BibTex RIS Kaynak Göster

Çocuklarda üst abdominal cerrahi patolojilerin komplikasyonu olarak gelişen plevral efüzyonlar

Yıl 2011, Cilt: 17 Sayı: 1, 47 - 50, 01.02.2011

Öz

Intractable pleural effusions can occur during the courses of serious intraabdominal surgical pathologies. Information about the pathogenesis, presentation and management of this pulmonary complication is limited in the literature particularly for the childhood period. In this study we aimed to present our experience on management of three adolescent patients with pleural effusions which developed after upper abdominal surgical pathologies. According to the data collected from our patients, presence of peritoneal fluid, fever higher than 38ºC and adolescent age can be risk factors for development of pleural effusions. If intractable fluid collections resist to multiple thoracentesis then tube thoracostomy may be needed for the treatment.

Kaynakça

  • 1. Serejo LG, da Silva Junior FP, Bastos JP, de Bruin GS, Mota RM, de Bruin PF. Risk factors for pulmonary complications after emergency abdominal surgery. Respir Med 2007;101:808- 13.
  • 2. Mathew JT, D’Souza GA, Kilpadi AB. Respiratory complications in postoperative patients. J Assoc Physicians India 1999;47:1086-8.
  • 3. Yang JC, Sharp SW, Ostlie DJ, Holcomb GW 3rd, St Peter SD. Natural history of non-operative management for grade 4 and 5 liver and spleen injuries in children. J Pediatr Surg 2008;43:2264-7.
  • 4. Yoo SY, Lim KS, Kang SJ, Kim CS. Pitfalls of non-operative management of blunt abdominal trauma in children in Korea. J Pediatr Surg 1996;31:263-6.
  • 5. Fisher JC, Moultan SL. Nonopeative management and delayed hemorhage after pediatric liver injury: new issues to consider. J Pediatr Surg 2004;39:619-22.
  • 6. Light RW, George RB. Incidence and significance of pleural effusion after abdominal surgery. Chest 1976;69:621-5.
  • 7. Steiner Z, Iuchtman M, Litmanovitch, Breitgand A. Low morbidity profile of spleen mesh wrapping in children. Eur J Pediatr Surg 2008;18:150-2.
  • 8. Gorenstein A, Witzling M, Haftel LT, Mandelberg A, Serour F. Pleuro-pulmonary involvement in children with blunt splenic trauma. J Paediatr Child Health 2003;39:282-5.
  • 9. Stephen WJ Jr, Roy PD, Smith PM, Stephen WJ Sr. Nonoperative management of blunt splenic trauma in adults. Can J Surg 1991;34:27-9.
  • 10. Green BT. Splenic abscess: report of six cases and review of the literature. Am Surg 2001;67:80-5.
  • 11. Jang TN, Fung CP. Treatment of pyogenic splenic abscess. J Formos Med Assoc 1995;94:309-12.
  • 12. Fitzgerald PG, Langer JC, Cameron BH, Park AE, Marcaccio MJ, Walton JM, et al. Pediatric laparoscopic splenectomy using the lateral approach. Surg Endosc 1996;10:859-61.
  • 13. Hery G, Becmeur F, Mefat L, Kalfa D, Lutz P, Lutz L, et al. Laparoscopic partial splenectomy: indications and results of a multicenter retrospective study. Surg Endosc 2008;22:45-9.
  • 14. Corcione F, Esposito C, Cuccurullo D, Settembre A, Miranda L, Capasso P, et al. Technical standardization of laparoscopic splenectomy: experience with 105 cases. Surg Endosc 2002;16:972-4.
  • 15. Casaccia M, Torelli P, Squarcia S, Sormani MP, Savelli A, Troilo B, et al. Laparoscopic splenectomy for hematologic diseases: a preliminary analysis performed on the Italian Registry of Laparoscopic Surgery of the Spleen (IRLSS). Surg Endosc 2006;20:1214-20.
  • 16. Rabinovich A, Rescorla FJ, Howard TJ, Grosfeld J, Lillemoe KD. Pancreatic disorders in children: Relationship of postoperative morbidity and the indication for surgery. Am Surg 2006;72:641-3.
  • 17. Saleem M. Anaerobic liver abscess-A cause of acute respiratory distress in infant: A case report. J Med Case Reports 2009;3:46.
  • 18. Ekinci S, Karnak I, Tanyel FC, Senocak ME, Kutluk T, Buyukpamukcu M, et al. Hepatic lobectomies in children: experience of a center in the light of changing management of malignant liver tumors. Pediatr Surg Int 2006;22:228-32.

Pleural effusions complicating upper abdominal surgical pathologies in children

Yıl 2011, Cilt: 17 Sayı: 1, 47 - 50, 01.02.2011

Öz

Ciddi intrabdominal cerrahi patolojilerin seyrinde inatçı plevral efüzyonlar gelişebilir. Özellikle çocukluk çağı açısından bakıldığında literatürde bu tip pulmoner komplikasyonların patogenez ve klinik seyri ile ilgili çok fazla bilgi bulunmamaktadır. Bu çalışmada üst abdominal cerrahi patolojiler sonrasında plevral efüzyon gelişen üç adolesan hastanın klinik özellikleri sunulmuştur. Hastala rımızdan elde ettiğimiz verilere göre adolesan yaş, periton içi sıvı varlığı ve 38ºC üzeri yüksek ateş plevral efüzyon gelişimi açısından risk faktörü olabilir. Plevra içinde inatçı sıvı koleksiyonları aralıklı torasentezlere yanıt vermez ise tedavi için tüp torakostomi gerekebilir.

Kaynakça

  • 1. Serejo LG, da Silva Junior FP, Bastos JP, de Bruin GS, Mota RM, de Bruin PF. Risk factors for pulmonary complications after emergency abdominal surgery. Respir Med 2007;101:808- 13.
  • 2. Mathew JT, D’Souza GA, Kilpadi AB. Respiratory complications in postoperative patients. J Assoc Physicians India 1999;47:1086-8.
  • 3. Yang JC, Sharp SW, Ostlie DJ, Holcomb GW 3rd, St Peter SD. Natural history of non-operative management for grade 4 and 5 liver and spleen injuries in children. J Pediatr Surg 2008;43:2264-7.
  • 4. Yoo SY, Lim KS, Kang SJ, Kim CS. Pitfalls of non-operative management of blunt abdominal trauma in children in Korea. J Pediatr Surg 1996;31:263-6.
  • 5. Fisher JC, Moultan SL. Nonopeative management and delayed hemorhage after pediatric liver injury: new issues to consider. J Pediatr Surg 2004;39:619-22.
  • 6. Light RW, George RB. Incidence and significance of pleural effusion after abdominal surgery. Chest 1976;69:621-5.
  • 7. Steiner Z, Iuchtman M, Litmanovitch, Breitgand A. Low morbidity profile of spleen mesh wrapping in children. Eur J Pediatr Surg 2008;18:150-2.
  • 8. Gorenstein A, Witzling M, Haftel LT, Mandelberg A, Serour F. Pleuro-pulmonary involvement in children with blunt splenic trauma. J Paediatr Child Health 2003;39:282-5.
  • 9. Stephen WJ Jr, Roy PD, Smith PM, Stephen WJ Sr. Nonoperative management of blunt splenic trauma in adults. Can J Surg 1991;34:27-9.
  • 10. Green BT. Splenic abscess: report of six cases and review of the literature. Am Surg 2001;67:80-5.
  • 11. Jang TN, Fung CP. Treatment of pyogenic splenic abscess. J Formos Med Assoc 1995;94:309-12.
  • 12. Fitzgerald PG, Langer JC, Cameron BH, Park AE, Marcaccio MJ, Walton JM, et al. Pediatric laparoscopic splenectomy using the lateral approach. Surg Endosc 1996;10:859-61.
  • 13. Hery G, Becmeur F, Mefat L, Kalfa D, Lutz P, Lutz L, et al. Laparoscopic partial splenectomy: indications and results of a multicenter retrospective study. Surg Endosc 2008;22:45-9.
  • 14. Corcione F, Esposito C, Cuccurullo D, Settembre A, Miranda L, Capasso P, et al. Technical standardization of laparoscopic splenectomy: experience with 105 cases. Surg Endosc 2002;16:972-4.
  • 15. Casaccia M, Torelli P, Squarcia S, Sormani MP, Savelli A, Troilo B, et al. Laparoscopic splenectomy for hematologic diseases: a preliminary analysis performed on the Italian Registry of Laparoscopic Surgery of the Spleen (IRLSS). Surg Endosc 2006;20:1214-20.
  • 16. Rabinovich A, Rescorla FJ, Howard TJ, Grosfeld J, Lillemoe KD. Pancreatic disorders in children: Relationship of postoperative morbidity and the indication for surgery. Am Surg 2006;72:641-3.
  • 17. Saleem M. Anaerobic liver abscess-A cause of acute respiratory distress in infant: A case report. J Med Case Reports 2009;3:46.
  • 18. Ekinci S, Karnak I, Tanyel FC, Senocak ME, Kutluk T, Buyukpamukcu M, et al. Hepatic lobectomies in children: experience of a center in the light of changing management of malignant liver tumors. Pediatr Surg Int 2006;22:228-32.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Cüneyt Günşar Bu kişi benim

Alparslan Aşcı Bu kişi benim

Aydın Şencan Bu kişi benim

Ömer Yılmaz Bu kişi benim

Erol Mir Bu kişi benim

Yayımlanma Tarihi 1 Şubat 2011
Yayımlandığı Sayı Yıl 2011 Cilt: 17 Sayı: 1

Kaynak Göster

APA Günşar, C., Aşcı, A., Şencan, A., Yılmaz, Ö., vd. (2011). Pleural effusions complicating upper abdominal surgical pathologies in children. Gaziantep Medical Journal, 17(1), 47-50.
AMA Günşar C, Aşcı A, Şencan A, Yılmaz Ö, Mir E. Pleural effusions complicating upper abdominal surgical pathologies in children. Gaziantep Medical Journal. Şubat 2011;17(1):47-50.
Chicago Günşar, Cüneyt, Alparslan Aşcı, Aydın Şencan, Ömer Yılmaz, ve Erol Mir. “Pleural Effusions Complicating Upper Abdominal Surgical Pathologies in Children”. Gaziantep Medical Journal 17, sy. 1 (Şubat 2011): 47-50.
EndNote Günşar C, Aşcı A, Şencan A, Yılmaz Ö, Mir E (01 Şubat 2011) Pleural effusions complicating upper abdominal surgical pathologies in children. Gaziantep Medical Journal 17 1 47–50.
IEEE C. Günşar, A. Aşcı, A. Şencan, Ö. Yılmaz, ve E. Mir, “Pleural effusions complicating upper abdominal surgical pathologies in children”, Gaziantep Medical Journal, c. 17, sy. 1, ss. 47–50, 2011.
ISNAD Günşar, Cüneyt vd. “Pleural Effusions Complicating Upper Abdominal Surgical Pathologies in Children”. Gaziantep Medical Journal 17/1 (Şubat 2011), 47-50.
JAMA Günşar C, Aşcı A, Şencan A, Yılmaz Ö, Mir E. Pleural effusions complicating upper abdominal surgical pathologies in children. Gaziantep Medical Journal. 2011;17:47–50.
MLA Günşar, Cüneyt vd. “Pleural Effusions Complicating Upper Abdominal Surgical Pathologies in Children”. Gaziantep Medical Journal, c. 17, sy. 1, 2011, ss. 47-50.
Vancouver Günşar C, Aşcı A, Şencan A, Yılmaz Ö, Mir E. Pleural effusions complicating upper abdominal surgical pathologies in children. Gaziantep Medical Journal. 2011;17(1):47-50.