Nadir Bir Bacak Ağrısı Nedeni: Divertikül Perforasyonu, Apse Formasyonu

Year 2021, Volume: 4 Issue: 4, 143 - 145, 29.12.2021

Barış Murat Ayvacı , Murat Çetin , Hüseyin Sami Şahin

https://doi.org/10.54996/anatolianjem.997024

Abstract

Amaç: Divertiküler hastalıklar çoğunlukla asemptomatik seyretmekte ve özellikle batı ülkelerinde çoğunlukla kırk yaş üzeri hastalarda görülmektedir. Karın ağrısı en sık semptom olmakla birlikte tekrarlayan divertikülit ataklarına sahip hastalar atipik prezentasyonlarla başvurabilmektedir.

Olgu: 89 yaşında erkek hasta acil servise iki gündür devam eden ve giderek artan sol bacak ağrısı ile acil servise başvurdu. Hastada divertikülit ve divertiküle sekonder sigmoid kolonun perfore olarak psoas kası üzerinden superior ve inferiora doğru uzanan retroperitonel bir poş içinde apse oluşumuna neden olduğu tespit edildi.

Sonuç: Tekrarlayan divertikülit ataklarının skar ve adezyon oluşumuna neden olduğu ve bu yüzden lokalize perforasyonların ve apselerin jeneralize peritonitler yerine görülebilir. Komşu psoas kasında apse formasyonu ile komplike olan ve alt ekstremite ağrısı ile gelen atipik bir divertikülit vakaları, hastalar için yüksek morbidite ve mortalite ile sonuçlanabilmektedir.

Keywords

Divertikülit, apse, perforasyon

Supporting Institution

Bulunmamaktadır.

Project Number

Bulunmamaktadır.

A Rare Cause of Leg Pain: Diverticule Perforation, Abscess Formation

Abstract

Aim: Diverticular diseases are mostly asymptomatic and are mostly seen in patients over the age of forty, especially in western countries. Although abdominal pain is the most common symptom, patients with recurrent diverticulitis attacks may present with atypical presentations.

Case: An 89-year-old male patient presented to the emergency department with left leg pain that had been going on for two days and was increasing. It was detected that diverticulitis and the sigmoid colon secondary to diverticulitis caused abscess formation in a retroperitoneal pouch extending superiorly and inferiorly over the psoas muscle.

Conclusion: Recurrent episodes of diverticulitis cause scarring and adhesion formation and therefore localized perforations and abscesses can be seen instead of generalized peritonitis. Cases of atypical diverticulitis with lower extremity pain complicated by abscess formation in the adjacent psoas muscle can result in high morbidity and mortality for patients.

Keywords

Diverticulitis, abscess, perforation

Project Number

Bulunmamaktadır.

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