ZEKAİ SERHAN DERİCİ, Ali Kadir DEĞİRMENCİ, ALİ DURUBEY ÇEVLİK

Geriyatrik hastada tekrarlayan kasık fıtığında akut apandisit: Ender bir amyand herni olgusu

Acil servise genel durum bozukluğu, ateş yüksekliği ve bilinç bulanıklığı ile başvuran, başvuru öncesi herhangi bir abdominal şikâyeti olmayan ve tıbbi özgeçmişinde biri nüks nedeniyle olmak üzere iki defa sağ kasık fıtığı ameliyatı olan 73 yaşındaki erkek hastada, nüks sağ Amyand herni ve apandisit saptanmıştır. Atipik kliniği olan bu hastaya laparoskopik appendektomi yapılmıştır. Amyand hernide apandisit gelişme olasılığı %0.1’den az iken, ikinci nüks hernisi Amyand olarak gelişen bu hastanın bulguları ve uygulanan tedavi paylaşılarak, özellikle fıtık kesesi içerisindeki apandisitin, lokalize peritonit bulguları olmadan sistemik enfeksiyon kliniğine yol açabileceği, birden çok defa herni operasyonu geçiren hastalarda dahi nüks/atlanmış indirek inguinal herni olabileceği hatırlatılmak istenmiştir.

Anahtar Kelimeler:

Amyand herni, kasık fıtığı, apandisit, peritonit

APPENDICITIS WITHIN RECURRENT HERNIA ON GERIATRIC PATIENT: AN UNUSUAL AMYAND'S HERNIA

In a 73 year old male patient who admitted to emergency service with general medical condition disorder, high fever, unconsciousness, had no abdominal complaints prior to admission and had a right inguinal hernia surgery twice, one due to recurrence in the medical history, recurrent right Amyand hernia and appendicitis were detected. A laparoscopic appendectomy was performed in this atypical clinic. Although appendicitis due to Amyand hernia is observed in less than 0.1% of patients, by sharing this patient’s findings and treatment protocol whose second recurrence of hernia has developed as Amyand, it was aimed to remind that especially appendicitis in the hernia sac may lead to a systemic infection clinic without localized peritonitis findings and even in patients who have undergone multiple hernia operations, recurrent / indirect inguinal hernia may be present.

Keywords:

Amyand's hernia, groin hernia, appendicitis, peritonitis,

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