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AKTİF KÖMÜR ASPİRASYONU İLE İLİŞKİLİ PNÖMOMEDİASTİNUM

Year 2016, Volume: 30 Issue: 3, 183 - 186, 01.12.2016

Abstract

Pnömomediastinum spontan ve travmatik pnömomediastinum olarak iki gruba ayrılır. Spontan pnömomediastinum çok nadir olarak görülür. Travmatik pnömomediastinum ise cerrahi müdahaleler, iatrojenik yaralanmalar, organ perforasyonları ve travma gibi nedenler ile oluşur. Aktif kömürün trakeobronşial sisteme aspirasyonu sonucunda aspirasyon pnömonisi, barotravma, plevral ampiyem, ARDS gibi komplikasyonlar bildirilmiştir. Pnömomediastinum ise son derece nadirdir. En sık görülen semptomlar, göğüs ağrısı, nefes darlığı, cilt altı amfizem, ses kısıklığı ve yutma zorluğudur. Tanı genelde posteroanterior akciğer grafisi ve lateral grafi ile konur. Tedavide ana yaklaşım istirahat, oksijen tedavisi ve analjezidir. Çalışmamızda suisid girişim sonrasında hastaya verilen aktif kömürün aspirasyonu sonrasında gelişen nadir pnömomediastinum olgusunu paylaşmayı amaçladık.

References

  • 1. Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: interpretation of the clinical literature in the light of laboratory experiment. Medicine 1944; 23:281-358.
  • 2. Patel A, Kresler B, Wise RA. Persistent pneumomediastinum in interstitial fibrosis associated with rheumatoid arthritis. Treatment with high-concentration oxygen. Chest 2000; 117(6):1809-1.
  • 3. Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hospital 1939; 64:1-21.
  • 4. Sakai M, Murayama S, Gibo M, Akamine T, Nagata O. Frequent cause of the Macklin effect in spontaneous pneumomediastinum: demonstration by multidetector-row computed tomography. J Comput Assist Tomography 2006;30(1):92-4.
  • 5. Freixinet J, Garcia F, Rodrı´guez PM, Santana NB, Quintero CO, Hussein M. Spontaneous pneumomediastinum long-term follow-up. Respir Med 2005;99(9):1160-3.
  • 6. T.C. Sağlık Bakanlığı. Birinci basamak zehirlenmeler tanı ve tedavi rehberleri, Refik Saydam Hıfzıssıhha Merkezi Baskanlığı, Yücel Ofset Matbaacılık, Ankara, 2007.
  • 7. Dorrington CL, Johnson DW, Brant R. The frequency of complications associated with the use of multiple-dose activated charcoal. Ann Emerg Med 2003;41:370-377.
  • 8. Hack JB, Gilliland MG, Meggs WJ. Ann Emerg Med 2006;48(5):522-31.

PNEUMOMEDIASTINUM ASSOCIATED WITH ASPIRATION OF ACTIVATED CHARCOAL

Year 2016, Volume: 30 Issue: 3, 183 - 186, 01.12.2016

Abstract

Pneumomediastinum divided into two group as primary and secondary pneumomediastinum. Spontaneous pneumomediastinum is seen very rare. Traumatic pneumomediastinum is characterized by the presence of air in the mediastinum with reason such as trauma, organ perforation, iatrogenic injuries, infections and surgery. Because of aspirating to the tracheobronchial system of activated charcoal, it has been reported to occur complications such as aspiration pneumonia, barotrauma, pleural empyema, ARDS. But, The pneumomediastinum is extremely rare. The most symptoms are chest pain, dyspnea. In our study, we aim to share a rare pneumomediastinum case associated with aspiration of activated charcoal after suicide attempts.

References

  • 1. Macklin MT, Macklin CC. Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: interpretation of the clinical literature in the light of laboratory experiment. Medicine 1944; 23:281-358.
  • 2. Patel A, Kresler B, Wise RA. Persistent pneumomediastinum in interstitial fibrosis associated with rheumatoid arthritis. Treatment with high-concentration oxygen. Chest 2000; 117(6):1809-1.
  • 3. Hamman L. Spontaneous mediastinal emphysema. Bull Johns Hopkins Hospital 1939; 64:1-21.
  • 4. Sakai M, Murayama S, Gibo M, Akamine T, Nagata O. Frequent cause of the Macklin effect in spontaneous pneumomediastinum: demonstration by multidetector-row computed tomography. J Comput Assist Tomography 2006;30(1):92-4.
  • 5. Freixinet J, Garcia F, Rodrı´guez PM, Santana NB, Quintero CO, Hussein M. Spontaneous pneumomediastinum long-term follow-up. Respir Med 2005;99(9):1160-3.
  • 6. T.C. Sağlık Bakanlığı. Birinci basamak zehirlenmeler tanı ve tedavi rehberleri, Refik Saydam Hıfzıssıhha Merkezi Baskanlığı, Yücel Ofset Matbaacılık, Ankara, 2007.
  • 7. Dorrington CL, Johnson DW, Brant R. The frequency of complications associated with the use of multiple-dose activated charcoal. Ann Emerg Med 2003;41:370-377.
  • 8. Hack JB, Gilliland MG, Meggs WJ. Ann Emerg Med 2006;48(5):522-31.
There are 8 citations in total.

Details

Other ID JA63GM94RF
Journal Section Case Report
Authors

Atilla Durkan This is me

Muharrem Çakmak This is me

Bülent Öztürk This is me

Mehmet Nail Kandemir This is me

Fatma Didem Birel This is me

Publication Date December 1, 2016
Published in Issue Year 2016 Volume: 30 Issue: 3

Cite

APA Durkan, A., Çakmak, M., Öztürk, B., Kandemir, M. N., et al. (2016). AKTİF KÖMÜR ASPİRASYONU İLE İLİŞKİLİ PNÖMOMEDİASTİNUM. İzmir Göğüs Hastanesi Dergisi, 30(3), 183-186.