Yıl: 2016 Cilt: 7 Sayı: 5 Sayfa Aralığı: 717 - 719 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication

Öz:
Meckel Divertikülünün (MD) aksiyel torsiyon ve gangreni sonucu gelişen ince barsak obstrüksiyonu, bu konjenital anomalinin en nadir komplikasyonudur. Literatürde sadece 8 çocuk ve 29 civarında erişkin vaka bildirilmiştir. Olgumuz pediatriye gastroenterit nedeni ile başvuran 2 yaşında bir erkek olgudur. Bir sonraki gün safralı kusma ve kolik tarzı karın ağrısı başladı. Klinik ve laboratuar bulgular akut intestinal obstrüksiyon veya apendisit lehine idi. Laparatomide divertikülden, bitişik olmayan ince barsak mezenterine uzanan iki peritoneal banda bağlı MD'nin aksiyel torsiyonu ve ince barsakların bantların altından herniasyonu saptandı. MD'nin wedge rezeksiyonu yapıldı. Komplike MD'nin spesifik bir bulgusu yoktur. Preoperatif tanı çok zordur. Erken cerrahi, doğru tanı ve barsağın strangülasyonunu önlemek için önemlidir
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Bir Çocukta Aksiyel Torsiyona Bağlı Meckel Divertikülünün Gangreni: Nadir Bir Komplikasyon

Öz:
Axial torsion and gangrene of Meckel's diverticulum (MD) causing small bowel obstruction is the rarest complication of the congenital anomaly. Only 8 cases in children and approximately 20 cases in adults were found in the literature. Our case is a 2-year-old Caucasian male who presented to our pediatric department with gastroenteritis. The following day bilious vomiting and colicky episodic abdominal pain started. Clinical and laboratory findings were suggestive of acute intestinal obstruction or appendicitis. Exploratory laparotomy suggested that 2 peritoneal bands of diverticulum to the mesentery of non-adjacent small bowel were the cause of axial torsion of MD; herniation of small bowels under the bands were observed. Wedge resection of the MD was performed. Complicated MD has no specific value. The preoperative diagnosis is difficult. Early surgery is important for correct diagnosis and for preventing strangulation and gangrene of the bowel
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA SÜZEN A, Ertürk N, Topal Y (2016). Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. , 717 - 719.
Chicago SÜZEN ALEV,Ertürk Nazile,Topal Yasar Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. (2016): 717 - 719.
MLA SÜZEN ALEV,Ertürk Nazile,Topal Yasar Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. , 2016, ss.717 - 719.
AMA SÜZEN A,Ertürk N,Topal Y Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. . 2016; 717 - 719.
Vancouver SÜZEN A,Ertürk N,Topal Y Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. . 2016; 717 - 719.
IEEE SÜZEN A,Ertürk N,Topal Y "Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication." , ss.717 - 719, 2016.
ISNAD SÜZEN, ALEV vd. "Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication". (2016), 717-719.
APA SÜZEN A, Ertürk N, Topal Y (2016). Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. Journal of Clinical and Analytical Medicine, 7(5), 717 - 719.
Chicago SÜZEN ALEV,Ertürk Nazile,Topal Yasar Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. Journal of Clinical and Analytical Medicine 7, no.5 (2016): 717 - 719.
MLA SÜZEN ALEV,Ertürk Nazile,Topal Yasar Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. Journal of Clinical and Analytical Medicine, vol.7, no.5, 2016, ss.717 - 719.
AMA SÜZEN A,Ertürk N,Topal Y Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. Journal of Clinical and Analytical Medicine. 2016; 7(5): 717 - 719.
Vancouver SÜZEN A,Ertürk N,Topal Y Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication. Journal of Clinical and Analytical Medicine. 2016; 7(5): 717 - 719.
IEEE SÜZEN A,Ertürk N,Topal Y "Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication." Journal of Clinical and Analytical Medicine, 7, ss.717 - 719, 2016.
ISNAD SÜZEN, ALEV vd. "Gangrene of Meckel's Diverticulum Secondary to Axial Torsion in a Child: An Unusual Complication". Journal of Clinical and Analytical Medicine 7/5 (2016), 717-719.