Elnare GÜNAL, Gülşen ÇIĞŞAR, Bilge Kağan TUR, Şahin KAHRAMANCA, HANDAN ÇİFTÇİ, Ali Cihat YILDIRIM, ERAY ATALAY, TURGUT ANUK

HER GÖĞÜS AĞRISI KARDİYAK KÖKENLİ MİDİR?

Pnömodiastinum mediastende serbest hava bulunmasıdır. Spontan ve sekonder pnömomediastinum olarak ikiye ayrılır. Spontan pnömomediastinum presipite edici bir faktör olmaksızın gelişen iyi seyirli ve kendini sınırlayıcı nadir görülen bir hastalık olarak tanımlanır. Genç erkek hastalarda daha sık görülmektedir. Benign seyirli bir hastalık olup, semptomları arasında göğüs ağrısı, dispne, öksürük, odinofaji, subkutan amfizem, boyunda şişlik vardır. Semptomlardan göğüs ağrısı ve boyunda subkutan amfizem en sik görülenidir. Hastaların çoğu ise acil kliniğine göğüs ağrısı şikâyeti ile başvuruda bulunurlar. Genellikle göğüs direkt grafisi ile tanı koyulsa da bilgisayarlı tomografi tanıda altın standarttır. Olgumuzda sadece göğüs ağrısı şikâyeti ile acil servise başvurup, akciğer grafisinde patoloji tesbit edilmese de klinik şüphe doğrultusunda çekilen toraks bilgisayarlı tomografide pnömomediastenium tesbit ettiğimiz hastayı sunmayı hedefledik.

Is Every Chest Pain from Cardiac Origin?

Pneumomediastinum is the presence of air in the mediastinum. It can be divided into two as spontaneous and skonder pneumomediastinum. Spontaneous pneumomediastinum is a self-limitting rare clinical entity with good prognosis without an apparent cause. It occurs in young male patients most frequently. It is a benign disease with symptoms such as chest pain, dyspnea, coughing, odinophagia, subcutaneous emphysema, swelling of neck. Chest pain and subcutaneous emphysema are most common symptoms. Most of the patients admit to emergency department (ED) with chest pain. Plain chest radiogram is often adequate for diagnosis but computarized tomography (CT) is golden standard. We aimed to present the patient that admitted to ED with chest pain, whose chest radiogram was clear but thorax CT was performed because of clinical suspicion and diagnosed with pneumomediastinum.

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