scholarly journals Middle Lobe Syndrome Associated with Bronchial Anthracofibrosis

2020 ◽  
Vol 28 (2) ◽  
pp. 59-62
Author(s):  
Ugur Gonlugur ◽  
Tanseli Gonlugur ◽  
Sule Ozer

Bronchial anthracofibrosis has been defined as airway narrowing associated with dark pigmentation on bronchoscopy without an appropriate history of pneumoconiosis or smoking. We present a case of a 67-year-old, non-smoking female patient who was referred to our clinic for two years of persistent cough. Spirometry was within normal limits. Radiological evaluation showed right middle lobe atelectasis and positron emission tomography-positive mediastinal lymph nodes. Bronchoscopy revealed black airway discoloration and distortions. In conclusion, we propose monthly radiological controls before an invasive procedure in such cases if a strong suspicion of malignancy/tuberculosis is not present.

Author(s):  
Sami Gubin ◽  
Aayla K. Jamil ◽  
Jeffrey M. Kopita ◽  
Gary S. Schwartz

2015 ◽  
Vol 21 (4) ◽  
pp. 354-358 ◽  
Author(s):  
Saviz Pejhan ◽  
Farshid Salehi ◽  
Shanay Niusha ◽  
Behrooz Farzanegan ◽  
Kambiz Sheikhy

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Brice Henry ◽  
Valérie Lacroix ◽  
Thierry Pirotte ◽  
Pierre-Louis Docquier

Minimally invasive procedure for the treatment of pectus excavatum as described by Nuss has been used from 1987. The bar initially introduced blindly is now introduced under thoracoscopic control to increase safety of the procedure. It is usually removed two to three years after its insertion in a one-day procedure. Complications of the bar removal are rare but potentially serious. We report the case of a serious complication which occurred immediately after the Nuss bar removal. A 15-year-old boy underwent a Nuss procedure for a severe pectus excavatum without relevant complication. The bar has been removed two years after its insertion in a minimally invasive procedure. Unfortunately, he developed in the immediate postoperative period a hemopneumothorax due to a right middle lobe laceration which required a middle lobectomy by thoracotomy for hemostasis. Lesions of intrathoracic organs are a rare but potentially serious complication of the removal of the Nuss bar. We now propose to perform this procedure under thoracoscopic control to avoid it. In our experience, adhesions between the bar and the pleura are always present, and those with potential risk for bleeding or inducing intrathoracic organ lesions are suppressed prior to the bar removal.


2017 ◽  
Vol 24 (1) ◽  
pp. 60-65 ◽  
Author(s):  
Aatif Rashid ◽  
Sowmya Nanjappa ◽  
John N. Greene

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Peter V. Bui ◽  
Maan Moualla ◽  
Dona J. Upson

Introduction.3,3′-Diindolylmethane is available as a supplement in the United States for “cancer prevention” and “augmentation of physical fitness.” A derivative of indole-3-carbinol found in plants, diindolylmethane, binds to receptors associated with the sex steroid pathways and has unclear effects on estrogen and androgen physiology. We present a patient who had been taking diindolylmethane and developed right lower extremity deep venous thrombosis and bilateral pulmonary embolism.Case Presentation.A 65-year-old man presented with swelling, erythema, and warmth of his right lower extremity for three to four weeks. He had been taking diindolylmethane one tablet daily for three to four months. Risk factors for venous thromboembolism included tobacco use, personal history of possible pulmonary embolism, body mass index, and age. Imaging studies found extensive deep venous thrombosis in his right lower extremity and bilateral pulmonary embolism with probable right middle lobe infarction. Follow-up imaging showed chronic deep venous thrombosis in his right lower extremity.Discussion.As suggested in this single case, patients who take diindolylmethane may be at greater risk for venous thromboembolism. Further reports and studies are necessary in order to elucidate this possible association. Clinicians should question patients about supplements in the setting of venous thromboembolism.


JAMA ◽  
1966 ◽  
Vol 197 (9) ◽  
pp. 732
Author(s):  
Harold I. Lecks

CHEST Journal ◽  
2008 ◽  
Vol 134 (4) ◽  
pp. 11P
Author(s):  
Young S. Hwang ◽  
Eun J. Ma ◽  
Young L. Jung ◽  
Duk J. Lee ◽  
Chul H. Kim

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