MEHMET CANİKLİOĞLU, Mehmet Ali ERGÜL, Abdullah DEMİRTAŞ, Nurettin ŞAHİN, Oğuz EKMEKÇİOĞLU, İbrahim GÜLMEZ

Destruction of perineal skin and posterior bladder wall as a result of rectum adenocarcinoma’s invasion: A case report

Sol kolon karsinomu nedeniyle 6 yıl once Miles Ameliyatı geçirmiş olan 65 yaşında erkek hasta sunulmuştur. Beş yıl sonra iki tarafı hidronefroz tanısı konan hastaya iki tarafı nefrostomi kateterleri kondu. Hasta bize perinesinde bir açıklık olduğunu söyleyerek başvurdu. Altı haftadır varolan altını ıslatma şikayeti vardı. Fizik muayenede perinedeki açıklıktan anterior mesane duvarı ve tümöral yapı varlığı görüldü. Hasta genel cerrahi tarafından inoperabl nüks tümör olarak değerlendirildi. Hastanın altını ıslatma şikayetini gidermek için iki tarafı laparoskopik üreter ligasyonu yapıldı. Hastada belirgin bir rahatlama izlendi. Yaradan idrar gelişi durmasına rağmen çevre dokulardan gelen doku sıvısı ve sekresyonlar hastanın şikayetlerinin tam olarak geçmemesine neden oldu. Laparoskopik retroperitoneoskopik bilateral ureter ligasyonu böyle hastalarda palyatif bir tedavi yöntemi olabilir.

Rektum adenokarsinomunun invazyonu sonucunda perineal cilt ve posterior mesane duvarı harabiyeti: Olgu sunumu

A 65 year old man had experienced Miles Operation cause of left colon carcinoma six years ago. Five years later bilateral nephrostomy catheters had placed into his kidneys because of bilateral hydroureteronephrosis. Then he presented at our clinic with an opening at his perineum. He has been complaining of wetness for six weeks. In physical examination anterior wall of the bladder and tumoral lesion were seen through the perinealhole. General surgeons evaluated the patient as inoperable relapsing tumor. Bilaterally laparoscopic ureter ligation was performed to fnish his wetness complaint. Bilateral laparoscopic ligation makes patient relieved signifcantly. Although urine drainage through the hole was stopped secretions from local tissues caused not to relieve the complaints of patient completely. Laparoscopic retroperitoneoscopic bilateral ureter ligation may be a palliative treatment option for these patients.

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