Akut Batın ve Dispneye Neden Olan Dev Diyafram Fıtığına Bağlı Acil Cerrahi: Olgu Sunumu

Year 2023, Volume: 15 Issue: 1, 158 - 160, 15.03.2023

Mehmet Emin Gönüllü , İsmet Özaydın , Hasan Can Demirkaya , Nurgül Altınsoy

https://doi.org/10.18521/ktd.1202200

Abstract

78 yaşında kadın hasta şiddetli karın ağrısı ve solunum sıkıntısı ile acil servise başvurdu. Hastanın Bilgisayarlı Tomografi (BT) incelemesinde; Diyaframın sol yaprağında fıtık olduğu, sol plevral boşlukta sol klavikulaya kadar mide, dalak ve bağırsakların çıkıntı yaptığı görüldü. Hastanın anamnezinde; uzun yıllardır devam eden ve son günlerde artan nefes alma güçlüğü ve son zamanlarda gelişen genel durum bozukluğu vardı. Acilen tanısal laparotomi planlanan hastamızda dev bir sol diyafragma hernisi görüldü. Sol plevral boşluktaki dalak, mide ve bağırsaklar karın içine alınarak diyafram defekti onarıldı.

Keywords

Atravmatik Diyafram Fıtığı, Akut Abdominal, Dispne

Emergency Surgery due to Giant Diaphragm Hernia Causing Acute Abdominal and Dyspnea: A Case Report

Abstract

A 78-year-old female patient was admitted to the emergency department with severe abdominal pain and respiratory distress. In the Computer Tomography (CT) examination of the patient; It was observed that there was a hernia in the left leaf of the diaphragm and the stomach, spleen and intestines were protruding in the left pleural space up to the left clavicle. In the patient's anamnesis; there was breathing difficulty that has been going on for many years and has increased in recent days and the general condition disorder that has developed recently. A giant left diaphragmatic hernia was observed in our patient, who was urgently scheduled for diagnostic dslaparotomy. The spleen, stomach and intestines in the left pleural cavity were taken into the abdomen and the diaphragm defect was repaired.

Keywords

Atraumatic Diaphragmatic Hernia, Acute Abdominal, Dyspnea

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