Swyer-James Syndrome: A Cause of Hyperlucent Lung

1975 ◽  
Vol 84 (5) ◽  
pp. 657-661 ◽  
Author(s):  
Jacobo Guzowski ◽  
Arndt J. Duvall
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Pulmonary Artery ◽  
Clinical Picture ◽  
Inflammatory Process ◽  
Bronchial Tree ◽  
Obliterative Bronchiolitis ◽  
Air Trapping ◽  
Presumptive Diagnosis ◽  
Hyperlucent Lung

Swyer-James syndrome consists of an abnormal radiolucency of one lung or lobe, secondary to obliterative bronchiolitis with distal air trapping. The etiology of the bronchiolar inflammatory process is quite diverse. The syndrome will simulate the presence of a foreign body in the bronchial tree, and the patients will usually undergo bronchoscopy with that presumptive diagnosis. Two cases are presented and the pathogenesis, clinical picture, and differential diagnosis are outlined. The separation of this condition from hypoplasia of the pulmonary artery is discussed.

Differential diagnosis in acute appendicitis

1927 ◽  
Vol 23 (1) ◽  
pp. 66-73
Author(s):  
N. N. Nazarov
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Clinical Picture ◽  
Inflammatory Process ◽  
Good Reason ◽  
The Other ◽  
Internal Genitalia ◽  
The One

Pathological processes in the gallbladder, duodenum and stomach on the one hand, and in the internal genitalia of women on the other, indeed often create a clinical picture of a disease full of uncertainties. In looking for a solid basis for practical measures, sometimes obviously urgent, in such cases, not without good reason, the surgeon fixes his attention, among others, on a possible disease of the appendix of the appendix. In other cases, the inflammatory process in the appendix itself, accompanied by symptoms not quite peculiar to this disease, does not allow to exclude the possibility of disease also in the mentioned areas above and below the appendix.

Bronchocele (bronchial retention cyst): from structure to diagnosis

MedAlliance ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 63-73
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Foreign Body ◽  
Lung Metastases ◽  
Correct Diagnosis ◽  
Diagnostic Algorithm ◽  
Bronchial Tree ◽  
Retention Cyst ◽  
Examination Methods ◽  
Atypical Manifestation

SummaryIntroduction. Bronchocele is a relatively frequent inci-dental finding on computed tomography and is a dilated bronchus filled with mucous content due to continued se-cretion of the mucous membrane and proximal airway ob-struction, which often manifests itself as tubular branched structures associated with the bronchial tree («Finger in glove» sign). Purpose: to present “from simple to complex” diagnostic algorithm for detecting changes in the type of bronchocele on computed tomography. Results. The dif-ferential diagnosis of the causes of bronchocele is wide and includes both congenital and acquired pathologies, which can be divided into obstructive and non-obstructive. Also, etiology-wise, they can be divided into the following groups: congenital infectious pathology, and obstruction of the bronchus by masses or foreign body. Computed tomography is the preferred method for diagnosing bron-chocele; in some cases, CT is performed in combination with contrast enhancement for differential diagnosis with arteriovenous malformation or atypical manifestation of lung metastases. In case of a locally located bronchocele, obstructive genesis by masses or foreign body should always be excluded, which requires the use of broncho-scopic examination methods. The most difficult option for differential diagnosis is bronchocele caused by infectious agents, due to the non-specificity of the radiation pattern. To make a correct diagnosis, it is necessary to verify and identify the pathogen. Conclusion. The paper presents a diagnostic algorithm that allows to optimally diagnoseis the “bronchocele” type changes.

AGENESIS OF THE LUNG

PEDIATRICS ◽  
1968 ◽  
Vol 42 (1) ◽  
pp. 175-188
Author(s):  
David L. Maltz ◽  
Alexander S. Nadas
Keyword(s):  
Differential Diagnosis ◽  
Pulmonary Artery ◽  
Cardiovascular System ◽  
Respiratory Infections ◽  
Lung Parenchyma ◽  
Bronchial Tree ◽  
Pulmonary Artery Hypertension ◽  
Total Absence ◽  
Number Of Patients ◽  
Mechanical Factors

One hundred sixty-four cases of agenesis of the lung are reviewed, including 36 not previously reviewed and 8 not previously reported. Agenesis, affecting both hemithoraces and both sexes almost equally, should be separated for physiologic reasons from hypoplasia by the total absence of lung parenchyma, bronchial tree, as well as supporting vasculature. Genetic, teratogenic, and mechanical factors may have a bearing on etiology. Chest roentgenograms suggest the diagnosis initially, but careful bronchographic and angiocardiographic studies are necessary for confirmation. The electrocardiogram is helpful in the differential diagnosis of the patients with dextrocardia. Severe respiratory infections are common in infancy and may lead to pneumonia and death. The condition, however, is not uniformly fatal; 24 of 36 patients reported since 1954 were alive at the time of reporting. There is no evidence at present that resting pulmonary artery hypertension or emphysema develops in patients with agenesis of the lung and an intact cardiovascular system. Diagnostic studies reveal pulmonary artery hypertension in a number of patients with a combination of systemicpulmonary communication and agenesis of the lung. Coexisting abnormalities may involve the skeletal, cardiovascular, gastrointestinal, and genitourinary systems.

Diagnostic confusion in paediatric respiratory pathology. Case report

ORL ro ◽  
2016 ◽  
Vol 1 (1) ◽  
pp. 48-50
Author(s):  
Adina A. Zamfir-Chiru-Anton ◽  
D.C. Gheorghe
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Clinical Picture ◽  
Foreign Body Aspiration ◽  
Effective Therapy ◽  
Partial Loss ◽  
Detailed History ◽  
Therapy Approach ◽  
Diagnostic Confusion ◽  
Respiratory Pathology

The authors present the case of a 4-year-old child admitted to the ENT Department with possible pulmonary foreign body aspiration. A detailed history revealed a clinical picture that seemed to depict an absence episode (with partial loss of conscience and cianosis) occured when eating, less the symptomes of a respiratory foreign body. Diagnosis needed full respiratory endoscopy and neurologic evaluation for correct assesment and effective therapy approach.

DIAGNOSTICS AND TREATMENT OF POISONING WITH THALLIUM

2018 ◽  
pp. 9-15 ◽  
Author(s):  
L. B. Zavaliy ◽  
A. Yu. Simonova ◽  
M. M. Potskhveriya ◽  
Yu. N. Ostapenko ◽  
M. G. Gadzhieva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Guidelines ◽  
The Body ◽  
Biological Media ◽  
Pathophysiological Mechanisms ◽  
Thallium Poisoning ◽  
The World

Cases of thallium poisonings are regularly reported in media. In the present work, the world experience in diagnostics and treatment of victims with thallium poisoning has been compiled and summarized, search for clinical guidelines for the diagnostics, treatment and rehabilitation of patients has been carried out. The toxicokinetics and toxicodynamics, as well as pathophysiological mechanisms of thallium influence on the body are described in detail. Toxic and lethal concentrations of poison in biological media, as well as its tropicity to various tissues and body systems were determined. The clinical picture depending on the timing of poisoning and the dose of poison is described in detail. Difficulties of the differential diagnosis are defined. The most interesting cases of criminal and household poisonings with various terms of establishment of the diagnosis, doses of poisoning and outcomes are presented.

scholarly journals Intruding implements: a pictorial review of retained surgical foreign objects in neuroradiology

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Alessandra D’Amico ◽  
Teresa Perillo ◽  
Lorenzo Ugga ◽  
Renato Cuocolo ◽  
Arturo Brunetti
Keyword(s):  
Differential Diagnosis ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Correct Identification ◽  
Pathophysiological Mechanism ◽  
Local Inflammatory Response ◽  
Inflammatory Reactions ◽  
Foreign Objects ◽  
Pictorial Review ◽  
Review Reports

AbstractIntra-cranial and spinal foreign body reactions represent potential complications of medical procedures. Their diagnosis may be challenging as they frequently show an insidious clinical presentation and can mimic other life-threatening conditions. Their pathophysiological mechanism is represented by a local inflammatory response due to retained or migrated surgical elements. Cranial interventions may be responsible for the presence of retained foreign objects represented by surgical materials (such as sponges, bone wax, and Teflon). Spinal diagnostic and therapeutic procedures, including myelography, chordotomy, vertebroplasty, and device implantation, are another potential source of foreign bodies. These reactions can also follow material migration or embolization, for example in the case of Lipiodol, Teflon, and cement vertebroplasty. Imaging exams, especially CT and MRI, have a central role in the differential diagnosis of these conditions together with patient history. Neuroradiological findings are dependent on the type of material that has been left in or migrated from the surgical area. Knowledge of these entities is relevant for clinical practice as the correct identification of foreign bodies and related inflammatory reactions, material embolisms, or migrations can be difficult. This pictorial review reports neuroradiological semeiotics and differential diagnosis of foreign body-related imaging abnormalities in the brain and spine.

scholarly journals Removal of a Foreign Body (Artificial Tooth) from the Bronchial Tree: A New Method

2008 ◽  
Vol 47 (19) ◽  
pp. 1695-1698 ◽  
Author(s):  
Maki Bunno ◽  
Masanori Kawaguchi ◽  
Kunihiro Yamahara ◽  
Chieri Kanda
Keyword(s):  
Foreign Body ◽  
Bronchial Tree ◽  
New Method ◽  
Artificial Tooth

Localized Bowel Distension in the Newborn: A Review of the Plain Film Analysis and Differential Diagnosis

PEDIATRICS ◽  
1984 ◽  
Vol 73 (2) ◽  
pp. 206-215
Author(s):  
J. Fred Johnson ◽  
Lawrence H. Robinson
Keyword(s):  
Differential Diagnosis ◽  
Plain Film ◽  
Left Colon ◽  
Lower Abdomen ◽  
Air Trapping ◽  
Bowel Distension ◽  
Distended Bowel ◽  
Plain Films ◽  
Small Bowel Atresia ◽  
Bowel Atresia

Neonatal abdominal plain films were prospectively analyzed over a 41-month period in order to generate a differential diagnosis for focal bowel distension during the first 6 weeks of life. A total of 31 examples of locally distended bowel were collected. The study discredits the concept that asymmetrically distended bowel in the newborn is usually caused by necrotizing enterocolitis (only 9/31 cases) and indicates that distended bowel in the lower abdomen or left upper quadrant is often caused by air trapping in normal but redundant rectosigmoid (11 cases) or in distal transverse colon (three cases). Five other pathologic conditions not normally specified in differential diagnoses of focally distended bowel included inguinal hernia (three cases), small bowel atresia (two cases), midgut volvulus (one case), Hirschsprung's disease (one case), and small left colon (one case). The study emphasizes the value of sequential supine and prone filming for distinguishing normal from pathologic dilated loops of bowel.

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