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Gebelikte akut apandisit tanısı

Diagnosis ofacute appendicitis during pregnancy

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2005

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Abstract (2. Language): 
Background: Acute appendicitis is the most common surgical problem in pregnancy after obstetric reasons. Pregnant patients operated with diagnosis of acute appendicitis were revievved retrospectively ın this study. Patıents and Methods : 24 pregnant patients operated vvith diagnosis of acute appendicitis in Ankara Numune Training and Research Hospital between January and December 2003 vvere included in this study. Results: 19 out of 24 patients (%79.2j vvere pathologically diagnosed as acute appendicitis. Out of other 5 patients , 2 patients had ovarian cyst rupture, I had ovarian cyst torsion , and 2 had negative laparatomies. Distribution of patients was 2 . 16 , and 6 patients respectively, for İst, 2nd, and 3rd trimester 2 patients had preterm labour and I fetus resulted vvith exitus. Preoperative ultrasonography shovved similarity to peroperative findings in 12 of 24 patients. Discussion : Diagnosis ofacute appendicitis in pregnancy is quite difficult. and physical examination and patient history are stili most ımpor-tant diagnostic tools. Perforation risk in pregnant patients higher than normal population.
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Abstract (Original Language): 
Giriş: Gebelikte, obstetrik olaylar dışında en sık cerrahi girişim nedeni akut apandisittir. Bu çalışmada akut apandisit ön tanısıyla ameliyat edilen gebe hastalar retrospektıf olarak değerlendirilmiştir. Gereç ve Yöntem: Ankara Numune Eğitim ve Araştırma Hastanesinde Ocak 200 i ile Aralık 2003 tarihleri arasında akut apandisit ön tanısıyla öpere edilen 24 gebe hasta çalışmaya dahil edilmiştir Sonuçlar: Yirmidort hastanın 19 unda patoloji sonucu akut apandisit tanısı ile uyumlu idi {9679,2}, Diğer 5 hastanın 2'sinde över kist rupturü. i' inde paratubal torsıyone över kisti. diğer 2 sinde ise negatif laparatomi mevcuttu. I.. 2.. ve 3. trimesterdeki hasta sayısı sırasıyla 2. 16 ve 6 idi. 2 hastada preterm eylem gelişti ve vakaların birinde fetus kaybedildi. 12 hastada preoperatif dönemde yapılan ultrasonografı peroperatıf bulgularla ben¬zerdi. Tartışma: Gebelikte akut apandisit tanısı oldukça güç olup fizik muayene ve anamnez, halen en önemli tanı yön¬temleridir ve normal populasyona göre gebelerde perforasyon riski artmaktadır.
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  • 2
59-62
  • Turkish

REFERENCES

References: 

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