Gastrointestinal sistem tutulumlu nadir bir gran�lomat�z polianjitis olgusu

Sahinturk, Helin; Kandemir, Emre; Ye�iler, Fatma �rem; �erifo�lu, �rem; �ahin Dalg��, G�nay; Erol, �i�dem; Sayin, Cihat Burak; Tezcaner, Tugan; �ilo�lu, Elif; Gedik, Ender; Zeynelo�lu, P�nar; Kayhan, Zeynep

Cilt : 29 Say� : 3 Y�l : 2024

30/12Gelecek Say� Ar�iv Kapaklar Pop�ler Makaleler

ICMJE COI Form

H�zl� Arama

Gastrointestinal sistem tutulumlu nadir bir gran�lomat�z polianjitis olgusu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2023; 29(3): 435-439 | DOI: 10.14744/tjtes.2022.78567

Gastrointestinal sistem tutulumlu nadir bir gran�lomat�z polianjitis olgusu

Helin Sahinturk¹, Emre Kandemir¹, Fatma �rem Ye�iler¹, �rem �erifo�lu², G�nay �ahin Dalg��³, �i�dem Erol⁴, Cihat Burak Sayin⁵, Tugan Tezcaner⁶, Elif �ilo�lu⁷, Ender Gedik¹, P�nar Zeynelo�lu¹, Zeynep Kayhan¹
¹Ba�kent �niversitesi T�p Fak�ltesi, Anesteziyoloji ve Reanimasyon Anabilim Dal�, Yo�un Bak�m Bilim Dal�, Ankara
²Ba�kent �niversitesi T�p Fak�ltesi, G��s Hastal�klar� Anabilim Dal�, Ankara
³Ba�kent �niversitesi T�p Fak�ltesi,�� Hastal�klar� Anabilim Dal�, Romatoloji B�l�m�, Ankara
⁴Ba�kent �niversitesi T�p Fak�ltesi, Enfeksiyon Hastal�klar� ve Klinik Mikrobiyoloji Anabilim Dal�, Ankara
⁵Ba�kent �niversitesi T�p Fak�ltesi, �� Hastal�klar� Anabilim Dal�, Nefroloji B�l�m�,
⁶Ba�kent �niversitesi T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, Ankara
⁷Ba�kent �niversitesi T�p Fak�ltesi, T�bbi Patoloji Anabilim Dal�, Ankara

Yo�un bak�m �nitesinde (YB�) takip edilen 526 �nite kan ve kan �r�n� transf�zyonu gerektiren gastrointestinal sistem (G�S) tutulumu olan 37 ya��nda nadir bir gran�lomat�z polianjiitisli (GPA) erkek hastay� sunuyoruz. GPA�ya ba�l� G�S tutulumu morbidite ve mortaliteyi art�ran nadir g�zlenen bir durumdur. Hastalar�n ultramasif kan �r�n� transf�zyona ihtiyac� olabilir. B�ylece multisistem tutulumuna ba�l� masif hemoraji nedeniyle GPA�l� hastalar YBܒye kabul edilebilir ve multidisipliner bir yakla��ml� titiz bir bak�m ile sa�kal�m sa�lanabilir.

Anahtar Kelimeler: Gastrointestinal sistem, gran�lomat�z polianjitis; masif transf�zyon; yo�un bak�m.

A rare case of granulomatosis with polyangiitis with involvement of the gastrointestinal system

Helin Sahinturk¹, Emre Kandemir¹, Fatma �rem Ye�iler¹, �rem �erifo�lu², G�nay �ahin Dalg��³, �i�dem Erol⁴, Cihat Burak Sayin⁵, Tugan Tezcaner⁶, Elif �ilo�lu⁷, Ender Gedik¹, P�nar Zeynelo�lu¹, Zeynep Kayhan¹
¹Department of Anesthesiology and Critical Care, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
²Department of Pulmonary Diseases, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
³Department of Internal Medicine, Division of Rheumatology, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
⁴Department of Infectious Disease and Clinical Microbiology, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
⁵Department of Internal Medicine, Division of Nephrology, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
⁶Department of General Surgery, Ba�kent University Faculty of Medicine, Ankara-T�rkiye
⁷Department of Medical Pathology, Ba�kent University Faculty of Medicine, Ankara-T�rkiye

We report a rare case of a 37-year-old man with granulomatosis with polyangiitis (GPA) with gastrointestinal system (GIS) involvement who needed 526 units of blood and blood product transfusions and was followed up in the intensive care unit (ICU). GIS involvement due to GPA is a rare condition that increases morbidity and mortality of patients. Patients may require ultramassive blood product transfusions. Thus, patients with GPA can be admitted to ICUs because of massive hemorrhage due to multisystem involvement, and survival is achievable with meticulous care through a multidisciplinary approach.

Keywords: Gastrointestinal system, granulomatous polyangiitis; intensive care unit; massive transfusion.

Sorumlu Yazar: Fatma �rem Ye�iler, T�rkiye
Makale Dili: �ngilizce

ATIF KOPYALA

Tam Metin PDF At�f dosyas� indir RIS EndNote BibTex Medlars Procite Reference Manager Yazara e-posta g�nder Benzer makaleler PubMed Google Scholar