İntraabdominal tümörlerin nadir bir nedeni: Mezenterik kistli 21 hastanın analizi
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Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Modestum Publishing Ltd.
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Mezenterik kistler nadir görülen intraabdominal tümörlerdir. Bu çalışmada mezenterik kistlere ait klinik bulguların, patolojik özelliklerin ve uygulanan cerrahi yaklaşımların irdelenmesi amaçlanmıştır. Gereç ve Yöntem: Ocak 1985 - Aralık 2010 tarihleri arasında Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi ve Çocuk Cerrahisi Kliniklerinde cerrahi uygulanan mezenterik kistli 21 hasta retrospektif olarak incelendi. Bulgular: Hastalarımızın 16’sı (%76.2) kadın, 5’i erkek (%23.8) olup, ortalama yaşları 32.62±22.19 (4-79) yıldı. En sık başvuru şikayeti abdominal kitle ve ağrı idi. Mezenterik kistler sıklıkla ince barsak mezenteri yerleşimliydi (%61.9). Kistin boyutları 4-25 cm arasında değişmekteydi. Hastalara uygulanan en sık cerrahi girişim enüklasyondu (%90.5). On yedi (80.9) hastada histopatoljik tanı kistik lenfanjiom ile uyumluydu. Ortalama hastanede yatış süresi 5.29±2.28(2-11) gün idi. Postoperatif morbidite oranı %33.3 olup, en sık görülen komplikasyon yara enfeksiyonuydu. Postoperatif dönemde mortalite gözlenmedi. Sonuç: Fizik muayenede düzgün sınırlı kitle palpe edilen ve görüntüleme yöntemleriyle intraabdominal kistik kitle saptanan karın ağrısı ile başvuran hastalarda ayırıcı tanıda mezenterik kist göz önünde bulundurulmalıdır.
Objectives: Mesenteric cysts are rare intraabdominal tumors. In this study, we aimed to investigate the clinical findings, pathological features and surgical approaches of mesenteric cysts. Materials and methods: Between January 1985 - December 2010 at Dicle University Medical Faculty General Surgery and Pediatric Surgery Department, 21 patients with mesenteric cyst were retrospectively analyzed. Results: Sixteen patients (76.2%) were women and 5 (23.8%) were men, with a mean age of 32.62 ± 22:19 (4-79) years. The most common symptoms were abdominal mass and pain. Mesenteric cysts were often located on the small bowel mesentery (61.9%). Cyst sizes ranged from 4-25 cm in diameters. The most common performed surgical procedures in patients were enucleation (90.5%). The histopathological diagnosis was confirmed as cystic lymphangioma in 17 (80.9%) patients. The mean length of hospitals stay was 5.29 ± 2.28 (2-11) days. Postoperative morbidity rate was 33.3% and the most common complication was wound infection. There was no postoperative mortality. Conclusion: When physical examination revealed a palpable mass with regular margins and intraabdominal cystic mass is detected with imaging techniques, mesenteric cyst should be considered in differential diagnosis in patients presenting with abdominal pain.
Objectives: Mesenteric cysts are rare intraabdominal tumors. In this study, we aimed to investigate the clinical findings, pathological features and surgical approaches of mesenteric cysts. Materials and methods: Between January 1985 - December 2010 at Dicle University Medical Faculty General Surgery and Pediatric Surgery Department, 21 patients with mesenteric cyst were retrospectively analyzed. Results: Sixteen patients (76.2%) were women and 5 (23.8%) were men, with a mean age of 32.62 ± 22:19 (4-79) years. The most common symptoms were abdominal mass and pain. Mesenteric cysts were often located on the small bowel mesentery (61.9%). Cyst sizes ranged from 4-25 cm in diameters. The most common performed surgical procedures in patients were enucleation (90.5%). The histopathological diagnosis was confirmed as cystic lymphangioma in 17 (80.9%) patients. The mean length of hospitals stay was 5.29 ± 2.28 (2-11) days. Postoperative morbidity rate was 33.3% and the most common complication was wound infection. There was no postoperative mortality. Conclusion: When physical examination revealed a palpable mass with regular margins and intraabdominal cystic mass is detected with imaging techniques, mesenteric cyst should be considered in differential diagnosis in patients presenting with abdominal pain.
Açıklama
Anahtar Kelimeler
Mezenterik kist, Karın ağrısı, Palpabl kitle, Cerrahi giriş, Mesenteric cyst, Abdominal pain, Palpabl mass, Surgery
Kaynak
Journal of Clinical and Experimental Investigations
WoS Q Değeri
Scopus Q Değeri
Cilt
2
Sayı
4
Künye
Önder, A., Kapan, M., Arıkanoğlu, Z., Aliosmanoğlu, İ., Okur, M. H., Önder, H. ve diğerleri. (2011). İntraabdominal tümörlerin nadir bir nedeni: Mezenterik kistli 21 hastanın analizi. Journal of Clinical and Experimental Investigations, 2(4), 380-383.
