Pulmoner Tromboembolinin Eşlik Ettiği Pnömokonyoz Olgusu

Year 2023, , 231 - 235, 06.09.2023

Serhat Özgün , Gülden Sarı , Adem Koyuncu , Cebrail Şimşek

https://doi.org/10.18614/deutip.1271704

Abstract

Pnömokonyozlar, akciğerlerde toz birikimi ve bunun sonucu oluşan doku reaksiyonu ile meydana gelen parankimal akciğer hastalıklarıdır. 75 yaşında erkek hasta 6 aydır devam eden çabuk yorulma ve nefes darlığı şikayeti ile başvurdu. Meslek öyküsünde, 18 yaşındayken 4 ay kurşun madeninde dinamit ile patlatma işi yaptığı, sonrasında 3 ay boyunca tünel ve yol yapımında patlatma, kum eleme ve taşıma işinde çalıştığı öğrenildi. Pnömokonyoz radyografilerinin International Labour Organization (ILO) Uluslararası Sınıflandırması’na göre akciğer radyografisi r/q 2/2 + A2 idi. Özgeçmişinde 1982 yılında hastanemize kanlı balgam şikayetiyle başvurduğu, tüberküloz ve malignite açısından açık akciğer biyopsisi yapıldığı ve biyopsinin fibrotik akciğer dokusu olarak raporlandığı öğrenildi. Bilateral plevral efüzyon ile prezente olan, pulmoner tromboembolinin eşlik ettiği bir pnömokonyoz olgusunu sunduk.

Keywords

emboli, pnömokonyoz, tüberküloz

Pneumoconiosis Accompanied By Pulmonary Thromboembolism: Case Report

Abstract

Pneumoconioses are parenchymal lung diseases caused by dust accumulation in the lungs and the resulting tissue reaction. A 75-year-old male patient presented with the complaints of fatigue and shortness of breath for 6 months. In his professional history, it was learned that when he was 18 years old, he worked in a lead mine blasting with dynamite for 4 months, and then worked in tunnel and road construction, blasting, sand screening and transportation for 3 months. According to the International Labor Organization (ILO) International Classification of pneumoconiosis radiographs, the chest radiograph was r/q 2/2 + A2. In his history, it was learned that he applied to our hospital with the complaint of bloody sputum in 1982, open lung biopsy was performed for tuberculosis and malignancy, and the biopsy was reported as fibrotic lung tissue. We presented a case of pneumoconiosis presenting with bilateral pleural effusion accompanied by pulmonary thromboembolism.

Keywords

embolism, pneumoconiosis, tuberculosis

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