BibTex RIS Cite

Sol alt kadran ağrısında ayırıcı tanı: Situs inversus totalisli hastada akut apandisit

Year 2014, , 96 - 99, 01.06.2014
https://doi.org/10.5505/sakaryamj.2014.82687

Abstract

Karın ağrısı acil servise başvurularda en sık görülen şikayetlerden biridir. Abdominal ağrı ile başvuran hastalarda görülen en sık cerrahi gerektiren hastalık apandisittir. Sol alt kadran ağrısı ile başvuran hastalarda ayırıcı tanıda akut apandisit ilk planda akla gelmemektedir. Bu durumun oluşmasında yetersiz muayene ve eksik anamnez alınmasının yanlış negatif tanı oranını yükselttiği kabul edilmektedir. Solda yerleşimli apandisit situs inversus totalis veya karın içi organların malrotasyonu ile birlikte görülür. Sunumda sol taraflı akut apandisit tanısı almış bir situs inversus totalis olgusu değerlendirilecektir.

References

  • Hou SK, Cherm CH, How CK, Kao WF, Chen JD, Wang LM, et al. Diagnosis of appendicitis with left lower quadrant pain J C Med Assoc 2005;68(12):599- 63. doi:10.1016/S1726-4901(09)70101-7
  • Pehlivan M, Kıvrak M, Gökgöz T, Ertaş E. Sol alt kadran ağrısı ile karakterize nadir bir akut karın olgusu: Situs inversus totalis ve perfore apandisit. Türkiye Klinikleri Cerrahi Dergisi 2003;8(3):162-6.
  • Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of Emergency Medicine 2001; 20(3):241-5. doi:10.1016/S0736- 4679(00)00316-4
  • Kamiyama T, Fujiyoshi F, Hamada H, Nakajo M, Harada O, Haraguchi Y. Left-sided acute appendicitis with intestinal malrotation. Radiat Med 2005;23:125-7.
  • Jaffe BM, Berger DH. The appendix. In: Brunicardi FC, Anıdersen KD, Billiar RT, Dunn LD, Hunter GC, Pollock RE, editors. Schwartz’s Principles of Surgery. 8th ed. New York: McGraw-Hill; 2005. p. 1119-1137.
  • Moore KL. The developing human: clinically oriented emıbryology. 4th ed. London: W.B. Saunders; 1988.
  • Collins D. Seventy-one thousand human appendix speciımens: a final report summarizing 40 years’ study. Am J Procıtol 1963;14:365-81.
  • Karagülle E, Türk E, Yildirim E, Moray G. A rare cause of left lower quadrant abdominal pain: acute appendicitis with situs inversus totalis. Turkish J Trauma and Emergency Surgery 2010; 16: 268-270

Differential diagnosis in left lower quadrant pain: Acute appendicitis in patients with situs inversus

Year 2014, , 96 - 99, 01.06.2014
https://doi.org/10.5505/sakaryamj.2014.82687

Abstract

Appendicitis is the condition that most frequently requires surgery on patients presenting with abdominal pain. In situs inversus cases, appendicitis is difficult to diagnose if no situs inversus totalis diagnosis was previously made since appendix is in an abnormal position. When appendicitis diagnosis is delayed in such cases, complications may arise such as perforation followed by abscess formation which would deteriorate the clinical progress of the patient and make the operation difficult. This paper reminds that the appendicitis should be included in differential diagnosis in patients presenting with left lower quadrant pain by keeping situs inversus in mind

References

  • Hou SK, Cherm CH, How CK, Kao WF, Chen JD, Wang LM, et al. Diagnosis of appendicitis with left lower quadrant pain J C Med Assoc 2005;68(12):599- 63. doi:10.1016/S1726-4901(09)70101-7
  • Pehlivan M, Kıvrak M, Gökgöz T, Ertaş E. Sol alt kadran ağrısı ile karakterize nadir bir akut karın olgusu: Situs inversus totalis ve perfore apandisit. Türkiye Klinikleri Cerrahi Dergisi 2003;8(3):162-6.
  • Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of Emergency Medicine 2001; 20(3):241-5. doi:10.1016/S0736- 4679(00)00316-4
  • Kamiyama T, Fujiyoshi F, Hamada H, Nakajo M, Harada O, Haraguchi Y. Left-sided acute appendicitis with intestinal malrotation. Radiat Med 2005;23:125-7.
  • Jaffe BM, Berger DH. The appendix. In: Brunicardi FC, Anıdersen KD, Billiar RT, Dunn LD, Hunter GC, Pollock RE, editors. Schwartz’s Principles of Surgery. 8th ed. New York: McGraw-Hill; 2005. p. 1119-1137.
  • Moore KL. The developing human: clinically oriented emıbryology. 4th ed. London: W.B. Saunders; 1988.
  • Collins D. Seventy-one thousand human appendix speciımens: a final report summarizing 40 years’ study. Am J Procıtol 1963;14:365-81.
  • Karagülle E, Türk E, Yildirim E, Moray G. A rare cause of left lower quadrant abdominal pain: acute appendicitis with situs inversus totalis. Turkish J Trauma and Emergency Surgery 2010; 16: 268-270
There are 8 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Özkan Yılmaz This is me

Vedat Bayrak This is me

İskan Çallı This is me

Ali Demir This is me

Publication Date June 1, 2014
Submission Date September 7, 2015
Published in Issue Year 2014

Cite

AMA Yılmaz Ö, Bayrak V, Çallı İ, Demir A. Sol alt kadran ağrısında ayırıcı tanı: Situs inversus totalisli hastada akut apandisit. Sakarya Tıp Dergisi. June 2014;4(2):96-99. doi:10.5505/sakaryamj.2014.82687

30703

SMJ'de yayınlanan makaleler, Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı kapsamında lisanslanır