Yıl: 2020 Cilt: 22 Sayı: 1 Sayfa Aralığı: 63 - 66 Metin Dili: İngilizce DOI: 10.18678/dtfd.666694

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
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APA URAL Ü, DAĞISTANLI 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 URAL Ülkü METE,DAĞISTANLI 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 URAL Ülkü METE,DAĞISTANLI 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 URAL Ü,DAĞISTANLI 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 URAL Ü,DAĞISTANLI 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 URAL Ü,DAĞISTANLI 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 URAL, Ülkü METE - DAĞISTANLI, 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