Negatif akut apandisitte jinekolojik patolojiler
Yükleniyor...
Tarih
2012
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz:Giriş: Jinekolojik patolojiler akut apandisit ile karışabilen en sık rahatsızlıklardır. Bu çalışmada jinekolojik patoloji tespit edilen negatif akut apandisitli hastaların irdelenmesi amaçlandı. Materyal Metod: 2006 2010 tarihleri arasında akut apandisit ön tanısıyla laparotomi uygulanan ve jinekolojik patoloji saptanan 25 hasta retrospektif incelendi. Bulgular: Hastaların ortalama yaşı 28.87±8.63 yıldı. Hastaların en sık başvuru şikayeti karın ağrısı, fizik muayenede en sık tespit edilen bulgu hassasiyetti. Hastaların 15inde karın ultrasonografisinde intraabdominal sıvı saptandı. En sık rastlanılan patoloji over kist rüptürüydü (%76). Hastalara apendektomi ve ilaveten over kist rüptürü tespit edilenlerde kanama kontrolü ve kist eksizyonu, pelvik inflamatuvar hastalık ve/veya tuboovaryan abse olanlara drenaj uygulandı. Sonuç: Akut karın semptomları ile başvuran kadın hastalar daha dikkatli değerlendirilmelidir. Akut apandisiti taklit edebilen jinekolojik patolojiler ayırıcı tanı açısından mutlaka göz önünde bulundurulmalıdır.
Abstract:Objective: Most common disorders confused with acute appendicitis are gynecological pathologies. Here, we aimed to investigate the patients with negative acute appendicitis and determined gynecological pathology. Methods: Between 2006-2010, 25 patients who underwent laparatomy with the diagnosis of acute appendicitis and determined gynecological pathologies were analyzed retrospectively. Results: The mean age was 28.87±8.63 years. The most common complaint and finding on physical examination of the patients were abdominal pain and tenderness, respectively. In 15 patients, intraabdominal fluid was determined with abdominal ultrasonography. Appendectomy and additional procedures, such as bleeding control and cyst excision in ovarian cyst rupture, drainage in pelvic inflammatory disease and/or tubo-ovarian abscess, were performed. Ovarian cyst rupture was the most common gynecological pathology (76%). Conclusion: The female patients presenting with acute abdominal symptoms must be evaluated more carefully. Gynecological pathologies which may mimic acute appendicitis should be kept in mind in terms of differential diagnosis.
Abstract:Objective: Most common disorders confused with acute appendicitis are gynecological pathologies. Here, we aimed to investigate the patients with negative acute appendicitis and determined gynecological pathology. Methods: Between 2006-2010, 25 patients who underwent laparatomy with the diagnosis of acute appendicitis and determined gynecological pathologies were analyzed retrospectively. Results: The mean age was 28.87±8.63 years. The most common complaint and finding on physical examination of the patients were abdominal pain and tenderness, respectively. In 15 patients, intraabdominal fluid was determined with abdominal ultrasonography. Appendectomy and additional procedures, such as bleeding control and cyst excision in ovarian cyst rupture, drainage in pelvic inflammatory disease and/or tubo-ovarian abscess, were performed. Ovarian cyst rupture was the most common gynecological pathology (76%). Conclusion: The female patients presenting with acute abdominal symptoms must be evaluated more carefully. Gynecological pathologies which may mimic acute appendicitis should be kept in mind in terms of differential diagnosis.
Açıklama
Anahtar Kelimeler
Akut apandisit, Jinekolojik patolojiler, Apendektomi, Acute appendicitis, Gynecological pathologies, Appendectomy
Kaynak
Düzce Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
Künye
Önder, A., Kapan, M., Gül, M., Evsen, M. S., Aliosmanoğlu, İ., Arıkanoğlu, Z. ve diğerleri. (2012). Negatif akut apandisitte jinekolojik patolojiler. Düzce Tıp Fakültesi Dergisi, 14(3), 1-4.
