SWYER-JAMES-MACLEOD SENDROMU: TEK TARAFLI H�PERL�SENS� NEDEN�, NAD�R B�R OLGU

KESK�N, Merve; POLAT, G�lru; KARADEN�Z, G�listan; YALNIZ, Enver; AYRANCI, Aysu

Cilt : 37 Say� : 3 Y�l : 2023

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SWYER-JAMES-MACLEOD SENDROMU: TEK TARAFLI H�PERL�SENS� NEDEN�, NAD�R B�R OLGU [G��s Hastanesi Dergisi]

G��s Hastanesi Dergisi. 2019; 33(1): 55-59

SWYER-JAMES-MACLEOD SENDROMU: TEK TARAFLI H�PERL�SENS� NEDEN�, NAD�R B�R OLGU

Merve KESK�N¹, G�lru POLAT¹, G�listan KARADEN�Z¹, Enver YALNIZ¹, Aysu AYRANCI¹
Sa�l�k Bilimleri �niversitesi Dr. Suat Seren G��s Hastal�klar� ve Cerrahisi E�itim Ara�t�rma Hastanesi, G��s Hastal�klar�, �zmir, T�rkiye

Swyer-James-MacLeod Sendromu (SJMS), bron�iyal hava yolu t�kanmas� olmadan tek akci�er lobunun havalanma fazlal�� ile hiperl�sen g�r�n�m ve azalm�� vaskularite ile karakterize radyolojik bir durumdur. Nadir g�r�lmesi, tek tarafl� hiperl�sensi nedeni olarak ak�lda tutulmas�n� vurgulamak amac�yla olguyu sunduk. Yirmi dokuz ya��nda bayan hasta g��s a�r�s� yak�nmas� ile acil servise ba�vurdu. �ekilen postero-anterior (PA) g��s filminde sol hemitoraksta belirgin hiperl�sensi ve vol�mde azalma g�r�ld�. Toraks bilgisayarl� tomografide sa� ana pulmoner arter ve sa� akci�er vask�laritesi normal g�r�n�mdeyken, sol ana pulmoner arter hipoplazik ve dallar� normalden ince g�r�n�mdeydi. Perf�zyon sintigrafisinde yayg�n perf�zyon defekti mevcuttu. Ventilasyon sintigrafisindeki lezyonlar perf�zyon sintigrafisi ile uyumlu idi. Hastaya mevcut bulgularla Swyer-James-Macleod Sendromu (SJMS) tan�s� konuldu. SJMS, prognozu var olan bron�ektazinin �iddetinin belirledi�i de�i�ken klinik gidi�i olan postinfektif obliteratif bron�iyolittir. Atipik da��l�ml� pulmoner amfizemi, tek tarafl� hiperl�sensisi olan olgularda bu sendromdan ��phelenilmelidir. Tek ba��na g��s filmi ile tan� atlanabilir, ��phelenildi�inde ileri tetkikler yap�lmal�d�r. SJMS ay�r�c� tan�da d��n�lmeli ve erkenden tan� konmal�d�r ki uygunsuz tedavilerin �n�ne ge�ilebilsin, uygun tedavi ile prognoz iyile�tirilsin.

Anahtar Kelimeler: Swyer-james-MacLeod sendromu, tek tarafl� hiperl�sensi

SWYER-JAMES-MACLEOD SYNDROME: CAUSE OF UNILATERAL HYPERLUCENCY, A RARE CASE REPORT

Swyer-James-MacLeod Syndrome (SJMS) is a radiological condition characterized by hyperlucent appearance and decreased vascularity with the excess ventilation of the single lung lobe without bronchial airway obstruction. We presented the case in order to emphasize this rare syndrome as an etiology of unilateral hyperlucency. A 29-year-old female patient was admitted to the emergency department with chest pain. In the postero-anterior (PA) chest radiography, significant hyperlucency and a decrease in volume were observed in the left hemithorax. The right main pulmonary artery and right lung vascularity were normal in the thoracic computed tomography, while the left main pulmonary artery was hypoplastic and the branches were thinner than normal. Perfusion defect was found in perfusion scintigraphy. The lesions in the ventilation scintigraphy were matched lesions. The patient was diagnosed as SJMS. SJMS is postinfective obliterative bronchiolitis whose prognosis is variable that is determined by the severity of existing bronchiectasis. This syndrome should be suspected in patients with atypical distribution of pulmonary emphysema and unilateral hyperlucency. Chest radiography alone can miss the diagnosis and further investigations should be performed when suspected. SJMS should be considered in the differential diagnosis and early diagnosis should be made so that inappropriate treatment can be prevented and the prognosis should be improved with appropriate treatment.

Keywords: Swyer-James-MacLeod Syndrome, unilateral hyperlucency

Makale Dili: T�rk�e

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