Özlem ÇAKIRKÖSE, Ahmet DÜLGER, Derya SEVEN, Bilge ÇAKIR, Ugur KESICI

Abdominal aortik anevrizmalı hastalarda kolonik divertikül varlığının değerlendirilmesi

Giriş: Abdominal aort anevrizması nedeniyle takip edilen hastaların tomografi görüntülerinde aort anevrizması ile kolon divertikülü arasındaki ilişkinin değerlendirilmesi Gereç ve Yöntemler: Abdominal aort anevrizması ve kolon divertikülü olan/olmayan 40-88 yaş arası toplam 97 hastanın (Kadın/Erkek:20/77) tomografik görüntüleri analiz edildi. Abdominal aort çapları 20-29 mm, 30-49 mm ve 50 mm üzeri olarak sınıflandırılarak ve bu çaplarda abdominal aortta kolonik divertikül varlığı incelendi. Aortun çıkan, inen ve abdominal bölgelerinde plak varlığı, daralma ve genişleme olup olmadığı, bağırsağı besleyen alt ve üst mezenterik arterlerdeki arteriyel plak, daralma ve darlık düzeyleri değerlendirildi. Sonuç: Abdominal aort çapı normal olan hastaların tomografik görüntülerinde kolon divertikül oranı anlamlı olarak düşük bulundu. Abdominal aort çapının 29 mm'den 50 mm ve üzerine çıktıkça gastrik divertikül sıklığının dahada arttığı bulundu. Tartışma: Abdominal aort çapı arttıkça kolon divertikülü saptanma olasılığı artmaktadır.

Anahtar Kelimeler:

Abdominal aort anevrizması, kolon divertikülü, tomografi

The Evaluation of The Presence of Colonic Diverticulum in Patients with Abdominal Aortic Aneurysm

Aim: The evaluation of the relationship between the aortic aneurysm and colonic diverticulum in the tomography images of the patients followed-up for abdominal aortic aneurysm Methods: The tomographic images of 97 patients (Female/Male:20/77) aged between 40-88 years with/without abdominal aortic aneurysm and colonic diverticulum were analyzed. Abdominal aortic diameters were analyzed by categorizing them as 20-29 mm, 30-49 mm, and 50 mm over, and the presence of colonic diverticulum in the abdominal aorta with these diameters. The presence of plaque, narrowing, and dilatation in ascending, descending, and abdominal parts of the aorta was evaluated, and the levels of arterial plaque, narrowing, and stenosis in the inferior and superior mesenteric arteries supplying the intestine were assessed. Results: The rate of colonic diverticulum was found to be significantly lower in the tomographic images of the patients with normal abdominal aortic diameter. It was found that the frequency of colonic diverticulum increased as the abdominal aortic diameter increased from 29 mm to 50 mm and above. Conclusion: The probability of detection of colonic diverticulum increases as the diameter of the abdominal aorta increases.

Keywords:

Abdominal aortic aneurysm, colonic diverticulum, tomography,

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