Özlem KESKİN, Bülent ŞEKEREL, Mevlüt CAN, Hülya ERCAN

Pneumomediastinum: Unusualand rare complications ofasthmain a 2 years old girl: A case report and review of the literature

Çocuklu çağında izole pnomomediastinum veya pnomotoraksa göre pnomoperikardiyum nadir görülen bir komplikasyondur. Kardiak tamponat gibi hemodinamiğin ani olarak bozulabileceği komplikasyonlar açısından çok iyi izlenmesi gerekir. Astım tanısı almış hastalarda pnomoperikardiyum nadir ancak önemli bir komplikasyondur. Bu olguda, 2 yaşında bir erkek hastada yumurta allerjisine bağlı akut astım atağı tanısının ilk kez solunum sıkıntısı ve pnomoperikardium ile ortaya çıkması sunulmaktadır.

Pnömomediastinum: 2 yaşında bir kız çocukta astımın alışılmamış ve nadir bir komplikasyonu olarak bir olgu sunumu ve literatürün gözden geçirilmesi

Pneumopericardium is a rare condition, less common than either isolated pneumothorax or pneumomediastinum. Acute hemodynamic deterioration in a patient with pneumopericardium should prompt further investigation and cardiac tamponade should be actively ruled out. Pneumopericardium is a rare but important complication of asthma. In this paper, 2-year-old boy is described who presented with acute respiratory distress and diagnosed as asthma, egg allergy and pneumopericardium.

PDF

___

1) Bejvan SM. Pneumomediastinum: Old signs and new signs. Am J Roentgenol 1996;9:187-189.
2) Behrman, Kliegman, Jenson, Winnie GB. Pneumomediastinum. Nelson texbook of pediatrics Philadelphia, London, New york, St. Louis, Sydney, Tronto: WB Saunders; 17th ed., 2004; 1465.
3) Brander L, Ramsay D, Dreier D, Peter M, Graeni R. Continuous left hemidiaphragm sign revisited:a case of spontaneous pneumopericardium and literature review. Heart 2002; 88: 5 (1-4).
4) Fletcher BD. Diagnostic imagining of respiratory tracts. In: Chernick V, Boat T, editors. Kending's disorders of respiratory tract in children. 6th ed. Philadelphia: WB Saunders, 1998.
5) Macdougall CF, Cant AJ, Colver AF. How dangerous is food allergy in childhood ? The incidence of severe and fatal allergic reactions across the incidence of severe and fatal allergic reactions across the UK and Ireland. Arch Dis Child 2002; 86:236-239.
6) Reed JR. Hemodynamics of progressive pneumopericardium in the dog. Am J Vet Res 1984; 45:301-307.
7) Roberts G, Patel N, Levi-Schaffer F, Habibi P, Lack G. Food allergy as a risk factor for life-threatening asthma in childhood: A case-controllrd study. J Allergy Clin Immunol 2003; 112:168- 174.
8) Stack AM, Caputo GL. Pneumomediastinum in childhood asthma. Pediatr Emerg Care 1996; 12:98-101.
9) Toledo TM, Moore WL Jr, Nash DA, North RL. Spontaneous pneumopericardium in acute asthma: case report and review of the literature. Chest 1972; 62:118-120
10) Tucker WS Jr. Symtoms and signs of syndromes associated with mill Wheel murmurs. N C Med J 1988; 49:569-572.