scholarly journals Tracheal leiomyoma mimicking asthma for over 20 years

2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Oliver J Harrison ◽  
Mark Jackson ◽  
Emily Shaw ◽  
Aiman Alzetani
Keyword(s):  
Computed Tomography ◽  
Complete Resolution ◽  
Upper Airway ◽  
Flow Volume ◽  
Invasive Treatment ◽  
Posterior Aspect ◽  
Laser Resection ◽  
Asthma Symptoms ◽  
Flow Volume Loop

Abstract Benign tracheal tumours have an incidence of 1 in 1,000,000, of which leiomyomas represent only 1%. We report a case of tracheal leiomyoma masquerading as asthma for over 20 years. A 48-year-old man presented aged 26 years with asthma symptoms unresponsive to treatments and an obstructive spirometry pattern. Symptoms were not particularly troubling but suddenly exacerbated 22 years later. Flow-volume studies were consistent with upper airway obstruction. Computed tomography chest revealed a 2.3 cm mass arising from the posterior aspect of the trachea 2 cm above the carina. Bronchoscopic resection was performed using a Nd:YAG laser. Histology confirmed leiomyoma. Follow-up after 6 weeks revealed complete resolution of symptoms with normal spirometry. Tracheal masses should be considered in any patient with atypical asthma. A flow-volume loop may provide a clue to diagnosis and bronchoscopic laser resection is a minimally invasive treatment option.

Improvement of upper airway obstruction after 131I-treatment of multinodular nontoxic goiter evaluated by flow volume loop curves

1996 ◽  
Vol 19 (2) ◽  
pp. 71-75 ◽  
Author(s):  
Birte Nygaard ◽  
U. Søes-Petersen ◽  
P. F. Høilund-Carlsen ◽  
A. Veje ◽  
P. E. Holst ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Flow Volume ◽  
Nontoxic Goiter ◽  
131I Treatment ◽  
Flow Volume Loop

Effect of Body Posture on Flow-volume Loop and Upper Airway Obstruction Indices, Before and After Thyroid Surger

CHEST Journal ◽  
2003 ◽  
Vol 124 (4) ◽  
pp. 93S
Author(s):  
Marc Meysman ◽  
Jan Lamote ◽  
Bea Van Elewijck ◽  
Nancy Celis ◽  
Sonja Van Poyer ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Body Posture ◽  
Upper Airway Obstruction ◽  
Flow Volume ◽  
Flow Volume Loop ◽  
Before And After

scholarly journals Flow volume curve: A diagnostic tool in extrathoracic airway obstruction

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Thamir Al-Khlaiwi
Keyword(s):  
Airway Obstruction ◽  
Diagnostic Tool ◽  
Upper Airway ◽  
Lung Pathology ◽  
Flow Volume ◽  
Creative Commons ◽  
Flow Volume Loop ◽  
Volume Curve ◽  
Flow Volume Curve ◽  
Extrathoracic Airway

The flow-volume loop (F/V-loop) is a presentation of inhalation and exhalation of air stream volume during inspiration and expiration. It demonstrates the obstructive, restrictive and mixed pattern lung pathology. Flow-volume loop has been extensively used for evaluating the severity, progression and resolution of various causes of upper-airway conditions. doi: https://doi.org/10.12669/pjms.36.4.2283 How to cite this:Al-Khlaiwi T. Flow volume curve: A diagnostic tool in extrathoracic airway obstruction. Pak J Med Sci. 2020;36(4):---------.  doi: https://doi.org/10.12669/pjms.36.4.2283 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Self-Limited Pneumoporta in the Era of Computed Tomography: A Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Yu-Tso Liao ◽  
Hong-Shee Lai ◽  
Rey-Heng Hu ◽  
Po-Huang Lee ◽  
Cheng-Maw Ho
Keyword(s):  
Computed Tomography ◽  
Complete Resolution ◽  
Emergency Treatment ◽  
Bowel Resection ◽  
Exploratory Laparotomy ◽  
Prophylactic Therapy ◽  
Review Of The Literature ◽  
Short Term ◽  
Ischemic Bowel

Pneumoporta in patients with abdominal pain has been thought to be suggestive of fatal underlying conditions, such as mesenteric infarct, requiring emergency treatment. Widespread use of computed tomography (CT) has increased the frequency of detection of pneumoporta in patients with diseases other than mesenteric infarct. The natural course of resolution of pneumoporta has been rarely discussed in the literature and mainly focused on patients with iatrogenic diseases. Herein, we report the case of a 64-year-old woman who presented at our emergency department with positive peritoneal signs and pneumoporta. A 10 cm long segment of resolved ischemic bowel was detected on exploratory laparotomy, and bowel resection was not performed. Follow-up CT performed 62 hours later revealed complete resolution of pneumoporta. The patient was discharged uneventfully and was administered short-term prophylactic therapy with enoxaparin for thromboembolism. The epidemiology, etiology, and resolution of pneumoporta are also reviewed.

scholarly journals Spontaneous pneumomediastinum presenting as rhinolalia and chest pain

2012 ◽  
Vol 94 (8) ◽  
pp. e12-e14 ◽  
Author(s):  
RWF Breakey ◽  
G Walker ◽  
W Oldfield
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Chest Pain ◽  
Complete Resolution ◽  
Intrathoracic Pressure ◽  
Detailed History ◽  
Spontaneous Pneumomediastinum ◽  
History Of ◽  
Voice Symptoms

This report discusses a case of spontaneous pneumomediastinum in a 25-year-old medical student. The patient presented with chest pain and a tonal change in voice. Symptoms occurred after an episode of stretching and were exacerbated by coughing. There was no history of underlying respiratory disease and he was a non-smoker. Management was conservative. At the four-week follow-up appointment, bronchoscopy and computed tomography of the thorax demonstrated complete resolution. Spontaneous pneumomediastinum is uncommon, with rhinolalia being a rare presenting feature. It should be considered as a differential diagnosis in patients with chest pain associated with a change in voice. A detailed history may reveal preceding activities associated with raised intrathoracic pressure.

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