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Neonatal torsiyone over kisti: Olgu sunumu
2019
Journal:  
Şişli Etfal Hastanesi Tıp Bülteni
Author:  
Abstract:

Yenidoğan döneminde görülen abdominal kitlelerin %85'i benign karakterde olup, %50'si renal, %15'i genital, %15’i gastrointestinal ve %5'i hepatobiliyer sisteme aittir. Over kistleri genital kaynaklı kitlelerin üçte birini oluşturmaktadır. Antenatal dönemde torsiyone olmuş ve hemorajik kistik kitle haline dönüşmesi nedeniyle nefroma öntanısı almış olan over kisti olgusunu sunmaktayız. Olgu: Prenatal dönemde yapılan ultrasonografisinde nefroma öntanısı olan, 37 gebelik haftasında doğan kız bebek ileri tetkik ve tedavi amacıyla yenidoğan kliniğine yatırıldı. Bebeğin fizik muayenesinde; batın sol alt kadranda ele gelen kitlesi dışında patoloji saptanmadı. Hematolojik ve biyokimyasal tetkikleri normal sınırlardaydı. Batın ultrasonografisinde sol üst kadranda böbrek ile ilişiği izlenmeyen yaklaşık 50x45x35 mm boyutunda düzgün sınırlı kistik kitle izlendi. Manyetik rezonans görüntülemesinde; sol adneksiyal alanda boyutları 55x44x49 mm olan düzgün konturlu içerisinde multipl septasyonlar içeren, kontrast tutmayan antenatal hemorajik torsiyone over kisti olabileceği düşünülen kitle saptandı. Postnatal 7. günde yapılan laparoskopide, 2 tam tur torsiyone olduğu görülen sol over çıkarıldı. İzlemde herhangi bir sorunu olmayan bebek taburcu edildi. Sonuç: Prenatal dönemde tespit edilen kistik kitlelerin over kaynaklı olabileceği akılda tutulmalı, hastanın kliniği ve over kistinin büyüklüğüne göre uygun takibi ve tedavisi planlanmalıdır.

Keywords:

Neonatal torsiyone over the cyst: Olgu sunumu
2019
Author:  
Abstract:

85% of abdominal masses seen in the newborn period are benign, 50% belong to the kidney, 15% genital, 15% gastrointestinal and 5% hepatobial system. Over cysts make up one-third of genital-based masses. We are presenting the overcyste phenomenon that has been tortioned in the anti-natal period and has received the prediction of nefroma due to the conversion into a hemorrhagic cystic mass. The fact is that the girl born in the 37th week of pregnancy, with the prediction of nefroma in the prenatal ultrasound, was placed in the newborn clinic for advanced examination and treatment. In the physical examination of the baby; no pathology was detected except the mass treated in the bottom left of the western. Hematological and biochemical examinations were at normal limits. In the Western ultrasound, a properly limited cystic mass of approximately 50x45x35 mm, which was not observed in the upper left side of the kidney, was observed. In the magnetic resonance imaging; the mass found that it may be an antenatal hemorrhagic tortion over cyst with multiple sepsions in the straight contour of 55x44x49 mm in the left adnectional area. In the postnatal laparoscopy on the 7th day, the left over was removed, which was shown to be 2 full-tour tortion. The baby was released without any problems. The result: it should be remembered that the cystic masses identified in the prenatal period may be over-source, appropriate tracking and treatment should be planned according to the patient's clinic and the size of the overcyst.

Keywords:

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Şişli Etfal Hastanesi Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni