Pulmonary Interstitial Emphysema Direct Graphy and CT Findings in a New Born: Case Report

Yıl 2016, Cilt: 7 Sayı: 1, 36 - 38, 23.03.2016

Hakan Demirtas Hasan Çetin

Öz

Objective: Pulmonary interstitial emphysema (PIE) is defined as the congestion of the air in the perivascular adventitia and its accumulation in interstitium as a result of alveolar and small airways rupture. It typically emerges as a result of alveoli rupture to excessive distention following barotrauma. Besides, it may also be detected in adults incidentally. This article discusses clinical and radiological findings of a new born diagnosed with PIE.
Case: A male new born of 33 weeks was intubated due to tachypnea. In his routine chest radiography, lines and stripes as well as cystic masses in his left lung parenchyma were detected and a shift to the right was developed in his mediastinum. The patient was referred to computed thoracic tomography scan (CT). Our case diagnosed with PIE along with CT, PA radiogram findings and its clinic recovered radiologically and clinically following supportive treatment.
Conclusion: In newborns, especially those with mechanical ventilation support, PIE is to be taken into consideration in pathologic findings of its respiratory problems and radiograms.
Key Words: Pulmonary Interstitial Emphysema , Radiology, Newborn.

Anahtar Kelimeler

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Yeni Doğanda Pulmoner İnterstisyel Amfizem Direkgrafi ve BT Bulguları: Olgu Sunumu

Öz

Amaç: Alveoler ve küçük hava yollarının rüptürü sonucu havanın perivasküler adventisya içinde birikmesi ve interstisyumda toplanması pulmoner interstisyel amfizem (PİA) olarak tanımlanır. Tipik olarak barotravmayı takiben aşırı distansiyone alveollerin rüptürü sonucu oluşur. Ayrıca rastlantısal olarak erişkinlerde de gözükebilir. Bu makalede PİA tanısı almış yeni doğanın klinik ve radyolojik bulguları tartışılmıştır.
Olgu: 33 haftalık doğan erkek bebek takipnesi nedeniyle entübe edilmiştir. Takibi sırasında akciğer grafisinde sol akciğer parankiminde çizgilenmeler, kistik görünümler ile mediastende sağa kayma gelişmiştir. Hastanın toraksa yönelik bilgisayarlı tomografisi(BT) çekilmiştir. BT, PA radyogram bulguları ve kliniği ile birlikte PİA tanısı alan olgumuz destek tedavisi sonrası radyolojik ve klinik olarak düzelmiştir.
Sonuç: Yenidoğanlarda, özellikle mekanik ventilatör desteği verilen bebeklerde, solunum problemlerinde ve radyogramlarında izlenen patolojik bulgularda PİA akılda tutulmalıdır.
Anahtar Kelimeler: Pulmoner İnterstisyel Amfizem , Radyoloji,Yenidoğan,

Anahtar Kelimeler

Pulmoner İnterstisyel Amfizem, Radyoloji, Yenidoğan

Kaynakça

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