Nadir bir akut kar�n tablosu nedeni:  Apendiks m�sin�z kistadenomu

Cal��kan, Kenan; Y�ld�r�m, Sedat; Bal, Nebil; Nursal, Tar�k Zafer; Akdur, Ayd�n Can; Moray, G�khan

Cilt : 14 Say� : 4 Y�l : 2024

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Nadir bir akut kar�n tablosu nedeni: Apendiks m�sin�z kistadenomu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2008; 14(4): 303-307

Nadir bir akut kar�n tablosu nedeni: Apendiks m�sin�z kistadenomu

Kenan Cal��kan¹, Sedat Y�ld�r�m¹, Nebil Bal², Tar�k Zafer Nursal¹, Ayd�n Can Akdur¹, G�khan Moray¹
¹Ba�kent �niversitesi T�p Fak�ltesi, Genel Cerrahi Ana Bilim Dal�, Ankara, T�rkiye
²Ba�kent �niversitesi T�p Fak�ltesi, Patoloji Ana Bilim Dal�, Ankara, T�rkiye

AMA�: Akut kar�n bulgular� olu�turan, apendiksin m�sin�z kistadenomlar� ara�t�r�ld�.
GERE�-Y�NTEM: Histopatolojik olarak apendiksin m�sin�z kistadenomu tan�s� alan 11 hasta geriye d�n�k olarak de�erlendirildi. Hastalar�n, dosya taramalar�ndan elde edilen, demografik veriler, klinik �zellikler, ultrasonografi (USG), kolonoskopi ve bilgisayarl� tomografi (BT) bulgular�, patoloji raporlar�, ameliyat �ncesi, ameliyat ve sonras� bulgular� incelendi. BULGULAR: Patolojik incelemesi yap�lan apendektomi par�alar�nda m�sin�z kistadenom g�r�lme s�kl�� %0,95 olarak saptand�. Toplam 11 olgunun be�i kad�nd�. Ortalama ya� 70 (50-85) idi. Olgularda en s�k g�r�len klinik bulgu ise kar�n a�r�s�yd� (%81,8). Kar�n USG�si yap�lan sekiz olguda kistik kitle ve kist duvar kalsifikasyonlar� izlendi. BT incelemelerinde sekiz olguda d�zg�n kenarl� kistik kitle ve kist duvar kalsifikasyonu izlendi. Kolonoskopik inceleme yap�lan bir olguda ise kolonda kitle izlendi. Di�er bir olguda ise e�lik eden kolon kanseri saptand�. Olgular�n dokuzuna apandektomi, ikisine sa� hemikolektomi ameliyatlar� yap�ld�. SONU�: Kolonoskopi, USG ve BT mukosel tan�s� ve yanda� kanser olgular�n�n ara�t�r�lmas�nda faydal� y�ntemler olmas�na ra�men kesin tan�, ameliyat bulgular� ve ameliyat sonras� yap�lan patolojik incelemelerle belirlenir. Apendiksin m�sin�z kistadenomlar�n�n tedavisi apandektomidir, ancak ameliyat esnas�nda mukosel i�eri�inin bat�n i�ine d�k�lmemesine �zen g�sterilmelidir.

Anahtar Kelimeler: Akut kar�n, apendiks; mukosel; m�sin�z kistadenom.

Mucinous cystadenoma of the appendix: a rare cause of acute abdomen

Kenan Cal��kan¹, Sedat Y�ld�r�m¹, Nebil Bal², Tar�k Zafer Nursal¹, Ayd�n Can Akdur¹, G�khan Moray¹
¹Department of General Surgery, Baskent University, Ankara, Turkey
²Department of Pathology, Baskent University, Ankara, Turkey

BACKGROUND: We aimed to assess the acute abdominal conditions due to appendiceal mucinous cystadenomas. METHODS: We retrospectively evaluated 11 patients with histopathologically confirmed appendiceal mucinous cystadenoma. Patient charts and data on patient demographics; clinical features; ultrasonography (US), colonoscopy and computed tomography (CT) findings; pathology reports; and operative and postoperative management were reviewed. RESULTS: The incidence of appendiceal mucinous cystadenoma was 0.95% of all appendectomy specimens reviewed. In our review, there were 11 patients, five of whom were women. The median age was 70 years (50-85 years), and the most common presentation was abdominal pain (81.8%). On US in eight patients, findings were abdominal cystic mass and cyst wall calcification. The CT finding was well-encapsulated cystic mass in eight patients. In one case, a colonic mass was found in colonoscopic examinations. There was one patient with concomitant colon cancer. Appendectomy was performed in nine patients and right hemicolectomy was performed in two patients. CONCLUSION: Colonoscopy, US, and CT are useful tools in diagnosing mucocele and synchronous cancer. However, diagnosis is usually made intraoperatively or postoperatively on histopathological examination. Appendectomy is the standard of care for mucinous cystadenoma. Furthermore, it is important to prevent spillage of the mucocele content.

Keywords: Acute abdomen, appendix; mucocele; mucinous cystadenoma.

Sorumlu Yazar: Kenan Cal��kan, T�rkiye
Makale Dili: �ngilizce

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