-2076
Author: Değercan YEŞİLYURT
Institution: University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey
Country: Turkey


Orcid: 0000-0002-0648-7767
Author: Göksever AKPINAR
Institution: University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey
Country: Turkey


Orcid: 0000-0003-2646-5239
Author: Mehmet ÜSTÜN
Institution: University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey
Country: Turkey


Orcid: 0000-0003-4713-2871
Author: Cengiz AYDIN
Institution: University of Health Sciences Tepecik Training and Research Hospital, Department of General Surgery, İzmir, Turkey
Country: Turkey


Dates

Publication Date : April 30, 2020

Bibtex @case report { dtfd609647, journal = {Duzce Medical Journal}, issn = {}, eissn = {1307-671X}, address = {}, publisher = {Duzce University}, year = {2020}, volume = {22}, pages = {51 - 53}, doi = {10.18678/dtfd.609647}, title = {Spontaneous Perforation of Jejunal Ulcer}, key = {cite}, author = {Demirli Atıcı, Semra and Yeşilyurt, Değercan and Akpınar, Göksever and Üstün, Mehmet and Aydın, Cengiz} }
APA Demirli Atıcı, S , Yeşilyurt, D , Akpınar, G , Üstün, M , Aydın, C . (2020). Spontaneous Perforation of Jejunal Ulcer . Duzce Medical Journal , 22 (1) , 51-53 . DOI: 10.18678/dtfd.609647
MLA Demirli Atıcı, S , Yeşilyurt, D , Akpınar, G , Üstün, M , Aydın, C . "Spontaneous Perforation of Jejunal Ulcer" . Duzce Medical Journal 22 (2020 ): 51-53 <https://dergipark.org.tr/en/pub/dtfd/issue/53917/609647>
Chicago Demirli Atıcı, S , Yeşilyurt, D , Akpınar, G , Üstün, M , Aydın, C . "Spontaneous Perforation of Jejunal Ulcer". Duzce Medical Journal 22 (2020 ): 51-53
RIS TY - JOUR T1 - Spontaneous Perforation of Jejunal Ulcer AU - Semra Demirli Atıcı , Değercan Yeşilyurt , Göksever Akpınar , Mehmet Üstün , Cengiz Aydın Y1 - 2020 PY - 2020 N1 - doi: 10.18678/dtfd.609647 DO - 10.18678/dtfd.609647 T2 - Duzce Medical Journal JF - Journal JO - JOR SP - 51 EP - 53 VL - 22 IS - 1 SN - -1307-671X M3 - doi: 10.18678/dtfd.609647 UR - https://doi.org/10.18678/dtfd.609647 Y2 - 2020 ER -
EndNote %0 Düzce Tıp Fakültesi Dergisi Spontaneous Perforation of Jejunal Ulcer %A Semra Demirli Atıcı , Değercan Yeşilyurt , Göksever Akpınar , Mehmet Üstün , Cengiz Aydın %T Spontaneous Perforation of Jejunal Ulcer %D 2020 %J Duzce Medical Journal %P -1307-671X %V 22 %N 1 %R doi: 10.18678/dtfd.609647 %U 10.18678/dtfd.609647
ISNAD Demirli Atıcı, Semra , Yeşilyurt, Değercan , Akpınar, Göksever , Üstün, Mehmet , Aydın, Cengiz . "Spontaneous Perforation of Jejunal Ulcer". Duzce Medical Journal 22 / 1 (April 2020): 51-53 . https://doi.org/10.18678/dtfd.609647
AMA Demirli Atıcı S , Yeşilyurt D , Akpınar G , Üstün M , Aydın C . Spontaneous Perforation of Jejunal Ulcer. Duzce Medical Journal. 2020; 22(1): 51-53.
Vancouver Demirli Atıcı S , Yeşilyurt D , Akpınar G , Üstün M , Aydın C . Spontaneous Perforation of Jejunal Ulcer. Duzce Medical Journal. 2020; 22(1): 51-53.
IEEE S. Demirli Atıcı , D. Yeşilyurt , G. Akpınar , M. Üstün and C. Aydın , "Spontaneous Perforation of Jejunal Ulcer", Duzce Medical Journal, vol. 22, no. 1, pp. 51-53, Apr. 2020, doi:10.18678/dtfd.609647