Öz
There vvere clinical and radiological reports declaring spontaneous resolving appendicitis. On the other hand, there have stili been controversies in this subject. One of the majör controversies is the way of treatment vvhen acute appendicitis is detected reminding the clinical findings of spontaneous resolving. We reported a patient vvith a mild right lovver quadrant abdominal pain. Our uitrasonographic findings vvere iike appendicitis but as she did not have clinical correlation. We only follovv up the patient but vve experienced the surgical dilemma including the operation or conservative treatment. İn this report, vve emphasized the real-ity of spontaneous resolving appendicitis and vve tried to strengthen the possibie salvage mechanism İike conservative treatment other than surgery, for a patient who may be admitted vvith spontaneous resolving appendicitis clinics in the future.
Anahtar Kelimeler
Kaynakça
- Puylaert JB, Rijke AM. An inflamed appendix at sonography when symptomsare improving: To operate or not to oper- ate? Radiology 1997;205:41-2.
- Migraine S, Atri M, Bret PM, Lough JO, Hinchey JE. Spontaneousty resolving acute appendicitis: Clinical and sonographic documentation. Radiology 1997;205:55-8.
- Andersson RE. The natural history and traditional manage ment of appendicitis revisited. Spontaneous resolution and predominance of prehospital perforations imply that a cor- rect diagnosis is more important than an early diagnosis: VVorld J Surg 2007;31:86-92.
- Hahn HB, Hoepner FU, Kaile T, et al. Sonography of acute appendicitis in children: 7 years experience. Pediatr Radiol 1998;28:147-51.
- Cobben LPJ, Otterloo A, Puylaert JB. Spontaneousty resolving appendicitis: Frequency and natural history in 60 patients. Radiology 2000;215:349-52.
- Savrin RA, Clausen K, Martin EW, Cooperman M. Chronic and recurrent appendicitis. Am J Surg 1979;137:355-7.
- Kessler N, Cyteval C, Gallix B, et al. Appendicitis: Evaluation of Sensitivity, Specificity, and predictive values of US, Doppler US, and laboratory findings. 2004;230:472-8. Radiology
- Barber MD, McLaren J, Rainey JB. Recurrent appendicitis. B rJ Surg 1997;84:110-2.
Öz
Spontan iyileşen apandisiti tanımlayan klinik ve radyolojik yazılar vardır. Diğer taraftan, bu konu ile ilgili hala kararsızlıklar vardır. En önemli kararsızlıklardan biri ise spontan iyileşmenin klinik bulgularını gösteren akut apandisitte tedavi şeklinin ne olacağıdır. Orta şiddette sağ alt kadran karın ağrısı olan bir hasta rapor edilmiştir. Ultrason bulgularımız apandisit ile uyumlu idi; ancak klinik korelasyonu yoktu. Hasta sadece takip edilmiştir, fakat bu süreç içinde ameliyat ve konservatif tedavi arasında kararsız kalınmıştır. Bu yazıda, spontan iyileşen apandisitin varlığı vurgulanmıştır ve gelecekte spontan iyileşen apandisit kiliniği ile gelen bir hastanın konservatif tedavi gibi ameliyat dışı koruyucu mekanizmaların kullanılabileceğini vurgulanmıştır.
Anahtar Kelimeler
Kaynakça
- Puylaert JB, Rijke AM. An inflamed appendix at sonography when symptomsare improving: To operate or not to oper- ate? Radiology 1997;205:41-2.
- Migraine S, Atri M, Bret PM, Lough JO, Hinchey JE. Spontaneousty resolving acute appendicitis: Clinical and sonographic documentation. Radiology 1997;205:55-8.
- Andersson RE. The natural history and traditional manage ment of appendicitis revisited. Spontaneous resolution and predominance of prehospital perforations imply that a cor- rect diagnosis is more important than an early diagnosis: VVorld J Surg 2007;31:86-92.
- Hahn HB, Hoepner FU, Kaile T, et al. Sonography of acute appendicitis in children: 7 years experience. Pediatr Radiol 1998;28:147-51.
- Cobben LPJ, Otterloo A, Puylaert JB. Spontaneousty resolving appendicitis: Frequency and natural history in 60 patients. Radiology 2000;215:349-52.
- Savrin RA, Clausen K, Martin EW, Cooperman M. Chronic and recurrent appendicitis. Am J Surg 1979;137:355-7.
- Kessler N, Cyteval C, Gallix B, et al. Appendicitis: Evaluation of Sensitivity, Specificity, and predictive values of US, Doppler US, and laboratory findings. 2004;230:472-8. Radiology
- Barber MD, McLaren J, Rainey JB. Recurrent appendicitis. B rJ Surg 1997;84:110-2.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2007 |
| Yayımlandığı Sayı | Yıl 2007 Cilt: 40 Sayı: 1 |