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Nefropatik Sendromlu Bir Hastada Karın Ağrısı

Abdominal Pain in a Patient With Nephrotic Syndrome

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Abstract (2. Language): 
Objectives: We aimed to report a case with a history of the¬ rapy-resistant focal and segmental glomerulosclerosis presenting with the main complaint of severe umbilical pain. A 36-year-old male patient with ascites secondary to nephrotic syndrome appli¬ ed to emergency service with severe abdominal pain. Decompres¬ sion of ascites achieved medically by fluid and salt restriction and diuretic administration had led to umbilical hernia incarceration in this patient. The content of the hernia was reducted. With this ca¬ se, we alarm the clinician for searching presence of umbilical her¬ nia in the medical management of ascites and thinking of incarce¬ rated umbilical hernia for abdominal pain in patients with nephrotic syndrome.
Abstract (Original Language): 
Amaç: Bu vaka ile, tedaviye dirençli fokal segmental glomerüloskleroz öyküsü bulunan ve ana şikâyeti, şiddetli karın ağrısı olan bir hasta tartışılmıştır. Nefrotik sendroma ikincil asiti olan 36 yaşındaki erkek hasta, asit dekompresyonu için sıvı ve tuz kısıtlaması ve diüretik kullanmakta iken, şiddetli karın ağrısı ile acil servise başvurdu. Hastada karın ağrısının inkarsere umbilikal herniye ikincil geliştiği saptanıp, herni içeriği redükte edildi. Bu vaka ile klinisyene, nefrotik sendroma ikincil gelişen asitin tıbbi tedavisi sırasında, umbilikal herni varlığının araştırılması ve nefrotik sendromu olan hastalarda karın ağrısı etiyolojisinde, umbilikal herni inkarserasyonunun hatırlatılması amaçlanmıştır.
FULL TEXT (PDF): 
233-235

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