Appendiks vermiformisin intraperitoneal drenaj kateterine evisserasyonu: Nadir bir olgu sunumu.


Creative Commons License

Akay T., Leblebici İ. M.

INTERNATIONAL HARRAN HEALTH SCIENCES CONGRESS, Şanlıurfa, Türkiye, 5 - 07 Haziran 2020, ss.65-66

  • Basıldığı Şehir: Şanlıurfa
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.65-66

Özet

Abstract

The use of intraperitoneal drainage catheter is one of the methods applied to

prevent the accumulation of materials such as intraabdominal blood, fluid and to

follow anastomosis leakage after surgery. Although peritoneal cavity drainage is

controversial, it is frequently used in abdominal surgery. Rarely, complications such

as bleeding, intestinal strangulation and evisceration have been reported in the

literature due to the use of drains. Intraabdominal organ eviscerations that develop

after drainage is a condition that requires urgent surgical intervention. In many organs

such as omentum, small intestine, fallopian tube, gallbladder or vermiform appendix,

evisceration can develop. When the etiological factors are analyzed, additional

comorbid factors such as general indisposition about the patient, chronic lung

diseases, obesity, increased intraabdominal pressure, diabetes mellitus, steroids and

smoking may set the stage for evisceration.

In addition to the evisceration of the drainage catheter, especially in patients

with a drainage catheter larger than 10 mm in diameter, evisceration of the drainage

catheter sites can be seen rarely after catheter removal. In addition, if the entry points

between 5-10 mm are in the paramedian area, especially if the skin is pierced with a

blunt tool or an organ is removed from this area, evisceration can develop. In this case

report, a 79-year-old female patient undergoing pyloric protective

pancreaticoduedonectomy due to pancreatic cancer was presented. On the fifth day

after the operation, after the drain catheter was removed, a mass under the skin was

palpated in the area where the catheter was removed. After imaging tests,

laparoscopic appendectomy and mesh repair were performed after appendix

vermiformis was detected to develop evisceration in the area where the drainage

catheter was removed. In conclusion, it should be kept in mind that especially in

patients with a paramedian drain between 5-10 mm, evisceration may develop in the

drainage areas and they may apply with an incisional hernia in the following years. It

is thought that minimally invasive methods such as laparoscopic appendectomy and

mesh repair can be applied safely in these patients.

Keywords: Drainage catheter, Appendix vermiformis, Evisceration,

Laparoscopy.