Abstract
İzole çekum nekrozu genel olarak daha çok ileri yaş hastalarda görülmekle beraber erken yaşlarda oldukça nadir bir durumdur ve kronik kalp hastalığı, sistemik enfeksiyonlar, fırsatçı mantar enfeksiyonları, hipovolemik şok, romatoid ateş, kronik böbrek yetmezliği gibi sistemik hastalıklarla birliktelik gösterir. Daha önceden bilinen herhangi bir hastalığı ve geçirilmiş cerrahisi olmayan 36 yaşında kadın hasta 2 gündür olan sağ alt kadran ağrısı, bulantı-kusma ve iştahsızlık şikayetleri ile başvurdu. Hastada fizik muayene ve laboratuvar bulguları eşliğinde ön planda akut apandisit düşünülerek ameliyatı planlandı. Ameliyat esnasında izole çekum nekrozu ile karşılaşıldı, iskemik alana kısmi çekum rezeksiyonu ve primer onarım işlemi uygulandı.Her ne kadar literatürde sunulan vakaların tamamına yakını ileri yaş ve ek problemi olan hastalar olsa da sunduğumuz vaka göstermiştir ki izole çekum nekrozu genç ve herhangi bir ek hastalığı olmayan kişilerde de sağ alt kadran ağrısının ayırıcı tanısında akla gelmelidir
Keywords
References
- Perko Z, Bilan K, Vilovic K et al. Partial cecal necrosis tre- ated by laparosopic partial cecal resection. Coll Antropol 2006; 30: 937–9.
- Özcan Ö, Ersöz F, Dönmez M,Şentatar E,Bektaş H,Sa- rı S, Arıkan S.Hemodiyalize bağımlı hastalarda izole çe- kum nekrozu: üç olgu sunumu. Kolon Rektum Hast Derg 2011;21:120-5.
- Flobert C, Cellier C, Berger A et al. Right colonic invol- vement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failu- re requiring hemodialysis. Am J Gastroenterol 2000; 95: 195–8.
- Schuler JG, Margaret M, Hudlin MM. Cecal necrosis: Inf- requent variant of ischemic colitis. Dis Colon Rectum 2000; 43: 708–12.
- Gundes E, Kucukkartallar T, Colak MH, Cakir M, Aksoy F. Ischemic Necrosis of the Cecum: A Single Center Experien- ce. Korean J Gastroenterol 2013;61:265-9.
- Yamazaki T, Shirai Y, Tada T, Sasaki M, Sakai Y, Hatakeya- ma K. Ischemic colitis arising in watershed areas of the co- lonic blood supply: a report of two cases Surg Today 1997; 27: 460–2.
- Landrenau RJ, Fry WJ. The right colon as target organ of nonocclusive mesenteric ischemia. Arch Surg 1990; 125: 591–4.
- Slam K, Calkins S, Cason F. Cecal perforation as an unusual presentation of pancreatic carcinoma. World J Surg Oncol 2007; 5: 14.
- Gür EÖ, Acar T, Tavusbay C et al. Parsiyel Çekum Nekro- zunda Parsiyel Rezeksiyonun Yeri (Olgu Sunumu). Kolon Rektum Hast Derg 2014;24:41-4.
- John AS, Tuerff SD, Kerstein MD. Nonocclusive mesenteric infarction in hemodialysis patients. J Am Coll Surg 2000; 190: 84-8.
- Dirican A, Unal B, Bassulu N, Tatlı F, Aydin C, Kayaalp C. Isolated cecal necrosis mimicking acute appendicitis: a case series. J Med Case Rep 2009;3:7443-7.
Abstract
Although isolated cecal necrosis is generally seen in elderly patients, it is a very rare condition in adolscent patients and coexists with such systemic diseases as chronic heart disease, systemic infections, opportunistic fungal infections, hypovolemic shock, rheumatoid fever, and chronic renal failure.A 36-year-old female patient, who had no known history of disease or previous surgical procedures, presented with complaints of pain in the lower right quadrant, nausea, vomiting, and loss of appetite for the last two days. Acute appendicitis surgery was planned for the patient in the light of physical examination and laboratory results. Isolated cecal necrosis was seen intraoperatively, thus partial cecal resection in the ischemic area and primary repair were performed.Our case report reveals that isolated cecal necrosis should be taken into consideration in the differential diagnosis of pain in the lower right quadrant in young patients with no comorbid conditions as well, although almost all the cases presented in literature are cases of elderly patients with comorbid conditions
Keywords
References
- Perko Z, Bilan K, Vilovic K et al. Partial cecal necrosis tre- ated by laparosopic partial cecal resection. Coll Antropol 2006; 30: 937–9.
- Özcan Ö, Ersöz F, Dönmez M,Şentatar E,Bektaş H,Sa- rı S, Arıkan S.Hemodiyalize bağımlı hastalarda izole çe- kum nekrozu: üç olgu sunumu. Kolon Rektum Hast Derg 2011;21:120-5.
- Flobert C, Cellier C, Berger A et al. Right colonic invol- vement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failu- re requiring hemodialysis. Am J Gastroenterol 2000; 95: 195–8.
- Schuler JG, Margaret M, Hudlin MM. Cecal necrosis: Inf- requent variant of ischemic colitis. Dis Colon Rectum 2000; 43: 708–12.
- Gundes E, Kucukkartallar T, Colak MH, Cakir M, Aksoy F. Ischemic Necrosis of the Cecum: A Single Center Experien- ce. Korean J Gastroenterol 2013;61:265-9.
- Yamazaki T, Shirai Y, Tada T, Sasaki M, Sakai Y, Hatakeya- ma K. Ischemic colitis arising in watershed areas of the co- lonic blood supply: a report of two cases Surg Today 1997; 27: 460–2.
- Landrenau RJ, Fry WJ. The right colon as target organ of nonocclusive mesenteric ischemia. Arch Surg 1990; 125: 591–4.
- Slam K, Calkins S, Cason F. Cecal perforation as an unusual presentation of pancreatic carcinoma. World J Surg Oncol 2007; 5: 14.
- Gür EÖ, Acar T, Tavusbay C et al. Parsiyel Çekum Nekro- zunda Parsiyel Rezeksiyonun Yeri (Olgu Sunumu). Kolon Rektum Hast Derg 2014;24:41-4.
- John AS, Tuerff SD, Kerstein MD. Nonocclusive mesenteric infarction in hemodialysis patients. J Am Coll Surg 2000; 190: 84-8.
- Dirican A, Unal B, Bassulu N, Tatlı F, Aydin C, Kayaalp C. Isolated cecal necrosis mimicking acute appendicitis: a case series. J Med Case Rep 2009;3:7443-7.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 1, 2018 |
| Published in Issue | Year 2018 Volume: 28 Issue: 4 |
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