Ali ÖZDEMİR, Aydın YÜCEL, Arman APİ, Dilek DOĞRUEL

Talc pleurodesis in the management of persistent pleural effusion in an infant

Plevral efüzyon, plevral kavitede belirgin sıvı birikmesi olarak tanımlanır. Genellikle enfeksiyöz ajanlarla oluşur. Diğer etmenler arasında konjestif kalp hastalıkları, maligniteler, viral hastalıklar, travma, hipoalbuminemi, bağ doku hastalıkları ve kromozomal hastalıklar sayılabilir. Tedavi sorumlu etmene göre yapılır. Bu yazıda komplike olmayan Morgagni hernisi cerrahisi sonucu persistan plevral efüzyon gelişen 16 aylık erkek olgu sunuldu. Antibiyoterapi, parenteral beslenme desteği ve oktreotid tedavilerine yanıt alınamaması üzerine çocuk cerrahisi tarafından talk plörodezisi uygulanan olgumuzun başarılı bir şekilde tedavisi sağlandı ve bir sklerozan ajan olan talk uygulamanın herhangi bir yan etkisi gözlenmedi. Pediatrik yaş grubunda plevral efüzyon tedavisinde nadir bir uygulama olan plörodezisi bu olguda uygulanmıştır.

Persistan plevral efüzyonu olan infant olgunun talk plörodezis ile tedavisi

Pleural effusion is excessive fluid that accumulates in the pleural cavity. It predominantly occurs by infectious agents. Other various causes include congestive heart diseases, hypoalbuminemia, connective tissue diseases and chromosomal abnormalities. Treatment strategies should target the responsible cause. Herein, we present a 16month old male infant with persistent pleural effusion occuring after uncomplicated Morgagni hernia surgery who had no response to antibiotics, parenteral nutritional support and octreotide therapy that was eventually treated by pediatric surgery with talc pleurodesis. No significant advers effect was observed after administration of talc as a sclerozing agent for pleurodesis. This procedure has been rarely reported at this age group.

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