Traumatic Pulmonary Pseudocyst: A Case Report

Year 2014, , - , 01.06.2014

İbrahim Koç

https://doi.org/10.5799/ahinjs.01.2014.02.0408

Abstract

Post-traumatic pulmonary pseudocyst (TPP) is an uncommon cavitary lesion of the lung. TPP is an air/fluid filled cavity without a true epithelial lining within the pulmonary parenchyma. TPPs usually occur following a motor vehicle accident or fall. Here we report a case of TPP which occurred after blunt chest trauma after a traffic accident. The chest X-ray few hours after the accident revealed mass/cyst like lesion on the right lover zone. Computed tomography of the thorax revealed bilateral cystic lesions on the parenchyma. The patient was treated conservatively with antibiotherapy. He was asymptomatic thereafter, and the traumatic pulmonary pseudocyst radiologically was completely resolved three months later. TPP might be confused with other cystic and cavitary lesions of the lung but radiological rapid onset is important in the differential diagnosis. J Clin Exp Invest 2014; 5 (2): 304-306

Keywords

Lung injury, pseudocyst, tomography.

Travmatik pulmoner psödokist: Olgu sunumu

Abstract

Post travmatik pulmoner psödokist (TPP) akciğerlerin nadir görülen kaviter hastalıklarından biridir. TPP akcğer parankiminde gerçek epitel bulundurmayan içi hava/sıvı ile dolu kaviter lezyonlardır. TPP genellikle motor kazaları veya düşme sonrası gelişir. Burada trafik kazası sonrası künt göğüs travması ile kliniğimize başvuran ve post travmatik pulmoner psödokist saptanan bir olgu sunulmaktadır. Travmadan birkaç saat sonra çekilen akciğer grafisinde sağ akciğer orta alt zonda kitle-kist benzeri lezyonlar olduğu görüldü. Akciğerin bilgisayarlı tomografisinde her iki akciğerde kistik lezyonlar olduğu görüldü. Hasta konservatif olarak antibiyotikle tedavi edildi. Takiplerinde hastanın şikâyetleri geriledi ve 3 ay sonra bakılan radyolojisinde lezyonlarda düzelme olduğu görüldü. TPP akciğerin diğer kaviter ve kistik lezyonlarıyla karışabilmekle beraber genellikle travmadan hemen sonra lezyonların radiyolojik olarak belirginleşmesi ayırıcı tanıda yol göstericidir.

Keywords

Akciğer hasarı, psödokist, tomografi

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