Erkek Polis Meslek Yüksek Okulu Öğrencilerinde Akciğer Grafisinde Tesadüfi Olarak Saptanan Azigos Lobu Prevalansı: Kesitsel Bir Araştırma
Abstract
Amaç: Azigos lobu (AL), genellikle sağ akciğerin apeksinde yerleşen ve nadir görülen konjenital bir
anomalidir. Çoğunlukla asemptomatiktir ve özel bir tedavi gerektirmez. Ancak akciğer lezyonlarının
ayırıcı tanısında akılda tutulmalı ve toraks operasyonları öncesi varlığı saptanmalıdır. Bu çalışmada,
erkek polis meslek yüksek okulu (PMYO) öğrencilerinden oluşan bir örneklemde AL prevalansının
değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmamıza 1 Ekim 2020-31 Ekim 2021 tarihleri arasında Erzincan Binali Yıldırım
Üniversitesi Tıp Fakültesi Göğüs Hastalıkları Polikliniği’ne başvuran 1623 erkek PMYO öğrencisi dahil
edildi. Öğrencilere çekilen Posteroranterior akciğer (PA) grafisinde AL varlığı araştırılarak prevalans
hesaplandı. Ayrıca öğrencilerin doğum yerlerine göre bölgesel dağılımları ve fizik muayenelerinde
saptanan diğer göğüs deformiteleri belirlenerek bunların AL sıklığı ile ilişkisi araştırıldı.
Bulgular: Çalışmaya alınan 1623 öğrencinin yaş ortalaması 25.6±2.4 idi. 29 kişide AL tespit edildi ve AL
prevalansı %1.8 olarak hesaplandı. AL saptanan 29 öğrencinin 21’i (%72.4) Karadeniz ve Doğu Anadolu
bölgelerinden gelen öğrencilerden oluşsa da bölgeler arasında anlamlı fark saptanmadı (p=0.101).
En sık saptanan diğer göğüs deformitesi pektus ekskavatum idi. Ancak AL sıklığı ile diğer göğüs deformiteleri
varlığı arasında anlamlı bir ilişki bulunamadı (p=0.057).
Sonuç: Çalışmamızda ülkemizde toraks BT ile yapılmış prevalans çalışmalarına göre daha yüksek
oranda AL saptandı. Aynı zamanda PA grafisi ile AL’nin kolaylıkla tespit edilebildiği görüldü
Keywords
Supporting Institution
Yok
Project Number
Yok
Thanks
Dr. Fatih Özçiçek'e ve Dr. Fatih Özdemir'e katkılarından dolayı teşekkür ederiz.
References
- Aziz A et al. High resolution CT anatomy of the pulmonary fissures. J Thorac Imaging 2004; 19 (3): 186–91.
- Arıyürek OM et al. Accessory fissures of the lung: evaluation by high-resolution computed tomography. Eur Radiol 2001; 11 (12): 2449-53.
- Fisher MS. Re: Adam’s lobe. Radiology 1985; 154 (2): 547.
- Postmus PE et al. A family with lobus venae azygos. Chest 1986; 90 (2): 298–9.
- Delalieux S et al. Superior sulcus tumor arising in an azygos lobe. Lung Cancer. 2006; 54 (2): 255–7.
- Koksal Y et al. An uncommon extrapulmonary sequestration located in the upper posterior mediastinum associated with the azygos lobe in a child. J Thorac Cardiovasc Surg 2007; 133 (4): 1110–1.
- Asai K et al. Spontaneous pneumothorax and a coexistent azygos lobe. Jpn J Thorac Cardiovasc Surg 2005; 53 (11): 604–6.
- Obeso A, Souilamas R. Unexpected Intraoperative Finding of Azygos Vein Aneurysm Mimicking a Metastatic Lymph Node. Arch Bronconeumol 2018; 54 (4): 217.
- Córdoba Rovira SM et al. [Saccular aneurysm of the azygos vein in a patient with azygos accessory fissure]. Radiologia 2015; 57 (2): 167-70.
- Elsayed H. Haemothorax after mediastinoscopy: a word of caution. Eur J Cardiothorac Surg 2012; 41 (1): 138-9.
- Türktan M ve ark. Mediastinoskopi Girişimlerinde Kardiyopulmoner Bypass Gerektiren Damar Yaralanmalarında Anestezik Yaklaşım. Dicle Tıp Dergisi 2019; 46 (3): 587-591.
- Park BJ et al. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg 2003; 126 (3): 726-731.
- Yurasakpong L et al. The prevalence of the azygos lobe: A meta-analysis of 1,033,083 subjects. Clin Anat 2021; 34 (6): 872–83.
- Korkut M. Azygos lobe: A rare case. Demiroğlu Bilim Univ Florence Nightingale J Med 2019; 5 (3): 144–5.
- Aypak C ve ark. Akciǧer grafisinde saptanabilen konjenital bir anomali: Azigos lobu. Haseki Tip Bul 2012; 50 (4): 150–2.
- Kermenli T, Azar C. Upper Lobectomy with Video-assisted Thoracoscopic Surgery in a Patient with Azygos Lobe, Lung Cancer and Emphysematous Lung. Respir Case Reports 2021; 10 (2): 119–21.
- Gürün E, Akdulum İ. Toraks Bilgisayarlı Tomografisinde Tesadüfen Saptanan Nadir Bir Anatomik Varyasyon: Azigos Lobu. Acta Medica Alanya 2021; 5 (1): 93–7.
- Ozdemir L et al. Prevalence of an Azygos Lobe using Thoracic Computed Tomography. Cyprus J Med Sci 2017; 1 (3): 55–7.
- Perincek G et al. Azygos Lobe Detected by Thoracic Computed Tomography and Frequency of Concomitant Variations. J Enam Med Coll 2019; 9 (3): 177–80.
- Yıldırımer M ve ark. Two cases with isolated and complex cardiac defects together with inferior vena cava anomaly. Dicle Tıp Dergisi 2012; 39 (1): 129-132.
- Vijayvergiya R et al. Azygos continuation of interrupted inferior vena cava in association with sick sinus syndrome. Heart. 2005;91 (4):e26.
- Oliveira JD, Martins I. Congenital systemic venous return anomalies to the right atrium review. Insights Imaging 2019; 10 (1): 115
- Mata J et al. Imaging of the azygos lobe: normal anatomy and variations. AJR Am J Roentgenol 1991; 156 (5): 931–7.
The Prevalence of Azygos Lobe Incidentally Detected on Lung X-ray in Male Police Vocational School Students: A Cross-sectional Study
Abstract
Aim: Azygos lobe (AL) is a rare congenital anomaly that is usually located at the apex of the right lung. It
is mostly asymptomatic and does not require special treatment. However, it should be kept in mind in the
differential diagnosis of lung lesions and its presence should be determined before thoracic operations.
In this study, it was aimed to evaluate the prevalence of AL in a sample of male police vocational high
school students.
Material and Methods: 1623 male police vocational high school students who applied to Erzincan
Binali Yildirim University Faculty of Medicine Chest Diseases Polyclinic between October 1, 2020 and
October 31, 2021 were included in our study. The presence of AL was investigated in the posteroanterior
chest X-ray of the students and the prevalence was calculated. In addition, the regional distribution
of the students according to their place of birth, and other chest deformities detected in the physical
examinations were determined and their relationship with the frequency of AL was investigated. Results: The mean age of 1623 students included in the study was 25.6±2.4. AL was detected in 29 people and the prevalence of AL
was calculated as 1.8%. Although 21 (72.4%) of 29 students with AL were students from the Black Sea and Eastern Anatolia regions, no
significant difference was found between the regions(p=0.101). The most common other chest deformity was pectus excavatum. However,
no significant relationship was found between the frequency of AL and the presence of other chest deformities. (p=0.057).
Conclusion: In our study, AL was detected at a higher rate compared to the prevalence studies performed with thorax CT in our country. At
the same time, it was seen that AL could be detected easily with PA X-ray.
Project Number
Yok
References
- Aziz A et al. High resolution CT anatomy of the pulmonary fissures. J Thorac Imaging 2004; 19 (3): 186–91.
- Arıyürek OM et al. Accessory fissures of the lung: evaluation by high-resolution computed tomography. Eur Radiol 2001; 11 (12): 2449-53.
- Fisher MS. Re: Adam’s lobe. Radiology 1985; 154 (2): 547.
- Postmus PE et al. A family with lobus venae azygos. Chest 1986; 90 (2): 298–9.
- Delalieux S et al. Superior sulcus tumor arising in an azygos lobe. Lung Cancer. 2006; 54 (2): 255–7.
- Koksal Y et al. An uncommon extrapulmonary sequestration located in the upper posterior mediastinum associated with the azygos lobe in a child. J Thorac Cardiovasc Surg 2007; 133 (4): 1110–1.
- Asai K et al. Spontaneous pneumothorax and a coexistent azygos lobe. Jpn J Thorac Cardiovasc Surg 2005; 53 (11): 604–6.
- Obeso A, Souilamas R. Unexpected Intraoperative Finding of Azygos Vein Aneurysm Mimicking a Metastatic Lymph Node. Arch Bronconeumol 2018; 54 (4): 217.
- Córdoba Rovira SM et al. [Saccular aneurysm of the azygos vein in a patient with azygos accessory fissure]. Radiologia 2015; 57 (2): 167-70.
- Elsayed H. Haemothorax after mediastinoscopy: a word of caution. Eur J Cardiothorac Surg 2012; 41 (1): 138-9.
- Türktan M ve ark. Mediastinoskopi Girişimlerinde Kardiyopulmoner Bypass Gerektiren Damar Yaralanmalarında Anestezik Yaklaşım. Dicle Tıp Dergisi 2019; 46 (3): 587-591.
- Park BJ et al. Management of major hemorrhage during mediastinoscopy. J Thorac Cardiovasc Surg 2003; 126 (3): 726-731.
- Yurasakpong L et al. The prevalence of the azygos lobe: A meta-analysis of 1,033,083 subjects. Clin Anat 2021; 34 (6): 872–83.
- Korkut M. Azygos lobe: A rare case. Demiroğlu Bilim Univ Florence Nightingale J Med 2019; 5 (3): 144–5.
- Aypak C ve ark. Akciǧer grafisinde saptanabilen konjenital bir anomali: Azigos lobu. Haseki Tip Bul 2012; 50 (4): 150–2.
- Kermenli T, Azar C. Upper Lobectomy with Video-assisted Thoracoscopic Surgery in a Patient with Azygos Lobe, Lung Cancer and Emphysematous Lung. Respir Case Reports 2021; 10 (2): 119–21.
- Gürün E, Akdulum İ. Toraks Bilgisayarlı Tomografisinde Tesadüfen Saptanan Nadir Bir Anatomik Varyasyon: Azigos Lobu. Acta Medica Alanya 2021; 5 (1): 93–7.
- Ozdemir L et al. Prevalence of an Azygos Lobe using Thoracic Computed Tomography. Cyprus J Med Sci 2017; 1 (3): 55–7.
- Perincek G et al. Azygos Lobe Detected by Thoracic Computed Tomography and Frequency of Concomitant Variations. J Enam Med Coll 2019; 9 (3): 177–80.
- Yıldırımer M ve ark. Two cases with isolated and complex cardiac defects together with inferior vena cava anomaly. Dicle Tıp Dergisi 2012; 39 (1): 129-132.
- Vijayvergiya R et al. Azygos continuation of interrupted inferior vena cava in association with sick sinus syndrome. Heart. 2005;91 (4):e26.
- Oliveira JD, Martins I. Congenital systemic venous return anomalies to the right atrium review. Insights Imaging 2019; 10 (1): 115
- Mata J et al. Imaging of the azygos lobe: normal anatomy and variations. AJR Am J Roentgenol 1991; 156 (5): 931–7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | Yok |
| Publication Date | August 31, 2022 |
| Acceptance Date | August 8, 2022 |
| Published in Issue | Year 2022 Volume: 6 Issue: 2 |
