Mezenterik Kisti Taklit Eden Dev Over Kistine Mini-Phannensteil İnsizyon ile Yaklaşım

Öz

Tüm vücut dokularında kistler oluşabilir, ancak overler dışındaki organlarda oluşan kistler, disfonksiyon oluşturmaları nedeniyle semptomları daha hızlı gösterir. Over kistleri diğer organlarla temas halinde olmadıkları ve tipik olarak rutin kontroller sırasında tespit edildikleri için sıklıkla şikayete neden olmazlar. Çeşitli boyutlarda kistlerle karşılaşılsa da dev over kistleri son derece nadirdir. Bu olgu ile kliniğimize kasık ağrısı, karın şişliği ve kabızlık şikayetleri ile başvuran 36 yaşında kadın hasta sunulmaktadır. Ultrasonografik muayenede sol adneksiyel alandan kaynaklandığı düşünülen dev bir kistik kitle izlendi. Sol over kitlesi için cerrahi operasyon yapılmasına karar verildi. Mezoileumdan kaynaklanan 15 × 20 cm boyutlarında kistik kitle mini-phannensteil insizyon ile peroperatif aspirasyon sonrası, duvarı ile birlikte eksize edildi. Bu olgudan yola çıkarak dev over kistlerinin mezenterik kistlerle karıştırılabileceğini ve dev benign kistlerin mini-phannensteil insizyon ile eksize edilebileceğini göstermeyi amaçladık.

Anahtar Kelimeler

• akut batın
• adneksiyal kitle
• dev over kisti
• mezenter kisti
• mini-phannensteil insizyon
• pelvik kitle

Mini-Phannensteil Incision Approach to Giant Ovarian Cyst Mimicking Mesenteric Cyst

Öz

Cysts can occur in all body tissues, but cysts in organs other than the ovaries present symptoms more rapidly due to the resulting dysfunction. Ovarian cysts often do not cause complaints because they are not in contact with other organs and are typically detected during routine checks. Although cysts of various sizes are encountered, giant ovarian cysts are extremely rare. This report presents the case of a 36-year-old female patient admitted to our clinic with complaints of inguinal pain, abdominal swelling, and constipation. In the ultrasonographic examination, a giant cystic mass thought to originate from the left adnexal area, was observed. A decision to perform surgical operation for the left ovarian mass was made. The cystic mass, 15 × 20 cm in size and originating from the mesoileum, was excised with its wall after peroperative aspiration with a mini-phannensteil incision. Considering this case, we aimed to demonstrate that giant ovarian cysts can be confused with mesenteric cysts and that giant benign cysts can be excised with a mini-phannensteil incision.

Anahtar Kelimeler

• acute abdomen
• adnexal mass
• giant ovarian cyst
• mesentery cyst
• mini-phannensteil incision
• pelvic mass

Kaynakça

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