Bronkoskopi Sonras� Tek Tarafl� Hemotimpanum: Olgu Sunumu ve Literat�r�n G�zden Ge�irilmesi

Esenda�l�, Dorina; Nezalzova, Polina

Cilt : 13 Say� : 3 Y�l : 2024

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Bronkoskopi Sonras� Tek Tarafl� Hemotimpanum: Olgu Sunumu ve Literat�r�n G�zden Ge�irilmesi [Respir Case Rep]

Respir Case Rep. 2024; 13(1): 9-12 | DOI: 10.5505/respircase.2024.17037

Bronkoskopi Sonras� Tek Tarafl� Hemotimpanum: Olgu Sunumu ve Literat�r�n G�zden Ge�irilmesi

Dorina Esenda�l�, Polina Nezalzova
Ba�kent �niversitesi, T�p Fak�ltesi, G��s Hastal�klar� Anabilim Dal�, Ankara

Orta kulakta kan varl��n� ifade eden hemotimpanum, genellikle hava yollar�nda tan�sal veya terap�tik m�dahaleler i�in yap�lan bronkoskopi prosed�r�n�n �ok nadir bir komplikasyonudur. Bu yaz�da ate�, hemoptizi ve s�rt a�r�s� ile ba�vuran ve akci�erin sa� orta lobunda kitle saptanan 45 ya��nda bir erkek hasta sunulmu�tur. Tan� ama�l� yap�lan bronkoskopi i�lemi s�ras�nda hastada orta kulak bas�nc�n� art�rabilecek a��r� �ks�r�k vard� ve ilgin� bir �ekilde kulak yolundan kanama ile fark edilen sadece sa� kulak hemotimpanumu meydana geldi. Ge�mi�inde miringotomi giri�iminin �yk�s� olmas�, hakk�nda �ok fazla �ey bilinmeyen bir komplikasyona katk�da bulunan ba�ka bir risk fakt�r� olabilir. Bu nadir komplikasyona dikkat �ekiyoruz ve altta yatan patofizyoloji i�in ek risk fakt�rleri olabilece�i ve ortaya ��kmamas� i�in daha iyi �ks�r�k bask�lay�c� stratejilere ihtiya� oldu�unu �ne s�r�yoruz.

Anahtar Kelimeler: bronkoskopi, hemotimpanum, komplikasyon, �ks�r�k.

Unilateral Hemotympanum after Bronchoscopy: A Case Report and Review of the Literature

Dorina Esenda�l�, Polina Nezalzova
Department of Chest Diseases, Ba�kent University, Faculty of Medicine, Ankara, T�rkiye

Hemotympanum, referring to the presence of blood in the middle ear, is an unusual complication of bronchoscopy procedures usually performed on the airways for diagnostic or therapeutic purposes. We present here a report of a 45-year-old male who presented with fever, hemoptysis and back pain in whom a mass was detected in the right middle lobe of the lung. During a bronchoscopy procedure performed for diagnostic purposes, the patient had an excessive coughing episode that may have increased middle ear pressure, leading to hemotympanum only in the right ear, evidenced by bleeding from the ear canal. The patient had a past history of myringotomy, which may have contributed to this complication, about which little is known. We draw attention to this rare complication and propose additional risk factors for the underlying pathophysiology, and stress the need for better cough suppressor strategies to avoid occurrence.

Keywords: bronchoscopy, hemotympanum, complication, cough.

Sorumlu Yazar: Dorina Esenda�l�, T�rkiye
Makale Dili: �ngilizce

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