ÇEKAL KOLONDA YUMURTALIK KİSTİ TAKLİT EDEN DERMOİD KİST: NADİR BİR OLGU SUNUMU

Abstract

Dermoid kistler iyi huylu tümörlerdir ve çekumda çok nadir görülürler. Literatürde bugüne kadar biri laparoskopik olmak üzere çok az sayıda çekumda dermoid kist olgusu rapor edil miştir. Dermoid kistler ultrasonografik karakteristik görünümle re sahip olsa da pelvisteki diğer patolojiler de bu görünümü taklit edebilirler. Karın ağrısı nedeni ile başvuran 35 yaşında ki kadın hasta muayene edildi. Hastaya bir hafta önce küretaj yapılmıştı. Transvajinal ultrasonografide uterusun sağ latera linden kaynaklanan 105x77 mm boyutlarında kitle lezyonu tes pit edildi. Operasyon sırasında kitlenin frozen incelemesinde malign olmadığı görüldü. Kitle ileoçekal rezeksiyonla çıkarıldı. İleokolonik anastomoz yapıldıktan sonra ameliyat sonlandırıldı. Kitle histomorfolojik olarak incelendi ve çekal kolonda dermo id kist olarak rapor edildi. Pelvik kistlerin ayırıcı tanısında çekal dermoid kistler de düşünülmelidir. Ameliyat öncesi radyolojik görüntülemenin daha detaylı yapılmasının tanıya önemli katkı sağlayacağı düşünüldü. Çekal kolondaki dermoid kistin cerrahi olarak rezeksiyonu küratif bir tedavidir. Vaka sayısı çok az ol duğundan prospektif bir çalışma yapmak oldukça zordur. Bu bakımdan bu çalışma önemlidir.

Keywords

• Dermoid kist
• kolon
• tümör

A DERMOID CYST IN THE CECAL COLON MIMICKING AN OVARIAN CYST: A RARE CASE REPORT

Abstract

Dermoid cysts are benign tumors and occur very rarely in the ce cum. To date, the literature shows very few cases to have been reported of a dermoid cyst in the cecum, one of which was lapa roscopic. Even though dermoid cysts have ultrasonographic char acteristic appearances, other pathologies in the pelvis can mimic this appearance. A 35-year-old female patient who had had a di lation and curettage a week prior was examined with a complaint of abdominal pain. A semisolid mass lesion with a size of 105x77 mm originating from the right lateral of the uterus was detected by transvaginal ultrasonography. During the operation, the frozen section of the mass was shown to not be malignant. The mass was removed by ileocecal resection. The surgery was terminated after ileocolonic anastomosis. The mass was examined histomorpho logically and was reported as a dermoid cyst in the cecal colon. Cecal dermoid cysts should be considered for a differential diag nosis of pelvic cysts. A more detailed preoperative radiological imaging could have contributed significantly to the diagnosis. Surgical resection of a dermoid cyst in the cecal colon is a curative treatment. Due to the rarity of such cases, conduct a prospective study is quite difficult, which is what makes this study important.

Keywords

• Dermoid cyst
• colon
• tumor

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