Banu YOLDAŞ, Alpaslan ÇAKAN, Ufuk ÇAĞIRICI, Ali VERAL

İDİYOPATİK MEDİASTİNAL FİBROZİS OLGUSU

İdiyopatik mediastinal fibrozis (İMF) mediastenin visseral kompartmanında yoğun fibröz doku proliferasyonu ve depolanmasıyla sonuçlanan, nedeni her zaman ortaya konamayan, nadir izlenen bir patolojidir. Bu makalede, daha önce bilateral akciğer kist hidatiği nedeniyle opere edilmiş, sırt ağrısı yakınmasıyla başvuran 37 yaşındaki erkek hastada, eksploratris torakotomi ve inkomplet rezeksiyonla tanısı konan bir İMF olgusu sunulmuştur.

Anahtar Kelimeler:

İdiyopatik, mediasten, fibrozis

A CASE OF IDIOPATHIC MEDIASTINAL FIBROSIS

Idiopathic mediastinal fibrosis (IMF) is a rare pathological entity characterized with a dense fibrous tissue proliferation and storage in the visseral compartment of the mediastinum. Its etiology is undetermined in most of the cases. In this report, a 37 year-old man who was previously operated for bilateral lung hidatid cysts was admitted to our department suffering from back pain. Surgical intervention revealed IMF and he was treated by incomplet resection.

Keywords:

Idiopathic, mediastinum, fibrosis,

PDF

___

1. Liptay MJ, Kanaan S. Acute and chronic mediastinal infections. In: Shields TW, LoCicero III J, Ponn RB, Rusch VW (eds). General Thoracic Surgery. Philadelphia: Lippincott Williams & Wilkins; 2005: 2480-6.
2. Kinugasa S, Tachibana S, Kawakami M, Orino T, Yamamoto R, Sasaki S. Idiopathic mediastinal fibrosis: report of a case. Surgery Today 1998; 28: 335-8.
3. Rossi SE, McAdams HP, Rodaso-de-Christenson ML, Franks TJ, Galvin JR. Fibrosing mediastinitis. Radiographics 2001; 21: 737-57.
4. Light AM. Idiopathic fibrosis of mediastinum: a discussion of three cases and review of the literature. J Clin Pathol 1978; 31: 78-88.
5. Mitchinson MJ. The pathology of idiopathic retroperitoneal fibrosis. J Clin Pathol 1970; 23: 681-9.
6. Ergün P, Erdo¤an Y, Turay ÜY, Ça¤lar fi, Biber Ç, Tafltepe ‹, Aksu Ö. Idiopathic mediastinal fibrosis imitating lung cancer. Turkish Respiratory Journal 2001; 2: 51-3.
7. Routsi C, Charitos C, Rontogianni D, Daniil Z, Zakynthinos E. Unilateral pulmonary edema due to pulmonary venous obstruction from fibrosing mediastinitis. Int J Cardiol 2006; 108: 418-21.
8. Ichimura H, Ishikawa S, Yamamoto T, Onizuka M, Inadome Y, Noguchi M, Sakakibara Y. Effectiveness of steroid treatment for hoarseness caused by idiopathic fibrosing mediastinitis: report of a case. Surgery Today 2006; 36: 382-4.

ISSN: 1300-4115
Başlangıç: 1986
Yayıncı: Ali Cangül

Arşiv