GÝRÝÞ ve AMAÇ: Kolorektal polipler çocuklarda rektal kanamanýn sýk görülen nedenlerindendir. Nadiren habis potansiyel taþýrlar. Bu çalýþmada çocuklarda kolorektal poliplere ait klinik deneyimin sunulmasý ve bu çerçevede kolonoskopinin etkinliðinin vurgulanmasý amaçlandý.
YÖNTEM ve GEREÇLER: 2001-2011 yýllarý arasýnda tedavi edilen hastalarýn dosya kayýtlarý geriye dönük olarak yaþ, cinsiyet, tanýsal yöntemler, poliplerin yerleþimi ve patoloji sonuçlarý açýsýndan irdelendi.
BULGULAR: Ortalama yaþý 6 (1-15 yýl) olan 63 hasta vardý. Hastalarýn 38’i (% 60) erkek ve 25’i (% 40) kýzdý. Baþvuru yakýnmasý 60 hastada rektal kanama, 2 hastada prolabe polip ve 1 hastada rektum prolapsusu idi. Kolonoskopik inceleme çalýþmanýn kapsadýðý son 9 ayda yapýlmaya baþlandý. Hastala-rýn 54’ünde polipler transanal yolla çýkartýldý. Kolonoskopi yapýlan 9 hastanýn. 4’ünde rektumda, 3’ünde sigmoid kolonda, 1’inde transvers kolonda ve 1’inde çoklu yerde polip saptanarak 8’inde kolonoskopik polipektomi yapýldý. Histopatolojik inceleme sonuçlarý 62 hastada mevcuttu. Buna gore, polipler hastalarýn 51’inde juvenil, 2’sinde hamartamatöz, 2’sinde hiperplastik, 4’ünde psödopolip, 2’sinde lenfoid ve 1’inde enflamatuvar fibroid tipteydi.
TARTIÞMA ve SONUÇ: Çoðu çocukta rektal polipler muayene ile palpe edilerek anorektal yoldan çýkartýlabilirse de palpe edilemeyen rektal polipler ile kolonik poliplerin insidansý da azýmsanmamalýdýr. Çocuk polipleri çoðunlukla selimdir. Kolonoskopik deðerlendirme tanýsal kesinliði artýrmasýnýn yaný sýra, olasý premalign durumlar da göz önüne alýnarak, tedavide önemli katký saðlar. Polip þüphesi veya tanýsý bulunan tüm çocuklara rutin kolonoskopik inceleme önerilmelidir.

INTRODUCTION: Colorectal polyps are among the common causes for rectal bleeding in children. They rarely have malignant potential. This study aims to present a clinical experience on colorectal polyps with an emphasis on utility of colonoscopy in these children.
METHODS: File records of patients treated between the years 2001-2011 were retrospectively evaluated in terms of age, sex, diagnostic methods, localization of polyps and pathological results.
RESULTS: There were 63 patients with a mean age of 6 years (1-15 years). Among these, 38 (60 %) were males and 25 (40 %) females. The presenting complaint was rectal bleeding in 60, prolapsed polyps in 2 and prolapsed rectum in one. The use of colonoscopy was initiated within the last 9-month of the study period. The polyps were removed by transanal route in 54. Colonoscopy was done with successful removal in all except one for the remaining 9 and yielded polyps in rectum in 4, in sigmoid colon in 3, in transverse colon in one and multiple polyps in one. Histopathology results were available in 62 and consistent with juvenile polyps in 51, hamartamatous in 2, hyperplastic in 2, pseudopolyps in 4, lymphoid in 2 and inflammatory fibroid in one.
DISCUSSION AND CONCLUSION: Although many rectal polyps are palpated and can be removed by anorectal route in children, the incidence of nonpalpable rectal polyps and colonic polyps should not be underestimated. The polyps are benign in most children. Colonoscopic examination increases the diagnostic accuracy and adds to the treatment keeping the possible presence of premalignant conditions in these children. Routine colonoscopic examination should be offered for all children with suspected or proven polyps.

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GÝRÝÞ ve AMAÇ: Adölesan yaþ grubundaki gebelik sonuçlarýnýn reprodüktif yaþtaki gebelerin sonuçlarý ile karþýlaþtýrmak.
YÖNTEM ve GEREÇLER: Hastanemize 2009 ve 2010 yýllarý arasýnda müracat eden 14-18 yaþ arasý 402 adölesan gebe ile 19-35 yaþ arasý 302 gebenin sonuçlarý retrospektif olarak deðerlendirildi. Doðum aðýrlýðý 2500 gr altý olan bebekler düþük doðum aðýrlýklý bebek olarak deðerlendiridi. Her iki grubun erken membran rüptürü (EMR), preterm doðum, ablasyo plesenta, preeklempsi ve intrauterin mort fetüs (IUMF) oranlarý belirlendi.
BULGULAR: Adölasan gebelerin yaþ ortalamasý 16,9±0,9 (14-18 yaþ), reprodüktif yaþtaki gebelerin yaþ ortalamasý 25,9±4,4 (19-35 yaþ) olarak saptandý. Adölesan grupta 60 gebenin (% 14,9) ilk baþvurudan sonra gebelik takiplerine gelmediði saptandý.Adölesan grupta 35 (% 10,9), reprodüktif yaþ grubunda 10 olguda (% 3.3) preterm doðum, adölesan grupta 14 (% 4,1), kontrol grubunda 10 olguda (% 3.3) EMR saptandý. Her iki grup arasýnda preterm doðum ve EMR açýsýndan anlamlý bir fark saptanmadý. Adölesan grupta 8 (% 2,3), reprodüktif yaþ grubunda 4 (% 1,3) IUMF saptandý; her iki grup arasýnda istatistiksel açýdan anlamlý bir fark saptanmadý. Preeklempsi oranlarý adölesanlarda % 1,5; reprodüktif yaþ grubunda % 1,3’idi. Ablasyo plesanta oranlarý adölesanlarda ve reprodüktif yaþ grubunda % 0,3 olarak ayný oranda saptandý.
TARTIÞMA ve SONUÇ: Adölesan gebelerde reprodüktif yaþ gebelerine göre perinatal sorunlar da artýþ izlenmese de, bu gebelikleri azaltmak ve perinatal komplikasyonlarý en aza indirmek için daha geniþ kapsamlý çalýþmalar yapýlmalýdýr.

INTRODUCTION: The objective is to compare the pregnancy results in adolescent age group with pregnancy results of the pregnant women in reproductive age.
METHODS: In 2009 and 2010, among patients who applied to our hospital, results regarding 402 pregnant adolescents between ages of 14-18 and the 302 pregnant women between ages of 19-35 were retrospectively evaluated. Infants with a birth weight less than 2500 g were considered as infants with low birth weight. Proportions of premature rupture of membranes (PROM), preterm birth, ablatio placentae, preeclampsia and intrauterine mort fetus (IUMF) for both groups were determined.
RESULTS: Average age of adolescent pregnant women were found to be 16.9±0.9 years (14-18 year-olds), whereas average age of the pregnant women at reproductive phase were determined as 25.9±4.4 years (19-35 year-olds). According to data, 60 adolescent pregnant women (14.9 %) did not attend obstetrics following initial appeal. In adolescent group, 35 (10.9 %) preterm birth cases were revealed, whereas the number was 10 (3.3 %) for reproductive age group; besides, adolescent group had a total of 14 (4.1 %) PROM cases, whereas the control group comprised PROM in 10 cases (3.3 %). No significant difference was detected between the groups in terms of preterm birth and PROM. 8 (2.3 %) and 4 (1.3 %) cases had IUMF in adolescent and reproductive age groups, respectively; and no statistically-significant difference was found. Preeclampsia rates were 1.5 % for adolescent, and 1.3 % for reproductive age group. As for ablatio placentae, a percentage of 0.3 % was found for both age groups.
DISCUSSION AND CONCLUSION: Our study does not demonstrate any increase in perinatal problems with adolescent pregnant women compared to reproductive age group; nevertheless, more extensive studies are needed in order to reduce the number of such pregnancies and minimise perinatal complications.

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Olekranon kýrýklarý güçlü hiperekstansiyon, trisepsin avulsiyonu veya indirek travma sonucu meydana gelir. Bu çalýþmada 25 erkek, 13 kadýn, 38 hasta incelendi. Tedavi için iki farklý cerrahi teknik kullandýk. Modifiye AO tekniði ve konvansiyonel AO tekniði. Postoperatif redüksiyon kalitesi, eklem hareket açýklýðý, artroz geliþimi, uygulanan cerrahi teknik, K-teli migrasyonu, fonksiyonel sonuçlarý inceledik. Uygulanan her iki tekniðe göre sonuçlar; iyi % 63.2 (24), orta % 28.9 (11), zayýf % 7.9 (3) idi. Ýyi redüksiyon elde edilen beþ hastanýn, orta ve zayýf redüksiyon elde edilen on hastanýn dirseðinde ekstansiyon kaybý görüldü (p=0,05). Artroz geliþimi ile redüksiyon kalitesi arasýndaki iliþki anlamlýydý (p=0,001). MAOT uygulanan 16 hastanýn 11’inde, CAOT uygulanan 22 hastanýn 16’sýnda mükemmel sonuç elde edildi (p>0,05). Sonuç olarak uygulanan MAOT ile CAOT arasýnda fonksiyonel sonuçlar, artroz geliþimi ve K-teli migrasyonu bakýmdan fark görülmedi.Redüksiyon kalitesinin iyi olmasý artroz geliþimini ve eklem hareket kaybýný azaltmaktadýr.

Olecranon fractures occurs by forced hiperextantion, avulsion of triceps tendon or direct trauma. In this study was evaluated 25 men, 13 women of 38 patients. We have used two differant surgical technique for treatment. They are modified AO technique (MAOT) and conventional AO technique (CAOT). We evaluated postoperative quality of reduction, range of motion, relation between development of arthrosis, surgical technique, K-wires migration, functional results. According to applied to both technique for reduction quality were achieve results good 63.2 % (24), moderate 28.9% (11), poor 7.9% (3). While loss of extension of elbow were observed of five patients with good reduction, in ten patients with moderate and poor reduction (p=0.005). The relationship between the development of arthrosis and reduction quality was significant (p=0,001).Functional results with MAOT of 16 patients had excellent results in the 11, as well as with CAOT of 22 patients had excellent resuls in 16 (p>0.05). As a result there is no differance between MAOT and CAOT in terms of functional results and development of arthrosis and K-wire migration. Reduction quality to be good was significantly reduced development of arthrosis and loss of extantion.

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GÝRÝÞ ve AMAÇ: Çalýþmamýzda amaç, yaygýn olarak kullanýlan bir analjezik olan parasetamolün, tonsillektomi ve adenotonsillektomi uygulanan çocuklarda intraoperatif 30 mg/kg i.v. dozunda uygulandýðýnda postoperatif dönemde aðrý üzerine etkisinin araþtýrýlmasýdýr.
YÖNTEM ve GEREÇLER: Tonsillektomi veya adenotonsillektomi ameliyatý olacak, yaþlarý 6-12 arasýnda, ASA sýnýflamasý I ve II olan 28 çocuk çalýþma kapsamýna alýndý. Preop son 8 saat içinde NSAÝÝ, son 12 saat içinde herhangi bir analjezik ilaç ve son 7 gün içinde kortikosteroid kullanmýþ olan hastalar çalýþmaya dahil edilmedi. Tüm olgulara premedikasyonda ve peroperatif narkotik analjezik kullanýlmadý. Anestezi indüksiyonu tiyopental 5 mg/kg i.v. ve kas paralizisi rokuronyum 0.1 mg/kg i.v. ile saðlandý. Anestezi idamesi sevofluran % 1-2 ve N2O/O2 % 50/% 50 ile saðlandý. Olgular rastgele iki gruba ayrýldý. Grup P’ye (Parasetamol, n=14) parasetamol 30 mg/kg i.v.; Grup S’ye (Serum fizyolojik, n=14) eþdeðer volümde serum fizyolojik infüzyonu peroperatif 15 dk.'da uygulandý. Postoperatif 15 dk. arayla bulantý-kusma sýklýðý ve 7 puanlý yüz ifadesi skalasý kullanýlarak aðrý skoru kaydedildi.
BULGULAR: Gruplar arasýnda postoperatif bulantý ve kusma sýklýðýnda anlamlý bir fark bulunmadý. Ancak postoperatif aðrý skorunun, ekstübasyon sonrasý, 15. dk. ve 30. dk.’ larda parasetamol grubunda kontrol grubundan yüksek olduðu izlendi.
TARTIÞMA ve SONUÇ: Sonuç olarak; i.v. uygulanan parasetamolün tonsillektomi ve adenotonsillektomi uygulanan çocuklarda erken postoperatif dönemde aðrýyý azalttýðý gözlendi.

INTRODUCTION: The purpose of our study was to research the effect of paracetamol as a commonly used analgesic, on pain when administered as 30 mg/kg i.v. intra-operative dose to children who underwent tonsillectomy and adenotonsillectomy, during the post-operative period.
METHODS: The study included 28 children between 6 and 12 years of age and ASA classification I and II, who were scheduled for tonsillectomy or adenotonsillectomy. Patients who were administered NSAIDs within 8 hours, any analgesics within 12 hours and corticosteroids during the last 7 days pre-op were excluded from the study. No narcotic analgesics were used as pre-medication and peroperatively on the subjects. Anesthesia was induced by Thiopental 5 mg/kg i.v. and muscle paralysis by Rocuronium 0.1 mg/kg i.v. Anesthetic permanence was achieved by Sevoflurane 1-2 % and N2O/O2 50 %/50 %. The subjects were randomized in two separate groups. Group P was administered (Paracetamol, n=14) paracetamol 30 mg/kg i.v. and Group S (Saline, n=14) was administered saline infusion in equivalent volume at minute 15 peroperatively. The nausea-vomit frequency was recorded post-operatively at 15 minute intervals using post-op nausea-vomit scoring while the pain score was recorded using the 7 point facial expression scale.
RESULTS: No significant difference was found in the post-operative nausea and vomiting frequency between the groups. However, the post-operative pain score of the paracetamol group was found higher than the control group in post-extubation, 15th min and 30th min periods.
DISCUSSION AND CONCLUSION: Paracetamol administered through the i.v. route was found to reduce pain in children who underwent tonsillectomy and adenotonsillectomy during the early post-operative period.

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GÝRÝÞ ve AMAÇ: Bupivakainin saf S (-) enantiyomeri olan levobupivakainin kullanýmý daha az kardiyotoksisite ve nörotoksisitesi ile daha kýsa motor blok süresi olmasý nedeniyle giderek artmaktadýr. Çalýþmanýn amacý, ilaçlarýn yan etkileri azaltmak için daha yüksek opioid dozu ile birlikte düþük doz lokal anesteziklerin etkinliðini karþýlaþtýrmaktýr. Elektif sezaryen olgularýnda intratekal fentanil ilavesi ile eþit dozlarda hiperbarik bupivakain ve levobupivakainin duyusal, motor blok seviyesi ve yan etkilerini karþýlaþtýrdýk.
YÖNTEM ve GEREÇLER: Hastane etik kurul onayý ve hastalardan yazýlý bilgilendirilmiþ onam alýndýktan sonra 18-45 yaþ, ASA I-II olan seksen hasta çalýþmaya dahil edildi. Hastalar 7.5 mg (1.5 ml) hiperbarik bupivakain ve 25 mcg (0.5 mL) fentanil alan Grup BF ya da 7.5 mg (1,5 ml) hiperbarik levobupivakain ve 25 mcg (0.5 mL) fentanil alan Grup LF’ye randomize edildi.
BULGULAR: ASA II vakalar Grup LF’de daha fazlaydý. Grup BF’de 45. dk. ortalama arter basýncý gibi hemodinamik parametrelerinin daha düþük olduðu tespit edildi (p<0.05). Maks. motor blok seviyesi, motor blok seviyesi Grup BF’de daha yüksek bulundu (p<0.05). Grup LF’de, maksimum duyusal blok seviyesi ve postoperatif VAS skorlarý daha yüksekti (p<0.05). Grup BF’de arter kan gazý PCO2 deðeri yüksek ve PO2 daha düþüktü (p <0.05). Motor blok baþlama süresi, maksimum motor bloða ulaþma süresi, T4 duyusal bloða ulaþma süresi, iki dermatomda gerileme ve ilk analjezi ihtiyacý her iki grupta da benzer bulundu.
TARTIÞMA ve SONUÇ: Ýntratekal hiperbarik levobupivakain-fentanil kombinasyonu sezaryenda daha az motor blok etkisi olmasý nedeniyle bupivakain-fentanil kombinasyonuna iyi bir alternatiftir, daha yüksek duyusal blok seviyelerinde hemodinamik stabilite saðlar.

INTRODUCTION: Use of levobupivacaine as pure S(-) enantiomer of bupivacaine is progressively increased due to lower cardiotoxicity and neurotoxicity and shorter motor block duration.. The aim was to compare the efficacy of lower dose local anesthetics use together with higher opioid dose to decrease side effects of drugs. We compared sensorial, motor block levels and side effects of equal doses of hyperbaric bupivacaine and levobupivacaine with intrathecal fentanyl addition in elective caesarean cases.
METHODS: After hospital ethics committee approval and getting written informed consent from patients, eighty patients with ASA I-II aged 18-45 were included in the study. They were randomized to either Group BF receiving 7.5 mg (1.5 ml) hyperbaric bupivacaine and 25 mcg (0.5 ml) fentanyl, or Group LF receiving 7.5 mg (1.5 ml) hyperbaric levobupivacaine and 25 mcg (0.5 ml) fentanyl.
RESULTS: ASA II cases were higher in Group LF. Hemodynamic parameters such as 45th min mean arterial pressure of Group BF was found to be lower (p<0.05). Max. motor block level, motor block level, found to be higher in Group BF (p<0.05). In Group LF, max sensorial block level and postoperative VAS scores were higher (p<0.05). Arterial blood gas PCO2 was higher and PO2 was lower in Group BF (p<0.05). Onset of motor block time, time to max motor block, time to T4 sensorial block, reversal of two dermatome, first analgesic need were similar in both groups.
DISCUSSION AND CONCLUSION: Intrathecal hyperbaric levobupivacaine-fentanyl combination is good alternative to bupivacaine-fentanyl combination in cesarean surgery as it is less effective in motor block, it maintains hemodynamic stability at higher sensorial block levels.

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Pulmoner emboli (PE) sýk karþýlaþýlan ve yaþamý tehdit eden hastalýktýr. Özgül bir klinik tablo ile ortaya çýkmadýðý için taný koymak güç olabilir. Buna karþýlýk, tedaviye hýzlý baþlamanýn hayat kurtarýcý olmasý nedeniyle, erken taný koymak önemlidir. PE ve derin ven trombozu (DVT), ortak predispozan faktörleri olan venöz tromboemboli (VTE) ile ilgili klinik tablolardýr. PE vakalarýn çoðunda emboli kaynaðý DVT’dir. Etyolojik faktörler arasýnda; yaþ, VTE öyküsü, kanser, nörolojik hastalýk, akut solunum yetersizliði ya da kalp hastalýðý gibi uzun süre hastanede yatmayý gerektiren hastalýklar, konjenital ya da edinsel trombofili ve oral kontraseptif kullanýmý yer almaktadýr. Sigara içenlerde, obez kiþilerde, hipertansiyon ya da metabolik sendromlu hastalarda da PE riskinin yüksek olduðu bildirilmiþtir.
PE olgularýnda fibrin yýkým ürünü olan plazma D-dimer, düzeyleri artar. Alt ekstremite ven ultrasonografisi yüksek özgüllüðü, noninvaziv ve kolay uygulanýr olmasý nedeniyle PE þüphesi olan hastalarda ilk basamak tetkikleri arasýnda yer alýr. Normal ventilasyon-perfüzyon (V/Q) sintigrafisi PE’nin dýþlanmasýnda son derece güvenilirdir. Bilgisayarlý tomografiyle pulmoner anjiyografi (BTPA) segmental ya da daha distal düzeyde klinik karþýlýðý olan PE varlýðýný göstermede yeterlidir. Konvansiyonel pulmoner anjiyografi son derece güvenilir, ancak invaziv bir testtir.
Tedavide amaç týkanmýþ pulmoner arterden (PA) akýmýn yeniden saðlanmasýdýr. Yüksek riskli PE hastalarýnýn birinci sýra tedavisinde, çok az mutlak kontrendikasyonu olan trombolitik ajanlar kullanýlýr.

Pulmonary embolism (PE) is a common and life-threatening emergency cardiovascular disorder. PE does not occur with a specific clinical picture, so the diagnosis can be difficult. Early diagnosis and treatment is crucial to save lives. PE an deep vein thrombosis (DVT) is associated with venous thromboembolism (VTE) and have common predisposing factors. In most cases, Cause of PE commonly is DVT.
Among the factors that cause PE include age, history of VTE and such as cancer, neurological disease, acute respiratory failure or heart disease that requires long hospitalization diseases, oral contraceptive use and congenital or acquired thrombophilia. Smokers, obese people, patients with hypertension or metabolic syndrome has been reported that a high risk of PE. Increases plasma level of D-dimer that fibrin degradation product. The venous ultrasound of lower extremity is first step tests in patients with suspected PE. Because it's noninvasive, easy to apply and has a high specificity. Normal ventilation-perfusion (V/Q) scintigraphy is a highly secure PE outside. Single-detector spiral CT, is sufficient in showing the presence of segmental or proximal level clinically apparent PE. Pulmonary angiography is extremely reliable, but is an invasive test. Critical condition in which the patients with suspected PE echocardiography at the beginning of beds, especially the granting of emergency treatment is useful for decision.
The aim of treatment is to ensure the re-flow from the pulmonary artery is clogged. The first-line treatment of patients with high-risk PE is thrombolytic therapy is that very few absolute contraindications.

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Kazara hipotermi, merkezi vücut sýcaklýðýnýn istemsiz bir þekilde 35˚C'nin altýna düþmesi olarak tanýmlanmýþtýr. Hipoterminin þiddeti hafif (merkezi vücut sýcaklýðý 32-35˚C), orta (28-32˚C) veya þiddetli (<28˚C) þeklinde sýnýflandýrýlmýþtýr. Kazara hipoterminin sýklýðý her ne kadar kýþ aylarýnda artýþ gösterse de tüm yýl boyunca vakalara rastlanmaktadýr (1). Birçok hipotermik hastanýn þiddetli enfeksiyonlarý ya da hayati tehlike oluþturan baþka hastalýklarý da vardýr. Altta yatan hastalýk durumu, yeniden ýsýtma için kullanýlan yöntemlerden ya da baþlangýç ýsýsýndan çok daha önemlidir. Bu yüzden tedavi ve deðerlendirmede en az hipoterminin yönetimi kadar ilgili olabilecek hastalýklarýn araþtýrýlmasý da yeralmalýdýr (2). Bu yazýda sokakta bulunan 60 yaþýnda evsiz, hafif hipotermik, (merkezi vücut sýcaklýðý 33.1˚C) bayan hasta sunuldu. Hastada acil serviste uygulanan yeniden ýsýtma esnasýnda kardiak asistoli oluþtu.
Kazara hipotermi çeþitli aritmilere yol açabilmektedir. Özel-likle eþlik eden kardiak rahatsýzlýklarda ölümcül aritmi insidansý artmaktadýr. Bu olgu sunumunda hafif hipotermi ile acil servisimize getirilen (33.1 derece rektal ýsý) 60 yaþýnda ki evsiz bayan hastada ortaya çýkan asistoli ritmi ve nedenleri sunulmaktadýr.

Accidental hypothermia is defined as an unintentional decrease in core body temperature to below 35˚C. The severity of hypothermia is categorized as mild (core temperature 32-35˚C), moderate (28-32˚C), or severe (<28˚C). Although the incidence of accidental hypothermia increases during the winter months, cases are diagnosed throughout the year. Many hypothermic patients have severe infections or other life-threatening illnesses. The underlying disease process is far more important than the initial temperature or the rewarming method chosen. Therefore, evaluation and tretment must include a search for associated diseases as well as management of the hypothermia. We report a 60 year old homeless female patient with mild hypothermia (core temperature 33.1˚C) who was found in the street. During rewarming the patient in ER cardiac asystole occured.

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Bu yazýda, yabancý cisim aspirasyonunun rastlantýsal olarak saptandýðý iki olgu sunulmuþtur. Olgu 1: 16 yaþýnda erkek hasta, kontrol amaçlý çekilen akciðer grafisinde lezyon görülmesi üzerine merkezimize sevk edildi. Arka-ön akciðer grafisinde sað alt zonda parakardiyak yerleþimli metalik lezyon görüldü. Bronkoskopik incelemede sað 7. segmentte yabancý cisim saptandý. Fogarty katater aracýlýðý ile yabancý cisim çýkarýldý. Yabancý cisim metal bir vida idi. Olgu 2: 61 yaþýnda erkek hasta öksürük, balgam ve nefes darlýðý yakýnmalarýyla merkezimize baþvurdu. Bilgisayarlý toraks tomografisinde alt lob bronþ proksimalinde lümen içinde kemik dansitesinde lezyon görüldü. Fiberoptik bronkoskopide ara bronþ distalinde, üzeri granülasyon dokusu ile örtülü, sert lezyon saptandý. Yabancý cisim rijit bronkoskop aracýlýðý ile çýkarýldý. Lezyonun tavuk kemiði olduðu görüldü. Sonuç olarak, trakeobronþiyal yabancý cisim aspirasyonlarý, açýklanamayan kronik solunumsal yakýnmalarýn ve radyografik anormalliklerin ayýrýcý tanýsýnda bilinen bir aspirasyon öyküsü olmasa dahi düþünülmelidir.

In this paper, two cases with incidental foreign body aspiration are presented. Case 1: A sixteen-year-old male was admitted with an abnormal chest X-ray detected during screening. Postero-anterior chest x-ray showed a metallic lesion on paracardiac right lower zone. Brochoscopy detected the foreign body in right medial basal segment. It was removed with a fogarty catheter. Foreign body was a metallic screw. Case 2: A sixty-one-year-old male was admitted with cough, sputum production and dyspnea. Computed tomography of the thorax showed a bone-density lesion in proximal lower lobe bronchus. Fiberoptic bronchoscopy revealed a firm lesion that was covered with granulation tissue. Foreign body was removed with rigid bronchoscopy. It was a chicken bone. In conclusion, tracheobronchial foreign body aspiration should always be taken into consideration in the differential diagnosis of radiographic lesions or chronic respiratory symptoms that are poorly explained, even in the absence of a previous history of aspiration.

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