Travmatik pulmoner psödokist: İki olgu sunumu
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Dosyalar
Tarih
2012
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Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Travmatik pulmoner psödokistler (TPP) künt toraks travmaları sonrasında nadiren gelişebilen akciğerin kaviter lezyonlarındandır. Travma sonrası sol akciğer yerleşimli kistik lezyonları saptanan 2 erkek olgu TPP tanısı ile kliniğimizde izlendi. Kontrol toraks bilgisayarlı tomografilerinde (BT) kistik lezyonların boyutlarında ve duvar gerginliklerinde artma görülmesi üzerine cerrahi girişim kararı alındı. İlk olguya torakotomi ile kistotomi ve kapitonaj uygulandı ve sorunsuz olarak taburcu edildi. Ancak ikinci olgu ameliyat hazırlıkları esnasında olan kalp durması nedeniyle hayatını kaybetti. TPP’lerin tanı konması ve radyolojik izleminde toraks BT görüntülemesi önemli bir yöntemdir. İzlemde progresyon gösteren psödokistlerin tedavisinde cerrahi seçenek daima hatırlanmalıdır.
Traumatic pulmonary pseudocysts (TPP) are cavitary lesions that are rarely seen after blunt thoracic traumas. Two male patients who were diagnosed with cystic lesions in the left lung after trauma were followed in our clinic with the diagnosis of TPP. Due to increase in cyst dimensions and wall tension, which were seen on the follow-up tho- rax tomography, surgical intervention was decided for both cases. The first case underwent cystotomy and capitonnage via thoracotomy, and was discharged without any complication. However, the second case was lost due to cardiac arrest during the operative preparations. Thorax tomography is an important method in the diagnosis and radiological follow-up of TPP. The surgery option should always be remembered for patients who show progression during the follow-up.
Traumatic pulmonary pseudocysts (TPP) are cavitary lesions that are rarely seen after blunt thoracic traumas. Two male patients who were diagnosed with cystic lesions in the left lung after trauma were followed in our clinic with the diagnosis of TPP. Due to increase in cyst dimensions and wall tension, which were seen on the follow-up tho- rax tomography, surgical intervention was decided for both cases. The first case underwent cystotomy and capitonnage via thoracotomy, and was discharged without any complication. However, the second case was lost due to cardiac arrest during the operative preparations. Thorax tomography is an important method in the diagnosis and radiological follow-up of TPP. The surgery option should always be remembered for patients who show progression during the follow-up.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Ulusal Travma ve Acil Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
18
Sayı
6
