Laparoskopik kolesistektomi sonrası atrial fibrilasyona bağlı splenik arter tromboembolisi
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Tarih
2016
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Öz: Splenik arter tromboembolisine bağlı dalak iskemisi nadir görülen bir durumdur. Tromboemboli çoğunlukla kardiak kaynaklı olup, önemli bir kısmını atrial fibrilasyon (AF) oluşturmaktadır (1). Hipertiroidi; AF ve hiperkoagübiliteye neden olabilir. Hipertiroidi tanısı alan ancak son iki aydır antitiroid ilaçlarını kullanmayan altmış yaşında erkek hasta sunulmuştur. Olgumuza akut kolesistit nedeniyle acil laparoskopik kolesistektomi uygulandı. Ameliyat sonrası onuncu gününde gelişen karın ağrısı nedeniyle yapılan tetkiklerde splenik arterde tromboemboli, dalakda ve pankreasda iskemik alanlar saptandı. Hastanın hipertiroidi tedavisi tekrar düzenlendi ve dalaktaki iskemik alan konservatif yöntemlerle tedavi edildi. Olgumuzda da olduğu gibi acil girişimlerden önce hastalar dikkatlice hipertiroidi yönünden sorgulanmalı ve tiroid fonksiyon testleri kontrol edilmelidir.
Abstract: Splenic artery thromboembolism is a rare condition that may lead to the splenic ischemia. It is mostly caused by cardiac thromboembolism and atrial fibrillation (AF)(1). Hyperthyroidism; can cause AF and predispose to hypercoagulability. Here we present a sixty year old male patient with a diagnosis of hyperthyroidism who quitted taking his anti-thyroid medications for over two months. Patient underwent an emergency laparoscopic cholecystectomy for acute cholecystitis. On the post-operative 10th day, he was complained about an abdominal pain and the interventions performed demonstrated a thromboembolism in the splenic artery; ischemia and infarction in the pancreas and spleen due to this thrombus. His hyperthyroidism treatment was started again and the splenic infarction was treated conservatively. As it is in our case the hyperthyroidism history should be questioned carefully in the emergency cases and the results of the thyroid function tests should be checked before the surgery.
Abstract: Splenic artery thromboembolism is a rare condition that may lead to the splenic ischemia. It is mostly caused by cardiac thromboembolism and atrial fibrillation (AF)(1). Hyperthyroidism; can cause AF and predispose to hypercoagulability. Here we present a sixty year old male patient with a diagnosis of hyperthyroidism who quitted taking his anti-thyroid medications for over two months. Patient underwent an emergency laparoscopic cholecystectomy for acute cholecystitis. On the post-operative 10th day, he was complained about an abdominal pain and the interventions performed demonstrated a thromboembolism in the splenic artery; ischemia and infarction in the pancreas and spleen due to this thrombus. His hyperthyroidism treatment was started again and the splenic infarction was treated conservatively. As it is in our case the hyperthyroidism history should be questioned carefully in the emergency cases and the results of the thyroid function tests should be checked before the surgery.
Açıklama
Anahtar Kelimeler
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
2
Künye
KIRMIZI S,TOLAN H. K,ARA C,YILMAZ S (2016). Laparoskopik kolesistektomi sonrası atrial fibrilasyona bağlı splenik arter tromboembolisi. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 23(2), 208 - 210.