Bir Yenidoğanda Gebelik Sırasında Aile İçi Şiddete Bağlı İntraabdominal Hemorajik Kist

Year 2011, Volume: 5 Issue: 4, 246 - 250, 01.04.2011

Mithat Günaydın B. Dilek Demirel Ünal Bıçakcı Burak Tander Ender Arıtürk Rıza Rızalar Ferit Bernay

Abstract

Yenidoğan döneminde kistik karın kitleleri oransal olarak daha sıktır. Mezenterik ve over kistleri daha yaygındır fakat hemorajik kistler çok nadirdir. Hemorajik kistler şiddet, kazara düşme, motorlu taşıt kazaları gibi gebelik sırasında künt travmalara bağlı olabilir. 41 günlük kız, antenatal ultrasonunda sağ over bölgesinde lokalize intraabdominal kist saptanması üzerine yatırıldı. Postnatal MRI’ da pelviste 50x30x30 mm. heterojen kistik kitle görüntülendi. Bebeğin annesi gebeliğinin 5. ayında aile içi şiddete bağlı künt karın travmasına maruz kalmıştı. İnen kolonun mezenterine küçük bir bağlantısı olan kitle kolayca çıkarıldı. Kolonun mezenterinde anneye ait travmanın neden olduğu hematom olduğu düşünüldü. Her iki böbrek ve overler normal görünümdeydi. Şanslı olarak, hematom kolon ve diğer karın içi organların dolaşımını bozmamış ve basit hemorajik kist haline gelmişti. Kitlenin histopatolojik incelenmesi hemorajik, nekrotik basit kist olarak rapor edildi. Fetal kitleler için antenatal ultrasonografi seçkin yöntemdir. Bu kitlelerin postnatal olarak abdominal MRI ile değerlendirilmesi gerekli olabilir. Bazı fetal kitleler bizim olgumuzda olduğu gibi gebelik sırasında künt travmaya bağlı olabilir. Bu nedenle annenin anemnezi dikkatlice aile içi şiddet ve travma yönüyle alınmalıdır. Bilgilerimize göre, antenatal künt travmaya bağlı yenidoğan hemorajik kist şimdiye kadar literatürde rapor edilmemiştir.

Keywords

İntrauterin, travma, hemorajik, kist, aile içi şiddet

INTRAABDOMINAL HEMORRHAGIC CYST IN A NEWBORN DUE TO DOMESTIC VIOLENCE DURING PREGNANCY

Abstract

Cystic abdominal masses are relatively common in neonatal period. Among all cystic abdominal masses in neonatal period; mesenteric and ovarian cysts are more common, whereas hemorrhagic cysts are very rare. During pregnancy, hemorrhagic cysts may be occured due to blunt trauma such as motor vehicle accidents, accidental falls, and violence. Forthyone-day-old girl was admitted to our clinic with an intraabdominal cyst located in the right ovarian region; which was detected by antenatal ultrasonography,. The postnatal MRI revealed a heterogeneous cystic mass (50x30x30 mm) located in the pelvis. Her mother was exposed to blunt abdominal trauma as domestic violence at her 5th gestational month. The mass was easily removed since it just had a little connection to the mesentery of descending colon. It was thought that the hematoma on the mesentery of colon caused by the maternal trauma. Both ovaries and kidneys had normal appearance. Fortunately, the hematoma did not impair vascularization of the colon or other intraabdominal organs and it only turned into a simple hemorrhagic cyst. The histopathologic examination of the mass was reported as a hemorrhagic and necrotic simple cyst.Ultrasonography is the method of choice for fetal masses during antenatal period. These masses may need to be evaluated by the abdominal MRI after delivery. Some fetal masses may be associated with blunt trauma during pregnancy as seen in our case. Consequently, the medical history of the mother should be carefully obtained in terms of trauma and domestic violence. To the best of our knowledge, neonatal hemorrhagic cyst due to antenatal blunt trauma was not reported in the literature so far

Keywords

Intrauterine, trauma, hemorrhagic cyst, domestic violence

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