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- Title
GERIATRIK BIR HASTADA KOLOREKTAL KARSINOMU TAKLIT EDEN VE OBSTRÜKSIYONA NEDEN OLAN KOLESTEROL EMBOLISI OLGUSU.
- Authors
YETİŞİR, Fahri; SALMAN, A. Ebru; ÖNAL, Özkan; AYDIN, Seyid Murat; KILIÇ, Mehmet
- Abstract
Cholesterol embolisation syndrome is a rare clinical picture developing as a complication of angiography, vascular surgery, thrombolytic and anticoagulant therapy in patients with athero-sclerosis. Its mortality and morbidity is high. It presents with ischemic and painful skin lesions, livedo reticularis and acute renal failure. The variations in clinical presentation make the diagno-sis difficult. Gastrointestinal system involvement is in the third rank. There is no definitive treat-ment option. Since the population under risk for cholesterol embolisation syndrome is increasing, early diagnosis and prevention is gaining importance. A 73 year old male patient with a body weight of 45 kg was admitted to the hospital with a complaint of inability to defecate. A mass was observed in rectum in colonoscopy. His history revealed hypertension, diabetes, thrombotic aort aneurysm, cigarette smoking, coronary stent application, and use of antiaggregant medication in the past. A low anterior resection was per-formed for the patient. Pathology results were consistent with cholesterol embolisation syndrome. In this case report, we probed the diagnosis and treatment of a geriatric case with CES mim-icking rectal carcinoma and leading to obstruction. Cholesterol embolisation syndrome should be kept in mind in the differential diagnosis in patients with nonspesific signs related to gastroin-testinal system in the presence of risk factors for cholesterol embolisation syndrome.
- Subjects
ATHEROEMBOLISM; COLON cancer; OLDER patients; ANGIOGRAPHY complications; VASCULAR surgery complications; ANTICOAGULANTS
- Publication
Turkish Journal of Geriatrics / Türk Geriatri Dergisi, 2013, Vol 16, Issue 3, p347
- ISSN
1304-2947
- Publication type
Article