Ayırıcı tanıda düşünülmesi gereken akut karın nedeni: primer peritonit

Öz

Çalışmamızda karın ağrısı ile başvurup kısa sürede sistemik inflamatuar yanıt gelişen çocuk hastanın tanı ve tedavisini sunduk.  Aynı gün başlayan karın ağrısı nedeniyle başvuran 4 yaşındaki kız olgunun batın muayenesi peritonit ile uyumlu idi. Akut faz reaktanları yüksek olan hastanın görüntüleme tetkikleri normaldi. Kısa sürede genel durumu bozulan hastaya geniş spektrumlu antibiyotik ve antiviral tedavi başlandı. Cerrahi ve medikal tedaviye yanıt veren hasta başvurudan 2 hafta sonra taburcu edildi. Akut karın tablosu ile gelen her hastanın ayrıcı tanısında primer peritonitte düşünülmelidir.

Anahtar Kelimeler

• Primer Peritonit,Çocuk,Akut Batın

A cause of acute abdomen that must be taken into account in differential diagnosis: primary peritonitis

Abstract

In our study, we present the diagnosis and treatment of a child patient with abdominal pain, developing acute systemic inflammatory response.

A 4-year-old girl with abdominal pain starting on the same day was compatible with peritonitis in her abdominal examination. Imaging studies of patient were normal, acute phase reactants were high. In the short term, the general condition of the patient was deteriorated and wide spectrum antibiotics and antiviral treatment were started. The patient responded to surgical and medical treatment and was discharged 2 weeks after admission. Primer peritonitis should be considered in the differential diagnosis of each patient with an acute abdomen.

Keywords

• Primary Peritonitis,Child,Acute Abdomen

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