BibTex RIS Kaynak Göster

Retrorektal hematoma bağlı gaita inkontinansı: Olgu sunumu

Yıl 2010, Cilt: 18 Sayı: 3, - , 01.12.2010
https://doi.org/10.17940/endoskopi.74887

Öz

We report herein a young patient with fecal and urinary incontinence due to a retrorectal hematoma. A 15-year-old male admitted with the complaints of being unable to walk or lie down on his back and no urinary bladder or anal sphincter control. His history revealed a pelvic trauma a few weeks before his admission. His complaints were mild at first and progressed over time. Preoperative studies revealed retrorectal hematoma and neurogenic bladder. Laparotomy was performed, and the hematoma was evacuated. In the early postoperative period, the patient's complaints decreased; he was able to lie down on his back and abduct/adduct his lower extremities, and he showed complete control of passage of the rectum contents. However, urinary bladder control was not yet achieved at it requires a longer period of time.

Kaynakça

  • Anjum MI. Pelvic hematoma following trucut biopsy of the prostate. Int Urol Nephrol 1996; 28: 781-5.
  • Viasman J. Pelvic hematoma after an ilioinguinal nerve block for orchi- algia. Anesth Analg 2001; 92: 1048-9.
  • Zhang FQ, Zhang YZ, Pan JS, et al. Pelvic compartment syndrome cau- sed by retroperitoneal hematoma of pelvic fracture. Chin Med J (Engl) 2005; 118: 877-8.
  • Ottery FD, Carlson RA, Gould H, Weese JL. Retrorectal cyst-hamarto- mas: CT diagnosis. J Comput Assist Tomogr 1986;10: 260-3.
  • Negro F, Mercuri M, Ricciardi V, et al. Presacral epidermoid cyst. A ca- se reportAnn Ital Chir 2006; 77: 75-7.
  • Hobson KG, Ghaemmaghami V, Roe JP, et al. Tumors of the retrorectal space.Dis Colon Rectum 2005;48: 1964-74.
  • Erden A, Ustuner E, Erden I, et al. Retrorectal dermoid cyst in a male adult: case report. Abdom Imaging 2003; 28: 725-7.
  • Flint P, Allen CF. Pelvic fracture complicated by bilateral ureteral obs- truction: case report. J Trauma 1994; 36: 285-7.
  • Lane BR, Moy ML, Frenkl T, et al. Pelvic hematoma as a cause of blad- der perforation and gross hematuria. Urology 2004; 64: 1030.
  • Johnson JF, Lattery J. Epidemiology of fecal incontinence: the silent aff- liction. Am J Gastroenterol 1996; 91: 33-6.
  • Brooks BS, Duvall ER, El Gammal T, et al. Neuroimaging features of neu- renteric cysts: analysis of nine cases and review of the literature. AJNR Am J Neuroradiol 1993; 14: 735-46.
  • Williams LS, Rojiani AM, Quisling RG, Mickle JP. Retrorectal cyst-ha- martomas and sacral dysplasia: MR appearance. AJNR Am J Neuroradi- ol 1998;19: 1043-5.
  • Zoller S, Joos A, Dinter D, et al. Retrorectal tumors: excision by transa- nal endoscopic microsurgery. Rev Esp Enferm Dig 2007; 99: 547-50.

Fecal incontinence due to retrorectal hematoma: Report of a case

Yıl 2010, Cilt: 18 Sayı: 3, - , 01.12.2010
https://doi.org/10.17940/endoskopi.74887

Öz

Bu olgu sunumumuzda, fekal ve üriner inkontinansı olan, retrorektal hematomlu genç hastamızı sunuyoruz. Mesane ve anal sfinkter kontrolü kaybolan 15 yaşındaki erkek hastanın yürüyüşü de günlük hayatını idame ettiremeyecek kadar bozulmuştu. Hastanın anamnezinde aylar önce spor yaparken geçirdiği pelvik travma öyküsüne rastlandı. Hasta travmadan bir süre sonra artan şikayetlerinden yakınmaya başlamış. Preoperative yapılan tetkiklerde hastada retrorektal hematom ve nörojenik mesane tespit edildi. Laparotomi yapılarak hastanın hematomu boşaltıldı. Postoperative saatler içinde alt ekstremitelerde abduktor ve adduktor kaslarda belirgin düzelme gözlendi. Günler içinde anal sfinkter kontrolü tama yakın olarak normale döndü. Ancak nörojenik mesanenin düzelmesi zaman alacağı için temiz aralıklı kataterizasyon uygulamasına başlandı.

Kaynakça

  • Anjum MI. Pelvic hematoma following trucut biopsy of the prostate. Int Urol Nephrol 1996; 28: 781-5.
  • Viasman J. Pelvic hematoma after an ilioinguinal nerve block for orchi- algia. Anesth Analg 2001; 92: 1048-9.
  • Zhang FQ, Zhang YZ, Pan JS, et al. Pelvic compartment syndrome cau- sed by retroperitoneal hematoma of pelvic fracture. Chin Med J (Engl) 2005; 118: 877-8.
  • Ottery FD, Carlson RA, Gould H, Weese JL. Retrorectal cyst-hamarto- mas: CT diagnosis. J Comput Assist Tomogr 1986;10: 260-3.
  • Negro F, Mercuri M, Ricciardi V, et al. Presacral epidermoid cyst. A ca- se reportAnn Ital Chir 2006; 77: 75-7.
  • Hobson KG, Ghaemmaghami V, Roe JP, et al. Tumors of the retrorectal space.Dis Colon Rectum 2005;48: 1964-74.
  • Erden A, Ustuner E, Erden I, et al. Retrorectal dermoid cyst in a male adult: case report. Abdom Imaging 2003; 28: 725-7.
  • Flint P, Allen CF. Pelvic fracture complicated by bilateral ureteral obs- truction: case report. J Trauma 1994; 36: 285-7.
  • Lane BR, Moy ML, Frenkl T, et al. Pelvic hematoma as a cause of blad- der perforation and gross hematuria. Urology 2004; 64: 1030.
  • Johnson JF, Lattery J. Epidemiology of fecal incontinence: the silent aff- liction. Am J Gastroenterol 1996; 91: 33-6.
  • Brooks BS, Duvall ER, El Gammal T, et al. Neuroimaging features of neu- renteric cysts: analysis of nine cases and review of the literature. AJNR Am J Neuroradiol 1993; 14: 735-46.
  • Williams LS, Rojiani AM, Quisling RG, Mickle JP. Retrorectal cyst-ha- martomas and sacral dysplasia: MR appearance. AJNR Am J Neuroradi- ol 1998;19: 1043-5.
  • Zoller S, Joos A, Dinter D, et al. Retrorectal tumors: excision by transa- nal endoscopic microsurgery. Rev Esp Enferm Dig 2007; 99: 547-50.
Toplam 13 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Hatim Yahya Uslu Bu kişi benim

Ahmet Hakan Haliloğlu Bu kişi benim

Yayımlanma Tarihi 1 Aralık 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 18 Sayı: 3

Kaynak Göster

APA Uslu, H. Y., & Haliloğlu, A. H. (2010). Fecal incontinence due to retrorectal hematoma: Report of a case. Endoskopi Gastrointestinal, 18(3). https://doi.org/10.17940/endoskopi.74887
AMA Uslu HY, Haliloğlu AH. Fecal incontinence due to retrorectal hematoma: Report of a case. Endoskopi Gastrointestinal. Aralık 2010;18(3). doi:10.17940/endoskopi.74887
Chicago Uslu, Hatim Yahya, ve Ahmet Hakan Haliloğlu. “Fecal Incontinence Due to Retrorectal Hematoma: Report of a Case”. Endoskopi Gastrointestinal 18, sy. 3 (Aralık 2010). https://doi.org/10.17940/endoskopi.74887.
EndNote Uslu HY, Haliloğlu AH (01 Aralık 2010) Fecal incontinence due to retrorectal hematoma: Report of a case. Endoskopi Gastrointestinal 18 3
IEEE H. Y. Uslu ve A. H. Haliloğlu, “Fecal incontinence due to retrorectal hematoma: Report of a case”, Endoskopi Gastrointestinal, c. 18, sy. 3, 2010, doi: 10.17940/endoskopi.74887.
ISNAD Uslu, Hatim Yahya - Haliloğlu, Ahmet Hakan. “Fecal Incontinence Due to Retrorectal Hematoma: Report of a Case”. Endoskopi Gastrointestinal 18/3 (Aralık 2010). https://doi.org/10.17940/endoskopi.74887.
JAMA Uslu HY, Haliloğlu AH. Fecal incontinence due to retrorectal hematoma: Report of a case. Endoskopi Gastrointestinal. 2010;18. doi:10.17940/endoskopi.74887.
MLA Uslu, Hatim Yahya ve Ahmet Hakan Haliloğlu. “Fecal Incontinence Due to Retrorectal Hematoma: Report of a Case”. Endoskopi Gastrointestinal, c. 18, sy. 3, 2010, doi:10.17940/endoskopi.74887.
Vancouver Uslu HY, Haliloğlu AH. Fecal incontinence due to retrorectal hematoma: Report of a case. Endoskopi Gastrointestinal. 2010;18(3).