Birden �ok Odakta E� Zamanl� Fitobezoar, G�zden Ka�abilen Bir Antite:  Olgu Sunumu

Din�el, O�uzhan; K�nac�, Erdem; �irin, Seher; Ay�an, Erhan; Kaygusuz, Arslan

Cilt : 35 Say� : 3 Y�l : 2024

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Birden �ok Odakta E� Zamanl� Fitobezoar, G�zden Ka�abilen Bir Antite: Olgu Sunumu [South Clin Ist Euras]

South Clin Ist Euras. 2006; 17(1): 42-45

Birden �ok Odakta E� Zamanl� Fitobezoar, G�zden Ka�abilen Bir Antite: Olgu Sunumu

O�uzhan Din�el, Erdem K�nac�, Seher �irin, Erhan Ay�an, Arslan Kaygusuz
�stanbul E�itim Ve Ara�t�rma Hastanesi 3. Genel Cerrahi Klini�i

Bezoarlar, yutulan yiyecek veya yabanc� maddelerin k�m�latif olarak gastrointestinal sistemde birikmesidir. Bezoarlar, en s�k ince ba��rsakta mekanik t�kanmaya neden olarak semptomatik olurlar. Bu durum acil ameliyat endikasyonudur. Bu yaz�da artan kar�n a�r�s�, kab�zl�k, epigastrik a�r�, bulant�, kusma �ikayetleri olan ve yedi y�l �nce mide �lseri nedeniyle ameliyat olan 53 ya��ndaki erkek hasta sunuldu. Ayakta direkt kar�n grafisinde ileus bulgular� da olan hasta acil olarak ameliyata al�nd�. Biri midede, biri de jejenumda olan iki adet bezoar vard�. Gastrotomi ve jejunotomi ile bezoarlar ��kar�ld�. Semptomatik bezoar genellikle tek odaktad�r. �ki ayr� odakta g�r�lmesi olduk�a enderdir. Her bezoar olgusunda gastrointestinal sistemin di�er b�l�mlerinin g�zden ge�irilmesi unutulmamal�d�r.

Anahtar Kelimeler: Anahtar S�zc�kler: Bezoarlar/komplikasyonlar/radyografi, ba��rsak t�kan�kl��/etyoloji; mide; ileus.

Mult�focal S�multaneous Phytobezoar, An Unusual Ent�ty: Case Report

O�uzhan Din�el, Erdem K�nac�, Seher �irin, Erhan Ay�an, Arslan Kaygusuz
�stanbul E�itim Ve Ara�t�rma Hastanesi 3. Genel Cerrahi Klini�i

Bezoars consist of indigested food and foreign materials that accumulate within the gastrointestinal tract. Bezoars frequently cause mechanical obstruction by passing into the small bowel where they are symptomatic. This is an indication of urgent operation. In this article, we presented 53 year old man with upper abdominal pain, constipation, epigastric pain, nausea, vomiting and operated for gastric ulcer seven years ago. Abdominal X-ray studies revealed ileus signs (air-fluid levels) and than we operated him. There were two bezoars; one in stomach and one in jejenum. Bezoars were extracted by gastrotomy and jejunotomy. In clinical aspect, symptomatic bezoars are usually being located in one focus within the gastrointestinal tract. Multifocal presentation is very rare. We shouldn�t forget to exploration another parts of gastrointestinal tract for all bezoars subject.

Keywords: Bezoars/complications/radiography, intestinal obstruction/etiology; stomach; ileus.

Sorumlu Yazar: O�uzhan Din�el
Makale Dili: T�rk�e

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