Abstract
Genç bir hastada kolonoskopik detorsiyon ile tedavi edilemeyen ve cerrahi rezeksiyon gerektiren sigmoid volvulus olgusunun tanı ve tedavi sürecinin sunulması amaçlanmıştır.
Yirmi yedi yaşında erkek hasta karın ağrısı, şişkinlik ve kusma
ile birlikte bulantı şikayetleri ile başvurdu. Karın fizik muayenesinde karın ağrısı, defans, her kadranda rebound ve abdominal distansiyon mevcuttu. Parmakla rektal muayenede dışkı
kontaminasyonu yoktu. Laboratuvarda sadece c-reaktif protein düzeyi (CRP) (14,1 mg/L) yüksekti. Bilgisayarlı tomografi
(BT) taraması, sigmoid volvulus nedeniyle dilate kolon halkaları gösterdi. Kolonoskopi ile detorsiyon başarılı olamadığı
için hastaya acil ameliyat uygulandı. Cerrahi sırasında, üst sigmoidal bölgede 7200
'lik bir torsiyon vardı; tüm kolon ansları 10
santimetreye kadar aşırı derecede genişlemişti. End ileostomi
ile total kolektomi yapıldı. Hasta postoper
Abstract
The study aims to present the diagnosis and treatment process of a case of sigmoid volvulus, incurable with colonoscopic
detorsion, and requires surgical resection in a young patient. A
twenty-seven-year-old man who was admitted with abdominal
pain, distension, and nausea with vomiting. He had abdominal
pain, defence, rebound at every quadrant, and abdominal distension on the physical examination of the abdomen. There
was no stool contamination on the digital rectal examination.
Only c-reactive protein level (CRP) (14.1 mg/L) was high in
the laboratory. Computed tomography (CT) scan screened
dilated colonic loops due to sigmoid volvulus. Since detorsion
was not successful with colonoscopy, emergency surgery was
operated on the patient. On exploration, there was a 7200
torsion on the upper side of the sigmoid; all colonic loops were
extremely dilated up to 10 centimeters. Total colectomy with
end ileostomy was performed, and the patient was discharged
on the fourth postoperative day without complications.
Keywords
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 1, 2022 |
| Submission Date | July 14, 2022 |
| Published in Issue | Year 2022 Volume: 3 Issue: 4 |
