Genç hastalarda kolon kanserinin ilk bulgusu olarak akut apandisit

Akut apandisit, apendiks lümeninin fekalom, lenfoid hiperplazi, parazit, yabancý cisim ve tümör tarafýndan týkanmasýyla oluþur. Son yýllarda týkanma yapan kolon tümörlerinin
de apandisit bulgularý oluþturduðu ve bu nedenle apendektomi ameliyatý yapýldýðý bildirilmektedir. Özellikle 40 yaþýn üzerinde apendektomi ameliyatý uygulanan hastalarda
böyle bir olasýlýðýn olduðunu bilerek ameliyat öncesi, ameliyatta ve ameliyat sonrasý dönemde tanýya yönelik gerekli incelemeleri yapmak gerekir. Biz baþvuru esnasýnda kolon kanseri olmasýna raðmen akut apandisit tanýsýyla apendektomi ameliyatý yapýlan, ancak ilerleyen dönemde kolon kanseri tanýsý konulan 40 yaþýn altýnda 2 olguyu sunarak, gençlerde de akut apandisit ve kolon kanseri arasýndaki iliþkiyi vurgulamak istedik.

Acut appendicitis as first sign of colon cancer in young patients

Acute appendicitis occurs with obliteration of the appendix lumen due to fecaloma, lymphoid hyperplasia, parasite, foreign body, and tumor. In recent years, it has been reported that obstruction by colon tumors also creates signs of appendicitis, based upon which the appendicectomy operation is done. Knowing that it can be seen in patients over the age of 40 who underwent appendicectomy operation, the necessary investigations for diagnosis should be conducted during preoperative, perioperative and even postoperative period. We aimed to emphasize the relation between acute appendicitis
and colon cancer among young patients by introducing two patients under 40 years who were diagnosed with appendicitis, and underwent appendicectomy operation; however, they were later diagnosed with colon cancer.