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TÜRKÇE
Poster Display - 75
Rare Cases of Acute Abdomen in Childhood
Aim: We aimed to draw attention to rare pathologies of acute abdomen in children.
Methods and Results: Patients who underwent surgery for acute abdomen between 2022 and 2024 whom diagnosed with rare pathologies were evaluated retrospectively. Preliminary diagnosis (PD) and definitive diagnosis (DD) were compared.
The total number of patients operated with the diagnosis of acute abdomen was 557, and the number of rare acute abdominal pathologies was 18 (3.2%).18 patients, 12 were boys and 6 were girls. Their ages ranged from 2 to 17 years, the average age was 12.8 years.
PD were appendicitis (5), intestinal obstruction (3), intussusception (2), omental torsion (2), intestinal perforation (2), paraduodenal hernia (2), ovarian cyst (1), trichobezoar (1).The DD of patients with PD as appendicitis were appendiceal mucocele (2) [well-differentiated neuroendocrine tumor (1) and ovary mucinous cystadenoma (1)], iatrogenic rectum perforation (1), hypereosinophilic syndrome (1), bleeding into the omental cyst (1).
In 3 patients with intestinal obstruction, DD were found to be Meckel diverticulum intussusception (1), intestinal pseudoobstruction-muscle disease (1), mesodiverticular band and Meckel diverticulum (1).Two patients whose PD was intussusception were diagnosed with Peutz Jeghers disease based on pathology results. An ileal mesenteric cyst was detected in the patient whose PD was ovarian cyst by preoperative ultrasonography.In patients with PD of intestinal perforation, sigmoid perforation and colitis ulcerosa (1) and duodenal ulcer perforation (1) were detected.The diagnoses of PD and DD were found to be the same in patients with omental torsion (2), left paraduodenal hernia strangulation (1), and trichobezoar (1).
The surgery of 12 patients started with laparoscopy, and the surgery of 8 patients was completed laparoscopically.
Conclusions: During evaluation of acute abdomen patients, it is important to keep rare pathologies in mind and to prefer laparoscopy in appropriate patients for early, accurate diagnosis and treatment of patients.