Akut kar�n a�r�s�n�n nadir g�r�len bir nedeni: Rahim i�i ara� kullan�m�na ba�l� malign t�m�r� taklit eden kolonun aktinomi�es enfeksiyonu

Canbay Torun, Bahar; G�k, Ali Fuat Kaan; �lhan, Mehmet; Ye�en, Gul�in; Ba�aran, Seniha; Ertekin, Cemalettin; G�ney, Mustafa Kay�han; Yanar, Hakan

Cilt : 30 Say� : 12 Y�l : 2024

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Akut kar�n a�r�s�n�n nadir g�r�len bir nedeni: Rahim i�i ara� kullan�m�na ba�l� malign t�m�r� taklit eden kolonun aktinomi�es enfeksiyonu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2022; 28(4): 537-540 | DOI: 10.14744/tjtes.2020.45672

Akut kar�n a�r�s�n�n nadir g�r�len bir nedeni: Rahim i�i ara� kullan�m�na ba�l� malign t�m�r� taklit eden kolonun aktinomi�es enfeksiyonu

Bahar Canbay Torun¹, Ali Fuat Kaan G�k², Mehmet �lhan², Gul�in Ye�en³, Seniha Ba�aran⁴, Cemalettin Ertekin², Mustafa Kay�han G�ney², Hakan Yanar²
¹Sultangazi Haseki E�itim ve Ara�t�rma Hastanesi, Genel Cerrahi Klini�i, �stanbul
²�stanbul �niversitesi �stanbul T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�, �stanbul
³�stanbul �niversitesi �stanbul T�p Fak�ltesi, T�bbi Patoloji Anabilim Dal�, �stanbul
⁴Istanbul �niversitesi �stanbul T�p Fak�ltesi, Enfeksiyon Hastal�klar� ve Klinik Mikrobiyoloji Anabilim Dal�, �stanbul

Aktinomikoz nadir g�r�len, zor tan� konulan, semptomlar� ve bulgular� spesifik olmayan kronik gran�lomat�z bir hastal�kt�r. Rahim i�i ara� ve im-m�nsupresif ila� kullan�m� kolayla�t�r�c� etmenler aras�nda yer al�r. Klinik ve radyolojik bulgular�; t�m�r, enflamatuvar ba��rsak hastal�klar� veya akut divertik�lit ile kar��abilmektedir. Bu yaz�da nadir bir akut kar�n nedeni olan ve kolon t�m�r�n� taklit eden rahim i�i ara� kullan�m�na sekonder geli�en kolonik aktinomi�es enfeksiyonu olgusunu ve literat�r derlemesini sunmay� ama�lad�k. Antibiyotik ile tedavi edilebilecek gran�lomat�z enfeksiy�z hastal�klara do�ru tan� konulmas� ile gereksiz cerrahiden ka��n�labilir.

Anahtar Kelimeler: Aktinomi�es enfeksiyonu, akut kar�n a�r�s�, kolonik aktinomikoz, rahim i�i ara�.

A rare cause of acute abdominal pain: Actinomyces infection of colon mimicking a malignant neoplasm due to intrauterine device

Bahar Canbay Torun¹, Ali Fuat Kaan G�k², Mehmet �lhan², Gul�in Ye�en³, Seniha Ba�aran⁴, Cemalettin Ertekin², Mustafa Kay�han G�ney², Hakan Yanar²
¹Department of General Surgery, Sultangazi Haseki Training and Research Hospital, �stanbul-Turkey
²Department of General Surgery, �stanbul University �stanbul Faculty of Medicine, �stanbul-Turkey
³Department of Pathology, �stanbul University �stanbul Faculty of Medicine, �stanbul-Turkey
⁴Department of Infectious Diseases and Clinical Microbiology, �stanbul University �stanbul Faculty of Medicine, �stanbul-Turkey

Actinomycosis is a rare, chronic granulomatous disease that is challenging to diagnose because the clinical symptoms and signs are nonspecific. Usage of intrauterine device (IUD) or being immunocompromised is facilitating factors. Clinical and radiological findings can mimic malignant neoplasm, inflammatory bowel disorder, or acute diverticulitis. We report a case of actinomyces infection of the colon secondary to IUD, which is a rare cause of acute abdominal pain and can mimic a malignant neoplasm. We also provide a review of the literature. Unnecessary surgery can be avoided with the correct diagnosis of granulomatous infectious diseases that can be treated with antibiotics.

Keywords: Actinomyces infection, acute abdominal pain, colonic actinomycosis, intrauterine device.

Sorumlu Yazar: Bahar Canbay Torun, T�rkiye
Makale Dili: �ngilizce

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