Spontan pnömotoraks genellikle göğüs ağrısı, nefes darlığı gibi klasik semptomlarla tanı alırken nadiren farklı ve yanıltıcı semptomlarla da ortaya çıkabilir. Aynı zamanda nadiren hemopnömotoraks tablosuna dönüşebilir. Özellikle acil serviste bu hastaların zamanında ve doğru tanı alabilmesi hayati önem arz eder. Biz bu yazımızda acil servise konversiyon bozukluklarına benzer atipik semptomlarla gelen bir spontan hemopnömotoraks olgusunu sunmayı amaçladık.
1. Hsu CC, Wu YL, Lin HJ, Lin MP, Guo HR. Indicators of haemothorax
in patients with spontaneous pneumothorax. Emerg Med J. 2005
Jun;22(6):415-7.
2. Ohmori K, Ohata M, Narata M, Iida M, Nakaoka Y, Irako M,
Kitamura K, Nakamura S, Natori H, Sezaki Y. [28 cases of spontaneous hemopneumothorax]. Nihon Kyobu Geka Gakkai Zasshi.
1988 Jul;36(7):1059-64.
3. Ozer S, Ozcan H, Dinç GS, Ertuğrul A, Rezaki M, Uluşahin A. [Two
stiff person cases misdiagnosed as conversion disorder]. Turk
Psikiyatri Derg. 2009 Winter;20(4):392-7.
4. Cheng YL, Yu CP, Hsu SH, Lee SC. Hemangiopericytoma of the
pleura causing massive hemothorax. J Formos Med Assoc. 2000
May;99(5):428-30.
5. Battistella FD, Benfield JR. Blunt and penetrating injuries of the
chest wall, pleura and lungs.IN: Shields TW, Locicero J 3rd, Ponn RB,
editors. General thoracic surgery. 5th ed. Philadelphia:Lippincott
Williams &Wilkins 2000;.p. 815-31.
6. Hwong TM, Ng CS, Lee TW, Wan S, Sihoe AD, Wan IY, Arifi AA, Yim
AP. Video-assisted thoracic surgery for primary spontaneous hemopneumothorax. Eur J Cardiothorac Surg. 2004 Nov;26(5):893-6.
7. Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneumothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005 Nov;80(5):1859-63
8. Marino Pl: Hemorrhage and hypovolemia. In: Eiichi Inada, translator. THE ICU book, 2nd Japanese Ed. Tokyo: Medical Sciences
International 2001;169–171
An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report
Spontaneous pneumothorax generally takes diagnosis
with general symptoms such as chest pain and dyspnea.
However, it may rarely exist with atypical and misleading
symptoms. Furthermore, it may turn into hemopneumothorax uncommonly. In time, correct diagnosis of these
patients establishes vital importance in the emergency
department. In this report, we aimed to present a spontaneous hemopneumothorax case arriving to the emergency
department with atypical symptoms mimicking conversion
disorder.
1. Hsu CC, Wu YL, Lin HJ, Lin MP, Guo HR. Indicators of haemothorax
in patients with spontaneous pneumothorax. Emerg Med J. 2005
Jun;22(6):415-7.
2. Ohmori K, Ohata M, Narata M, Iida M, Nakaoka Y, Irako M,
Kitamura K, Nakamura S, Natori H, Sezaki Y. [28 cases of spontaneous hemopneumothorax]. Nihon Kyobu Geka Gakkai Zasshi.
1988 Jul;36(7):1059-64.
3. Ozer S, Ozcan H, Dinç GS, Ertuğrul A, Rezaki M, Uluşahin A. [Two
stiff person cases misdiagnosed as conversion disorder]. Turk
Psikiyatri Derg. 2009 Winter;20(4):392-7.
4. Cheng YL, Yu CP, Hsu SH, Lee SC. Hemangiopericytoma of the
pleura causing massive hemothorax. J Formos Med Assoc. 2000
May;99(5):428-30.
5. Battistella FD, Benfield JR. Blunt and penetrating injuries of the
chest wall, pleura and lungs.IN: Shields TW, Locicero J 3rd, Ponn RB,
editors. General thoracic surgery. 5th ed. Philadelphia:Lippincott
Williams &Wilkins 2000;.p. 815-31.
6. Hwong TM, Ng CS, Lee TW, Wan S, Sihoe AD, Wan IY, Arifi AA, Yim
AP. Video-assisted thoracic surgery for primary spontaneous hemopneumothorax. Eur J Cardiothorac Surg. 2004 Nov;26(5):893-6.
7. Hsu NY, Shih CS, Hsu CP, Chen PR. Spontaneous hemopneumothorax revisited: clinical approach and systemic review of the literature. Ann Thorac Surg. 2005 Nov;80(5):1859-63
8. Marino Pl: Hemorrhage and hypovolemia. In: Eiichi Inada, translator. THE ICU book, 2nd Japanese Ed. Tokyo: Medical Sciences
International 2001;169–171
Çavuş, U., Kırar, F., Hasbek, E., Aydın, M., vd. (2012). An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report. Ankara Medical Journal, 12(3), 150-152.
AMA
Çavuş U, Kırar F, Hasbek E, Aydın M, Doğan M. An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report. Ankara Med J. Mart 2012;12(3):150-152.
Chicago
Çavuş, Umut, Fatih Kırar, Ezgi Hasbek, Macit Aydın, ve Mehmet Doğan. “An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report”. Ankara Medical Journal 12, sy. 3 (Mart 2012): 150-52.
EndNote
Çavuş U, Kırar F, Hasbek E, Aydın M, Doğan M (01 Mart 2012) An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report. Ankara Medical Journal 12 3 150–152.
IEEE
U. Çavuş, F. Kırar, E. Hasbek, M. Aydın, ve M. Doğan, “An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report”, Ankara Med J, c. 12, sy. 3, ss. 150–152, 2012.
ISNAD
Çavuş, Umut vd. “An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report”. Ankara Medical Journal 12/3 (Mart 2012), 150-152.
JAMA
Çavuş U, Kırar F, Hasbek E, Aydın M, Doğan M. An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report. Ankara Med J. 2012;12:150–152.
MLA
Çavuş, Umut vd. “An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report”. Ankara Medical Journal, c. 12, sy. 3, 2012, ss. 150-2.
Vancouver
Çavuş U, Kırar F, Hasbek E, Aydın M, Doğan M. An Atypic Presentation Of Spontaneous Hemopneumothorax: A Case Report. Ankara Med J. 2012;12(3):150-2.