Çağrı TİRYAKİ, MUSTAFA CELALETTİN HAKSAL, HAMDİ TANER TURGUT, MEHMET ÖZYILDIZ, Murat COŞKUN, ALİ ÇİFTÇİ, Murat Burç YAZICIOĞLU, Selim YİĞİT YILDIZ

Gebelerde akut apandisit: klinik deneyimimiz

Gebelikte nonobstetrik nedenlerle en sık cerrahi girişim gerektiren cerrahi hastalık akut apandisittir. Bizde kliniğimizde akut apandisit nedeniyle ameliyat ettiğimiz 10 vakayı literatür altında irdelemeyi amaçladık. Gereç ve yöntem: Kliniğimizde Şubat 2009-Aralık 2012 arasında apandektomi uygulanmış 10 gebe hastanın bilgileri retrospektif olarak incelendi. Bulgular: hastanemize başvuru nedeni karın ağrısı idi. 9 hastamızda ağrı sağ alt kadranda iken, 32 haftalık gebeliği olan 1 hastada ağrı sağ üst kadranda lokalize idi. 8 hastaya preoperatif dönemde ultrasonografi yapıldı ve 5'ine (%62.5) sonografik olarak akut apandisit tanısı kondu. Ultrason incelenmesinin negatif olduğu 3 hasta ise fizik muayene bulgularına göre ameliyat edildi. 7 hastada patoloji raporu ''apendiks inflame, ödemli'' 1 hastada ise ''apendiks nekroze ve gangrene'' olarak geldi. Ultrasonografi yapılmayan 2 hastanın patoloji sonucu ise normal olarak rapor edildi. Sonuç: Gebe hastalarda akut apandisit tanısı zor olmakla beraber; cerrah, jinekolog ve radyologların multidisipliner gecikmeleri, dolayısıyla maternal ve fetal mortalite ve morbiditeyi azaltacağı kanaatindeyiz

Acute appendicitis during pregnancy: clinical experience

Objective: Acute appendicitis is the most frequent nonobstetric disease which requires surgery during pregnancy. We intend to explicate 10 cases who get surgery due to acute apendicitis in our clinic. Materials and methods: Clinical features of 10 pregnant patients admitted to our hospital between February 2009 - December 2012 were analyzed retrospectively Results: Abdominal pain was the reason for admission to hospital of 10 patients included in the study. Abdominal pain was localized to right lower quadrant in our 9 patient, right upper quadrant in one patient with 32 week pregnancy. Abdominal ultrasound examination was performed to 8 patient preoperatively and 5 of them (%62.5) diagnosed as acute appendicitis. 3 patients who were not diagnosed as acute appendicitis by ultrasound imaging, got surgery due to pain in physical examination. Pathologic diagnosis was "appendicitis with inflammation and edema" in 7 patients and "appendicitis with necrosis and gangrene" in 1 patient. Pathologic diagnosis was normal in 2 patients who has not undergone ultrasonographic examination. Conclusion: We think that even though acute appendicitis is difficult to diagnose during pregnancy, multidisciplinary approach of surgeon, gynocologist and radiologist may reduce treatment delay and maternal-fetal motality and morbidity rate

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