Çocuklarda Nadir Bir Göğüs Ağrısı Nedeni: Spontan Pnömomediastinum

Abstract

Pnömomediastinum, mediastende serbest hava bulunmasıdır. Çocuklarda nadir görülen bir durumdur. Olguların çoğunda genellikle altta yatan neden bulunamaz. Bu yazıda kliniğimize göğüs ağrısı şikayeti ile başvuran ve spontan pnömomediastinum tanısı alan iki olgu sunulmuştur. Her iki olguda da ekokardiyografik çalışma sırasında suprasternal pencerede mediastinal yapıların görüntülenememesi nedeniyle pnömomediastinumdan şüphe edilmiştir. İlk olguda olduğu gibi, bu hastalarda direkt grafide serbest hava görünümü nadiren de olsa saptanamayabilir. Bu nedenle, pnömomediastinum şüphesi olan ancak direkt grafisi normal olan hastalar mutlaka bilgisayarlı toraks tomografisi çekilerek değerlendirilmelidir.

Keywords

• Çocuk, Göğüs ağrısı, Spontan pnömomediastinum

A Rare Cause of Chest Pain in Children: Spontaneous Pneumomediastinum

Abstract

Pneumomediastinum is the presence of free air in the mediastinum. It is rarely seen in children. The causative reason cannot be found in most cases. Here, we present two cases with pneumomediastinum who presented with the complaint of chest pain. Pneumomediastinum was suspected because of the insufficient imaging of mediastinal structures at the suprasternal window during echocardiography in both of these patients. The free air image can sometimes not be detected sometimes at direct graphy as in our first case. Patients suspected of having pneumomediastinum must therefore always be reevaluated by computed tomography if the direct films are normal

Keywords

• Child, Chest pain, Spontaneous pneumomediastinum

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