Retrorektal hematoma bağlı gaita inkontinansı: Olgu sunumu

Yıl 2010, , - , 01.12.2010

Hatim Yahya Uslu Ahmet Hakan Haliloğlu

https://doi.org/10.17940/endoskopi.74887

Öz

We report herein a young patient with fecal and urinary incontinence due to a retrorectal hematoma. A 15-year-old male admitted with the complaints of being unable to walk or lie down on his back and no urinary bladder or anal sphincter control. His history revealed a pelvic trauma a few weeks before his admission. His complaints were mild at first and progressed over time. Preoperative studies revealed retrorectal hematoma and neurogenic bladder. Laparotomy was performed, and the hematoma was evacuated. In the early postoperative period, the patient's complaints decreased; he was able to lie down on his back and abduct/adduct his lower extremities, and he showed complete control of passage of the rectum contents. However, urinary bladder control was not yet achieved at it requires a longer period of time.

Anahtar Kelimeler

Pelvic hematoma, anal incontinence, retrorectal mass

Fecal incontinence due to retrorectal hematoma: Report of a case

Öz

Bu olgu sunumumuzda, fekal ve üriner inkontinansı olan, retrorektal hematomlu genç hastamızı sunuyoruz. Mesane ve anal sfinkter kontrolü kaybolan 15 yaşındaki erkek hastanın yürüyüşü de günlük hayatını idame ettiremeyecek kadar bozulmuştu. Hastanın anamnezinde aylar önce spor yaparken geçirdiği pelvik travma öyküsüne rastlandı. Hasta travmadan bir süre sonra artan şikayetlerinden yakınmaya başlamış. Preoperative yapılan tetkiklerde hastada retrorektal hematom ve nörojenik mesane tespit edildi. Laparotomi yapılarak hastanın hematomu boşaltıldı. Postoperative saatler içinde alt ekstremitelerde abduktor ve adduktor kaslarda belirgin düzelme gözlendi. Günler içinde anal sfinkter kontrolü tama yakın olarak normale döndü. Ancak nörojenik mesanenin düzelmesi zaman alacağı için temiz aralıklı kataterizasyon uygulamasına başlandı.

Anahtar Kelimeler

Pelvis hematom, anal inkontinas, retrorektal kitle

Kaynakça

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