Transtorasik ultrasonografide akalazyanın pnömotoraks olarak yanlış yorumlanması

Öz

Giriş: Şüpheli pnömotoraksın ultrasonografi ile değerlendirilmesi acil servis bölümlerinde yapılan rutin bir işlemdir. Ultrasonografi pnömotoraksın tespit edilmesinde oldukça duyarlıdır, ancak bazı yanlış-pozitif sonuçlar vermektedir. Olgu sunumu: Bu olgu sunumunda, rutin yatak başı torasik ultrasonografide pnömotoraks olarak yanlış değerlendirilen akalazyası olan 60 yaşındaki bir erkek hastayı sunmaktayız. Sonuç: Akalazya, pnömotoraksın yatak başı ultrasonografi ile elde edilen yanlış-pozitif sonuçlarının nadir bir nedenidir.

Anahtar Kelimeler

• Pnömotoraks, akalazya, ultrasonografi

Misinterpretation of Achalasia as a Pneumothorax in Transthoracic Ultrasonography

Öz

Introduction: Evaluation of a suspected pneumothorax by ultrasonography is a routine procedure in emergency departments. Ultrasonography is highly sensitive for the detection of a pneumothorax and yet has some false-positive results. Case Report: In this case report, we present a 60-year-old man with achalasia that was misinterpreted as a pneumothorax in routine bedside thoracic ultrasonography.Conclusion: Achalasia is a rare cause of false-positive reports of pneumothorax by bedside ultrasonography

Anahtar Kelimeler

• Pneumothorax, achalasia, ultrasonography

Kaynakça

1. Husain LF, Hagopian L, Wayman D, Baker WE, Carmody KA. Sonographic diagnosis of pneumothorax. J Emerg Trauma Shock 2012; 5: 76-81. [CrossRef]
2. Ouellet JF, Ball CG, Panebianco NL, Kirkpatrick AW. The sonographic diagnosis of pneumothorax. J Emerg Trauma Shock 2011; 4: 504-7.
3. Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med 2005; 12: 844-9. [CrossRef]
4. Soldati G, Testa A, Sher S, Pignataro G, La Sala M, Silveri NG. Occult traumatic pneumothorax: diagnostic accuracy of lung ultrasonography in the emergency department. Chest 2008; 133: 204-11. [CrossRef]
5. Lichtenstein D. Lung ultrasound in the critically ill. Current opinion in critical care 2014; 20: 315-22. [CrossRef]
6. Zhu SY, Liu RC, Chen LH, Luo F, Yang H, Feng X, et al. Sonographic demonstration of the normal thoracic esophagus. Journal of clinical ultrasound: JCU 2005; 33: 29-33 .[CrossRef]
7. Miller LS, Liu JB, Barbarevech CA, Baranowski RJ, Dhuria M, Schiano TD, et al. High-resolution endoluminal sonography in achalasia. Gastrointestinal endoscopy 1995; 42: 545-9. [CrossRef]
8. Chambon J, Gaudric M, Amouyal P, Chaussade S, Chapuis Y, Louvel A, et al. [Achalasia associated with gastric leiomyoma. The value of endoscopic sonography]. Gastroenterol clin biol 1990; 14: 605-7.

9. Ohtsuki J. [Utility of endoscopic ultra-sonography for esophageal achalasia]. J smooth muscle res 1995; 31: 5-13. [CrossRef]