Kolonik striktürün nadir bir sebebi: Amebiasis

Objective & Hypothesis:A 41-year-old man presenting with lower abdominal pain, constipation, abdominal distention, fever (37.5°C) and fatigue was evaluated, and a mass localized to the left lower abdomen was identified.

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Key Findings & Data:Radiographic and colonoscopic examination revealed a stricture 10 cm in length localized to the sigmoid-descending colon junction.

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Conclusion & Impact:In the differential diagnosis of colonic stricture, amebiasis should also be considered.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Karın ağrısı · Amebiyaz · Kolon hastalıkları

Abstract

A 41-year-old man presenting with lower abdominal pain, constipation, abdominal distention, fever (37.5°C) and fatigue was evaluated, and a mass localized to the left lower abdomen was identified. Radiographic and colonoscopic examination revealed a stricture 10 cm in length localized to the sigmoid-descending colon junction. The diagnosis of amebiasis was confirmed by histological examination of a biopsy specimen taken from the stricture and stool examination. One month after the initiation of metronidazole treatment, complete clinical and laboratory improvement was observed. In the differential diagnosis of colonic stricture, amebiasis should also be considered.

Özet

Karın alt bölgesinde ağrı, kabızlık, karında şişkinlik, ateş ve yorgunluk şikayetleriyle müracaat eden hastanın karın sol alt bölgesinde kitle tespit edildi. Radyolojik ve kolonoskopik inceleme sonrası sigma inen kolon birleşkesinde 10 cm uzunluğunda striktür saptandı. Striktürden alınan biyopsi ve gaitanın parazitolojik incelemesi sonrası amebiasis tanısı konuldu. Bir aylık metranidazol tedavisi sonrası tam klinik ve radyolojik düzelme gözlendi. Kolonik striktürlerin ayırıcı tanısında amebiasis de düşünülmelidir.

Keywords

Karın ağrısı Amebiyaz Kolon hastalıkları Kadın Erişkin Tanı ayırıcı Tedavi sonucu Abdominal Pain Amebiasis Colonic Diseases Female Adult Diagnosis Differential Treatment Outcome

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Cite This Article

KAYA, M., AYDIN, F., BÜYÜKBAYRAM, H. (2005). Kolonik striktürün nadir bir sebebi: Amebiasis. Turkish Journal of Gastroenterology, Cilt: 16 - Sayı: 4, 236–239. https://ajindex.com/articles/411198

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