Absence of both fissures in a right lung: a case report

AbstractThe right lung has two fissures which separate the lung into three lobes. They are the oblique fissure and the horizontal fissure and the lobes are superior, middle and the inferior lobes respectively arranged from the apex of the lung to the base. In the present case, during routine dissection the right lung was observed to have complete absence of both oblique fissure and horizontal fissure and there was no lobar pattern. The lung pleural membrane was continuous from the apex to the base. Hilum structures were arranged normally. Left lung was completely normal with no variation. Variation of anatomy of lung fissures is important in case of diagnosis of lung pathologies and in the modality of treatment for segmental resection of lung.

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Morphological Variation of Fissure and Lobe of the Left Lung: A Case Report

Acta Facultatis Medicae Naissensis ◽

10.1515/afmnai-2016-0032 ◽

2016 ◽

Vol 33 (4) ◽

pp. 307-312

Author(s):

Atoni Atoni Dogood ◽

Oyinbo Charles Aidemise ◽

Udoye Ezenwa Patrick

Keyword(s):

Case Report ◽

Morphological Variation ◽

Imaging Techniques ◽

Left Lung ◽

Anatomical Variations ◽

Segmental Resection ◽

Medical Diagnostic ◽

Oblique Fissure ◽

Accessory Fissure

Abstract The left lung usually has an oblique fissure that divides it into superior and inferior lobes. Some variants in the lobar fissure are well known, but the knowledge of certain uncommon variants will enhance our anatomical understanding and proper identification of the bronchopulmonary segments. Several imaging techniques have been used to describe anatomical variations of the lung, but studies that utilize dissections as tools for understanding lobar variations were limited. In this report, we described an incomplete horizontal fissure, bifurcated accessory fissure, incomplete superior and middle lobes, and fibrous condensation of the left lung pulmonary pleura observed during dissection. The knowledge of these anatomical variations will be useful in surgical segmental resection and lobectomy, and for accurate interpretations of medical diagnostic images.

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METASTATIC CHORIOCARCINOMA PRESENTING AS RENAL COLIC AND SKIN LESION – CASE REPORT

Wiadomości Lekarskie ◽

10.36740/wlek202107135 ◽

2021 ◽

Vol 74 (7) ◽

pp. 1763-1766

Author(s):

Michał Pietrus ◽

Adrian Czekaj ◽

Dominik Dziadkowiak ◽

Krzysztof Ratajczyk ◽

Maciej Trzciniecki ◽

...

Keyword(s):

Case Report ◽

Skin Lesion ◽

Renal Colic ◽

Left Lung ◽

Cutaneous Metastasis ◽

Blood Levels ◽

Surgical Removal ◽

Β Hcg ◽

The Right ◽

Kidney Metastasis

Choriocarcinoma is a rare malignant disease that is usually associated with a gestational event. Kidney metastasis might be misdiagnosed as renal cell carcinoma or kidney abscess. To the best of our knowledge, only 13 cases of cutaneous metastasis of choriocarcinoma have been reported in the literature so far. We report a case of choriocarcinoma that manifested with multiple metastases to the lung, skin, kidney and brain. Case report: We reported a case of a 37-year-old woman with a history of hydatiform mole, with symptoms of renal colic and abnormal findings on the skin. Chest X-ray revealed visible focal change 80 mm in diameter, located in the left lung area. The CT exposed in both kidneys multiple hypodense foci, 32 mm in size, suggesting multifocal abscesses with disruptions and perforation to paranephric area. Due to the presence of and temporary loss of vision in the right eye head CT was performed revealing metastatic changes in the brain. The diferential diagnosis between renal cancer, lung carcinoma and choriocarcinoma was achieved only after surgical removal skin lesion. This was the first time in our experience with choriocarcinoma. Immunohistochemically, the analysis was positive for beta hCG, cytokeratin AE1/AE, CK 8/18, CD10, EMA, alfa 1-inhibin and negative for protein 63, CD30 and CD117. Serum hCG level was 394590,0 mIU/mL. Conclusions: Choriocarcinoma should be taken into consideration when associated symptoms and significantly elevated blood levels of β-hCG were identified.

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Anatomical Variation in the Fissurization of Lung with Embryological and Clinical correlations- A Case Report

International Journal of Pharma and Bio Sciences ◽

10.22376/ijpbs.2021.12.4.b53-56 ◽

2021 ◽

Vol 12 (4) ◽

pp. 53-56

Author(s):

Premavathy Dr. Dinesh

Keyword(s):

Anatomical Variation ◽

Left Lung ◽

Lower Lobe ◽

Pulmonary Medicine ◽

Male Cadaver ◽

Embryonic Life ◽

The Right ◽

Spread Of Infection ◽

Fissure Formation ◽

Oblique Fissure

Lungs are paired conical organs present in the thoracic cavity, which are responsible for gaseous exchange for oxygenation of blood. Both the lungs are divided into lobes by fissures. The right lung is divided into upper, middle and lower lobes by two fissures. The fissures are horizontal and oblique fissure whereas the left lung is divided into upper and lower lobes by oblique fissure. The left lung is divided into upper and lower lobe by oblique fissure. Both the lungs have ten bronchopulmonary segments (structurally separate and functionally independent units). Embryological evidence showed that the lungs developed from the endodermal counterpart of the foregut. Around 22 days of embryonic period, diverticulum are develop, then between 26-28 days lung buds develop. The right bronchial buds and left bronchial buds are branched into secondary and tertiary buds at 5th and 6th week of embryonic life consecutively. During routine anatomy dissection and demonstration in the Department of Anatomy, a 50 year old male cadaver showed anatomical variation in the right lung. The present study observed that the right lung showed partial horizontal fissure. The reason for partial or incomplete fissure formation is due to incomplete or absence of obliteration of prenatal fissure which indicates partial fusion of lobes, generally fissures separating the broncho-pulmonary segments in prenatal life. The reports says that incomplete fissures of the lung may lead to spread of infection like pneumonia to adjacent lobe and collapse in endobronchial lesions and gradation of the fissures of the lungs are very important for lung surgeries. The present study concludes that the knowledge of anatomical variation of lung is of utmost important in the field of pulmonary medicine.

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Extraskeletal Osteosarcoma of the Thigh: An Autopsy Case Report

Sarcoma ◽

10.1155/2009/186565 ◽

2009 ◽

Vol 2009 ◽

pp. 1-5

Author(s):

Akihito Nagano ◽

Takatoshi Ohno ◽

Yutaka Nishimoto ◽

Kazunari Yamada ◽

Katsuji Shimizu

Keyword(s):

Case Report ◽

Tumor Cells ◽

Primary Tumor ◽

Left Lung ◽

Definite Diagnosis ◽

Autopsy Case ◽

Extraskeletal Osteosarcoma ◽

Secondary Tumors ◽

Multiagent Chemotherapy ◽

The Right

We report a case of extraskeletal osteosarcoma (ESOS) and autopsy findings. A 35-year-old man presented with an ossified tumor in the right thigh and lung metastasis. The lung tumors continued to develop despite multiagent chemotherapy and caused death within 8 months. Autopsy revealed many secondary lesions in the lungs, especially in the left lung. Histopathologically, the primary tumor and one of the secondary tumors showed proliferation of spindle-shaped tumor cells focally forming lace-like osteoid material. Therefore, we made a definite diagnosis of ESOS.

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Unusual localizations of hydatid cysts: a rare case report from Syria

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa438 ◽

2020 ◽

Vol 2020 (10) ◽

Author(s):

Zain Douba ◽

Judy A Sinno ◽

Haya Jawish ◽

Nour Hakim ◽

Abdullah Mouselli ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

South America ◽

Rare Case ◽

Eastern Mediterranean ◽

Left Lung ◽

Hydatid Cysts ◽

Rare Case Report ◽

History Of ◽

The Right

Abstract Hydatid disease (HD) is an infection with the metacestode stage of the tapeworm Echinococcus. It is commonly seen in South America, The Middle East, Eastern Mediterranean, Africa and China. Hydatid cysts usually affect the liver followed by the lungs. Involvement in other organs has been reported. However, in the majority of the cases, cysts are localized in one organ or one region. We report a rare case of a 36-year-old woman who presented to the hospital in Syria with long-standing history of non-specific abdominal pain. Computerized tomography showed several hydatid cysts in the liver, spleen, left lung, mediastinum (adjacent to the aortic arch), both breasts and above the right gluteal muscles.

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A left lung with four lobes: a new discovery during the thoracotomy for recurrent primary spontaneous pneumothorax

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01651-3 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Saadat Mehrabi ◽

Nader Tanideh ◽

Reza Hosseinpour ◽

Cambyz Irajie ◽

Mohammad Javad Yavari Barhaghtalabi

Keyword(s):

Side Effects ◽

Spontaneous Pneumothorax ◽

Left Lung ◽

Primary Spontaneous Pneumothorax ◽

Case Presentation ◽

Lung Anatomy ◽

The Right ◽

Oblique Fissure ◽

New Discovery

Abstract Background The right and left lung anatomy are similar but asymmetrical. The right lung consists of three lobes, and the left lung consists of two lobes. Our study is unique because of discovering a very rare morphological feature of the left lung which has not been reported yet. By the way, we compared two different available chemical agents for pleurodesis (talc and bleomycin) according to side effects, complications, and pneumothorax recurrence. Case presentation We reported a case of bilateral primary spontaneous pneumothorax, who underwent talc slurry and bleomycin pleurodesis at right and left side retrospectively, and then complicate with left-sided recurrent spontaneous pneumothorax, so underwent open thoracotomy and was surprisingly and accidentally found to have 4 lobes and 3 fissures in left lung. Conclusion In our case report, there were one main oblique fissure and two accessory fissures which divided the lung into 4 separated lobes, and this discovery in human’s and other animals’ lung anatomy has not been previously reported. In our case study, the talc slurry was more effective in preventing spontaneous pneumothorax recurrence, but with more side effects than bleomycin. We could hypothesize that the morphological variation of the lung might affect spontaneous pneumothorax development and recurrence.

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Complete Absence of Oblique Fissure in the Left Lung: A case report on anatomic variation

The FASEB Journal ◽

10.1096/fasebj.2020.34.s1.07472 ◽

2020 ◽

Vol 34 (S1) ◽

pp. 1-1

Author(s):

Kimberly Anyadike ◽

Camilla Cascardo ◽

Mallory Hoevet ◽

Mohamed Idris ◽

Hazem Alakhras ◽

...

Keyword(s):

Case Report ◽

Anatomic Variation ◽

Left Lung ◽

Oblique Fissure

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Bilobed right lung: a case of absent horizontal fissure

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211383 ◽

2021 ◽

Vol 9 (4) ◽

pp. 1225

Author(s):

Ankita Chauhan ◽

Suman Yadav ◽

Nitin Patiyal

Keyword(s):

Developmental Process ◽

Left Lung ◽

Thoracic Cavity ◽

Human Cadaver ◽

Normal Anatomy ◽

Thoracic Region ◽

Human Lungs ◽

Anatomical Knowledge ◽

The Right ◽

Oblique Fissure

The human lungs are organs of respiration present in the greater part of thoracic cavity on each side of heart in the mediastinum resting on diaphragm. The right lung is classically divided into three lobes namely superior, middle and inferior by the oblique and horizontal fissures. The left lung is divided into superior and inferior lobes by a single deep oblique fissure. The fissures help in expansion of lungs during respiration. During the routine dissection of thoracic region of human cadaver, bilobed right lung with absent horizontal fissure was observed. The right lung was divided into superior and inferior lobe by a single oblique fissure. The left lung had normal anatomy in this case. The variations in the fissures and lobar pattern of lungs are common and are due to altered developmental process during intrauterine life. The anatomical knowledge of these disparities in fissures is important for clinicians prior to performing any pulmonary surgical procedures and to prevent postoperative complications.

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Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽

10.1024/0301-1526/a000101 ◽

2011 ◽

Vol 40 (3) ◽

pp. 251-255 ◽

Cited By ~ 4

Author(s):

Gruber-Szydlo ◽

Poreba ◽

Belowska-Bien ◽

Derkacz ◽

Badowski ◽

...

Keyword(s):

Case Report ◽

Magnetic Resonance Angiography ◽

Popliteal Artery ◽

Doppler Ultrasonography ◽

Histopathological Examination ◽

Previous History ◽

Plain Radiography ◽

Artery Thrombosis ◽

History Of ◽

The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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