ACİL LAPARATOMİ UYGULANAN PEMFİGUS VULGARİSLİ OLGUNUN ANESTEZİK YÖNETİMİ: OLGU SUNUMU

Öz

Pemfigus ve petik ülser hikayesi olan 52 yaşında erkek olgu, perforasyona ait peritonitis bulgularıyla başvurmuş. Olgunun tınaklarını ve mukoz membranlarını da içeren, tüm vücudundapemfigus lezyonları mevcut. İndüksiyon sonrası atravmatik entübasyon yapıldı. Operasyon sonunda ekstübe edilen olgunun, steroid tedavisi peroperatif dönemde devam ettirildi

Anahtar Kelimeler

• Pemfigus vulgaris,Laparatomi

ANAESTHETIC MANAGEMENT OF A PATIENT WITH PEMPHIGUS VULGARIS FOR EMERGENCY LAPAROTOMY: CASE REPORT

Öz

A 52-year-old man with a history of pemphigus and acid peptic disease presented with symptoms and signs of perforation peritonitis. He also had lesions of pemphigus vulgaris throughout the body, involving both nail and mucous membranes. The intubation was performed in an atraumatic manner after induction. The patient was extubated at the end of the surgery and steroids were continued in the perioperative period

Anahtar Kelimeler

• Pemphigus vulgaris,laparatomy

Kaynakça

1. ) Lagha N.B, Poulesquen V, Roujeau J.C, Alantar A, Maman L. Pemphigus Vulgaris: A Case-Based Update. JCDA, October 2005;71:667-72.
2. ) Mahalingam T.G, Kathirvel S, Sodhi P. Anaesthetic management of a patient with pemphigus vulgaris for emergency laparotomy. Anaesthesia, 2000;55:155-62.
3. ) Serratos B.D, Rashid R.M. Nail Disease in pemphigus vulgaris. Dermatology Online Journal ;15:2. ) Pires F.R, Ferraz C.C, Alves F.A, Lopes M.A, Almeida O.P. Pemphigus vulgaris in adolescence: case report. Pediatr Dent. 2000;22:159-62.
4. ) Amichai B, Grunwald M.H, Gasper N, Finkelstein E, Halevy S. A case of pemphigus vulgaris with esophageal involvement. J Dematol. ;23:214-5. ) Jeyaram C, Torda T.A. Anesthetic manage ment of cholecystectomy in a patient with buccal pemphigus. Anesthesiology. 1974;40:60601.
5. ) Aktürk G, Ulusoy H, Dohman D, Aktürk F, Kuzeyli K, Alpay K. The anesthetic management of a patient with pemphigus vulgaris-a case report. Middle East J Anesthesiol.1997;14:91-7.
6. ) Yasuda T, Yoshida H, Kudo H, Hashimoto H, Kotani N, Matsuki A. Tracheal mucosal bulla found on tracheal extubation in a patient with pepmphigus vulgaris-a case report. Masui. ;49:66-8. ) Dave ST, Chandrashekhar V, Kamath SK, Dewoolkar LV. Anaesthetic management for paraneoplastic pemphigus. Ind J Anaesth ;51:525-7. Yazının alınma tarihi:13.03.2014 Kabül tarihi:14.08.2014 Online basım:01.10.2014