BARYUM ASPİRASYONU: OLGU SUNUMU

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

Ersin Erden Ali Karakuş Ertan Tuncel Mehmet Yaldız Sinem Karazincir

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.

Keywords

Baryum sülfat, Özefagus karsinomu, Solunumla aspirasyon

Barium Aspiration: A Case Report

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.

Keywords

Aspiration, Barium Sulfate, Cancer of Esophagus, Respiratory

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