TY  - JOUR
T1  - Geriyatrik hastada tekrarlayan kasık fıtığında akut apandisit: Ender bir amyand herni olgusu
TT  - APPENDICITIS WITHIN RECURRENT HERNIA ON GERIATRIC PATIENT: AN UNUSUAL AMYAND'S HERNIA
AU  - Derici, Serhan
AU  - Değirmenci, Ali Kadir
AU  - Evlik, Ali Durubey
PY  - 2018
DA  - August
DO  - 10.5505/deutfd.2018.07269
JF  - Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi
JO  - J DEU Med
PB  - Dokuz Eylül Üniversitesi
WT  - DergiPark
SN  - 2602-3148
SP  - 145
EP  - 149
VL  - 32
IS  - 2
LA  - tr
AB  - Acil servise genel durum bozukluğu,ateş yüksekliği ve bilinç bulanıklığı ile başvuran, başvuru öncesi herhangi birabdominal şikâyeti olmayan ve tıbbi özgeçmişinde biri nüks nedeniyle olmaküzere iki defa sağ kasık fıtığı ameliyatı olan 73 yaşındaki erkek hastada, nükssağ Amyand herni ve apandisit saptanmıştır. Atipik kliniği olan bu hastayalaparoskopik appendektomi yapılmıştır. Amyand hernide apandisit gelişmeolasılığı %0.1’den az iken, ikinci nüks hernisi Amyand olarak gelişen buhastanın bulguları ve uygulanan tedavi paylaşılarak, özellikle fıtık kesesiiçerisindeki apandisitin, lokalize peritonit bulguları olmadan sistemikenfeksiyon kliniğine yol açabileceği, birden çok defa herni operasyonu geçirenhastalarda dahi nüks/atlanmış indirek inguinal herni olabileceği hatırlatılmakistenmiştir.
KW  - Amyand herni
KW  - kasık fıtığı
KW  - apandisit
KW  - peritonit
N2  - In a 73 year old male patient who admitted toemergency service with general medical condition disorder, high fever,unconsciousness, had no abdominal complaints prior to admission and had a rightinguinal hernia surgery twice, one due to recurrence in the medical history,recurrent right Amyand hernia and appendicitis were detected. A laparoscopicappendectomy was performed in this atypical clinic. Although appendicitis due to Amyand hernia is observed in less than 0.1% of patients, bysharing this patient’s findings and treatment protocol whose second recurrenceof hernia has developed as Amyand, it was aimed to remind thatespecially appendicitis in the hernia sac may lead to a systemic infectionclinic without localized peritonitis findings and even in patients who haveundergone multiple hernia operations, recurrent / indirect inguinal hernia maybe present.
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UR  - https://doi.org/10.5505/deutfd.2018.07269
L1  - https://dergipark.org.tr/tr/download/article-file/666634
ER  -