Gebelikte ileusa neden olan sigmoid kolon kanseri : İki olgunun sunumu
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Date
2008
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info:eu-repo/semantics/openAccess
Abstract
Gebelikte kolorektal kanser çok nadir olup bildirilen insidans %O.OO1-O.1'dir. Gecikmiş tanı ve hastalığın ilerlemesi nedeni ile prognozu kötüdür. Sigmoid kolon tümörüne bağlı akut batın gelişmesi çok nadirdir. Gebelik esnasında ileus ile kendini gösteren iki sigmoid kolon kanseri olgusunu literatür eşliğinde sunduk. Biri 35, diğeri 32 yaşında ve sırası ile 32 ve 27 haftalık gebe iki kadın hasta karın ağrısı ve ileus tablosu ile başvurdular. Her ikisinde de eksploratif laparotomide tıkayıcı sigmoid kolon kanseri tespit edildi. Uterus büyüklüğü izin vermediği için vakaların birinde kolon mezo disseksiyonu geniş olarak yapılamadı. Aynı vakada kolon polipoid lezyonlarla dolu idi. Gebelerde sigmoid kolon tümörüne bağlı akut batın gelişmesi çok nadirdir ve cerrahi esnasında eksplorasyori tam olarak yapılmazsa tümör kolaylıkla atlanabilir. Klinik şüphe tanıyı koymakta çok önemlidir.
Colorectal cancer during pregnancy is very rare with the reported incidence of between 0.001-0.1%. The prognosis is poor due to delayed diagnosis and secondary advanced disease. Acute abdomen due to sigmoid colon tumor is extremely rare. We report two cases presenting with ileus due to sigmoid colon cancer during pregnancy. Two women 35 and 32 years old with 32nd and 27th week of pregnancy respectively, presented with abdominal pain, obstructive symptoms and ileus. Exploratory laparotomy revealed obstructive sigmoid colon cancer in both. Extended mesocolon dissection was not possible in one of the cases due to enlarged size of the uterus. In the same case lumen of the colon was filled with polipoid lesions. Acute abdomen due to sigmoid colon tumor in pregnancy is extremely rare and the tumor can be easily missed if a complete routine exploration of the abdomen is not performed during surgery. Currently a high index of clinical suspicion is the only way to make the diagnosis.
Colorectal cancer during pregnancy is very rare with the reported incidence of between 0.001-0.1%. The prognosis is poor due to delayed diagnosis and secondary advanced disease. Acute abdomen due to sigmoid colon tumor is extremely rare. We report two cases presenting with ileus due to sigmoid colon cancer during pregnancy. Two women 35 and 32 years old with 32nd and 27th week of pregnancy respectively, presented with abdominal pain, obstructive symptoms and ileus. Exploratory laparotomy revealed obstructive sigmoid colon cancer in both. Extended mesocolon dissection was not possible in one of the cases due to enlarged size of the uterus. In the same case lumen of the colon was filled with polipoid lesions. Acute abdomen due to sigmoid colon tumor in pregnancy is extremely rare and the tumor can be easily missed if a complete routine exploration of the abdomen is not performed during surgery. Currently a high index of clinical suspicion is the only way to make the diagnosis.
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Volume
4
Issue
1
