Over Torsiyonuna Genel Bakış

Yıl 2016, Cilt: 17 Sayı: 1, 30 - 35, 01.04.2016

Fazilet Boynukalın Süleyman Güven Emine Güven Mehtap Polat

Öz

Over torsiyonu nadir görülen ancak ciddi sonuçlara yol açabilecek jinekolojik acillerden biridir. Over torsiyonu tanısı her zaman kolay olmamaktadır. Gri skala ultrasonografi (USG) her ne kadar over torsiyonu için özgün bulgular ortaya koymasa da ilk başvurulan görüntüleme yöntemidir. Doppler USG ile kan akımının gösterilmiş olması over torsiyonu tanısını ekarte ettirmese de, kan akımınının belirlenmemesi tanıyı destekleyici bulgulardandır. Cerrahi öncesi over torsiyonu tanısında güvenilirliği ve duyarlılığı yüksek serum belirteci henüz tanımlanmamıştır. Hızlı tanı ve cerrahi tedavi, hastanın fertilitesinin; overinin korunmasının temelidir. Bu derlemenin amacı over torsiyonu konusunda genel değerlendirme yapmaktır.

Anahtar Kelimeler

Over torsiyonu, IL-6, iskemi modifiye albumin, D-dimer, IL-8, USG, doppler USG

Kaynakça

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