Akci�er Apsesinin Ultrasonografi E�li�inde �nce ��ne Aspirasyonu �le Tedavisi

G�m��, Aziz; Kayhan, Servet; ��narka, Halit; Ert�rk, Ay�e; Yavuz, Asiye; �ahin, �nal

Cilt : 3 Say� : 2 Y�l : 2024

13/3Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

Yay�n Hakk� Devir Formu

Yazar Katk� Formu

H�zl� Arama

Akci�er Apsesinin Ultrasonografi E�li�inde �nce ��ne Aspirasyonu �le Tedavisi [Respir Case Rep]

Respir Case Rep. 2014; 3(2): 110-113 | DOI: 10.5505/respircase.2014.77698

Akci�er Apsesinin Ultrasonografi E�li�inde �nce ��ne Aspirasyonu �le Tedavisi

Aziz G�m��¹, Servet Kayhan¹, Halit ��narka¹, Ay�e Ert�rk², Asiye Yavuz¹, �nal �ahin¹
¹Recep Tayyip Erdo�an �niversitesi, T�p Fak�ltesi, G�g�s Hastal�klar� Ana Bilim Dal�, Rize
²Recep Tayyip Erdo�an �niversitesi, T�p Fak�ltesi, Enfeksiyon Hastal�klar� Ana Bilim Dal�, Rize

Akci�er absesi, piyojenik mikroorganizmalar�n doku nekrozuna yol a�mas� sonucu akci�er parankiminde olu�an kaviter, d�zg�n s�n�rl�, lokalize ve s�p�ratif bir lezyondur. Radyolojik olarak hava-s�v� d�zeyi g�steren kavite g�r�n�m� ile tan�n�r ve bu olgular�n %10-15�i antibiyotik tedavisine ra�men iyile�memektedir. Giri�imsel tedavi y�ntemleri aras�nda transtorasik t�p drenaj�, bronkoskopi veya bilgisayarl� tomografi e�li�inde aspirasyon ve cerrahi rezeksiyon bulunmaktad�r. Burada diyabeti olan 70 ya��ndaki bir kad�n hastay� sunmaktay�z. Hastan�n sa� akci�er alt lobunda periferik yerle�imli bir apse saptand�. �lk olarak medikal tedavi yap�ld�. Yan�t al�namamas� �zerine ultrasonografi e�li�inde ince i�ne aspirasyonu ile apse drenaj� yap�ld�. Yapt��m�z literat�r ara�t�rmas�nda, ultrasonografi e�li�inde ince i�ne aspirasyonuyla tam olarak iyile�en ba�ka bir akci�er absesi olgusuna rastlamad�k. Sonu� olarak toraks duvar�na kom�u periferik akci�er abselerinin tedavisinde; kolay ula��labilirli�i, ucuz bir y�ntem olmas� ve radyasyon maruziyetine yol a�mamas� nedeniyle ultrasonografi e�li�inde transtorasik abse drenaj�, ilk tercih olarak d��n�lmelidir

Anahtar Kelimeler: Akci�er absesi, Ultrasonografi, �nce i�ne apirasyonu

Treatment of Lung Abscess by Ultrasonography Guided Fine Needle Aspiration

Aziz G�m��¹, Servet Kayhan¹, Halit ��narka¹, Ay�e Ert�rk², Asiye Yavuz¹, �nal �ahin¹
¹Department Of Pulmonary Diseases, Recep Tayyip Erdo�an University, Rize, Turkey
²Department Of Infectious Diseases, Recep Tayyip Erdo�an University, Rize, Turkey

Lung abscess is a well-circumscribed and localized suppurative lesion in the lung parenchyma as a result of pyogenic microorganisms, which usually leads to tissue necrosis and cavitation. The lung abscess radiologically appears as an air-fluid level and despite the antibiotic treatments, up to 10%-15% of these lesions do not heal. In these cases, drainage by the transthoracic catheters and aspiration by the guidance of bronchoscopy or computed tomography and surgical resection are the choices of treatment modalities. Herein, we report a 70-year-old female patient with diabetes mellitus. A lung abscess was detected in the right lower lobe with peripheral localization. The patient did not recover by medical therapy and the content of abscess was aspirated by ultrasonography guidance. No cases with lung abscess that was treated completely with the fine needle aspiration by the guidance of ultrasonography were found in the literature. As a result, we recommend that transthoracic drainage of peripheral lung abscesses by the guidance of ultrasonography should be considered as a first choice treatment modality with the advantages of being affordable, convenient, and with no exposure to radiation.

Keywords: Lung abscess, Ultrasonography, Fine needle aspiration

Sorumlu Yazar: Aziz G�m��, T�rkiye
Makale Dili: T�rk�e

ATIF KOPYALA

Tam Metin PDF At�f dosyas� indir RIS EndNote BibTex Medlars Procite Reference Manager Yazara e-posta g�nder Benzer makaleler PubMed Google Scholar