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

Treatment of Lung Abscess by Ultrasonography Guided Fine Needle Aspiration

Aziz Gümüþ¹, Servet Kayhan¹, Halit Çýnarka¹, Ayþe Ertürk², Asiye Yavuz¹, Ünal Þahin^1
1Department Of Pulmonary Diseases, Recep Tayyip Erdoðan University, Rize, Turkey
²Department Of Infectious Diseases, Recep Tayyip Erdoðan 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

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Akciðer Apsesinin Ultrasonografi Eþliðinde Ýnce Ýðne Aspirasyonu Ýle Tedavisi

Aziz Gümüþ¹, Servet Kayhan¹, Halit Çýnarka¹, Ayþe Ertürk², Asiye Yavuz¹, Ünal Þahin^1
1Recep Tayyip Erdoðan Üniversitesi, Týp Fakültesi, Gögüs Hastalýklarý Ana Bilim Dalý, Rize
²Recep Tayyip Erdoðan Üniversitesi, Týp Fakültesi, Enfeksiyon Hastalýklarý Ana Bilim Dalý, Rize

Akciðer absesi, piyojenik mikroorganizmalarýn doku nekrozuna yol açmasý sonucu akciðer parankiminde oluþan kaviter, düzgün sýnýrlý, lokalize ve süpüratif bir lezyondur. Radyolojik olarak hava-sývý düzeyi gösteren kavite görünümü ile tanýnýr ve bu olgularýn %10-15’i antibiyotik tedavisine raðmen iyileþmemektedir. Giriþimsel tedavi yöntemleri arasýnda transtorasik tüp drenajý, bronkoskopi veya bilgisayarlý tomografi eþliðinde aspirasyon ve cerrahi rezeksiyon bulunmaktadýr. Burada diyabeti olan 70 yaþýndaki bir kadýn hastayý sunmaktayýz. Hastanýn sað akciðer alt lobunda periferik yerleþimli bir apse saptandý. Ýlk olarak medikal tedavi yapýldý. Yanýt alýnamamasý üzerine ultrasonografi eþliðinde ince iðne aspirasyonu ile apse drenajý yapýldý. Yaptýðýmýz literatür araþtýrmasýnda, ultrasonografi eþliðinde ince iðne aspirasyonuyla tam olarak iyileþen baþka bir akciðer absesi olgusuna rastlamadýk. Sonuç olarak toraks duvarýna komþu periferik akciðer abselerinin tedavisinde; kolay ulaþýlabilirliði, ucuz bir yöntem olmasý ve radyasyon maruziyetine yol açmamasý nedeniyle ultrasonografi eþliðinde transtorasik abse drenajý, ilk tercih olarak düþünülmelidir

Anahtar Kelimeler: Akciðer absesi, Ultrasonografi, Ýnce iðne apirasyonu

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