Nadir Yerleșimli Spontan Gastrik Perforasyonu: Bir Olgu Sunumu
75 yașında erkek hasta, sol frontal bölgesinde yer alan bir kitle nedeniyle kliniğimize bașvurdu. Yapılan insizyonel biyopsi sonucu saçlı deriye ait yassı hücreli kanser olarak değerlendirildi. Tümör geniș olarak eksize edilip, sol radial ön kol flebi ile rekonstrükte edildi. Operasyondan bir gün sonra lokalize edilemeyen epigastrik ağrı ve kontrol edilemeyen hıçkırma șikayetleri bașladı. Düz postero-anterior abdominal grafi ve bilgisayarlı tomografi görüntülerinde diaframın altında oldukça fazla miktarda serbest hava tespit edildi. Gastrointestinal perforasyon ön tanısı ile laporotomi yapıldı. Gastrik fundusun posterior duvarında bir perforasyon saptandı ve onarıldı. Erken postoperatif dönemde problemi olmayan hasta 10. günde myokardial enfarktüse bağlı olarak ex oldu. Bu hastada saptanan ve olgu sunumumuzda incelenen posterior gastrik duvardaki spontan perforasyon nadir görülen bir durumdur.
Anahtar Kelimeler:
Spontan gastrik perforasyon, serbest flep komplikasyonu, stress ülseri
An Unusual Localization Of Spontaneous Gastric Perforation: A Case Report
Keywords:
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- Başlangıç: 1947
- Yayıncı: Erkan Mor