OBSTRUKT�F SARILI�A NEDEN OLAN PANKREAS BA�INDA K�ST H�DAT�K VAKASI

Koyuncu, Adil; �ulcu, Deniz; Ak�nc�, Muzaffer; Sunar, Haldun; Ar�kan, Soykan; Ar�n�, Onat

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OBSTRUKT�F SARILI�A NEDEN OLAN PANKREAS BA�INDA K�ST H�DAT�K VAKASI [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2001; 7(2): 126-128

OBSTRUKT�F SARILI�A NEDEN OLAN PANKREAS BA�INDA K�ST H�DAT�K VAKASI

Adil Koyuncu¹, Deniz �ulcu¹, Muzaffer Ak�nc�¹, Haldun Sunar¹, Soykan Ar�kan¹, Onat Ar�n�¹
Haseki E�itim ve Ara�t�rma Hastanesi 1. Cerrahi Klini�i

61 ya��nda 69 kg. a��rl��nda erkek hasta obstr�ktif sar�l�k d��n�lerek 1.Cerrahi Klini�i'ne sevk edilmi�. S�rt a�r�s�, i�tahs�zl�k ve sar�l�k �ikayeti nedeniyle bir hafta dahiliye klini�inde tetkik edilen hastada alkol kullanma �yk�s� bulunmuyor. Fizik muayenede bat�n sa� �st kadran palpasyonla a�r�l�, safra kesesi hidropik olarak palpe ediliyor. �st bat�n tomografide pankreas ba��nda 22 mm. �ap�nda d�zg�n kont�rl� kist mevcut. Hastaya exploratris laparotomi planland�. Peroperatif yap�lan kist aspirasyonunda kist hidati�in laminar membran� ile kar��la��l�nca pankreas ba��ndaki lezyonun kist hidatik oldu�una karar verildi. Kolesistektomi, koledokoduodenostomi, parsiyel kistektomi ve kapitonaj uyguland�. Hasta postoperatif d�nem sonras� 800 mg/g�n Albendazol ba�lan�larak taburcu edildi.

HYDATID CYST IN THE PACREATIC HEAD CAUSING OBSTRUCTIVE JAUNDICE

Adil Koyuncu¹, Deniz �ulcu¹, Muzaffer Ak�nc�¹, Haldun Sunar¹, Soykan Ar�kan¹, Onat Ar�n�¹
Haseki E�itim ve Ara�t�rma Hastanesi 1. Cerrahi Klini�i

The patient (male; age = 69) was referred to the Department of 1 st Surgery upon suspicion of obstructive jaundice. He was admitted to the Department of Internal Medicine with back pain, loss of apetite, and jaundice and some laboratory tests were performed. He has no history of alcohol use. During his physical examination, pain was noted in the upper right quadrant and the gall bladder was palpable and hydropic. A 22 mm. cystic structure with smooth contours was detected in the abdominal CT scan. An exploratory laparatomy was planned. During the perioperative cyst aspiration, the laminar membrane of hydatic cyst led to the probable diagnosis of hydatic cyst. Cholecystectomy, choledocoduodenostomy, partial cystectomy and capitonage was performed. The patient was started on 800 mg/day albendazole during postoperative period and then was discharged.

Adil Koyuncu, Deniz �ulcu, Muzaffer Ak�nc�, Haldun Sunar, Soykan Ar�kan, Onat Ar�n�. HYDATID CYST IN THE PACREATIC HEAD CAUSING OBSTRUCTIVE JAUNDICE. Ulus Travma Acil Cerrahi Derg. 2001; 7(2): 126-128
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