ÖZET İnvajinasyon proksimal bir bağırsak segmentinin distal bağırsak segmenti içine girmesidir. Genellikle çocuklarda karşımıza çıkan bir patoloji olmasına karşın erişkinde de nadir de olsa karşılaşılmaktadır. Atipik klinik seyrinden dolayı bazı hastalarda preop tanısı konulamayabilir. Başvuru anındaki en sık semptom karın ağrısıdır. Tanısı preop olarak USG, BT ile konulabilir. Bunların içinde tanı koyma oranı en yüksek olan radyolojik yöntem BT’dir. Tedavisi cerrahidir. İnce bağırsak kaynaklı olanlarda malignite nadirdir. Ancak kolon kaynaklı invajinasyonlarda malignite olasılığı yüksek olduğu için rezeksiyon yapılırken dikkatli olunmalıdır. Bu yazıda bahsedilen hasta acile ileus bulgularıyla başvurdu ve invajinasyon tanısı konuldu. Çekilen abdomen tomografide ince bağırsak kaynaklı olduğu saptandı ve hasta opere edildi. Operasyonda jejenum duvarına fiske tümör tespit edildi ve redüksiyon sonrasında rezeksiyon işlemi uygulandı. Postop takiplerinde komplikasyon olmadı ve hasta taburcu edildi. Patoloji sonucunda malignite saptanmadı. Anahtar Sözcükler: İnvajinasyon İleus Yetişkin ABSTRACT Intussusception is the condition whereby proximal intestinal segment drawn into the distal bowel segment. When this disease seen usually a in children, it is rarely seen in adults. Some patients may not have preoperative diagnosis due to atypical clinical picture. The most common symptom is abdominal pain. Diagnosis can be made by USG, CT as preoperative among them CT is the radiological method with the highest diagnostic rate. The main treatment of invagination is surgery. In the patients with intussusception of the small intestine, an associated primary malignancy is uncommon. However, because of the high likelihood of malignancy in colon intussusception, caution should be exercised when performing resection. In this article, the patient referred to the emergency with ileus findings and the diagnosis of intussusception was made. Abdominal computed tomography showed small intestine intussusception. The patient was operated. It was determined that invagination was due to adherent mass on jejunum wall. İnitial reduction, followed by limited surgical resection was performed. Postoperative follow-up was uneventful and the patient was discharged. A pathological report revealed a benign polyp, no malignancy. Keywords: Intussusception Ileus Adult
Invasion is the entrance of a proximal intestinal segment into the distal intestinal segment. It is often a pathology that we experience in children, although it is rare in adults. Due to the atypical clinical course, some patients may not be diagnosed with preop. The immediate symptom of application is stomach pain. The diagnosis as preop can be placed with USG, BT. The radiological method of diagnosis is high in BT. The treatment is surgical. Malignity is rare in those that are derived from thin intestines. However, it is necessary to be careful when recession is done, because malignity in colon-based invasions are likely to be high. The patient mentioned in this article was referred to with the findings of an emergency ileus and the diagnosis of invasion was made. The taken abdomen tomography was found to be derived from the thin intestine and the patient was operated. In the operation, a fishing tumor was detected on the gene wall and the recession process was applied after the reduction. There were no complications in the follow-up and the patient was dismissed. Malignity is not identified as a result of pathology. Keywords: Injection; Ileus; Adult ABSTRACT Intussusception is the condition by which the proximal intestinal segment drawn into the distal bowel segment. When this disease is usually seen in children, it is rarely seen in adults. Some patients may not have preoperative diagnosis due to atypical clinical picture. The most common symptom is abdominal pain. Diagnosis can be made by USG, CT as preoperative among them; CT is the radiological method with the highest diagnostic rate. The main treatment of invagination is surgery. In the patients with intussusception of the small intestine, an associated primary malignancy is uncommon. However, because of the high likelihood of malignancy in colon intussusception, caution should be exercised when performing resection. In this article, the patient referred to the emergency with ileus findings and the diagnosis of intussusception was made. Abdominal computed tomography showed small intestine intussusception. The patient was operated. It was determined that invagination was due to adherent mass on the jejunum wall. Initial reduction, followed by limited surgical resection was performed. Postoperative follow-up was uneventful and the patient was discharged. A pathological report revealed a benign polyp, no malignancy. Keywords: Intussusception; Ileus; Adult
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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