Yatakbaşı Ultrason ile Tanı Konulan Künt Boyun Travmasının Geç Prezentasyonu

Yıl 2014, Cilt: 5 Sayı: 7, 209 - 211, 01.07.2014

Serhat Akay Huriye Akay Nazif Erkan

Öz

Giriş: Tükrük bezi travmaları nadirdir ve en sık nedeni penetran
travmalardır. Literatürde künt submandibuler bez travma
bildirimleri azdır. Geç prezentasyon ve havayolu obstruksiyonu
önemlidir. Radyolojik görüntüleme önemlidir ve acil tıp hekimleri
yatakbaşı ultrason ile tanı koyabilir.
Olgu Sunumu: 38 yaşında erkek hasta acil servisimize başka
bir merkezden senkop sonrası submandibuler alanda şişlik
nedeniyle tabruculuk sonrası başvurdu. Yatakbaşı ultrason sol
submandibuler bezde sağa göre büyüme, bezde hipoekojenik
çizgilenme ve periglandüler sıvı birikimi gösterdi. İntravenöz
kontrastlı boyun bilgisayar tomografisi tanıyı doğruladı.
Sonuç: İzole submandibuler tükrük bezi yaralanması nadirdir
ve en sık nedeni motorlu taşıt kazalarıdır. Minor travmalar geç
prezentasyona neden olabilir ve hastalar acil servise başka
semptomlarla başvurabilirler. Etkilenen alanın yatakbaşı ultrason
etkilenen bezdeki yaralanmayı saptayabilir ve akut durumda olası
havayolu obstruksiyonu hakkında hekimi uyarabilir.

Anahtar Kelimeler

Submandibuler bez, travma, boyun travması, yatakbaşı ultrason

Delayed Presentation of Blunt Neck Trauma Diagnosed with Bedside Ultrasonography

Öz

Introduction: Trauma of the salivary glands is rare, as penetrating traumas account for the majority of them. Few cases of blunt trauma of the submandibular glands are reported in the literature. Delayed presentation and airway compromise are the main concerns. Radiologic imaging is essential for diagnosis, where emergency physicians can diagnose with bedside ultrasonography.Case Report: A 38-year-old male presented to our emergency department after discharge from another hospital following enlargement of the submandibular area. Bedside ultrasound showed enlargement of the left submandibular gland with a hypoechogenic line through the gland with preglandular fluid collection when compared to the right side. Computed tomography of the neck with intravenous contrast agent confirmed the diagnosis.Conclusion: Isolated injury of the submandibular gland is rare, where the majority of reported cases is caused by MVCs. Minor appearing trauma can cause delayed presentations where the patient can re-present to the ED with more distinct findings. A bedside ultrasonography of the involved area can detect any abnormality of the affected gland and alert the physician for any possible airway compromise in the acute setting

Anahtar Kelimeler

Submandibular gland, trauma, neck injuries, bedside ultrasound

Kaynakça

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