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Nadir bir akut batın nedeni: Spontan intraperitoneal kist hidatik ruptürü

Year 2015, Issue: 1, 59 - 61, 01.04.2015

Abstract

Kist hidatik hastalığı genellikle Ekinokokus granülosis infestasyonu veya nadiren Ekinokokus multilokülaris aracılığı ile özellikle Türkiye dahil Akdeniz bölgesinde endemik olabilen bir rahatsızlıktır. Ülkemizde halen önemli bir halk sağlığı sorunudur. Vaka sunumumuzda acil servise başvuran 84 yaşında bir bayan hastayı tartıştık. Başvuru şikayeti bulantı, kusma ve karın ağrısı olan hastanın beraberinde bilinç bulanıklığı da başlamıştı. Fizik incelemesinde nabız 112/dk, kan basıncı 84/47 mmHg ve vücut ısısı 38.1 derece idi. Çekilen batın tomografisinde ruptüre kist hidatik ve batında yaygın serbest sıvı saptanmıştı. Ruptüre kist hidatik, abdominal kavitede nadir görülen anaflaksiye yol açarak ölümcül seyredebilen bir komplikasyondur. Kistin kan damarları ve safra kanalları ile ilişkisi, hastanın acil servise geldiği zaman ki durumu, operasyon sürecini etkileyen faktörlerdir. bununla birlikte, genellikle yüksek morbidite ve mortalite oranlarına sahiptir.

A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture

Year 2015, Issue: 1, 59 - 61, 01.04.2015

Abstract

Human hydatid disease usually occurs by infestation with Echinococcus granulosus and less frequently with Echinococcus multilocularis. Hydatid cyst occurs endemically in the Middle and Far East, South America, Africa, Australia, New Zealand and in Mediterranean region including Turkey. It’s still an important public health problem in Turkey. A 84 year-old female patient applied to the emergency service beause of the nausea- vomitting, abdomial pain and clouding of consciousness. Her physical examinationfindings were; pulse 112/ dk, blood pressure 84/ 47 mm Hg, body temperature 38,1 oC. In her abdominal tomograpy, there was a cystic- solid mass in left liver lobe that was lamellar structure and average 6 cm size. From its appearance, It was interpreted as ruptured hydatid cyst, at first. In addition, intraabdominal free fluid was determined, too. Rupture of a hydatid cyst into the abdominal cavity is a rare complication of the hydatid disease and causes serious problems and severe, life-threatening complications, including anaphylaxis. The Relation of the cysts between the blood vessels and the bile duct; and the performance status of the patient in emergency service are other parameters affecting the operation process and type. However, we generally encounter a high rate of morbidity and mortality inruptured cyst hydatid surgery case.

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Details

Other ID JA82CD75ZA
Journal Section Research Article
Authors

Murat Özban This is me

Onur Birsen This is me

Halil Erbiş This is me

Sinan Sayır This is me

Göksel Sarohan This is me

Tufan Ergenç This is me

Çağatay Aydın This is me

Burhan Kabay This is me

Publication Date April 1, 2015
Submission Date April 1, 2015
Published in Issue Year 2015 Issue: 1

Cite

APA Özban, M., Birsen, O., Erbiş, H., Sayır, S., et al. (2015). A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture. Pamukkale Medical Journal(1), 59-61.
AMA Özban M, Birsen O, Erbiş H, Sayır S, Sarohan G, Ergenç T, Aydın Ç, Kabay B. A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture. Pam Med J. April 2015;(1):59-61.
Chicago Özban, Murat, Onur Birsen, Halil Erbiş, Sinan Sayır, Göksel Sarohan, Tufan Ergenç, Çağatay Aydın, and Burhan Kabay. “A Rare Cause of Acute Abdomen: Spontaneous Intraperitoneal Hydatid Cyst Rupture”. Pamukkale Medical Journal, no. 1 (April 2015): 59-61.
EndNote Özban M, Birsen O, Erbiş H, Sayır S, Sarohan G, Ergenç T, Aydın Ç, Kabay B (April 1, 2015) A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture. Pamukkale Medical Journal 1 59–61.
IEEE M. Özban, “A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture”, Pam Med J, no. 1, pp. 59–61, April 2015.
ISNAD Özban, Murat et al. “A Rare Cause of Acute Abdomen: Spontaneous Intraperitoneal Hydatid Cyst Rupture”. Pamukkale Medical Journal 1 (April 2015), 59-61.
JAMA Özban M, Birsen O, Erbiş H, Sayır S, Sarohan G, Ergenç T, Aydın Ç, Kabay B. A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture. Pam Med J. 2015;:59–61.
MLA Özban, Murat et al. “A Rare Cause of Acute Abdomen: Spontaneous Intraperitoneal Hydatid Cyst Rupture”. Pamukkale Medical Journal, no. 1, 2015, pp. 59-61.
Vancouver Özban M, Birsen O, Erbiş H, Sayır S, Sarohan G, Ergenç T, Aydın Ç, Kabay B. A rare cause of acute abdomen: Spontaneous intraperitoneal hydatid cyst rupture. Pam Med J. 2015(1):59-61.

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