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BARYUM ASPİRASYONU: OLGU SUNUMU

Year 2011, Volume: 2 Issue: 8, 33 - 39, 03.03.2015

Abstract

Baryumlu grafilerin çekimi sırasında baryum aspirasyonu nadir görülmekte olup, baryum aspire eden hastalar asemptomatik olabileceği gibi ölümle sonuçlanan vakalarda bildirilmiştir. Biz burada yutma güçlüğü nedeniyle baryumlu özefagus grafisi çekimi sırasında baryum aspire eden bir olgu sunuyoruz. 77 yaşında erkek hasta baryumlu özefagus grafisi çekimi sırasında gelişen öksürük, nefes darlığı şikayetleri ile acil servise başvurdu. Akciğer grafisinde; her iki ana bronşta ve sol akciğer alt zon medial bölümündeki bronşlarda opak madde izlendi. Hasta göğüs hastalıkları kliniğine baryum aspirasyonu tanısı ile yatırıldı. Toraks BT’de; özefagus proksimal kısmında trakeaya bası ve invazyon oluşturan kitle lezyonu izlendi. Bronkoskopi’de trakea arka duvarda dıştan bası ile daralma, mukozada infiltrasyon, ana karinada küntleşme izlendi. Trakea, ana karina düzeyinden punch biyopsi yapıldı. Biyopsi sonucu; yassı hücreli karsinom olarak raporlandı. Onkoloji kliniğiyle konsülte edilen hasta bu kliniğe devredildi.

References

  • 1. Levine MS, Rubesin SE, Laufer I. Barium esophagography: a study for all seasons. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2008;6:11-25.
  • 2. Gernez Y, Barlesi F, Doddoli C, Chetaille B, Forel JM, Astoul P, et al. Acute respiratory distress syndrome following inhalation of barium sulfate. Revue des maladies respiratoires. 2005;22:477-80
  • 3. Kaira K, Takise A, Goto T, Horie T, Mori M. Barium sulphate aspiration. Lancet. 2004;364:2220
  • 4. Albeldawi M, Makkar R. Images in clinical medicine. Barium aspiration. The New England journal of medicine. 2012;366:1038.
  • 5. Franquet T, Gimenez A, Roson N, Torrubia S, Sabate JM, Perez C. Aspiration diseases: findings, pitfalls, and differential diagnosis. Radiographics : a review publication of the Radiological Society of North America. 2000;20:673-85.
  • 6. Gray C, Sivaloganathan S, Simpkins KC. Aspiration of high-density barium contrast medium causing acute pulmonary inflammation--report of two fatal cases in elderly women with disordered swallowing. Clinical radiology. 1989;40:397-400.
  • 7. Tamm I, Kortsik C. Severe barium sulfate aspirationinto the lung: clinical presentation, prognosis and therapy. Respiration. 1999;66:81-4.
  • 8. Whiting J. Aspiration of barium. The New England journal of medicine. 2003;348:2582-3.
  • 9. Rasley A, Logemann JA, Kahrilas PJ, Rademaker AW, Pauloski BR, Dodds WJ. Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture. AJR American journal of roentgenology. 1993;160:1005-9

Barium Aspiration: A Case Report

Year 2011, Volume: 2 Issue: 8, 33 - 39, 03.03.2015

Abstract

Barium aspiration is rarely seen during the radiography, and the aspired patients can be asymptomatic or progressed to death. Here, we present a case who aspired barium during esophagus radiography due to dysphagia. A 77-year-old man was referred to the emergency service with the shortness of breath and cough development after the esophagus radiography. On chest radiography, opaque substances in both main bronchi and in those in the left lower medial zone were seen while there was a homogeneous density rise in the right upper zone. In
thorax CT, esophagus proximal part, mass lesion was followed that invades and restricts the trachea. In bronchoscopy, mucosal infiltration, and contraction with external compression of
the posterior wall of the trachea, blunting in main carina were seen. Punch biopsy was applied on trachea and main carina. Biopsy result was reported as squamous cell carcinoma. The patient was referred to oncology clinic.

References

  • 1. Levine MS, Rubesin SE, Laufer I. Barium esophagography: a study for all seasons. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association. 2008;6:11-25.
  • 2. Gernez Y, Barlesi F, Doddoli C, Chetaille B, Forel JM, Astoul P, et al. Acute respiratory distress syndrome following inhalation of barium sulfate. Revue des maladies respiratoires. 2005;22:477-80
  • 3. Kaira K, Takise A, Goto T, Horie T, Mori M. Barium sulphate aspiration. Lancet. 2004;364:2220
  • 4. Albeldawi M, Makkar R. Images in clinical medicine. Barium aspiration. The New England journal of medicine. 2012;366:1038.
  • 5. Franquet T, Gimenez A, Roson N, Torrubia S, Sabate JM, Perez C. Aspiration diseases: findings, pitfalls, and differential diagnosis. Radiographics : a review publication of the Radiological Society of North America. 2000;20:673-85.
  • 6. Gray C, Sivaloganathan S, Simpkins KC. Aspiration of high-density barium contrast medium causing acute pulmonary inflammation--report of two fatal cases in elderly women with disordered swallowing. Clinical radiology. 1989;40:397-400.
  • 7. Tamm I, Kortsik C. Severe barium sulfate aspirationinto the lung: clinical presentation, prognosis and therapy. Respiration. 1999;66:81-4.
  • 8. Whiting J. Aspiration of barium. The New England journal of medicine. 2003;348:2582-3.
  • 9. Rasley A, Logemann JA, Kahrilas PJ, Rademaker AW, Pauloski BR, Dodds WJ. Prevention of barium aspiration during videofluoroscopic swallowing studies: value of change in posture. AJR American journal of roentgenology. 1993;160:1005-9
There are 9 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Report
Authors

Ersin Erden This is me

Ali Karakuş This is me

Ertan Tuncel This is me

Mehmet Yaldız This is me

Sinem Karazincir This is me

Publication Date March 3, 2015
Submission Date February 28, 2015
Published in Issue Year 2011 Volume: 2 Issue: 8

Cite

Vancouver Erden E, Karakuş A, Tuncel E, Yaldız M, Karazincir S. BARYUM ASPİRASYONU: OLGU SUNUMU. mkutfd. 2015;2(8):33-9.