Buradasınız

Anasayfa » Content

Yetişkinde İnce Barsak İnvajinasyonu

Intestinal Invagination in An Adult

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Invagination is the condition whereby a segment of intestine becomes drawn into the lumen of the proximal bowel. invagination in adults is a rare situation and the causes are different from childhood group. A 33 years old female patient admitted to emergency service with abdominal pain , nousea and vomiting. In ultrasonography and abdominal computed tomography suspected from invagination so the patient was operated urgently.In operation a masswas palpated and segmental resection was applied. Post-operative 7 th day , the patient was discharged from hospital without any complication. In pathological evaluation well-differentiated adenocarcinoma was detected in all polyps. Although invagination is a rare condition in adult patients when suspected from invagination the possibility of malign tumor should be considered. According to this , wide segmental resection is advised.
Bookmark/Search this post with
Abstract (Original Language): 
İnvajinasyon barsağın bir segmentinin diğer segmentinin içine girmesi olarak tanımlanır. Yetişkin invajinasyonu nadir bir durumdur ve sebepleri çocukluk yaş grubundan farklıdır. Otuzüç yaşında kadın hasta acil servise karın ağrısı, bulantı ve kusma şikayetleriyle başvurdu. Karın ultrasonografisi ve bilgisayarlı tomografide invajinasyondan şüphelenildi, hasta acil ameliyata alındı. İnvajinasyon alanında tümöral kitle palpe edilerek segmenter rezeksiyon uygulandı. Ameliyat sonrası süreçte sorun yaşanmayan hasta postoperatif yedinci gün taburcu edildi. Patolojik değerlendirmede dört polibin her birinde iyi diferansiye adenokarsinom tespit edildi. Yetişkin olgularda invajinasyon nadir görülse de preoperatif değerlendirmede invajinasyon düşünüldüğünde bunun habis bir tümöre bağlı olabileceği unutulmamalıdır. Bu bağlamda yapılacak rezeksiyonun sınırlarının geniş tutulması önerilir.
FULL TEXT (PDF): 
PDF icon arastirmax-yetiskinde-ince-barsak-invajinasyonu.pdf
  • 4
238-239
  • Turkish

REFERENCES

References: 

1. Begos DG, Sandor A, Modlin IM (1997) The diagnosis and management of adult intussusception. Am J Surg 173:88-94
2. Eisen LK, Cunningham JD, Aufses AH Jr (1999) Intussusceptionin adults: Institutional review. J Am Coll Surg 188:390-395
3. Haas EM, Etter EL, Ellis S, Taylor TV. Adult intussusception. Am J Surg 2003;186:75-6.
4. Hidehisa Yamada • Takayuki Morita • Miyoshi Fujita (2007) Adult Intussusception Due to Enteric Neoplasms. Dig Dis Sci 52:764—766
5. Azar T, Berger DL. Adult intussusception. Ann Surg 1997;226: 134—8.
6. C. Triantopoulou, A. Vassilaki, D. Filippou, Adult ileocolic intussusception secondary to a submucosal cecal lipoma. Abdom Imaging (2004) 29:426¬428
7. Taylor BA, Wolff BG (1987) Colonic lipomas: report of two unusual cases and review of Mayo Clinic experience, 1976-1985. Dis Colon Rectum
30:888-893
8. Rogers SO, Lee M, Stanley A (2002) Giant colonic lipoma as lead point for intermittent colo-colonic intussusception. Surgery 131:678-680
9. Zeebregts C, Geraedts A, Blaauwgeers J, Hoitsma H (1995) Intussusception of the sigmoid colon because of an intramuscular lipoma. Dis Colon Rectum 38:891-892
10. Gayer G (2001) Intussusception. Not only a childhood disease. IMA J Math Appl Med Biol 3:962
11. Erkan N, Haciyanli M, Yildirim M, Sayhan H, Vardar E, Polat AF, et al. Intussusception in adults: an unusual and challenging condition for surgeons. Int J Colorectal Dis 2005; 20(5): 452-6.
12. Casamayor Franco MC, Yánez Benítez C, Hernando Almudí E, Ligorred Padilla LA, García Omedes A, López López JI, et al. Adult intussusception. CT diagnosis. Rev Esp Enferm Dig 2007; 99(12): 722.
13. Liessi G, Pavanello S, Cesari S, et al. (1996) Large lipomas of the colon: CT and MR findings in three symptomatic cases. Abdom Imaging 21:150-152
14. Luckey P, Kemper J, Engelbrecht V, Mudder U (2002) Idiopathic ileoileal intussusception in an adult with spontaneous reduction during enteroclysis: a case report. Abdom Imaging 25:48-50
15. Lebeau R, Koffi E, Diané B, Amani A, Kouassi JC. Acute intestinal intussusceptions in adults: analysis of 20 cases. Ann Chir 2006; 131(8):
447-50.
16. Guillén Paredes MP, Campillo Soto A, Martín Lorenzo JG, Torralba Martínez JA, Mengual Ballester M, Cases Baldó MJ, Aguayo Albasini JL. Adult intussusception 14 case reports and their outcomes. Rev Esp Enferm Dig. 2010 Jan;102(1):32-40.
17. Felig D (2001) Bowel obstruction due to a large ileal lipoma. Gastrointest Endosc 53:342

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