Year 2020, Volume 4 , Issue 1, Pages 102 - 104 2020-01-02

Akut batının nadir bir nedeni olarak perinefrik apse: Olgu sunumu
Perinephric abscess as a rare cause of acute abdomen: A case report

Yilmaz GÜLER [1] , Serkan ŞENGÜL [2] , Hasan ÇALIŞ [3] , Murat UÇAR [4] , Özkan ÖZEN [5]


Renal ve perinefrik apseler genellikle Gerota fasyasında sınırlı kalırlar ve konservatif yöntemlerle tedavi edilirler. Bu çalışmada perinefritik apsenin nadir görülen klinik bir sonucu olarak Gerota fasyasından karın içerisine açılması sonucu sekonder peritonite sebep olduğu olguyu sunmayı amaçladık. 41 yaşında kadın hasta karın ağrısı, karında şişlik, ateş ve halsizlik şikayetleriyle hastanemiz acil servisine başvurdu. Acil opere edilen hastada Gerota fasyasından karın içine uzanan yaklaşık 20x15 cm çapında apse ve sekonder peritonit saptandı. Postoperatif 20. gün hasta şifa ile hastaneden taburcu edildi. Perinefritik apselerin tanısında gecikme olması öldürücü komplikasyonlara yol açabilir. Gerota fasyasını aşan, striktür, fistül veya bizim olgumuzda olduğu gibi sekonder peritonitin geliştiği ve perkütan drenajla tedavi edilemeyen geniş apselerde laparotomi hayat kurtarıcıdır.

Renal and perinephric abscesses are usually confined within the Gerota's fascia and treated with conservatively. We herein present a case with peritonitis caused by the spillage of perinephritic abscess into the abdomen through the Gerota’s fascia, which is clinical outcome. A 41-year-old female patient was admitted to emergency room with complaints of abdominal pain, bloating, fever, and fatigue. During the operation, an abscess of approximately 20x15cm in size was observed to extend into the abdominal cavity through the Gerota's fascia, causing secondary peritonitis. On the 20th postoperative day, the patient was uneventfully discharged. Delay in diagnosis of renal and perinephric abscesses can lead to fatal complications. Laparotomy is a life-saving approach in cases that cannot be treated with percutaneous drainage, when the abscess is large and causes complications such as strictures, fistulas, or secondary peritonitis, by extension through the Gerota's fascia, as in our case.

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Primary Language en
Subjects Surgery
Journal Section Case report
Authors

Orcid: 0000-0002-3225-6348
Author: Yilmaz GÜLER (Primary Author)
Institution: ALANYA ALAADDIN KEYKUBAT UNIVERSITY
Country: Turkey


Orcid: 0000-0003-4691-5663
Author: Serkan ŞENGÜL
Institution: ALANYA ALAADDIN KEYKUBAT UNIVERSITY

Orcid: 0000-0003-4182-798X
Author: Hasan ÇALIŞ
Institution: ALANYA ALAADDIN KEYKUBAT UNIVERSITY

Orcid: 0000-0001-6977-7430
Author: Murat UÇAR
Institution: ALANYA ALAADDIN KEYKUBAT UNIVERSITY

Orcid: 0000-0003-3429-8610
Author: Özkan ÖZEN
Institution: ALANYA ALAADDIN KEYKUBAT UNIVERSITY

Dates

Publication Date : January 2, 2020

Bibtex @case report { josam608975, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {102 - 104}, doi = {10.28982/josam.608975}, title = {Perinephric abscess as a rare cause of acute abdomen: A case report}, key = {cite}, author = {Güler, Yilmaz and Şengül, Serkan and Çalış, Hasan and Uçar, Murat and Özen, Özkan} }
APA Güler, Y , Şengül, S , Çalış, H , Uçar, M , Özen, Ö . (2020). Perinephric abscess as a rare cause of acute abdomen: A case report . Journal of Surgery and Medicine , 4 (1) , 102-104 . DOI: 10.28982/josam.608975
MLA Güler, Y , Şengül, S , Çalış, H , Uçar, M , Özen, Ö . "Perinephric abscess as a rare cause of acute abdomen: A case report" . Journal of Surgery and Medicine 4 (2020 ): 102-104 <http://jsurgmed.com/en/pub/issue/51597/608975>
Chicago Güler, Y , Şengül, S , Çalış, H , Uçar, M , Özen, Ö . "Perinephric abscess as a rare cause of acute abdomen: A case report". Journal of Surgery and Medicine 4 (2020 ): 102-104
RIS TY - JOUR T1 - Perinephric abscess as a rare cause of acute abdomen: A case report AU - Yilmaz Güler , Serkan Şengül , Hasan Çalış , Murat Uçar , Özkan Özen Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.608975 DO - 10.28982/josam.608975 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 102 EP - 104 VL - 4 IS - 1 SN - -2602-2079 M3 - doi: 10.28982/josam.608975 UR - https://doi.org/10.28982/josam.608975 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Perinephric abscess as a rare cause of acute abdomen: A case report %A Yilmaz Güler , Serkan Şengül , Hasan Çalış , Murat Uçar , Özkan Özen %T Perinephric abscess as a rare cause of acute abdomen: A case report %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 1 %R doi: 10.28982/josam.608975 %U 10.28982/josam.608975
ISNAD Güler, Yilmaz , Şengül, Serkan , Çalış, Hasan , Uçar, Murat , Özen, Özkan . "Perinephric abscess as a rare cause of acute abdomen: A case report". Journal of Surgery and Medicine 4 / 1 (January 2020): 102-104 . https://doi.org/10.28982/josam.608975
AMA Güler Y , Şengül S , Çalış H , Uçar M , Özen Ö . Perinephric abscess as a rare cause of acute abdomen: A case report. J Surg Med. 2020; 4(1): 102-104.
Vancouver Güler Y , Şengül S , Çalış H , Uçar M , Özen Ö . Perinephric abscess as a rare cause of acute abdomen: A case report. Journal of Surgery and Medicine. 2020; 4(1): 102-104.