Akut Pankreatit İle Direkt İnguinal Herni Arasındaki İlişki

Öz

Akut Pankreatit karın ağrısı, amilaz-lipaz yüksekliği ile seyreden pankreasın inflamatuar bir hastalığıdır. İnsidansının 5–35/100.000 olduğu yayınlarda bildirilmiştir. İnguinal herni, en sık görülen herni tipi olup, karın duvarı fıtıklarının %75’ini oluşturur. İnguinal herni ameliyatları tüm cerrahi girişimlerin %10-15’ini oluşturur ve appendektomiden sonra en sık yapılan cerrahi girişimdir. Hem akut pankreatit hem inguinal herni sık görülen patolojiler olmakla birlikte birlikte görüldüğü vaka sayısı azdır. Literatürde intestinal obsruksiyon ile akut pankreatit arasında ilişki olduğuna, intestinal obsruksiyonun akut pankreatite yol açabileceğine dair yayınlar mevcuttur. Bu olgu sunumunda da nedeni belli olamayan akut pankreatit tanısı ile takip edilen ve inkarsere direk inguinal herni tanısı ile acil operasyona alınan bir vakayı sunduk.

Anahtar Kelimeler

• akut pankreatit
• inguinal herni
• intestinal obsruksiyon

Relationship Between Acute Pancreatitis and Direct Inguinal Hernia

Öz

Acute Pancreatitis is an inflammatory disease of the pancreas with abdominal pain and elevated amylase-lipase.It has been reported in publications that its incidence is 5–35/100,000.Inguinal hernia is the most common hernia type, accounting for 75% of abdominal wall hernias. Inguinal hernia surgeries constitute 10-15% of all surgical procedures. It is the most common surgical procedure after appendectomy Although both acute pancreatitis and inguinal hernia are common pathologies, the number of cases seen together is low.There are publications in the literature that there is a relationship between intestinal obstruction and acute pancreatitis, and that intestinal obstruction may lead to acute pancreatitis. In this case report, we presented a case who was followed up with the diagnosis of acute pancreatitis of unknown cause and underwent emergency operation with the diagnosis of incarcerated direct inguinal hernia.

Anahtar Kelimeler

• acute pancreatitis
• inguinal hernia
• intestinal obstruction

Kaynakça

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