Olgu Sunumu
BibTex RIS Kaynak Göster

Nadir görülen bir akut batın olgusu: Situs inversus totalisli hastada akut apandisit

Yıl 2019, , 766 - 768, 01.10.2019

Rıfat Peksöz , Mustafa Yeni Ali Dablan Esra Dişçi

https://doi.org/10.28982/josam.570128

Öz

Akut apandisit dünyada acil cerrahi gerektiren en sık hastalıktır. Akut apandisit bazen karnın sol tarafı gibi atipik yerlerde karşımıza çıkabilir. Situs inversus totalisde akut apandisit tanısını koymada zorluk oluşturabilecek durumlardan biridir. Situs inversuslu hastalarda eğer daha önce hastalığın tanısı bilinmiyorsa apendiks normal pozisyonda yerleşmediğinden apandisitin tanısı zordur. Cerrahlar öncelikle sol alt kadran ağrısı yapan divertikülit, jinekolojik hastalıklar veya üriner patolojileri düşünürler. Direk grafi, ultrasonografi, bilgisayarlı tomografi hastalık tanısında yardımcı radyolojik yöntemlerdir. Direkt grafilerde dekstrokardi ve mide fundus gazının sağda izlendiği durumlarda hastalıktan şüphelenilmelidir. Situs inversuslu hastalarda daha iyi eksplorasyon sağlayarak ayırıcı tanıyı yapmak ve anatomik varyasyon olabileceği de göz önünde tutularak laparoskopik cerrahi yapılması önerilmektedir. Bu olgu sunumunda tetkik edildikten sonra akut apandisit tanısı konulan sitüs inversus totalisli kırk sekiz yaşında kadın hastanın tanı ve tedavi süreci literatür eşliğinde tartışıldı.

Anahtar Kelimeler

Akut apandisit Sol alt kadran ağrısı Bilgisayarlı tomografi

Destekleyen Kurum

herhangi bir kurum desteği yoktur

Kaynakça

  • 1. Sammalkorpi HE, Mentula P, Leppäniemi A. A new adult appendicitis score improves diagnostic accuracy of acute appendicitis-a prospective study. BMC Gastroenterology. 2014;14:114.
  • 2. Merter A, Bilecik T, Mayır B, Doğan U, Koç Ü, Oruç T. Laparoscopic Appendectomy in a Patient with Situs Inversus Totalis: Case Report. FÜ Sağ Bil Tıp Derg. 2014;28(3):145.
  • 3. Jaffe BM, Berger DH. The appendix. In: Brunicardi FC, Andersen KD, Billiar RT, Dunn LD, Hunter GC, Pollock RE, editors. Schwartz’s Principles of Surgery. 8th ed. New York: McGraw-Hill; 2005. p. 1119-1137.
  • 4. Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: Review of 95 published cases and a case report. World J Gastroenterol. 2010;16:5598-602.
  • 5. Oh JS, Kim KW, Cho HJ. Left-sided appendicitis in a patient with situs inversus totalis. J Korean Surg Soc. 2012;83:175-8.
  • 6. Koç A, Sönmez Y, Balaban O. Anaesthetic Management for Appendectomy in a Patient with Situs Inversus Totalis. Turkish Journal of Anesthesia & Reanimation. 2016;44:105-7.
  • 7. Karagülle E, Türk E, Yildirim E, Moray G. A rare cause of left lower quadrant abdominal pain: acute appendicitis with situs inversus totalis. Turkish Journal of Trauma & Emergency Surgery. 2010;16:268-70.
  • 8. Kamiyama T, Fujiyoshi F, Hamada H, Nakajo M , Harada O, Haraguchi Y. Left-sided acute appendicitis with intestinal malrotation. Radiation Medicine. 2005;23:125-7.
  • 9. Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of Emergency Medicine. 2001;20:241-5.
  • 10. Sands SS, Taylor JF. Prescreen evaluation of situs inversus patients. International surgery 2001;86:254-8.
  • 11. Yaghan RJ, Gharaibeh KI, Hammori S. Feasibility of laparoscopic cholecystectomy in situs inversus. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2001;11:233-7.
  • 12. Demangone DA. EKG findings associated with situs inversus. Journal of Emergency Medicine 2004;27:179-81.
  • 13. Ünal O, Haberal K, Çolak A. Left sided acute appendicitis in a patient with situs inversus totalis, Türk Radyoloji Derg. 2018;37(1):13-5.
  • 14. Yılmaz Ö, Bayrak V, Çallı İ, Demir A. Differential Diagnosis in Left Lower Quadrant Pain: Acute Appendicitis in Patients with Situs İnversus. Sakarya Med J. 2014;4(2):93-5.

A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis

Yıl 2019, , 766 - 768, 01.10.2019

Rıfat Peksöz , Mustafa Yeni Ali Dablan Esra Dişçi

https://doi.org/10.28982/josam.570128

Öz

Acute appendicitis is the most frequent disease requiring urgent surgery in the world. It may sometimes occur in atypical locations, such as the lower left quadrant of the abdomen. If previously unknown, some conditions such as situs inversus totalis make diagnosing acute appendicitis difficult. In those cases, surgeons primarily consider diverticulitis, gynecological diseases, or urinary pathologies, which present with lower left quadrant pain. Direct abdominal radiography, ultrasonography and computed tomography are the auxiliary imaging methods in the diagnosis of the disease. Dextrocardia and the observation of the gastric fundus gas in the right quadrant in direct abdominal radiograph are key features of situs inversus totalis. Considering the anatomical variation, laparoscopic exploration is recommended in these patients. We hereby present a forty-eight-year-old female patient with situs inversus totalis who was diagnosed with acute appendicitis.

Anahtar Kelimeler

Acute appendicitis Situs inversus totalis Left lower quadrant pain Computed tomography

Kaynakça

  • 1. Sammalkorpi HE, Mentula P, Leppäniemi A. A new adult appendicitis score improves diagnostic accuracy of acute appendicitis-a prospective study. BMC Gastroenterology. 2014;14:114.
  • 2. Merter A, Bilecik T, Mayır B, Doğan U, Koç Ü, Oruç T. Laparoscopic Appendectomy in a Patient with Situs Inversus Totalis: Case Report. FÜ Sağ Bil Tıp Derg. 2014;28(3):145.
  • 3. Jaffe BM, Berger DH. The appendix. In: Brunicardi FC, Andersen KD, Billiar RT, Dunn LD, Hunter GC, Pollock RE, editors. Schwartz’s Principles of Surgery. 8th ed. New York: McGraw-Hill; 2005. p. 1119-1137.
  • 4. Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: Review of 95 published cases and a case report. World J Gastroenterol. 2010;16:5598-602.
  • 5. Oh JS, Kim KW, Cho HJ. Left-sided appendicitis in a patient with situs inversus totalis. J Korean Surg Soc. 2012;83:175-8.
  • 6. Koç A, Sönmez Y, Balaban O. Anaesthetic Management for Appendectomy in a Patient with Situs Inversus Totalis. Turkish Journal of Anesthesia & Reanimation. 2016;44:105-7.
  • 7. Karagülle E, Türk E, Yildirim E, Moray G. A rare cause of left lower quadrant abdominal pain: acute appendicitis with situs inversus totalis. Turkish Journal of Trauma & Emergency Surgery. 2010;16:268-70.
  • 8. Kamiyama T, Fujiyoshi F, Hamada H, Nakajo M , Harada O, Haraguchi Y. Left-sided acute appendicitis with intestinal malrotation. Radiation Medicine. 2005;23:125-7.
  • 9. Nelson MJ, Pesola GR. Left lower quadrant pain of unusual cause. The Journal of Emergency Medicine. 2001;20:241-5.
  • 10. Sands SS, Taylor JF. Prescreen evaluation of situs inversus patients. International surgery 2001;86:254-8.
  • 11. Yaghan RJ, Gharaibeh KI, Hammori S. Feasibility of laparoscopic cholecystectomy in situs inversus. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2001;11:233-7.
  • 12. Demangone DA. EKG findings associated with situs inversus. Journal of Emergency Medicine 2004;27:179-81.
  • 13. Ünal O, Haberal K, Çolak A. Left sided acute appendicitis in a patient with situs inversus totalis, Türk Radyoloji Derg. 2018;37(1):13-5.
  • 14. Yılmaz Ö, Bayrak V, Çallı İ, Demir A. Differential Diagnosis in Left Lower Quadrant Pain: Acute Appendicitis in Patients with Situs İnversus. Sakarya Med J. 2014;4(2):93-5.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Olgu sunumu
Yazarlar

Rıfat Peksöz 0000-0003-4658-5254

Mustafa Yeni Bu kişi benim 0000-0003-2384-2094

Ali Dablan Bu kişi benim 0000-0003-4198-4416

Esra Dişçi Bu kişi benim 0000-0003-3657-3620

Yayımlanma Tarihi 1 Ekim 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

APA Peksöz, R., Yeni, M., Dablan, A., Dişçi, E. (2019). A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. Journal of Surgery and Medicine, 3(10), 766-768. https://doi.org/10.28982/josam.570128
AMA Peksöz R, Yeni M, Dablan A, Dişçi E. A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. J Surg Med. Ekim 2019;3(10):766-768. doi:10.28982/josam.570128
Chicago Peksöz, Rıfat, Mustafa Yeni, Ali Dablan, ve Esra Dişçi. “A Rare Acute Abdomen Case: Acute Appendicitis in a Patient With Situs Inversus Totalis”. Journal of Surgery and Medicine 3, sy. 10 (Ekim 2019): 766-68. https://doi.org/10.28982/josam.570128.
EndNote Peksöz R, Yeni M, Dablan A, Dişçi E (01 Ekim 2019) A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. Journal of Surgery and Medicine 3 10 766–768.
IEEE R. Peksöz, M. Yeni, A. Dablan, ve E. Dişçi, “A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis”, J Surg Med, c. 3, sy. 10, ss. 766–768, 2019, doi: 10.28982/josam.570128.
ISNAD Peksöz, Rıfat vd. “A Rare Acute Abdomen Case: Acute Appendicitis in a Patient With Situs Inversus Totalis”. Journal of Surgery and Medicine 3/10 (Ekim 2019), 766-768. https://doi.org/10.28982/josam.570128.
JAMA Peksöz R, Yeni M, Dablan A, Dişçi E. A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. J Surg Med. 2019;3:766–768.
MLA Peksöz, Rıfat vd. “A Rare Acute Abdomen Case: Acute Appendicitis in a Patient With Situs Inversus Totalis”. Journal of Surgery and Medicine, c. 3, sy. 10, 2019, ss. 766-8, doi:10.28982/josam.570128.
Vancouver Peksöz R, Yeni M, Dablan A, Dişçi E. A rare acute abdomen case: Acute appendicitis in a patient with situs inversus totalis. J Surg Med. 2019;3(10):766-8.