A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation
Yıl: 2020 Cilt: 22 Sayı: 1 Sayfa Aralığı: 63 - 66 Metin Dili: İngilizce DOI: 10.18678/dtfd.666694 İndeks Tarihi: 15-12-2020
A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation
Öz: Internal herniation is one of the rare causes of intestinal obstruction. The most common causesof intestinal obstruction are adhesive bridges, volvulus, and invagination. The classic triadfrequently seen in the clinic includes colic type abdominal pain, nausea/vomiting and absencesof gas passage and defecation. It is very difficult to diagnose internal herniation duringpregnancy due to the inability to see all clinical findings together, to confuse the findings withobstetric pain, and to the possible fetal side effects due to the application of radiologicaldiagnostic methods. Because of high maternal and fetal mortality risk, it is important to makean early diagnosis and perform surgical intervention without any delay if necessary. In allpregnant women presenting with a diagnosis of acute abdomen, intestinal obstruction and thepossibility of the internal herniation that may cause this clinical picture should be kept in mind.
Anahtar Kelime: Gebelikte Nadir Bir Akut Batın Nedeni: İnternal Herniasyon
Öz: Internal herniasyon, intestinal obstrüksiyonunun nadir görülen nedenlerinden biridir. İntestinal obstrüksiyona en sık yol açan nedenler; adeziv bantlar, volvulus ve invajinasyondur. Klinikte sıklıkla görülen klasik triadı, kolik tarzında karın ağrısı, bulantı/kusma ve gaz gayta deşarjının olmamasıdır. Klinik bulguların hepsinin birlikte görülmeyebilmesi, bulguların obstetrik ağrılar ile karışabilmesi ve radyolojik tanı yöntemlerinin uygulanmasına bağlı oluşabilecek olası fetal yan etkiler nedeniyle gebelikte internal herniasyon tanısının konulması oldukça zordur. Yüksek maternal ve fetal mortalite riski nedeniyle erken tanı konulması ve cerrahi müdahale gerekli ise vakit kaybetmeden uygulanması önemlidir. Akut batın ön tanısı ile başvuran tüm gebelerde, intestinal obstrüksiyon ve bu klinik tabloya neden olabilecek internal herniasyon tanısı akılda tutulmalıdır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Mathieu D, Luciani A, GERMAD Group. Internal abdominal herniations. AJR Am J Roentgenol. 2004;183(2):397-404.
- 2. Lanzetta MM, Masserelli A, Addeo G, Cozzi D, Maggialetti N, Danti G, et al. Internal hernias: a difficult diagnostic challenge. Review of CT signs and clinical findings. Acta Biomed. 2019;90(5-S):20-37.
- 3. Lan Cheong Wah D, Tam A, Sarkar A. Internal hernia as a rare cause of ischaemic colitis: a case report and literature review. ANZ J Surg. 2019;89(5):608-9.
- 4. Martin LC, Merkle EM, Thompson WM. Review of internal hernias: radiographic and clinical findings. AJR Am J Roentgenol. 2006;186(3):703-17.
- 5. Schizas D, Apostolou K, Krivan S, Kanavidis P, Katsaros I, Vailas M, et al. Paraduodenal hernias: a systematic review of the literature. Hernia. 2019;23(6):1187-97.
- 6. Dave DM, Clarke KO, Manicone JA, Kopelan AM, Saber AA. Internal hernias in pregnant females with Roux-en-Y gastric bypass: a systematic review. Surg Obes Relat Dis. 2019;15(9):1633-40.
- 7. Valentini V, Buquicchio GL, Galluzzo M, Ianniello S, Di Grezia G, Ambrosio R, et al. Intussusception in Adults: The role of MDCT in the identification of the site and cause of obstruction. Gastroenterol Res Pract. 2016;2016:5623718.
- 8. Pothiawala S, Gogna A. Early diagnosis of bowel obstruction and strangulation by computed tomography in emergency department. World J Emerg Med. 2012;3(3):227-31.
- 9. Doishita S, Takeshita T, Uchima Y, Kawasaki M, Shimono T, Yamashita A, et al. Internal hernias in the era of multidetector CT: Correlation of imaging and surgical findings. Radiographics. 2016;36(1):88-106.
- 10. Di Saverio S, Coccolini F, Galati M, Smerieri N, Biffl WL, Ansaloni L, et al. Bologna guidelines for diagnosis and management of adhesive small bowel obstruction (ASBO): 2013 update of the evidencebased guidelines from the world society of emergency surgery ASBO working group. World J Emerg Surg. 2013;8(1):42.
- 11. Yao S, Tanaka E, Ikeda A, Murakami T, Okumoto T, Harada T. Outcomes of laparoscopic management of acute small bowel obstruction: a 7-year experience of 110 consecutive cases with various etiologies. Surg Today. 2017;47(4):432-9.
| APA | Mete Ural Ü, Dağıstanlı F (2020). A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. , 63 - 66. 10.18678/dtfd.666694 |
| Chicago | Mete Ural Ülkü,Dağıstanlı Funda A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. (2020): 63 - 66. 10.18678/dtfd.666694 |
| MLA | Mete Ural Ülkü,Dağıstanlı Funda A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. , 2020, ss.63 - 66. 10.18678/dtfd.666694 |
| AMA | Mete Ural Ü,Dağıstanlı F A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. . 2020; 63 - 66. 10.18678/dtfd.666694 |
| Vancouver | Mete Ural Ü,Dağıstanlı F A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. . 2020; 63 - 66. 10.18678/dtfd.666694 |
| IEEE | Mete Ural Ü,Dağıstanlı F "A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation." , ss.63 - 66, 2020. 10.18678/dtfd.666694 |
| ISNAD | Mete Ural, Ülkü - Dağıstanlı, Funda. "A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation". (2020), 63-66. https://doi.org/10.18678/dtfd.666694 |
| APA | Mete Ural Ü, Dağıstanlı F (2020). A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Düzce Tıp Fakültesi Dergisi, 22(1), 63 - 66. 10.18678/dtfd.666694 |
| Chicago | Mete Ural Ülkü,Dağıstanlı Funda A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Düzce Tıp Fakültesi Dergisi 22, no.1 (2020): 63 - 66. 10.18678/dtfd.666694 |
| MLA | Mete Ural Ülkü,Dağıstanlı Funda A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Düzce Tıp Fakültesi Dergisi, vol.22, no.1, 2020, ss.63 - 66. 10.18678/dtfd.666694 |
| AMA | Mete Ural Ü,Dağıstanlı F A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Düzce Tıp Fakültesi Dergisi. 2020; 22(1): 63 - 66. 10.18678/dtfd.666694 |
| Vancouver | Mete Ural Ü,Dağıstanlı F A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation. Düzce Tıp Fakültesi Dergisi. 2020; 22(1): 63 - 66. 10.18678/dtfd.666694 |
| IEEE | Mete Ural Ü,Dağıstanlı F "A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation." Düzce Tıp Fakültesi Dergisi, 22, ss.63 - 66, 2020. 10.18678/dtfd.666694 |
| ISNAD | Mete Ural, Ülkü - Dağıstanlı, Funda. "A Rare Cause of Acute Abdomen in Pregnancy: Internal Herniation". Düzce Tıp Fakültesi Dergisi 22/1 (2020), 63-66. https://doi.org/10.18678/dtfd.666694 |
