Hydatid disease remains a serious health problem for the Mediterranean countries, such as Turkey. At present Hydatid cyst is an endemic public health problem that is seen especially in some parts of South America, Middle Asia and South Europe. Pleural hydatid cyst is seen rarely and is supposed r to depend on rupture of pulmonary or liver hydatid cysts. A nineteen year old man who took part in sports and was previously completely healthy was admitted to the emergency service with chest pain that began suddenly and was not improving with rest. Thorax tomography was planned because a circular opacity with a 5 cm diameter is seen in pulmonary radiography of the patient. In the thorax tomography, there was a supported t hydatid cyst image with pleural invasion into the right middle lobe of the lung (pulmonary). The patient was operated on by thoracic surgeons. On the fifth day, the patient was discharged from hospital. Hydatid cysts infect different tissue including the pleura. In emergency service, physicians should notice that the patient with atypical chest pain and pulmonary opacity site in radiography may have a pleural cyst hydatid cyst.
Spontaneous tension haemopneumothorax is a very rare condition. Forty two-year-old male patient who applied with sudden onset of dyspnea, chest pain was tachypneic, tachycardic, cyanotic and hypotensive. This is the second case of spontaneous tension haemopneumothorax in English literature, according to our knowledge. We present this case because of being a rare condition.
Yağ embolisi, genellikle uzun kemik travmasının komplikasyonu olarak ortaya çıkan nadir bir durumdur. Travma sonrası 24-72 saat sonra solunum sistemi, santral sinir sistemi, üriner sistem, göz ve deride semptom ve bulgular ile kendini gösterir. Araç dışı trafik kazası nedeni ile femur kırığı olan 19 ve 23 yaşında 2 erkek hasta, nefes darlığı, bilinç bulanıklığı, ateş, göğüs ön bölgesinde ve ön aksiler bölgede peteşiyal döküntü nedeni ile değerlendirildi. Hastaların akciğer grafisi ve kranial tomografileri normaldi. Kan gazında hipoksi hipokapni mevcuttu. Bilinç durumunu açıklayacak patoloji saptanmadı. Klinik kriterlere göre tanı koyduğumuz iki olguya da, streoid, profilaktik heparin, oksijen ve sıvı tedavisi verildi. Tedavi sonrası oksijenizasyonu ve bilinç durumu düzelen hastalara ortopedi tarafından operasyon uygulandı.
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