Adneksiyal Herni YönetimindeLaparoskopi; Vaka Sunumu

Broad ligaman hernisi iç organların pelvik peritondan fıtıklaşmasıdır. İnternal fıtıkların %5’ini oluşturmaktadır. Bu olgu sunumunda, epizodik karin ağrısı şikâyetiyle başvuran, daha önce medikal öyküsü bulunmayan ve değerlendirmesinde 5 cm‘lik adneksiyal anekoik kist şaptanmış olan hastayı sunmaktayız. 8 saatlik takip sonrasında klinik şikâyetlerin gerilememesi üzerine hastanın laparoskopi ile değerlendirilmesine karar verildi. Ameliyat bulgusu olarak sağ adneks ve 5 cm’lik kistin broad ligamandan herniye oldugu saptandı. Laparoskopik olarak over kisti eksize edilip, fıtıklaşma onarıldı. Klinik bulgular ameliyat sonrasi geriledi ve hasta bir gün sonra taburcu edildi. Sonuç olarak, kadınlarda akut batin tablosunda adnekslerin broad ligamandan fıtıklaşması akılda bulunması gereken ayırıcı tanılardan biridir. Adneksiyal herninin tanı ve tedavisinde laparoskopi etkin bir prosedürdür

Case Report; Laparoscopy In The Management of Internal Herniation of Adnexa

Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia

Keywords:

ovarian hernia, broad ligament hernia adnexial hernia, female acute abdominal pain, laparoscopy,

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