Apendiksin ultrasonografik sınıflamasına farklı bir bakış açısı

Yıl 2016, , 207 - 213, 31.12.2016

MİKAİL İnal , Birsen Ünal Daphan , M. Yasemin Karadeniz Bilgili )

https://doi.org/10.21601/ortadogutipdergisi.267262

Öz

Amaç: : Biz
bu çalışmada farklı lokalizasyonlardaki apendiksleri inceleyerek önceki
literatürden farklı bir sınıflama yapmayı ve böylece appendiksin sonografik
incelemesini kolaylaştırmayı amaçladık.

Materyal ve metod: Çalışma bizim departmanımıza pelvik veya batın
ultrasonografisi amacı ile başvuran 362 ardışık hasta üzerinde
gerçekleştirildi. Normal sonografik apendiks kriterleri maksimum çapı 6 mm
olan, komprese olan, kör sonlanan tübüler yapı olarak belirlendi. Appendiksler
ultrasonografi ile incelendi ve kaydedildi, referans çizgisi olarak da sağ
iliak fossadaki iliak damarlar alındı.

Bulgular: Apendiksler yerleşim yerine göre 1-8 sınıfa ayrıldı. Tip 1 iliak damarları geçen (85.5%),tip 2 iliak damarların
hemen yanında (2.41%), tip 3 çekumun
inferior ve lateralinde (1.93%), tip 4 sağ parakolik olukta (4.34%), tip 5 tamamen retroçekal (1.93%), tip 6 çekumun anteriorunda  (1.45%), tip 7 umblikusa uzanan (0.97%) and tip
8  çekal malpozisyonla birlikte
subhepatik yerleşim (1.45%).

Sonuç: Bu çalışmada literatürde daha önceden tanımlanandan
farklı olarak yeni bir sınıflama sistemi (1-8) ortaya konulmuştur. Normal ve
anormal apendikslerin en sık görülen yerleşimi iliak damarları geçen tip 1
olarak izlendi. İkinci en sık görülen yerleşim ise sağ parakolik olukta izlenen
tip 4 idi. İki farklı ilginç yerleşim ise umblikusa uzanan tip 7 ile subhepatik
alana uzanan tip8 idi.

Anahtar Kelimeler

Apandisit; normal apendiks;çekum-periapendiküler bölge;abdomen;ultrasonografi.

A different view of the sonographic classification of the appendix

Öz

Aim: We intended
to detect various appendix localisations with a classification system different
from those used in previous literature to facilitate the sonographic detection of
the appendix.

Patients and methods:
The study was performed on 362 consecutive[.1]  patients who applied to our department for abdominal
or pelvic US examination to our department. The
sonographic criterion used to diagnose a normal appendix was visualization of
the full extension of a compressible, blind-ending tubular structure with a
maximum transverse diameter of 6 mm. Appendices were evaluated by US and localisations
were recorded and classified according to the reference line passing through
the iliac vessels
in the right
iliac fossa.

Results: Each appendix was classified as type 1 to 8 according to its location. Type 1 crossed the iliac vessels (85.5%), type 2 was medial to the iliac vessels
(2.41%), type 3 was inferior and
lateral to the cecum (1.93%), type
4 was in the right paracolic gutter (4.34%), type 5 was completely retrocecal (1.93%), type 6 was in front of the cecum (1.45%), type 7 extended to the umbilicus (0.97%) and type 8 was subhepatic with cecal
malposition (1.45%).

Conclusion: The study demonstrated a new classification system (types 1–8) different from those
described in previous literature. The most common position of the normal and
abnormal appendices in our study was crossing the iliac vessels (type 1). The second most common
position was the right paracolic gutter (type 4). Two interesting localisations extended to the umbilicus
(type 7) and appeared in the subhepatic space (type 8).

---

 [.1]“Consequitive”
is not a word in English. The closest word is “consecutive,” which means in an
unbroken or logical sequence. That makes sense here, so I changed the spelling.
But please verify this change. 

Anahtar Kelimeler

Appendicitis; normal appendix; cecum-appendicular region; abdomen; sonography.

Kaynakça

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