Akut apandisit ve Meckel divertiküliti birlikteliği
Çalışmamızda klinik tanısı akut apandisit olan, ameliyatta tabloya eşlik eden Meckel divertiküliti saptanan olgu sunulmuştur. Ameliyat edilen 11 yaşındaki erkek hastada, akut apandisite eşlik eden Meckel divertiküliti saptandı. Akut apandisite Meckel divertikülitinin eşlik etmesi çok ender olsa da, bu olgularda Meckel divertikülitinin gözden kaçması ciddi sorunlara neden olabilir.
Acute appendicitis coexisting with Meckel’s diverticulitis
We present here a case with acute appendicitis and Meckel’s diverticulitis which was clinically diagnosed as acute abdomen preoperatively. An eleven-year-old boy was found to have Meckel’s diverticulitis coexisting with acute appendicitis.Although appendicitis coexisting with Meckel’s diverticulitis is extremely rare, we suggest that the surgeon must bear it in mind during an acute appendicitis operation. If the surgeon overlooks it, the patient undergoing surgery may experience grave consequences.
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- 1. Perlman JA, Hoover HC, Safer PK. Femoral hernia with strangulated Meckel's diverticulum (Littre's hernia). Am J Surg 1980; 139: 286-9.
- 2. Leijonmarck CE, Bonman-Sandelin K, Frisell J, Räf L. Meckel's diverticulum in the adult. Br J Surg 1986; 73: 146-9.
- 3. Bani-Hani KE, Shatnawi NJ. Meckel’s diverticulum: Comparison of incidental and symptomatic cases. World J Surg 2004; 28: 917-20.
- 4. Korkmaz Ö, Yılmaz HG, Keleş C. Complications of Meckel’s diverticulum in adults. Türkiye Klinikleri J Med Sci 2007; 27: 518-21.
- 5. St-Vil D, Brandt ML, Panic S, Bensoussan AL, Blanchard H. Meckel's diverticulum in children: a 20-year review. J Pediatr Surg 1991; 26: 1289-92.
- 6. Akcakaya A, Alimoglu O, Ozkan OV, Sahin M. Komplikasyonlu Meckel divertikülleri. Ulus Travma Derg 2003; 9: 246-9.
- 7. Cullen JJ, Kelly KA, Moir CR, Hodge DO, Zinsmeister AR, Melton LJ. 3rd. Surgical management of Meckel’s diverticulum: An epidemiologic, population based study. Ann Surg 1994; 220: 564-8.
- 8. Başaklar AC. Bebek ve Çocukların Cerrahi ve Ürolojik Hastalıkları. Birinci baskı. Ankara: Palme, 2006; 783-9.
- 9. Çebi K. Akut Apandisitis ile birlikte sol over korpus luteum kist rüptürü: olgu sunumu. Fırat Tıp Dergisi 2001; 2: 347-8.