Hiperplastik polibe bağlı ince barsak invajinasyonu
Yıl 2014,
Cilt: 13 Sayı: 1, 25 - 27, 01.04.2014
Aygül Özdemir
Ayhan Hilmi Çekin -
Ramazan Eryılmaz
Nurettin Katrancı
Dinç Süren
Öz
Hiperplastik polip en sık görülen non-neoplastik polip tipidir. Hiperplastik poliplerin çoğu asemptomatik olup endoskopide rastlantısal olarak saptanır. İnce barsak invajinasyonuna sıklıkla çocuklarda görülür. Erişkinlerde ince barsak invajinasyonu %5 oranında görülmekle birlikte bunların %80-90'ında altta yatan barsak patolojisi eşlik etmektedir. Bu yazıda erişkin hastada aralıklı karın ağrısı, kilo kaybı ve rektal kanamaya yol açan ince barsakta çok sayıda hiperplastik polibin neden olduğu ince barsak invajinasyon vakası sunulmuştur.
Kaynakça
- Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps. In: Sil- verstein FE, Tytgat GNJ, Eds. Gastrointestinal Endoscopy, 3rd ed. London. Mosby 1997; 147-80.
- Feldman: Sleisenger and Fordtran’s Gastrointestinal and Liver Di- sease, 9th ed. Copyright © 2010 Saunders, An Imprint of Elsevier Chapter-119.
- Owen DA. The Stomach. In: Sternberg SS. Editor. Diagnostic Surgi- cal Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
- Stolte M. Clinical consequences of the endoscopic diagnosis of gastric polyps. Endoscopy 1995; 27:32-7.
- Guillen- Parades MP, Campillo Soto A, et al. Adult intussuscepti- on-14 case reports and their outcomes. Rev Esp Enferm Dig 2010; 102:32-40.
- Takeuchi K, Tsuzuki Y, Ando T, et al. The Diagnosis and Treatment of adult intussusception. J Clin Gastroenterol 2003; 36:18-21.
- Yakan S, Calışkan C, Makay O, et al. Intussusception in adults: clinical characteristics, diagnosis and operative strategies. World J Gastroenterol 2009; 15:1985-9.
- Jabar MF, Prasannan S, Gül YA. Adult intussusception secondary to inflamatory polyps Asian J Surgery 2005; 28:58-6.
- Dev kolon polibine bağlı kolonik invajinasyon ve obstrüksiyon: Yeni Tıp Dergisi 2012; 29:50-2.
- Giant infammatory fibroid polyp of ileum causing intussusception: a case report. Cases J 2009; 2:8616.
- Jejunal invagination in an adult caused by inflammatory fibroid pol- yp: a case report. Cases J 2009; 2:6435.
- Anderson DR. The pseudokidney sign. Radiology 1999; 211:395-7.
Small bowel invaginations due to hyperplastic polyps
Yıl 2014,
Cilt: 13 Sayı: 1, 25 - 27, 01.04.2014
Aygül Özdemir
Ayhan Hilmi Çekin -
Ramazan Eryılmaz
Nurettin Katrancı
Dinç Süren
Öz
Hyperplastic polyps are the most common type of gastrointestinal tract polyps. Invagination is a rare cause of mechanical intestinal obstruction in adults. A diagnosis of invagination in an adult patient strongly suggests the presence of a pathology. Hyperplastic polyps are benign lesions in various parts of the gastrointestinal tract. Intussusception due to hyperplastic polyps is uncommon. We report multiple hyperplastic polyps of the small bowel that presented as intussusception in a 28-year-old woman.
Kaynakça
- Silverstein FE, Tytgat GNJ. Stomach II: Tumors and polyps. In: Sil- verstein FE, Tytgat GNJ, Eds. Gastrointestinal Endoscopy, 3rd ed. London. Mosby 1997; 147-80.
- Feldman: Sleisenger and Fordtran’s Gastrointestinal and Liver Di- sease, 9th ed. Copyright © 2010 Saunders, An Imprint of Elsevier Chapter-119.
- Owen DA. The Stomach. In: Sternberg SS. Editor. Diagnostic Surgi- cal Pathology, 3rd ed. Philadelphia. Lippincott Williams & Wilkins 1999; 1311-47.
- Stolte M. Clinical consequences of the endoscopic diagnosis of gastric polyps. Endoscopy 1995; 27:32-7.
- Guillen- Parades MP, Campillo Soto A, et al. Adult intussuscepti- on-14 case reports and their outcomes. Rev Esp Enferm Dig 2010; 102:32-40.
- Takeuchi K, Tsuzuki Y, Ando T, et al. The Diagnosis and Treatment of adult intussusception. J Clin Gastroenterol 2003; 36:18-21.
- Yakan S, Calışkan C, Makay O, et al. Intussusception in adults: clinical characteristics, diagnosis and operative strategies. World J Gastroenterol 2009; 15:1985-9.
- Jabar MF, Prasannan S, Gül YA. Adult intussusception secondary to inflamatory polyps Asian J Surgery 2005; 28:58-6.
- Dev kolon polibine bağlı kolonik invajinasyon ve obstrüksiyon: Yeni Tıp Dergisi 2012; 29:50-2.
- Giant infammatory fibroid polyp of ileum causing intussusception: a case report. Cases J 2009; 2:8616.
- Jejunal invagination in an adult caused by inflammatory fibroid pol- yp: a case report. Cases J 2009; 2:6435.
- Anderson DR. The pseudokidney sign. Radiology 1999; 211:395-7.