Pulmoner trunkusu basılayan sol pulmoner reses hematomu

Perikardiyal kavitenin olu?turdu?u reses ve sinüslerdeki syvy, ba?ta lenf nodlary olmak üzere birçokmediastinal patolojiyi taklit edebilmektedir. Bu nedenle reses ve sinüslerin normal anatomisi ve radyolojiközelliklerinin bilinmesi mediastinal lezyonlaryn ayyrycy tanysynda önem ta?ymaktadyr. Amacymyz bu olgudasol pulmoner reses hematomunu ve ikincil etkisini sunmak ve perikardiyal reseslerin radyolojik özelliklerinigözden geçirmektir

Left pulmonic recess hematoma compressing pulmoner truncus

The fluid--filled recesses which occured by pericardial cavity might mimic various mediastinal patologies such as lymphadenopathy. Therefore, it is necessary to know normal anatomy and appearance of pericardial recesses to prevent misdiagnoses. Our aim is to present left pulmonic recess hematoma, its secondary effect and review the radiological features of pericardial recesses.

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  • 1. Vesely TM, Cahill DR. Crosssectional anatomy of the pericardial sinuses, recesses and adjacent structures. Surg Radiol Anat 1986; 8: 221--27.
  • 2. Broderick LS, Brooks GN, Kuhlman JE. Anatomic Pitfalls of the Heart and Pericardium. RadioGraphics 2005; 25: 441--53.
  • 3. O'Brien JP, Srichai MB, Hecht EM, Kim DC, Jacobs JE. Anatomy of the Heart at Multidetector CT: What the Radiologist Needs to Know. Radiographics 2007; 27: 1569--82.
  • 4. Karaman CZ, Taşkın F, Çildağ B, Ünsal A. Rutin toraks BT incelemesinde süperior perikardiyal boşluk posterior bölümünün görülebilirliği. Tüberküloz ve Toraks Dergisi 2007; 55(3): 253--8.
  • 5. Levy--Ravetch M, Auh YH, Rubenstein WA, Whalen JP, Kazam E.CT of Pericardial recesses. AJR Am Roentgenol. 1985; 144(4): 707--14.
  • 6. Aronberg DJ, Peterson AR, Glazer HS, Sagel SS. The superior sinus of the pericardium: CT appearance. Radiology. 1984; 153(2): 489--92.
  • 7. Batra P, Bigoni B, Manning J, Aberle DR, Brown K, Hart E, et al.Pitfalls in the Diagnosis of Thoracic Aoıtic Dissection at CT Angiography. RadioGraphics 2000; 20: 309--20.
  • 8. Shanmugam G, Mckeown J, Bayfield M, Hendel N, Hughes C. False Positive Computed Tomography Findings in Aortic Dissection. Heart Lung and Circulation 2004; 13: 184--7.
  • 9. Groell R, Schaffler GJ, Reinmuller R. Pericardial Sinuses and Recesses: Findings at Electrocardiographically Triggered Electron Beam CT. Radiology 1999; 212: 69--73.
  • 10. Kodama F, Fultz PJ, Wandtke JC. Comparing thinsection and thick-section CT of pericardial sinuses and recesses. AJR Am Roentgenol. 2003; 181(4): 101-- 8.
  • 11. Basile A, Bisceglie P, Giulietti G, Calcara G, iguera M, Mundo E, etal. Prevalence of "high--riding" superior pericardial recesses on thin--section 16-MDCT scans. 2006; 59(2): 265-9.
  • 12. Kubota H, Sato C, Ohgushi M, Haku T, Sasaki K, Yamaguchi K.Fluid collection in the pericardial sinuses and recesses. Thin-section helical computed tomography observations and hypothesis. Invest Radiol. 1996; 31(10): 603-10.
  • 13. Ozmen CA, Akpinar MG, Akay HO, Demirkazik FB, Ariyurek M. Evaluation of pericardial sinuses and recesses With 2-, 4-, 16--, and 64-row multidetector CT. Radiol Med. 2010; 115(7): 1038-46.