Pneumopericardium in a one-year-old infant: an unusual complication of esophageal foreign body removal

Yıl 2010, Cilt: 17 Sayı: 1, 26 - 28, 30.03.2010

Mustafa Akçam Özlem Özsoy Ayça Kuybulu Levent Duman Mert Köroğlu

Öz

Bir yaşındaki bebekte pnömoperikardiyum: Özefagustan yabancı cisim çıkarılmasına bağlı nadir bir komplikasyon

Pnömoperikardiyum, özefagustan yabancı cisim çıkarılması sırasında nadiren gelişebilen bir komplikasyondur. Erişkinlerde yayınlanmış birkaç olgu olmasına rağmen, çocukluk yaş grubunda özefagustan yabancı cisim çıkarılmasına bağlı gelişen pnömoperikardiyum olgusu şu anki bilgilerimize göre literatürde yayınlanmamıştır. Bu yazıda, özefagustan yabancı cisim çıkarılmasından sonra pnömomediastinum ile birlikte pnömoperikardiyum gelişen bir yaşındaki bir olgu sunulmaktadır.

Anahtar kelimeler: Pnömomediastinum, pnömoperikardiyum, yabancı cisim, özefagus, perforasyon, çocuk

Abstract
Pneumopericardium is an unusual complication of esophageal foreign body removal. Although a few adult cases have been reported, to the best of our knowledge, pneumopericardium due to esophageal foreign body removal in children has not been published previously in the literature. Here, we present a case of pneumomediastinum with pneumopericardium that developed after esophageal foreign body removal in a one-year-old infant.

Key words: Pneumomediastinum, pneumopericardium, foreign body, esophagus, perforation, children

Anahtar Kelimeler

Pnömomediastinum, pnömoperikardiyum, yabancý cisim, özefagus, perforasyon, çocuk

Kaynakça

• Dontu VS, Kramer D. Spontaneous pneumothorax, pneumomediastinum, and epidural emphysema presenting as neck pain suspicious for meningitis. Pediatr Emerg Care 2007;23:469-71.
• Ercan H, Keskin Ö, Can M, Þekerel B. Pnömomediastinum: 2 yaþýnda bir kýz çocukta alýþýlmamýþ ve nadir bir komplikasyonu olarak bir olgu sunumu ve literatürün gözden geçirilmesi. Ý.Ü. Ýstanbul Týp Fakültesi Dergisi 2007;70:111-3.
• Ameh V, Jenner R, Jilini N, Bradbury A. Spontaneous pneumopericardium, pneumomediastinum and subcutaneous emphysema: unusual complications of asthma in a 2-year-old boy. Emerg Med J 2006; 23:466- 7.
• Lasiæ M, Gunek G Spontaneous pneumomediastinum as a complication of asthma in adults and adolescents. Lijec Vjesn 2000;22:168-71.Croatian
• Zylak CM, Standen JR, Barnes GR, Zylak JC. Pneumomediastinum revisited. Radiographics 2000; 20:1043-57.
• Marwan K, Farmer KC, Varley C, Chapple KS. Pneumothorax, pneumomediastinum, pneumoperitoneum, pneumoretroperitoneum and subcutaneous emphysema following diagnostic colonoscopy. Ann R Coll Surg Engl 2007; 89:W20- 21.
• Lin CH, Chen AC, Tsai JD, Wei SH, Hsueh KC, Lin WC. Endoscopic removal of foreign bodies in children. Kaohsiung J Med Sci 2007;23:447-52.
• Watanabe K, Kagawa K, Kinouchi K, Miyamoto Y, Fukumitsu K, Kitamura S. Perioperative management of airway foreign bodies in 35 pediatric patients. Masui 2007;56:1065-70.
• Little DC, Shah SR, St Peter SD, Calkins CM, Morrow SE, Murphy JP, et al. Esophageal foreign bodies in the pediatric population: our first 500 cases. J Pediatr Surg 2006; 41:914-8.
• Weissberg D, Refaely Y. Foreign bodies in the esophagus. Ann Thorac Surg 2007; 84:1854-7.
• Khan MA, Hameed A, Choudhry AJ. Management of foreign bodies in the esophagus. J Coll Physicians Surg Pak 2004;14:218-20.
• Mahafza T, Batieha A, Suboh M, Khrais T. Esophageal foreign bodies: a Jordanian experience. Int J Pediatr Otorhinolaryngol 2002;64:225-7.
• Chang MY, Chang ML, Wu CT. Esophageal perforation caused by fish vertebra ingestion in a seven-month- old infant demanded surgical intervention: A case report. World J Gastroenterol 2006;12:7213-5.
• Akçam M, Koçkar C, Tola HT, Duman L, Gündüz M. Endoscopic removal of an ingested pin migrated into the liver and affixed by its head to the duodenum. Gastrointest Endosc 2009;69:382-4.