Arif Osman TOKAT, Sezgin KARASU, Yusuf Akif AKGÜN, Aziz Mutlu BARLAS

Akut apandisitte bakteriyel translokasyona bağlı torasik ampiyem

Apandisit ve torasik ampiyeme birlikte seyrek rastlanır. Burada nonperfore apandisit nedeniyle opere edilen bir hastada, bakteriyel translokasyona bağlı gelişen torasik ampiyem sunulmaktadır. Hastada ampiyem, klinik ve radyolojik olarak postoperatif üçüncü gün saptandı. Tüp torakostomi ve antibiyotik tedavisi uygulandı. Tüm bu tedaviye rağmen, semptom- lar ilerledi ve abdominal ultrasonografide karın içinde multiloküler apse odaları geliştiği saptandı. Karın içindeki apseler nonvasküler girişimsel radyolojik tekniklerle boşaltıldı. İnanıyoruz ki, bu olguda torasik ampiyem ve karında multipl apse gelişiminin eş zamanlı olmasının nedeni bakteriyel translokasyondur.

Thoracic empyema due to bacterial translocation in acute appendicitis

Appendicitis and thoracic empyema are rarely presented together. Herein, we present a thoracic empyema due to bacterial translocation in a patient, after she underwent appendicectomy for nonperforated acute appendicitis. Postoperative third day, thoracic empyema was revealed clinically and radiologically. Tube thoracostomy and antibiotherapy were performed. Despite all these therapy, her symptoms went on, and abdominal ultrasonography revealed multilocular collections and formations of abscess in the abdomen. All abscesses were drained by nonvascular interventional radiologic methods. We believe that simul- taneous occurence of thoracic empyema and formations of abscess were occured due to bacterial translocation.

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