OBSTRUKTÝF SARILIÐA NEDEN OLAN PANKREAS BAÞINDA KÝST HÝDATÝK VAKASI

61 yaþýnda 69 kg. aðýrlýðýnda erkek hasta obstrüktif sarýlýk düþünülerek 1.Cerrahi Kliniði'ne sevk edilmiþ. Sýrt aðrýsý, iþtahsýzlýk ve sarýlýk þikayeti nedeniyle bir hafta dahiliye kliniðinde tetkik edilen hastada alkol kullanma öyküsü bulunmuyor. Fizik muayenede batýn sað üst kadran palpasyonla aðrýlý, safra kesesi hidropik olarak palpe ediliyor. Üst batýn tomografide pankreas baþýnda 22 mm. çapýnda düzgün kontürlü kist mevcut. Hastaya exploratris laparotomi planlandý. Peroperatif yapýlan kist aspirasyonunda kist hidatiðin laminar membraný ile karþýlaþýlýnca pankreas baþýndaki lezyonun kist hidatik olduðuna karar verildi. Kolesistektomi, koledokoduodenostomi, parsiyel kistektomi ve kapitonaj uygulandý. Hasta postoperatif dönem sonrasý 800 mg/gün Albendazol baþlanýlarak taburcu edildi.

HYDATID CYST IN THE PACREATIC HEAD CAUSING OBSTRUCTIVE JAUNDICE

The patient (male; age = 69) was referred to the Department of 1 st Surgery upon suspicion of obstructive jaundice. He was admitted to the Department of Internal Medicine with back pain, loss of apetite, and jaundice and some laboratory tests were performed. He has no history of alcohol use. During his physical examination, pain was noted in the upper right quadrant and the gall bladder was palpable and hydropic. A 22 mm. cystic structure with smooth contours was detected in the abdominal CT scan. An exploratory laparatomy was planned. During the perioperative cyst aspiration, the laminar membrane of hydatic cyst led to the probable diagnosis of hydatic cyst. Cholecystectomy, choledocoduodenostomy, partial cystectomy and capitonage was performed. The patient was started on 800 mg/day albendazole during postoperative period and then was discharged.