Olgu Sunumu
BibTex RIS Kaynak Göster

Dev Tubo-ovaryan Apsede Başarılı Laparoskopik Tedavi: Zor Bir Olgu Sunumu

Yıl 2020, Cilt: 4 Sayı: 2, 56 - 59, 19.08.2020

Yavuz Şimşek

https://doi.org/10.46332/aemj.782779

Öz

Tubo-ovaryan apse, pelvik inflamatuar hastalığın en ileri aşamasıdır ve pelvik enfeksiyonu olan kadınlarda ana ölüm nedenidir. Bu yazıda, kliniğimize kronik karın ağrısı ve 38 °C üzerinde ateş yakınması ile başvuran, ultrasonografide sağ adneksiyal bölgede 15x18 cm boyutlarında semisolid kitlesi bulunan bir hastayı sunduk. Hasta tubo-ovaryan apse tanısıyla yatırıldı ve geniş spektrumlu ampirik antibiyotik tedavisi başlandı. Buna karşın ateşin düşmemesi ve ağrının dinmemesi üzerine hasta laparoskopik cerrahiye alındı. Laparoskopide sağda tüp ve overi içine alan, üzeri ince barsak ve appendiks ile kaplı, aynı zamanda sigmoid kolonla iltisaklı apse görüldü. İntestinal segmentler nazikçe diseke edildi ve apse usulüne uygun olarak eksize edildi. Hasta postoperatif 5. günde sağlıkla taburcu edildi.

Anahtar Kelimeler

laparoskopi pelvik inflamatuar hastalık tubo-ovaryan apse

Kaynakça

  • 1. Curry A, Williams T, Penny ML. Pelvic inflammatory disease: diagnosis, management, and prevention. Am Fam Physician. 2019;100(6):357-364.
  • 2. Rosen M, Breitkopf D, Waud K. Tubo-ovarian abscess management options for women who desire fertility. Obstet Gynecol Surv. 2009;64(10):681-689.
  • 3. Buchweitz O, Malik E, Kressin P, Meyhoefer-Malik A, Diedrich K. Laparoscopic management of tubo-ovarian abscesses: retrospective analysis of 60 cases. Surg Endosc. 2000;14(10):948-950.
  • 4. Chu L, Ma H, Liang J, et al. Effectiveness and adverse events of early laparoscopic therapy versus conservative treatment for tubo-ovarian or pelvic abscess: A single-center retrospective cohort study. Gynecol Obstet Invest. 2019;84(4):334-342.
  • 5. Fouks Y, Cohen A, Shapira U, et al. Surgical intervention in patients with tubo-ovarian abscess: clinical predictors and a simple risk score. J Minim Invasive Gynecol. 2019; 26(3):535-543.

Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case

Yıl 2020, Cilt: 4 Sayı: 2, 56 - 59, 19.08.2020

Yavuz Şimşek

https://doi.org/10.46332/aemj.782779

Öz

Tubo-ovarian abscesses are the end stage of pelvic inflammatory disease, and the main cause of mortality in women with pelvic infection. Here, we report a woman at 22 years of age, presenting with severe abdominal pain and fever >38 °Celcius and sonographically diagnosed with a semisolid adnexal mass with 15x18 cm in diameters on the right side. The woman was hospitalized with a diagnosis of tubo-ovarian abscess, and empiric broad-spectrum antibiotic therapy was started. However, pain and fever were not subsided. The patient underwent a laparoscopic surgery and a huge tubo-ovarian abscess covered by small intestines and appendix and adhered to the sigmoid colon was seen. Intestinal segments were gently dissected, and abscess, including the right ovary and the right tube, was excised appropriately without any complication. The patient was discharged on the 5th postoperative day with complete healing.

Anahtar Kelimeler

laparoscopy pelvic inflammatory disease tubo-ovarian abscess

Kaynakça

  • 1. Curry A, Williams T, Penny ML. Pelvic inflammatory disease: diagnosis, management, and prevention. Am Fam Physician. 2019;100(6):357-364.
  • 2. Rosen M, Breitkopf D, Waud K. Tubo-ovarian abscess management options for women who desire fertility. Obstet Gynecol Surv. 2009;64(10):681-689.
  • 3. Buchweitz O, Malik E, Kressin P, Meyhoefer-Malik A, Diedrich K. Laparoscopic management of tubo-ovarian abscesses: retrospective analysis of 60 cases. Surg Endosc. 2000;14(10):948-950.
  • 4. Chu L, Ma H, Liang J, et al. Effectiveness and adverse events of early laparoscopic therapy versus conservative treatment for tubo-ovarian or pelvic abscess: A single-center retrospective cohort study. Gynecol Obstet Invest. 2019;84(4):334-342.
  • 5. Fouks Y, Cohen A, Shapira U, et al. Surgical intervention in patients with tubo-ovarian abscess: clinical predictors and a simple risk score. J Minim Invasive Gynecol. 2019; 26(3):535-543.
Toplam 5 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Vaka Sunumları
Yazarlar

Yavuz Şimşek 0000-0002-2625-2973

Yayımlanma Tarihi 19 Ağustos 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 4 Sayı: 2

Kaynak Göster

APA Şimşek, Y. (2020). Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case. Ahi Evran Medical Journal, 4(2), 56-59. https://doi.org/10.46332/aemj.782779
AMA Şimşek Y. Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case. Ahi Evran Med J. Ağustos 2020;4(2):56-59. doi:10.46332/aemj.782779
Chicago Şimşek, Yavuz. “Definitive Laparoscopic Treatment of Huge Tubo-Ovarian Abscess: Report of a Difficult Case”. Ahi Evran Medical Journal 4, sy. 2 (Ağustos 2020): 56-59. https://doi.org/10.46332/aemj.782779.
EndNote Şimşek Y (01 Ağustos 2020) Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case. Ahi Evran Medical Journal 4 2 56–59.
IEEE Y. Şimşek, “Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case”, Ahi Evran Med J, c. 4, sy. 2, ss. 56–59, 2020, doi: 10.46332/aemj.782779.
ISNAD Şimşek, Yavuz. “Definitive Laparoscopic Treatment of Huge Tubo-Ovarian Abscess: Report of a Difficult Case”. Ahi Evran Medical Journal 4/2 (Ağustos 2020), 56-59. https://doi.org/10.46332/aemj.782779.
JAMA Şimşek Y. Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case. Ahi Evran Med J. 2020;4:56–59.
MLA Şimşek, Yavuz. “Definitive Laparoscopic Treatment of Huge Tubo-Ovarian Abscess: Report of a Difficult Case”. Ahi Evran Medical Journal, c. 4, sy. 2, 2020, ss. 56-59, doi:10.46332/aemj.782779.
Vancouver Şimşek Y. Definitive Laparoscopic Treatment of Huge Tubo-ovarian Abscess: Report of a Difficult Case. Ahi Evran Med J. 2020;4(2):56-9.
 Kapak Resmi İndir

Dergimiz, ULAKBİM TR Dizin, DOAJ, Index Copernicus, EBSCO ve Türkiye Atıf Dizini (Turkiye Citation Index)' de indekslenmektedir. Ahi Evran Tıp dergisi süreli bilimsel yayındır. Kaynak gösterilmeden kullanılamaz. Makalelerin sorumlulukları yazarlara aittir.

Creative Commons Lisansı
Bu eser Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı ile lisanslanmıştır.