Öz
Künt batın travmalarında en sık dalak ve böbrekler, penetran yaralanmalarda ise gastrointestinal sistem
etkilenmektedir. Künt batın travmaları sonrası pankreas yaralanması oldukça nadirdir, ayırıcı tanıda
genellikle atlanır veya geç tanı konur. Nekrozitanpankreatit akut pankreatitin en ciddi formudur. Enfekte
nekrozitan pankreatit akut pankreatite bağlı ölümlerin %80'inden sorumlu tutulmaktadır. Pankreatik
parankimal yapının nekrozu ve özellikle bu nekrozun enfekte olmasıyla çevre dokulara yayılınca cerrahi
tedaviyi gerektirir. Bu tür hastaların tedavisi mortalite oranları yüksekliğinden dolayı multidisipliner
olmalıdır. Bu nedenle bir olgu üzerinden sık görülmeyen, komplikasyon oranı yüksek bu klinik problemi
güncel tanı ve tedavi yöntemleri ışığında inceledik.
Anahtar Kelimeler
Kaynakça
- 1.Vege SS, Yadav D, Chari ST, et al. Pancreatitis. In: GI epidemiology, 1st ed, Talley NJ, Locke GR, Saito YA (Eds), Blackwell Publishing, Malden, MA2007.
- 2.Dugernier T, Dewaele J, Laterre PF. Current surgical management of acute pancreatitis. ActaChirBelg 2006; 106(2):165-71.
- 3.Arıcı C, Colak T, Erdoğan O, et al. The factors effecting morbidity and mortality in surgical treatment of severe necrotizing pancreatitis. Ulusal Travma Derg 2001;7(2):104-9.
- 4.Ashley SW, Perez A, Pierce EA, et al. Necrotizing pancreatitis: contemporary analysis of 99 consecutivecases. AnnSurg 2001;234(4):572-9.
- 5.Whitcomb DC. Clinicalpractice. Acutepancreatitis, N Engl J Med2006;354(20):2142-50.
- 6.Baltazar EJ,Freeny PC,Van Sonnerberg E.Imaging and intervention in acute pancreatitis. Radiology 1994;193:297-306
- 7.BouwmanDL, Weaver DW, Walt AJ. Serum amylase and its isoenzymes: a clarification of the irimplications in trauma. JTrauma 1984;24:573-8
- 8.McClave SA, Chang WK, Dhaliwal R, Heyland DK. Nutritionsupport in acutepancreatitis: a systematic review of the literature. JPEN J Parentr Enteral Nutr 2006: 30: 143-56.
- 9. Howard TJ, Temple MB. Prophylactic antibiotics alter the bacteriology of infected necrosis in severe acute pancreatitis, J Am CollSurg2002;195(6):759-67. http://dx.doi.org/10.1016/S1072-7515(02) 01494-1
- 10.Brand M, Bizos D, O'Farrell P Jr. Antibioticprophy-laxis for patients undergoing elective endoscopic retrograde cholangiopancreatography, Cochrane Database SystRev2010 Oct 6;(10):CD007345.
Öz
The most common spleen and kidneys in blunt abdominal trauma, penetrating injuries in gastrointestinal
tractits affected. Pancreatic injuries after blunt abdominal trauma are extremely rare, skipped or late
diagnosis is usually in the differential diagnosis. Necrotizing pancreatitis is the most severe form of acute
pancreatitis.Infected necrotizing pancreatitis are responsible for %80 of deaths due to acute pancreatitis.
Pancreatic necrosis parenchymal structure and especially that of being infected necrosis and requires
surgical treatment spread to surrounding tissues. Treatment of such patients should be multidisciplinary and
mortality rate is high. There for uncommon on a case, the complication rate is high due to examine the clinical
problems of current diagnostic and therapeutic methods have.
Anahtar Kelimeler
Kaynakça
- 1.Vege SS, Yadav D, Chari ST, et al. Pancreatitis. In: GI epidemiology, 1st ed, Talley NJ, Locke GR, Saito YA (Eds), Blackwell Publishing, Malden, MA2007.
- 2.Dugernier T, Dewaele J, Laterre PF. Current surgical management of acute pancreatitis. ActaChirBelg 2006; 106(2):165-71.
- 3.Arıcı C, Colak T, Erdoğan O, et al. The factors effecting morbidity and mortality in surgical treatment of severe necrotizing pancreatitis. Ulusal Travma Derg 2001;7(2):104-9.
- 4.Ashley SW, Perez A, Pierce EA, et al. Necrotizing pancreatitis: contemporary analysis of 99 consecutivecases. AnnSurg 2001;234(4):572-9.
- 5.Whitcomb DC. Clinicalpractice. Acutepancreatitis, N Engl J Med2006;354(20):2142-50.
- 6.Baltazar EJ,Freeny PC,Van Sonnerberg E.Imaging and intervention in acute pancreatitis. Radiology 1994;193:297-306
- 7.BouwmanDL, Weaver DW, Walt AJ. Serum amylase and its isoenzymes: a clarification of the irimplications in trauma. JTrauma 1984;24:573-8
- 8.McClave SA, Chang WK, Dhaliwal R, Heyland DK. Nutritionsupport in acutepancreatitis: a systematic review of the literature. JPEN J Parentr Enteral Nutr 2006: 30: 143-56.
- 9. Howard TJ, Temple MB. Prophylactic antibiotics alter the bacteriology of infected necrosis in severe acute pancreatitis, J Am CollSurg2002;195(6):759-67. http://dx.doi.org/10.1016/S1072-7515(02) 01494-1
- 10.Brand M, Bizos D, O'Farrell P Jr. Antibioticprophy-laxis for patients undergoing elective endoscopic retrograde cholangiopancreatography, Cochrane Database SystRev2010 Oct 6;(10):CD007345.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Ağustos 2016 |
| Gönderilme Tarihi | 28 Mart 2016 |
| Kabul Tarihi | 17 Temmuz 2016 |
| Yayımlandığı Sayı | Yıl 2016 Cilt: 13 Sayı: 2 |
Harran Üniversitesi Tıp Fakültesi Dergisi / Journal of Harran University Medical Faculty