AN INTRAABDOMINAL ABSCESS AND PLEURAL EFFUSION AFTER CYTOREDUCTIVE SURGERY AND HIPEC. Sitoredüktif cerrahi ve HİPEC sonrası gelişen bir intraabdominal apse ve plevral efüzyon olgusu.

Abstract

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) has became a new treatment option in last years form any patients with peritoneal metastasis. In this case report,  a 42 years old women was operated by gynecologists due to pelvic mass. On exploration, there was huge intraabdominal, omental mass with malignant appreance. There were multiple metastatic lesions on peritoneal surface sand in all colon mesentery. Subtotal colectomy, omentectomy, peritonectomy, splenectomy, cholecystectomy and resection of omentum minus were performed. After cytoreductive surgery, HIPEC with cisplatin was used. There were an  intraabdominal abscess and pleural effusion which were treated hardly. In conclusion, CRS and HIPEC are becaming a more commonly performed treatment modalities in patients with peritoneal carcinomatosis. Pulmonary effusion and resistant intraabdominal infections can be important problems  in postoperative period.

ÖZET

Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) has became a new treatment option in last years form any patients with peritoneal metastasis. In this case report,  a 42 years old women was operated by gynecologists due to pelvic mass. On exploration, there was huge intraabdominal, omental mass with malignant appreance. There were multiple metastatic lesions on peritoneal surface sand in all colon mesentery. Subtotal colectomy, omentectomy, peritonectomy, splenectomy, cholecystectomy and resection of omentum minus were performed. After cytoreductive surgery, HIPEC with cisplatin was used. There were an  intraabdominal abscess and pleural effusion which were treated hardly. In conclusion, CRS and HIPEC are becaming a more commonly performed treatment modalities in patients with peritoneal carcinomatosis. Pulmonary effusion and resistant intraabdominal infections can be important problems  in postoperative period.