Ayırıcı tanıda düşünülmesi gereken akut karın nedeni: primer peritonit

Year 2018, Volume: 3 Issue: 3, 166 - 170, 30.09.2018

Zeliha Akış Yıldız , Ceyhan Şahin Mehmet Arpacık , Aytekin Kaymakcı

https://doi.org/10.26453/otjhs.397426

Abstract

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.

Keywords

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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