Rüptüre endometrioma sonrası gelişen tubo-ovarian apse; virgin kadınlarda nadir görülen bir olgu sunumu ve literatür araştırması

Year 2020, Volume: 27 Issue: 2, 250 - 253, 01.06.2020

Onur Günaldı , Hakan Peker Berna Haliloğlu Peker

https://doi.org/10.17343/sdutfd.569652

Abstract

Endometrioma kist rüptürü ile birlikte
tubo-ovarian apse(TOA) varlığı, virgin kadınlarda akut batın etyolojisinin çok
nadir görülen bir nedenidir. Şiddetli karın ağrısı şikayeti ile gelen bir
hasta, bu tanıyla yatırılarak intravenöz antibiyotik tedavisi başlandı.
Hastanın şikayetlerinde gerileme olmadığı için laparoskopi yapıldı. Akut batın
tablosuyla gelen kadınlarda hangi yaş grubunda olursa olsun ayırıcı tanılar
arasında mutlaka TOA’de bulunmalı ve hızlı bir şekilde tanı konularak tedavi
yapılmalıdır. Çünkü, tedavinin gecikmesi ile morbidite ve mortalite oranları
artış göstermektedir.

Keywords

Virgin, Tubo-ovarian apse, Endometrioma, Akut batın, Laparoskopi

Tubo-ovarian abscess after ruptured endometrioma; A rare case report in virgin women and literature review

Abstract

The presence of tubo-ovarian abscess (TOA) with endometrioma cyst rupture is a very rare cause of acute abdomen in virgin women. A patient with severe abdominal pain was hospitalized with this diagnosis and intravenous antibiotic treatment was started. Laparoscopy was performed because the patient's complaints did not regress. Women with acute abdomen should be present in the TOA between the differential diagnoses regardless of the age group, and the diagnosis should be made quickly. Because the delay in treatment and morbidity and mortality rates increase.

Keywords

virginal, tubo-ovarian abscess, Endometrioma, Acute abdomen, Laparoscopy

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