Jejunumda yerle�mi� �ok say�da dev divertik�lozis: Nadir g�r�len bir hastal���n nadir g�r�len bir klinik prezentasyonu

Al, Muzaffer

Cilt : 30 Say� : 12 Y�l : 2024

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Jejunumda yerle�mi� �ok say�da dev divertik�lozis: Nadir g�r�len bir hastal��n nadir g�r�len bir klinik prezentasyonu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2022; 28(10): 1527-1530 | DOI: 10.14744/tjtes.2022.09079

Jejunumda yerle�mi� �ok say�da dev divertik�lozis: Nadir g�r�len bir hastal��n nadir g�r�len bir klinik prezentasyonu

Muzaffer Al
Yak�n Do�u �niversitesi T�p Fak�ltesi, Cerrahi Anabilim Dal�, G�zelyurt-KKTC

Jejuno-ileal divertik�llerde, duodenal divertik�llere k�yasla, genel komplikasyon geli�me riski d�rt kat, perforasyon riski 18 kat daha fazlad�r. Asemptomatik olgularda rezeksiyon yap�lmazken, ya�am� tehdit eden komplikasyonlarda cerrahi m�dahale gerekebilir. Bu olgu raporunda, uzun s�redir var olan ge�ici semptomlarla ba�vuran, �ok say�da dev jejunal divertik�l� olan 69 ya��nda bir erkek hasta sunuldu. Hastan�n 15 y�l �nce ge�irilmi� apendektomi �yk�s� mevcuttu. Son acil servis ba�vurusunda �ekilen kontrastl� bat�n bilgisayarl� tomogafisinde, �ok say�da dev divertik�ll� jejunum segmenti saptanm��t� ve sonras�nda a��k laparotomi ile eksize edilerek tedavi uygulanm��t�. Hastan�n takiplerinde �ikayetlerinin tekrarlamad�� ve kilo almaya ba�lad�� g�r�ld�. Acil servise uzun s�redir var olan kar�n a�r�s�, kilo kayb�, �i�kinlik �ikayetleri ile ba�vuran ve �zellikle bat�n operasyonu ge�mi�i bulunan hastalarda tan� konulamad�� zaman ay�r�c� tan�da jejunum kaynakl� divertik�llerin ak�lda bulundurulmas�n� �neriyoruz.

Anahtar Kelimeler: Cerrahi m�dahale, eksizyon; jejuno-ileal divertik�l; �ikayetler.

Multiple giant jejunal diverticulosis: A rare clinical presentation of a rarely encountered disease

Muzaffer Al
Department of Surgery, Near East University Faculty of Medicine, Nicosia-Cyprus

Jejunoileal diverticula have a four-fold greater risk of developing general complications and an 18-fold greater risk of perforation compared to duodenal diverticula. While resection is not preferred in asymptomatic cases, surgical intervention may be required in life-threatening conditions. In this case report, a 69-year-old male patient with multiple giant jejunal diverticulum presenting with long-standing and transient symptoms was presented. The patient had a history of appendectomy 15 years before application. During the patient�s last admission to the emergency department, contrast-enhanced abdominal computed tomography was ordered and revealed jejunum segments with multiple giant diverticula which were treated by excision by open laparotomy. It was observed that the patient�s complaints did not recur and he started to gain weight. In patients admitted to the emergency department with complaints of long-standing abdominal pain, weight loss, and bloating, in whom diagnosis cannot be made, it is recommended to consider diverticulum originating from the jejunum in the differential diagnosis, especially in the presence of abdominal surgery history.

Keywords: Complaints, excision; jejunoileal diverticula; surgical intervention.

Sorumlu Yazar: Muzaffer Al, K.K.T.C.
Makale Dili: �ngilizce

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H�zl� Arama

Jejunumda yerle�mi� �ok say�da dev divertik�lozis: Nadir g�r�len bir hastal���n nadir g�r�len bir klinik prezentasyonu

Multiple giant jejunal diverticulosis: A rare clinical presentation of a rarely encountered disease

Jejunumda yerle�mi� �ok say�da dev divertik�lozis: Nadir g�r�len bir hastal��n nadir g�r�len bir klinik prezentasyonu