Dev peritoneal mezotelyal kist literatür eşliğinde olgu sunumu
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Causapedia
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Mezenterik kistler (MK) çok iyi prognoza sahip, nadir
görülen genellikle benign karakterde intraabdominal
kistik kitlelerdir. Bir kaç mm ile 40 cm arasında değişir.
Belli boyuta gelinceye kadar asemptomatik olması ve
spesifik bir semptomunun olmamasından dolayı
preoperatif doğru tanı koymak gecikebilir. Bu
yazımızda, karın ön duvarındaki peritondan kaynaklanan
basit bir MK olgusu sunuldu. Elli bir yaşında erkek hasta
4-5 aydır devam eden karında şişlik ve ağrı şikayeti ile
kliniğimize başvurdu. Özgeçmiş ve soygeçmiş
sorgulamasında önemli bir özelliğe rastlanmadı. Rutin
laboratuvar tetkikleri normaldi. Bilgisayarlı abdomen
tomografisinde yaklaşık 12x10x11,5 cm boyutta, hafif
yoğun içerikli ve düzgün sınırlı kistik lezyon
görülüyordu. Kist hidatik serolojisi negatif geldi. MK ön
tanısı ile göbek üstü median kesi ile laparotomi yapıldı
ve eksplorasyonda sol üst kadran karın ön duvarı ve
diyafragma üzerindeki pariyetal peritondan kaynaklı
yaklaşık 12 cm çapında kistik lezyon olduğu görüldü.
Total eksize edildi. Histopatolojik tanı multiloküle
peritoneal inklüzyon kisti olarak rapor edildi. Karın ön
duvarından kaynaklı peritoneal basit MK’ler oldukça
nadir görülmekle beraber intraabdominal kistik kitle
düşünülen hastaların ayırıcı tanısında akılda tutulmalıdır.
Mesenteric cysts (MC) are rare and commonly benign intra-abdominal mass that has a very good prognosis. The cyst size ranges from a few centimeters to 40 cm. And the lack of specific symptoms and rarity of MC, correct pre-operative diagnosis may be delayed until it reaches a certain size. A case of simple mesenchymal cyst that was arising from the peritoneum in the anterior abdominal wall, is presented due to rare localization. A 51-year-old man with abdominal pain and associated distention, during the previous 4-5 months, without other symptoms, admitted to our clinic. His past medical history was unremarkable. The laboratory examination were unremarkable. Abdominal computerized tomography imaging showed a cystic mass of 12x10x11,5 cm that was properly limited with light-intensive content. Hydatid cyst was negative serology . Midline laparotomy was performed with a presumptive diagnosis of mesenteric cyst. Cystic lesion, about 12 cm in diameter, was observed arrising from parietal peritoneumon the left upper abdominal wall during the exploration. Radical excision of the cyst was performed. Histopathological diagnosis was multiloculated peritoneal inclusion cyst. Although, peritoneal simple mesenchymal cysts arising from the anterior abdominal wall is very rare, in the differential diagnosis of patients, it should be kept in mind.
Mesenteric cysts (MC) are rare and commonly benign intra-abdominal mass that has a very good prognosis. The cyst size ranges from a few centimeters to 40 cm. And the lack of specific symptoms and rarity of MC, correct pre-operative diagnosis may be delayed until it reaches a certain size. A case of simple mesenchymal cyst that was arising from the peritoneum in the anterior abdominal wall, is presented due to rare localization. A 51-year-old man with abdominal pain and associated distention, during the previous 4-5 months, without other symptoms, admitted to our clinic. His past medical history was unremarkable. The laboratory examination were unremarkable. Abdominal computerized tomography imaging showed a cystic mass of 12x10x11,5 cm that was properly limited with light-intensive content. Hydatid cyst was negative serology . Midline laparotomy was performed with a presumptive diagnosis of mesenteric cyst. Cystic lesion, about 12 cm in diameter, was observed arrising from parietal peritoneumon the left upper abdominal wall during the exploration. Radical excision of the cyst was performed. Histopathological diagnosis was multiloculated peritoneal inclusion cyst. Although, peritoneal simple mesenchymal cysts arising from the anterior abdominal wall is very rare, in the differential diagnosis of patients, it should be kept in mind.
Açıklama
Anahtar Kelimeler
Peritoneal Kist, Tanı Tedavi, Peritoneal cyst, Treatment diagnosis
Kaynak
Causapedia
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
Künye
Sarıcı, K. B. Soyer, V. Onur, A. Dirican, A. Ünal, B. (2015). Dev peritoneal mezotelyal kist literatür eşliğinde olgu sunumu. Causapedia.4; 1124.
