Case Report
Year 2018,
Volume: 1 Issue: 1, 14 - 16, 31.12.2018
Abstract
Sağ alt kadran ağrısıyla acil servise başvuran
67 yaşında erkek hasta. Akut appendisit appendiks mukoseli ön tanısıyla
operasyona alındı. Preoperatif tanı yöntemi olarak kontrastlı batın tomografisi kullanıldı Tomografide apendiks duvari normalden kalin ve uc
kisminda ~6x4,5cm lik bir genişliğe ulaşmış ve duvarı proksimalde ilimli diffuz
kalin (abse?, mukosel ?) bulundu.
Hastaya appendektomi yapıldı Post operatif patoloji sonucu apendiks low grade
musinöz neoplazm olarak değerlendirildi. Apendiks tümörleri klinik olarak nadir
görülmektedir. İnvaziv bir yapıya sahip olmadığı sürece perop enflamasyonla
ayrımı net olarak cerrah tarafından yapılamayabilir. İntraoperatif frozen tanı
da kullanılabilir; İntraoperatif frozen kesit
değerlendirmesi ile, daha geniş ameliyatların oranını azaltabilir.
Operasyonda perforasyon sonucu gelişebilecek psödomiksoma peritonei riskine
karşı dikkatli olmamız konusunda bize uyarıcı olacaktır.Kesin tanısı ise
patolojik inceleme ile konulmaktadır.
References
- 1. Smeenk RM, van Velthuysen ML, Verwaal VJ, et al. Appendiceal neoplasms and pseudomyxoma peritonei: a population based study. Eur J Surg Oncol. 2008;34:196-201.
- 2. Shaib WL, Assi R, Shamseddine A, et al. Appendiceal mucinous neoplasms: diagnosis and management. Oncologist. 2017;22:1107-16.
- 3. Lam-Himlin D, Montgomery E, Torbenson M. Nonneoplastic and Neoplastic Disorders of the Appendix. In: Iacobuzio-Donahue CA, Montgomery E, editors. Gastrointestinal and Liver Pathology 2nd ed. Philadelphia: Elsevier, 2012: 57-296.
- 4. Madwed D, Mindelzun R, Jeffrey RB. Mucocele of the appendix: imaging findings. Am J Roentgenol. 1992; 159: 69-72.
- 5. Sugarbaker PH. Peritonectomy procedures. Ann Surg. 1995;221:29-42.
- 6. Dachman AH, Lichtenstein LE, Friedman AC. Mucocele of the appendix and pseudomyxoma peritonei. Am J Roentgenol. 1985; 144:923-9.
- 7. Nouri K, Demmel M, Ott J, et al. Villous mucinous cystadenoma of the appendix in a postmenopausal woman. JSLS. 2010;14:296-8.
- 8. Jacquet P, Stephens AD, Averbach AM, et al. Analysis of morbidity and mortality in 60 patients with peritoneal carcinomatosis treated by cytoreductive surgery and heated intraoperative intraperitoneal chemotherapy. Cancer. 1996;77:2622-9.
- 9. Misdraji J. Mucinous epithelial neoplasms of the appendix and pseudomyxoma peritonei. Mod Pathol. 2015;28:67-79.
- 10. Foster JM, Gupta PK, Carreau JH, et al. Right hemicolectomy is not routinely indicated in pseudomyxoma peritonei. Am Surg. 2012;78:171-7.
- 11. Panarelli NC, Yantiss RK. Mucinous neoplasms of the appendix and peritoneum. Arch Pathol Lab Med. 2011;135:1261-8.
- 12. Zagrodnik DF, Rose DM. Mucinous cystadenoma of the appendix: diagnosis, surgical management, and follow-up. Curr Surg. 2003;60:341-3.
- 13. Youssef H, Newman C, Chandrakumaran K. Operative findings, early complications, and long-term survival in 456 patients with pseudomyxoma peritonei syndrome of appendiceal origin. Dis Colon Rectum. 2011; 54:293-9.
Year 2018,
Volume: 1 Issue: 1, 14 - 16, 31.12.2018
Abstract
References
- 1. Smeenk RM, van Velthuysen ML, Verwaal VJ, et al. Appendiceal neoplasms and pseudomyxoma peritonei: a population based study. Eur J Surg Oncol. 2008;34:196-201.
- 2. Shaib WL, Assi R, Shamseddine A, et al. Appendiceal mucinous neoplasms: diagnosis and management. Oncologist. 2017;22:1107-16.
- 3. Lam-Himlin D, Montgomery E, Torbenson M. Nonneoplastic and Neoplastic Disorders of the Appendix. In: Iacobuzio-Donahue CA, Montgomery E, editors. Gastrointestinal and Liver Pathology 2nd ed. Philadelphia: Elsevier, 2012: 57-296.
- 4. Madwed D, Mindelzun R, Jeffrey RB. Mucocele of the appendix: imaging findings. Am J Roentgenol. 1992; 159: 69-72.
- 5. Sugarbaker PH. Peritonectomy procedures. Ann Surg. 1995;221:29-42.
- 6. Dachman AH, Lichtenstein LE, Friedman AC. Mucocele of the appendix and pseudomyxoma peritonei. Am J Roentgenol. 1985; 144:923-9.
- 7. Nouri K, Demmel M, Ott J, et al. Villous mucinous cystadenoma of the appendix in a postmenopausal woman. JSLS. 2010;14:296-8.
- 8. Jacquet P, Stephens AD, Averbach AM, et al. Analysis of morbidity and mortality in 60 patients with peritoneal carcinomatosis treated by cytoreductive surgery and heated intraoperative intraperitoneal chemotherapy. Cancer. 1996;77:2622-9.
- 9. Misdraji J. Mucinous epithelial neoplasms of the appendix and pseudomyxoma peritonei. Mod Pathol. 2015;28:67-79.
- 10. Foster JM, Gupta PK, Carreau JH, et al. Right hemicolectomy is not routinely indicated in pseudomyxoma peritonei. Am Surg. 2012;78:171-7.
- 11. Panarelli NC, Yantiss RK. Mucinous neoplasms of the appendix and peritoneum. Arch Pathol Lab Med. 2011;135:1261-8.
- 12. Zagrodnik DF, Rose DM. Mucinous cystadenoma of the appendix: diagnosis, surgical management, and follow-up. Curr Surg. 2003;60:341-3.
- 13. Youssef H, Newman C, Chandrakumaran K. Operative findings, early complications, and long-term survival in 456 patients with pseudomyxoma peritonei syndrome of appendiceal origin. Dis Colon Rectum. 2011; 54:293-9.
There are 13 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | December 31, 2018 |
| Acceptance Date | December 27, 2018 |
| Published in Issue | Year 2018 Volume: 1 Issue: 1 |
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