Açık Apendektomi Sonrası Nadir Bir Komplikasyon Güdük Apandisit: Olgu Sunumu

Akut apandisit, cerrahi akut karın nedenleri sıralandığında listenin en üst sıralarında yer almaktadır. Apendektomi, dünyada en yaygın uygulanan cerrahi prosedürdür. Güdük apandisit apendektomi sonrası nadir görülen komplikasyonlardan birisidir. İlk defa 1945 yılında Dr. Rose tarafından tanımlanmıştır. İnkomplet olarak yapılan apendektomi sonrası remnant apendiksin enflamasyonu ile karakterize bir tablodur. Kliniği diğer akut karın nedenlerine benzerdir. Tanıda anamnez ve fizik muayenenin yanında abdominal tomografi önemli yer tutmaktadır. Akut karın tablosu ile acil servise başvuran ve geçmişinde apendektomi öyküsü olan hastalarda mevcut ağrının özellikle sağ alt kadranda olması güdük apandisitin ayırıcı tanıda mutlaka akılda tutulmasını gerektirmektedir.

Stump Appendicitis is a Rare Complication After Open Appendectomy: Case Report

Acute appendicitis is at the top of the list when the reasons of acute abdomen are listed. Appendectomy is the most commenly performed surgical procedure worldwide. Stump appendicitis is one of the rarely seen complications after appendectomy. It was first described by Dr. Rosein 1945. Stump appendicitis is a clinical condition characterized by the inflammation of remnant appendix after incomplete appendectomy. The clinical picture resembles the reasons causing acute abdomen. Abdominal CT has an important role in diagnosis as well as history taking and physical examination. In patients admitting to emergency department with acute abdomen who has previous appendectomy history,stump appendicitis must be considered in the differential diagnosis, especially when the pain is present at right lower quadrant.

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