Öz
Konjenital
kosta anomalileri, genellikle tek başına bir semptom ve/veya hastalığa yol
açmamaktadır. Doğumsal anomaliler olarak, çeşitli hastalıklara eşlik edebilmesi
ve akciğer grafisinde başka patolojilerle karışabilmesi açısından da önem arz
etmektedir. Olgumuzda, kırk dokuz yaşında astım hastası olan kadın hasta, nefes
darlığı ve öksürük şikayetleri ile göğüs hastalıkları polikliniğine başvurdu.
Öykü, muayene, laboratuvar testleri ve görüntüleme sonucu hastada alt solunum
yolu enfeksiyonu ile tetiklenen astım atağı düşünülerek tedavisi verildi.
Şikayetlerine yönelik istenen akciğer grafisinde 2-3. kostalar arasında
köprüleşme tespit edildi. Olguda kosta köprüleşmesi ile mevcut klinik
yakınmalar ilişkilendirilmedi. Bu olgudan yola çıkarak, diğer olgu serileri ve
bilimsel araştırmalar ışığında, kosta anomalilerine nasıl bir yaklaşım
gösterilebileceğini incelemek istedik.
Anahtar Kelimeler
Kaynakça
- 1. Aignătoaei AM, Moldoveanu CE, Căruntu ID, Giușcă SE, Partene Vicoleanu S, Nedelcu AH. Incidental imaging findings of congenital rib abnormalities - a case series and review of developmental concepts. Folia Morphol (Warsz) 2017, doi: 10.5603/FM.a2017.0080.
- 2. Argüder E, Akın A. Kosta anormallikleri. Solunum Dergisi 2012;14(1):6–13.
- 3. Guttentag AR, Salwen JK. Keep your eyes on the ribs: the spectrum of normal variants and diseases that involve the ribs. Radiographics 1999;19(5):1125-42.
- 4. Huang R, Zhi Q, Schmidt C, Wilting J, Brand-Saberi B, Christ B. Sclerotomal origin of the ribs. Development 2000;127(3):527-32.
- 5. Scaal M. Early development of the vertebral column. Semin Cell Dev Biol 2016;49:83-91. 6. Aile Hekimlerinin Röntgen Çekimi Talebinde Bulunabileceği Merkezler. T.C Sağlık Bakanlığı Ankara Sağlık Müdürlüğü. http://www.asm.gov.tr/haberdetay/6220.rdx, Erişim tarihi:13.12.2011.
- 7. Keogan MT, Padhani AR, Flower CD. Chest radiography for general practitioners: scope for change? Clin Radiol 1992;46(1):51-4.
- 8. Ashizawa K. Role and limitations of plain radiography in chest radiology. Nihon Igaku Hoshasen Gakkai Zasshi 2003;63(4):140-7.
- 9. van Dijk J, Krivokuca I, Kwa HB. A 29-year-old male with right-sided chest pain. Neth J Med 2010;68(1):40-3.
- 10. Koumbourlis AC. Chest wall abnormalities and their clinical significance in childhood. Paediatr Respir Rev 2014;15(3):246-54.
- 11. Wattanasirichaigoon D, Prasad C, Schneider G, Evans JA, Korf BR. Rib defects in patterns of multiple malformations: a retrospective review and phenotypic analysis of 47 cases. Am J Med Genet 2003;122A(1):63-9.
Öz
Congenital
rib anomalies usually cause no symptom and/or disease by itself. Being one of
the birth defects, they have become important due to their tendency to
accompany other diseases and to cause misinterpretation of chest radiographies.
In our case report, a forty-nine year old female who has asthma was admitted to respiratory diseases outpatient
clinic with complaints of shortness of breath and cough. Medical history was
taken; examination, laboratory tests and imaging studies were performed and she
was diagnosed as asthma attack triggered by lower respiratory tract infection.
Proper medication was given to the patient. Bridging ribs between 2nd-3rd
costae have been noticed on the chest radiography ordered regarding the
patient’s complaints. The bridging costae condition was determined to be
unrelated with her current complaints. Considering this case report, we aimed
to investigate how rib anomalies should be evaluated in the light of other case
reports and scientific research
Anahtar Kelimeler
Kaynakça
- 1. Aignătoaei AM, Moldoveanu CE, Căruntu ID, Giușcă SE, Partene Vicoleanu S, Nedelcu AH. Incidental imaging findings of congenital rib abnormalities - a case series and review of developmental concepts. Folia Morphol (Warsz) 2017, doi: 10.5603/FM.a2017.0080.
- 2. Argüder E, Akın A. Kosta anormallikleri. Solunum Dergisi 2012;14(1):6–13.
- 3. Guttentag AR, Salwen JK. Keep your eyes on the ribs: the spectrum of normal variants and diseases that involve the ribs. Radiographics 1999;19(5):1125-42.
- 4. Huang R, Zhi Q, Schmidt C, Wilting J, Brand-Saberi B, Christ B. Sclerotomal origin of the ribs. Development 2000;127(3):527-32.
- 5. Scaal M. Early development of the vertebral column. Semin Cell Dev Biol 2016;49:83-91. 6. Aile Hekimlerinin Röntgen Çekimi Talebinde Bulunabileceği Merkezler. T.C Sağlık Bakanlığı Ankara Sağlık Müdürlüğü. http://www.asm.gov.tr/haberdetay/6220.rdx, Erişim tarihi:13.12.2011.
- 7. Keogan MT, Padhani AR, Flower CD. Chest radiography for general practitioners: scope for change? Clin Radiol 1992;46(1):51-4.
- 8. Ashizawa K. Role and limitations of plain radiography in chest radiology. Nihon Igaku Hoshasen Gakkai Zasshi 2003;63(4):140-7.
- 9. van Dijk J, Krivokuca I, Kwa HB. A 29-year-old male with right-sided chest pain. Neth J Med 2010;68(1):40-3.
- 10. Koumbourlis AC. Chest wall abnormalities and their clinical significance in childhood. Paediatr Respir Rev 2014;15(3):246-54.
- 11. Wattanasirichaigoon D, Prasad C, Schneider G, Evans JA, Korf BR. Rib defects in patterns of multiple malformations: a retrospective review and phenotypic analysis of 47 cases. Am J Med Genet 2003;122A(1):63-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Olgular |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Mart 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 18 Sayı: 1 |