BİLGİSAYARLI TOMOGRAFİ ÇEKİMİNDE KONTRAST MADDENİN İNDÜKLEDİĞİ PULMONER ÖDEM: OLGU SUNUMU

Year 2016, Volume: 30 Issue: 1, 59 - 62, 01.05.2016

Arzu İzmir Necmi Özen Hasan Yerli Belkan Uzun İsmail Pekcan Yağız Yurteri Sevda Osmanoğlu

Abstract

Son yıllarda kontrast maddeler, klinikte radyolojik görüntüleme işlemleri için; hem girişimsel olan hem de olmayan tanı ve tedavi yöntemleri sırasında sıkça kullanılmakta ve pratikte kullanımı da giderek artmaktadır. Ancak kullanımları, dermatolojik, gastrointestinal, kardiyovasküler sistem, solunum sistemi ile ilgili istenmeyen yan etkilere sebebiyet verebilir. Basit allerjik reaksiyondan ölüme kadar değişebilen sonuçlar doğurabilir ve bu reaksiyonlar genellikle önceden tahmin edilemez. Her ne kadar bu tip reaksiyonlar iyonik olmayan iyotlu kontrast maddelere kıyasla iyonik iyotlu kontrast maddelerle daha sık görülse de, ölümcül olanları her iki grup kontrast maddelerle benzer sıklıktadır. Literatürde nadir görülmesi nedeniyle bilgisayarlı tomografi çekimi esnasında, iyonik olmayan iyotlu kontrast madde kullanımı sonucu akut pulmoner ödem gelişen bir olguyu sunmak istedik.

Keywords

Kontrast madde, bilgisayarlı tomografi, pulmoner ödem

CONTRAST MEDIA INDUCED ACUTE PULMONARY EDEMA DURING COMPUTED TOMOGRAPHIC EXAMINATION: A CASE REPORT

Abstract

Contrast agents have become commonly used in both interventional and non-interventional diagnostic and therapeutic procedures in recent years, and their practical applications are continuously increasing. Administration of contrast media (CM) for the radiographic imaging is widely used. Adverse reactions to CM can be considered with cutaneous, gastrointestinal, cardiovascular, respiratory system symptoms. The results can be changed from a simple allergy–like reaction to death and are usually unpredictable. Although allergy–like reactions are more frequent with ionic than nonionic iodine material, the frequency of deaths is usually identical. We present a case of pulmonary edema following non-ionic iodinated contrast media during computed tomographic examination.

Keywords

Contrast media, computed tomography, pulmonary edema

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