Negatif apendektomilerdeki jinekolojik patoloji oranımız
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Date
2005-06-07
Authors
Onuray, Feyyaz
Vural, Selahattin
Tüzün, Barış
Tunçay, Erhan
Dalkılıç, Gülay
Akın, Tolgay
Journal Title
Journal ISSN
Volume Title
Publisher
Uludağ Üniversitesi
Abstract
Jinekolojik organ patolojileri akut apandisit tanısında bizi yanıltmaktadır. Biz bu çalışmada, akut apandisit ön tanısıyla ameliyat edilen ve normal apendiks tespit edilen kadın hastalardaki tespit ettiğimiz jinekolojik patolojilerin tedavi yaklaşımlarını ve oranlarını sunmayı amaçladık. Kliniğimize 1997-2003 yılları arasında başvuran ve akut apandisit ön tanısıyla opere edilen 834 hasta retrospektif olarak incelendi. Peroperatif apandisit ve jinekolojik patoloji tanısı makroskobik olarak kondu. Sekiz yüz otuz dört hastanın 502’si (%60,8) erkek, 332’si (39.2) kadındı. Tüm hastaların 53 (%6,4)’ünde ameliyat esnasında normal apendiks ile karşılaşılmıştır. Negatif apenektomi saptanan 53 hastanın 38 i kadındı. Negatif apendektomiler kadınlarda erkeklere göre istatistiksel olarak anlamlı bir şekilde daha sık gözlenmiştir (χ² =8.34 p<0.01). Normal apendiks tespit edilen 38 hastanın 21 (%55,2) başka bir patoloji ile karşılaşılmamıştır. On yedi olguda (%44,8) ise jinekolojik patoloji ile karşılaşılmıştır. Bu hastaların 6’sında (%35) korpus hemorajikum kist rüptürü, 6’sında (%35) over kisti, 2’sinde (%12) pelvik inflamatuar hastalık, 2’sinde (%12) over torsiyonu, 1 (%6) tanesinde de ektopik gebelik sol tuba rüptürü tespit edilmiştir. Literatür incelendiğinde birçok çalışmada bu sonucu desteklemektedir. Karın ağrısı olan kadın hastalarda jinekolojik patoloji olasılığı da düşünülmeli; bu nedenle jinekolojik anamnez alınmalı ve jinekolojik muayene yapılmalıdır.
Gynecological pathologies mislead us in diagnosis of acute appendicitis. In this study, we aimed to present the rates and the treatment of gynecological pathologies in women who were operated with diagnosis of acute appendicitis but having normal appendix. Between 1997- 2003, we retrospectively evaluated 834 patients who were operated with the preoperative diagnosis of acute appendicitis. The diagnosis of acute appendicitis and gynecological pathology were made during the operation by macroscopic axamination. There were 834 patients being 502 (%60.8) male and 332 (%39.2) female. There were normal appendices in 53 (%6.4) patients peroperaitvely. In 53 negative appendectomy cases there were 38 females. Negative appendectomy rates were more common in females than in males and that was found to be statistically significant (χ2= 8.34, p<0.01). Of the 38 females with negative appendectomies 17 (%44.8) had gynecological pathologies and 21 (%55.2) had no other pathologies. The gynecological pathologies were corpus hemorrhagicum cyst rupture (n=6, %35), ovarian cyst rupture (n=6, %35), pelvic inflammatory disease (n=2, %12), ovarian torsion (n=2, %12) and ectopic pregnancy rupture on the left ovarian tube (n=1, %6). In female patients with abdominal pain, we should also think the probability gyncological pathologies, that’s why gynecological history should be taken and gynecological examination should be made.
Gynecological pathologies mislead us in diagnosis of acute appendicitis. In this study, we aimed to present the rates and the treatment of gynecological pathologies in women who were operated with diagnosis of acute appendicitis but having normal appendix. Between 1997- 2003, we retrospectively evaluated 834 patients who were operated with the preoperative diagnosis of acute appendicitis. The diagnosis of acute appendicitis and gynecological pathology were made during the operation by macroscopic axamination. There were 834 patients being 502 (%60.8) male and 332 (%39.2) female. There were normal appendices in 53 (%6.4) patients peroperaitvely. In 53 negative appendectomy cases there were 38 females. Negative appendectomy rates were more common in females than in males and that was found to be statistically significant (χ2= 8.34, p<0.01). Of the 38 females with negative appendectomies 17 (%44.8) had gynecological pathologies and 21 (%55.2) had no other pathologies. The gynecological pathologies were corpus hemorrhagicum cyst rupture (n=6, %35), ovarian cyst rupture (n=6, %35), pelvic inflammatory disease (n=2, %12), ovarian torsion (n=2, %12) and ectopic pregnancy rupture on the left ovarian tube (n=1, %6). In female patients with abdominal pain, we should also think the probability gyncological pathologies, that’s why gynecological history should be taken and gynecological examination should be made.
Description
Keywords
Apendektomi, Apendiks, Jinekolojik patolojiler, Appendectomy, Gynecological pathologies, Appendix
Citation
Onuray, F. vd. (2005). ''Negatif apendektomilerdeki jinekolojik patoloji oranımız''. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 31(1), 21-23.