Case Report
Year 2020,
Volume: 22 Issue: 1, 51 - 53, 30.04.2020
Abstract
Non spesifik spontan ince bağırsak ülser perforasyonu akut karına neden olan ve çoğunlukla perioperatif olarak tanı alan, nadir görülen bir durumdur. Yetmiş iki yaşında kadın hasta karın ağrısı yakınması ile acil servise başvurdu. Yapılan fizik muayenesi akut batın ve peritonit ile uyumluydu. Çekilen abdomen bilgisayarlı tomografide sağ diyafram altında serbest hava saptandı. Hasta gastrointestinal perforasyon ön tanısı ile operasyona alındı. Operasyon sırasında jejunum ansında antimezenterik yüzde perforasyon alanı saptandı. Bu alandan biyopsi alındı ve perforasyon primer suturasyon ile onarıldı. Hasta pulmoner komplikasyonlar nedeniyle postoperatif beşinci gün yoğun bakım ünitesinde exitus oldu. Alınan biyopsi yüzeyel olmakla birlikte ülser tanısını desteklemekteydi. Non spesifik jejunal ülser perforasyonları gecikmiş tanı nedeniyle hayatı tehdit edici olabilir. Özellikle ileri yaş hastalarda bir akut karın nedeni olarak akılda tutulmalıdır.
Keywords
References
- Sakaguchi T, Tokuhara K, Nakatani K, Kon M. Laparoscopic management for spontaneous jejunal perforation caused by nonspecific ulcer: A case report. Int J Surg Case Rep. 2017;39:309-12.
- Kimchi NA, Broide E, Shapiro M, Scapa E. Non-traumatic perforation of the small intestine. Report of 13 cases and review of the literature. Hepatogastroenterology. 2002;49(46):1017-22.
- Żyluk AŻ, Szlosser Z. Perforation of the peptic ulcer localized in the proximal jejunum - case report. Pol Przegl Chir. 2016;88(4):215-7.
- Freeman HJ. Spontaneous free perforation of the small intestine in adults, World J Gastroenterol. 2014;20(29):9990-7.
- Matsumoto T, Iida M, Matsui T, Yao T, Watanabe H, Yao T, et al. Non-specific multiple ulcers of the small intestine unrelated to non-steroidal anti-inflammatory drugs. J Clin Pathol. 2004;57(11):1145-50.
- Maiden L. Capsule endoscopic diagnosis of nonsteroidal antiinflammatory drug-induced enteropathy. J Gastroenterol. 2009;44(Suppl 19):64-71.
Year 2020,
Volume: 22 Issue: 1, 51 - 53, 30.04.2020
Abstract
Spontaneous perforation of the nonspecific small bowel ulcer is a rarely seen condition that causes acute abdomen and mostly diagnosed perioperatively. A 72-year old female patient was admitted to emergency service with abdominal pain. Her physical examination was compatible with acute abdomen and peritonitis. Abdomen computerized tomography showed free air under the right diaphragm. She was operated with a presumptive diagnosis of gastrointestinal perforation. An isolated jejunal perforation on the opposite side of the mesentery was found perioperatively. A biopsy was taken, and the perforation was repaired with primary sutures. The patient died in the intensive care unit due to pulmonary complications on the fifth postoperative day. Although the biopsy was taken from the superficial tissue, it was consistent with an ulcer. Nonspecific jejunal ulcer perforations can be life-threatening because of the delayed diagnosis. Especially in elderly patients, it should be kept in mind as a cause of acute abdomen.
Keywords
References
- Sakaguchi T, Tokuhara K, Nakatani K, Kon M. Laparoscopic management for spontaneous jejunal perforation caused by nonspecific ulcer: A case report. Int J Surg Case Rep. 2017;39:309-12.
- Kimchi NA, Broide E, Shapiro M, Scapa E. Non-traumatic perforation of the small intestine. Report of 13 cases and review of the literature. Hepatogastroenterology. 2002;49(46):1017-22.
- Żyluk AŻ, Szlosser Z. Perforation of the peptic ulcer localized in the proximal jejunum - case report. Pol Przegl Chir. 2016;88(4):215-7.
- Freeman HJ. Spontaneous free perforation of the small intestine in adults, World J Gastroenterol. 2014;20(29):9990-7.
- Matsumoto T, Iida M, Matsui T, Yao T, Watanabe H, Yao T, et al. Non-specific multiple ulcers of the small intestine unrelated to non-steroidal anti-inflammatory drugs. J Clin Pathol. 2004;57(11):1145-50.
- Maiden L. Capsule endoscopic diagnosis of nonsteroidal antiinflammatory drug-induced enteropathy. J Gastroenterol. 2009;44(Suppl 19):64-71.
There are 6 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2020 |
| Submission Date | August 23, 2019 |
| Published in Issue | Year 2020 Volume: 22 Issue: 1 |
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