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Amaç: Çocuklarda akut apandisit dışı akut cerrahi nedenlerin değerlendirilmesi. Gereç ve yöntem: Ocak 2017- Aralık 2020 tarihleri arasında acil karın cerrahisi yapılan çocuk hastalar retrospektif olarak değerlendirildi. Yenidoğan dönemindeki hastalar ve apandisit nedeniyle ameliyat edilen hastalar çaışma dışı bırakıldı. Bulgular: 595 hastaya acil abdominal cerrahi yapıldı. 468'inde (%78,7) kesin tanı apandisitti. Apandisit dışı nedenle ameliyat edilen 127 hastanın (%21,3) ortanca yaşı 8 (0,96- 17,75) yıldı. Travma ile başvuran 14 (%11) hasta vardı (12 erkek, 2 kız, ortanca yaş 12,66 yıl). En sık travma nedeni ateşli silah yaralanması ve en sık yaralanma gastrointestinal sistemde yaralanmasıydı. Nontravmatik Grupta 62 (%54,6) hasta erkek ve 51 (%45,1) hasta kızdı ( ortanca yaş 6,41 yıl). İnfantlarda ve küçük çocuklarda en sık invajinasyon görüldü. Ergen erkeklerde ve Çocuk Grubunda en sık adhesiv barsak tıkanıklığı görülürken, ergen kızlarda en sık adneksiyal torsiyon görüldü. İnvajinasyon, adhesiv barsak tıkanıklığı ve gastrointestinal perforasyon tüm yaş gruplarında görüldü. Sonuç: Çocuklarda en sık akut karın nedeni akut apandisit olsa da, diğer nedenler de nadir değildir ve ayırıcı tanı ve müdahalenin "daha acil" olması nedeniyle dikkat edilmelidir. Yaş gruplarına göre bu "daha acil" durumların farkında olunması komplikasyonları, morbiditeyi ve hatta mortaliteyi önleyebilir.
Purpose: Evaluation of acute non-apandicite acute surgical causes in children. Tools and methods: Children with emergency abdominal surgery between January 2017 and December 2020 were evaluated as retrospective. Patients in the newborn period and patients operated due to apanditis were dismissed. 595 patients were undergoing an emergency abdominal surgery. In 468 (78.7%) the exact diagnosis was apandicitis. The average age of 127 patients (21.3%) who were operated for non-apandicitis causes was 8 years (0.96-17.75). There were 14 (%11) patients with trauma (12 men, 2 girls, an average age; 12.66 years). The most common cause of trauma was a firearm injury in the gastrointestinal system. In the non-traumatic group, 62 (54.6%) patients were male and 51 (45,1%) patients were angry ( average age; 6.41 years). Infants and infants have been invaded. In adolescent men and children, adhesive abdominal obstruction was observed, while adolescent girls had adhesive tortion. Injection, adhesive abdominal obstruction and gastrointestinal perforation have been observed in all age groups. The result: Although the cause of acute abdomen in children is acute apandicitis, other causes are not rare, and the distinctive diagnosis and intervention should be taken into consideration because it is "more urgent". Being aware of these “more urgent” conditions according to age groups can prevent complications, morbidity, and even mortality.
Aim: To evaluate the acute surgical conditions beyond acute appendicitis in children. Material and method: The children who underwent urgent abdominal surgery between January 2017-December 2020 are retrospectively evaluated. The newborns and patients with acute appendicitis are excluded. Results: A total of 595 patients underwent urgent abdominal surgery. Acute appendicitis was the final diagnosis in 468 of them (78.7%). The median age of the rest of the 127 patients (21.3%) was 8 years (0.96-17.75 years). Fourteen patients admitted with trauma (11%) (12 boys and 2 girls, median age; 12.66 years), and the most common cause was firearm injuries with the most common injured system was the gastrointestinal system. Among the patients without trauma, 62 were boys (54.6%) and 51 were girls (45.1%) (median age; 6.41 years). Intussusception was most common in the Infant and Young Child Group. Adhesive small bowel obstruction was most common in adolescent boys and the Child Group while adnexal torsion was most common in adolescent girls. Intussusception, adhesive small bowel obstruction and gastrointestinal perforation were encountered in all age groups Conclusion: Although acute appendicitis is the most common cause of acute abdomen in children, other causes are not uncommon and some need special attention as differential diagnosis and intervention are "more urgent" than others. Awareness of these "more urgent" conditions with respect to age groups may prevent complications, morbidity, and even mortality.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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