Akut Karını Taklit Eden Primer Epiploik Apandisit: İki Olgu Sonumu

Year 2016, Volume: 6 Issue: 1, 43 - 46, 26.02.2016

Erdinc Yenidogan Hüseyin Ayhan Kayaoglu İsmail Okan Servet Tali Zeki Ozsoy Mustafa Sahin

https://doi.org/10.16899/ctd.11861

Abstract

Primer  epiploik apandisit nadir görülen bi durumdur. Burada akut batın bulgularıyla karşımıza çıkan 2 adet olguyu sunmak istedik. Heriki hastaya da şüpheli akut batın bulgularından dolayı bilgisayarlı batın tomografisi çekildi. BT' de kolon segmentlerinin serozal yüzeyindeki apandiks epiploikalarda enfeksiyon saptandı. Hastalara konservatif yaklaşımla, analjezik ve antibiyotik tedavisi başlandı. Semptomlarda 1 hafta içerisinde gerileme oldu. Preoperatif BT bulguları ile konservatif tedavi verilebilir ve gereksiz cerrahinin önüne geçilebilir. Bilgisayarlı batın tomografisi ile erken radyolojik değerlendirme tanıda anahtar role sahip olup heriki hastada da gereksiz cerrahiden kaçınılmasına olanak sağlamıştır.

 

Keywords

Epiploik apandisit, bilgisayarlı batın tomografisi, konservatif tedavi

Primary Appendicitis Epiploicae Mimicking Acute Abdomen: Report Of Two Cases

Abstract

Primary appendicitis epiploicae is a rare condition. Here, we present two cases, both with clinical signs of acute abdomen. Two patients with dubious findings of acute abdomen underwent abdominal CT. Both CT revealed appendicitis epiploicae on the serosal surface of colonic segments. Both patients received conservative treatment with pain medication, antibiotics and symptoms subsided within a week. Preoperative CT findings confirming the conservative medical management with CT findings can prevent unnecessary surgery. Early radiologic examination with an abdominal CT scan is key in making the diagnosis and potentially avoiding unnecessary surgery in such cases.

 

Keywords

Appendicitis epiploicae, abdominal computer tomography, conservative treatment,

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