Olgu Sunumları

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    Case Report; Laparoscopy in the Management of Internal Herniation of Adnexa
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2018-09-01) Takmaz, Özgüç; Özbaşlı, Esra; Güngör, Mete
    Abstract Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia.Abstract Broad ligament herniation is defined as protrusion of viscera through the pelvic peritoneum. It accounts 5% of internal hernias. We report, a 17 year-old woman presenting with a 5cm adnexal anechoic cyst and episodic pelvic pain who has no remarkable medical history. After 8 hours of follow-up, clinical picture persisted and evaluation with laparoscopy. It was noted that right adnexa with 5cm cyst was herniated through broad ligament intraoperatively. Ovarian cyst was excised and hernia was repaired laparoscopically. Clinical findings were resolved after surgery and patient discharged the day after surgery. In conclusion, adnexal hernia through broad ligament should be thought in differential diagnosis of female acute pelvic pain. Laparoscopy is an effective procedure for the diagnosis and treatment of adnexal hernia.
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    Nadir Bir Olgu ve Hemşirelik Bakımı: Pulmoner Alveoler Proteinozis
    (Acıbadem Mehmet Ali Aydınlar Üniversitesi, 2018-09-01) Güngör, Tuğba; Uslu, Yasemin
    ÖZET Pulmoner alveoler proteinozis (PAP), alveollerde lipoproteinoz materyal birikimi ile karakterize nadir görülen bir akciğer hastalığıdır. Hastalık ilk olarak 1958’de tanımlanmıştır. Literatüre 500 civarında olgu bildirilmiştir. En sık rastlanan semptomlar nefes darlığı, yorgunluk hissi ve kuru öksürüktür. Hastalığın konjenital, sekonder ve idiyopatik olmak üzere üç formu vardır. En sık %90 oranla idiyopatik formu görülmektedir. Hastalığın mortalitesi %10 civarındadır. Kronik bir hastalık grubuna giren pulmoner alveoler proteinozis, kişinin günlük yaşam aktivitelerinde değişikliği yol açabilmektedir. Takip ve tedavisi sırasında hemşirelik bakım uygulamaları ve hasta eğitimi önemli yer tutmaktadır. Hastalık uzun yıllar tedavi gerektirdiğinden tedavi ve bakımda profesyonel ekip birlikteliği önemli yer tutmaktadır. Hemşirenin rolleri olan tedavi, bakım ve eğitim verme bu hastalıkta önemli bir yer tutar. Bu açıdan bu vaka literatür için önemlidir.