Perfore primer ince bağırsak lenfoması: Olgu sunumu
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Dosyalar
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
İnce bağırsak malign tümörleri nadir görülen ve tanı aşamasındaki güçlükler nedeniyle ileri evrelerde tanı konan tümörlerdir. Lenfoma gastrointestinal sistem malign tümörlerinin %1'ini oluşturur. Primer gastrointestinal lenfoma ender görülür ve ameliyat öncesi tanı konması oldukça zordur. Primer gastrointestinal lenfoma tanısı genellikle laparotomi ile konur. Bu yazıda, subileus tanısı ile takip edilmekteyken akut karın kliniği gelişen ve acil cerrahi eksplorasyona alınarak ince bağırsak tümör perforasyonu saptanan 77 yaşında erkek hasta sunuldu. Hastaya geniş ince bağırsak rezeksiyonu ve uç uca çift kat ince bağırsak anastomozu yapıldı. Histopatolojik inceleme sonucu indolent B-hücreli non-Hodgkin lenfoma olarak bildirildi. İnce bağırsak tümörlerinin nadiren subileus tablosu ile karşımıza çıkabileceği ve tanının çoğu zaman gecikebileceği unutulmamalıdır
Malignant tumors of the small bowel are rarely seen and are usually diagnosed in advanced stages because of the difficulties in diagnosis. Lymphomas account for %1 of malignant gastrointestinal system tumors. Primary gastrointestinal lymphoma is very rare and its preoperative diagnosis is difficult. Its diagnosis is usually made through laparotomy. A 77-year-old male patient developed acute abdomen during observation for partial mechanic intestinal obstruction. Emergent explorative laparotomy revealed perforation of a small bowel tumor. A wide small bowel resection was performed with a double-layer end-to-end anastomosis. Histopathological examination of the surgical specimen was reported as indolent B-cell non–Hodgkin's lymphoma. It should be kept in mind that small bowel tumors can present as mechanic intestinal obstruction, resulting in delayed diagnosis.
Malignant tumors of the small bowel are rarely seen and are usually diagnosed in advanced stages because of the difficulties in diagnosis. Lymphomas account for %1 of malignant gastrointestinal system tumors. Primary gastrointestinal lymphoma is very rare and its preoperative diagnosis is difficult. Its diagnosis is usually made through laparotomy. A 77-year-old male patient developed acute abdomen during observation for partial mechanic intestinal obstruction. Emergent explorative laparotomy revealed perforation of a small bowel tumor. A wide small bowel resection was performed with a double-layer end-to-end anastomosis. Histopathological examination of the surgical specimen was reported as indolent B-cell non–Hodgkin's lymphoma. It should be kept in mind that small bowel tumors can present as mechanic intestinal obstruction, resulting in delayed diagnosis.
Açıklama
Anahtar Kelimeler
Tıbbi Araştırmalar Deneysel, Onkoloji, Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Kaynak
Trakya Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
25
Sayı
1
