Öz
Spontan pnömotoraks gebelikte çok nadir görülen, hayatı tehdit eden bir klinik durumdur. Erken tanı, tedavisi, gebelik takibi, doğum zamanlaması ve şekli maternal ve fetal sonuçlar için önem arzetmektedir. 26 yaşında gravida 2 para 1 olan hasta 12. gebelik haftasında hastanemize akut göğüs ağrısı ve dispne ile başvurmuştur. Çekilen akciğer grafisinde ve Toraks MR’ da sol akciğerde akut pnömotoraks ile uyumlu görünüm izlenmiştir. Hastanın anamnezinde sigara içme ve bir önceki gebeliğinde de doğum esnasında gerçekleşen spontan pnömotoraks öyküsü mevcuttur. Hastaya tüp torakostomi uygulanmıştır. Hastaya spinal anestezi altında sezaryen ile doğum gerçekleştirilmiştir. Hasta postoperatif 6. gününde sorunsuz taburcu edilmiştir. Spontan pnömotoraks gebelikte çok nadir görülmesine rağmen, özellikle tekrarlama riskinin yüksek olduğu geçirilmiş spontan pnömotoraks öyküsü olan olgularda, şiddetli dispne ve göğüs ağrısı şikayeti olan gebelerde spontan pnömotoraks akılda tutulmalıdır
Anahtar Kelimeler
Kaynakça
- Tanase Y, Yamada T, Kawaryu Y, Yoshida M, Kawai S. A case of spontaneous pneumothorax during pregnancy and review of the literature. Kobe J Med Sci 2007;53:251-5.
- Madan K, Singh N, Jain V, Aggarwal AN. Spontaneous pneumothorax following caesarean section under spinal anaesthesia. BMJ Case Rep 2013;12:2013.
- Garg R, Sanjay, Das V, et al. Spontaneous pneumothorax: an unusual complication of pregnancy-a case report and re- view of literature. Ann Thorac Med 2008;3:104-5.
- Lal A, Anderson G, Cowen M, Lindow S, Arnold AG. Pneu- mothorax and pregnancy. Chest 2007;132:1044-8.
- Mohammadi A, Ghasemi Rad M, Afrasiabi K. Spontaneous pneumothorax in pregnancy: a case report. Tuberk Toraks 2011;59:396-8.
- Nwaejike N, Aldam P, Pulimood T et al. A case of recur- rent spontaneous pneumothorax during pregnancy treated with video assisted thoracoscopicsurgery. BMJ Case Rep 2012;13:2012.
- Jain P, Goswami K. Recurrent spontaneous pneumothorax during pregnancy: a case report. J Med Case Reports 2009; 3: 81.
- Wong MK, Leung WC, Wang JK et al. Recurrent pneumo- thorax in pregnancy: what should we do after placing an intercostal drain. Hong Kong Med J 2006;12:375-80.
- Terndrup TE, Bosco SF, McLean ER. Spontaneous pneu- mothorax complicating pregnancy-case report and review of the literature. J Emerg Med 1989;7:245-8.
Öz
Spontaneous pneumothorax is a life-threatening pathology which occurs rarely during pregnancy. Diagnosis, treatment, follow-up of pregnancy and also the timing and mode of delivery are all problems and important for maternal-fetal outcomes. A 26-years-old gravida 2, para 1 woman presented at 12th gestational week to our hospital with the complaints of chest pain and dyspnea. The patient had a history of spontaneous pneumothorax occurred in a previous pregnancy during delivery. Chest X-ray and Torax MR has revealed the presence of acute pneumothorax of the left lung. A tube thoracostomy was then performed. Cesarean section was performed under spinal anesthesia. The patient was discharged from the hospital postoperative 6th day without complication or recurrence. Despite spontaneous pneumothorax to be very rare in pregnancy, especially where there is high risk of recurrence in patients with spontaneous pneumothorax previous history, a spontaneous pneumothorax must be considered in pregnant women who present with complaints of chest pain and dyspnea
Anahtar Kelimeler
Kaynakça
- Tanase Y, Yamada T, Kawaryu Y, Yoshida M, Kawai S. A case of spontaneous pneumothorax during pregnancy and review of the literature. Kobe J Med Sci 2007;53:251-5.
- Madan K, Singh N, Jain V, Aggarwal AN. Spontaneous pneumothorax following caesarean section under spinal anaesthesia. BMJ Case Rep 2013;12:2013.
- Garg R, Sanjay, Das V, et al. Spontaneous pneumothorax: an unusual complication of pregnancy-a case report and re- view of literature. Ann Thorac Med 2008;3:104-5.
- Lal A, Anderson G, Cowen M, Lindow S, Arnold AG. Pneu- mothorax and pregnancy. Chest 2007;132:1044-8.
- Mohammadi A, Ghasemi Rad M, Afrasiabi K. Spontaneous pneumothorax in pregnancy: a case report. Tuberk Toraks 2011;59:396-8.
- Nwaejike N, Aldam P, Pulimood T et al. A case of recur- rent spontaneous pneumothorax during pregnancy treated with video assisted thoracoscopicsurgery. BMJ Case Rep 2012;13:2012.
- Jain P, Goswami K. Recurrent spontaneous pneumothorax during pregnancy: a case report. J Med Case Reports 2009; 3: 81.
- Wong MK, Leung WC, Wang JK et al. Recurrent pneumo- thorax in pregnancy: what should we do after placing an intercostal drain. Hong Kong Med J 2006;12:375-80.
- Terndrup TE, Bosco SF, McLean ER. Spontaneous pneu- mothorax complicating pregnancy-case report and review of the literature. J Emerg Med 1989;7:245-8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Eylül 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 29 Sayı: 3 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.