Künt karın travmasına bağlı mezenterik avulsiyon

Abdullah Şişik; Fatih Başak; Tolga Canbak; Ali Kılıç; Aylin Acar; Metin Yücel; Adnan Özpek; Gürhan Baş

doi:10.19161/etd.344226

EN TR

Mesenteric avulsion in a blunt trauma

Abstract

Mesenteric injuries are uncommon with blunt trauma, however these injuries must be considered in patients which are presented with blunt abdominal trauma. Preoperative diagnose is quite difficult in mesenteric injuries,and mostly they are detected during laparotomies which were performed due to hemodinamic instability. Fifty-two years old male patient was admitted to emergency service with road accident. On admission; glasgow coma scale: 14, blood pressure: 70/50 mmHg, pulse: 78/min, hemoglobin: 11 g/dL, hematocrite: 34% and leukocyte: 6500/ mm³. Abdominal computerized tomography showed diffuse intraabdominal hemorrhagic fluid and mesenteric fat straining. Diagnostic laparotomy was performed due to hemodynamic instability after 2 hours of conservative management. Mesenteric avulsion and 120 cm small bowel necrosis were detected and hemorrhage control and anastomosis were performed after resection of necrotic intestine. Patient was discharged uneventfully on postoperative day 9.

Keywords

Blunt trauma, mesenteric avulsion, early surgery

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Abdullah Şişik

Fatih Başak

Tolga Canbak

Ali Kılıç

Aylin Acar

Metin Yücel

Adnan Özpek

Gürhan Baş

Publication Date

December 1, 2016

Submission Date

December 1, 2016

Acceptance Date

-

Published in Issue

Year 1970 Volume: 55 Number: 4

DOI

https://doi.org/10.19161/etd.344226

IZ

https://izlik.org/JA48RB49UJ

Cite

RIS / Bibtex

Vancouver

1.Abdullah Şişik, Fatih Başak, Tolga Canbak, Ali Kılıç, Aylin Acar, Metin Yücel, Adnan Özpek, Gürhan Baş. Künt karın travmasına bağlı mezenterik avulsiyon. EJM. 2016 Dec. 1;55(4):199-201. doi:10.19161/etd.344226

Mesenteric avulsion in a blunt trauma

Abstract

Keywords