Akut Apendisiti Taklit Eden Çekal Divertikülit Perforasyonu

Year 2012, Volume: 6 Issue: 3, 167 - 170, 01.06.2012

H. Tuğrul Tiryaki Ayper Kaçar Sabri Demir Halil F. Atayurt

Abstract

Çekum divertikülü ender olarak genellikle asemptomatik olan benign bir lezyondur. Erişkinlerde 300 apendektomide bir çekal divertikül sıklığı rapor edilirken literatürde bildirilen çocuk olguya rastlanmamıştır. İnflame olan çekal divertikül karın ağrısı ile bulgu verdiği için akut apendisitden ayırt edilemez. Bu nedenle tanı sıklıkla operasyon esnasında konur. Literatürde çekal divertikülitin operatif tedavisi konservatif olarak antibiyotik tedavisinden agresif rezeksiyona kadar çok büyük değişiklikler gösterir. On üç yaşında apendisit bulguları ile başvuran, ancak ameliyatta inflame soliter çekum divetikülü saptanan olgu sunulacaktır.

Keywords

Soliter çekum divertikülü, çocukluk çağı

CECAL DIVERTICULITIS PERFORATION MIMICKING ACUTE APPENDICITIS

Abstract

Diverticulum of the caecum is a rare, benign, generally asymptomatic lesion. The reported frequency in adults is about 1 in 300 appendectomies, but there has been no report of pediatric ceacal diverticulum in literature.Most patients with inflammation of a solitary diverticulum of the caecum present with abdominal pain that is indistinguishable from acute appendicitis. Therefore the diagnosis is mostly made intraoperatively. The optimal management of this condition is still controversial, ranging from conservative antibiotic treatment to aggressive resection. We describe a 13 years- old boy who presented with symptoms of appendicitis, but at operation he was found to have an inflamed solitary diverticulum

Keywords

Solitary diverticulum of the ceacum, childhood

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