You are here

Home » Content

Gebelikte Görülen Nadir Bir Akut Karin Nedeni: İncebarsak İskemisi

A Rare Cause Of Acute Abdomen In Pregnancy: Small Bowel Ischemia

Journal Name:

  • Abant Tıp Dergisi

Publication Year:

  • 2017
DOI: 
10.5505/abantmedj.2017.70893

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Acute abdomen in pregnancy is still a condition which poses problems in diagnosis and treatment. The physiological and anatomical changes in pregnancy account for the reasons that complicate diagnosis and treatment. The 26-year-old 29- weeks pregnant patient was examined because of abdominal pain. The results of her ultrasonographic revealed minimal free fluid in both the upper and lower right quadrants and dilatation in a segment of small intestinal loop. She was taken into surgery. Ischemic small intestine loop was seen. It was decided that she needed a c-section firstly and then resection were performed. Physicians should rapidly decide on medical or surgical treatment and should note that c-section can be performed, if need be, during the third trimester in possible acute abdomen cases in pregnant patients.
Bookmark/Search this post with
Abstract (Original Language): 
Gebelikte akut karın hala tanı koyulmasında ve tedavi edilmesinde güçlüklerle karşılaşılan bir durumdur. Gebelikte oluşan fizyolojik ve anatomik değişiklikler tanı ve tedaviyi zorlaştıran nedenlerdir. Yirmialtı yaşında 29 haftalık gebe hasta karın ağrısı nedeniyle değerlendirildi. Ağrı özellikle sağ üst kadranda idi. Ultrasonografik incelemede sağ üst ve alt kadranlarda minimal serbest sıvı ve bir segmentte ince barsak ansında genişleme görüldü. Hasta ameliyata alındı. İskemik ince barsak ansı görüldü. Öncelikle sezeryan yapılmasına karar verildi ve ardından rezeksiyon yapıldı. Gebelerde olası bir akut karın şüphesinde, medikal ya da cerrahi tedaviye hızlı karar verilmeli ve üçüncü trimesterdaki gebeliklerde gerek duyulduğunda sezeryan yapılabileceği de akılda bulundurulmalıdır.
FULL TEXT (PDF): 
PDF icon arastirmax-gebelikte-gorulen-nadir-bir-akut-karin-nedeni-incebarsak-iskemisi.pdf
  • 2
64
66
  • Turkish

REFERENCES

References: 

1. Augustin G, Majerovic M. Non obstetrical acute abdomen
during pregnancy. Eur J Obstet Gynecol Reprod Biol 2007;
131(1): 4-1.
2. Ballantyne GH, Brouder MD, Beart RWJ, IIstrup DM.
Volvulus of the colon: incidence and mortality. Am Surg
1985; 202: 83–92.
3. Sharp HT, The acute abdomen during pregnancy. Clin
Obstet Gynecol 2002; 45:405–413.
4. Mourad J, Elliot JP, Erikson L, Lisboa L. Appendicitis in
pregnancy: new information that contradicts long-held
clinical beliefs. Am J Obstet Gynecol 2000; 182(5): 1027–
1029.
5. Edwards RK, Ripley DL, Davis JD, Bennett BB, Simms-
Cendan JS, Cendan JC, Stone IK. Surgery in the pregnant
patient. Curr Probl Surg 2001; 38(4): 213- 90.
6. Perdue PW, Johnson HW, Stafford PW. Intestinal
obstruction complicating pregnancy. Am J Surg 1992;
164: 384–388.
7. Gezgiç K, Korkmaz T. Gebelik döneminde gebelikle ilişkili
olmayan akut karın nedenleri ve tedavileri. Selcuk tıp
derg 2013; 29 (4): 192-199.
8. Van den Broe NR. Letsky EA. Pregnancy and the
erythrocyte sedimentation rate. Br J Obstet Gynaecol
2001; 108: 1164-1167.
9. Acker DB, Johnson MP, Sachs BP, Friedman EA. The
leukocyte count in labor. Am J Obstet Gynecol 1985;
153(7): 737–739.
10. Kennedy A. Assessment of acute abdominal pain in the
pregnant patient. Semin Ultrasound. CT MR 2000; 21: 64-
77.
11. Birchard KR, Brown MA, Hyslop WB, Firat Z, Semelka RC.
MRI of acute abdominal and pelvic pain in pregnant
patients. AJR Am J Roentgenol 2005; 184(2): 452-458.
12. Coleman NT, Trianfo VA, Rund DA. Nonobstetric
emergencies in pregnancy: trauma and surgical
conditions. Am J Obstet Gynecol 1997; 177: 497–502.
13. Oleszczuk J, Leszcynska-Gorzelak B, Czajkowska I, Rosinski
A. Mechanical ileus in pregnancy. Zentralbl Gynacol 1991;
113(23): 1327-1330.
14. Allen J, Helling T, Langenfeld M. Intraabdominal surgery
during pregnancy. Am J Surg 1989; 158: 567–569.
15. Redlich A, Rickes S, Costa S-D, Wolff S. Small bowel
obstruction in pregnancy. Arch Gynecol Obstet 2007;
275: 381-383.

Thank you for copying data from http://www.arastirmax.com