Kolonoskopi sonrası nadir bir komplikasyon: Akut apandisit

Year 2020, , 119 - 120, 30.12.2020

Muhammet Aydın Sabiye Akbulut Hüseyin Akyol Mehmet Aydın

https://doi.org/10.17940/endoskopi.847269

Abstract

Gaitada gizli kan pozitifliği saptanan 50 yaşında, erkek hastaya tarama amaçlı kolonoskopi yapıldı. Kolonoskopide çekuma kadar gidildi; çekum tabanı, apendiks orifisi, ilioçekal valv normal olarak izlendi. Total kolonoskopisi tamamlanan hasta, gözlem sonrası herhangi bir komplikasyon gelişmemesi üzerine, işlemden yaklaşık bir saat sonra taburcu edildi. Kolonoskopi işleminden 24 saat sonra karın ağrısı yakınması ile tekrar başvurdu; tüm abdominal bilgisayarlı tomografi çekildi ve akut apandisit tanısı konularak, laparoskopik apendektomi yapıldı. Patolojik inceleme sonucu akut flegmenöz apandisit olarak rapor edildi. Kolonoskopi sonrası akut apandisit oldukça nadir, fakat önemli bir komplikasyondur. Biz kolonoskopi işlemi sonrası akut apandisit gelişen bu olguyu oldukça nadir görülmesi nedeniyle sunmaktayız.

Keywords

Kolonoskopi, akut apandisit, akut karın ağrısı, komplikasyon

A rare post-colonoscopy complication: Acute appendicitis

Abstract

Colonoscopy was performed for screening purposes in a 50-year-old male patient with positive occult blood in the stool. Colonoscopy reached the cecum; the cecum base, appendix orifice, and iliocecal valve were normal. The patient, whose total colonoscopy was completed, was discharged approximately 1 h after the procedure, as no complications developed after observation. At 24 h after the colonoscopy procedure, he presented again with abdominal pain. Complete abdominal computed tomography was performed, and a diagnosis of acute appendicitis was made. Laparoscopic appendectomy was then performed.
Pathological examination revealed acute phlegmenous appendicitis. Acute appendicitis after colonoscopy is an extremely rare but critical complication. The rare case presented herein developed acute appendicitis after colonoscopy.

Keywords

Colonoscopy, acute appendicitis, acute abdominal pain, complication

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