scholarly journals Esophageal Bronchus: A Case Report

2019 ◽  
Vol 8 (3) ◽  
pp. 24
Author(s):  
Vidyanand Deshpande ◽  
Mridul Tantia
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Respiratory Distress ◽  
Chest Radiograph ◽  
Lower Lobe ◽  
Term Neonate ◽  
Posterolateral Thoracotomy ◽  
Esophageal Bronchus ◽  
Operative Recovery

Esophageal bronchus has communication with esophagus instead of trachea. We report a case of esophageal bronchus in a 12-day-old term neonate who presented with respiratory distress. Chest radiograph showed opacification in parts of lower lobe of right lung. Computed tomography (CT) revealed an abnormal bronchus arising from the lower third of esophagus and communicating with affected part of right lung. Subsequently, a right posterolateral thoracotomy was done, esophageal bronchus was divided and the affected collapsed part of lung was excised. Post-operative recovery was uneventful.

scholarly journals Persistent hiccups as the presenting symptom of a pulmonary embolism

2012 ◽  
Vol 2 (1) ◽  
pp. 2
Author(s):  
Steven Durning ◽  
David J. Shaw ◽  
Anthony J. Oliva ◽  
Michael J. Morris
Keyword(s):  
Computed Tomography ◽  
Pulmonary Embolism ◽  
Chest Radiograph ◽  
Pulmonary Embolus ◽  
Lower Lobe ◽  
Initial Evaluation ◽  
Unique Case ◽  
Case Presentation ◽  
History Of ◽  
Symptomatic Bradycardia

An 81-year-old male with a history of symptomatic bradycardia controlled by a pacemaker presented to our institution with three days of persistent hiccups. He denied any pulmonary symptoms and his initial evaluation showed no evidence of tachypnea, tachycardia, or hypoxia. Pacemaker malfunction or migration of the pacer leads was ruled out as an etiology and no intracranial pathology was present. Admission chest radiograph was normal but a computed tomography of the chest demonstrated a left lower lobe pulmonary embolus. After treatment with anticoagulation was initiated, the hiccups resolved within the next week. This is a unique case presentation of hiccups as the only presenting symptom of an otherwise asymptomatic pulmonary embolism.

scholarly journals Case Report: Incidental Finding of COVID-19 Infection after Positron Emission Tomography/CT Imaging in a Patient with a Diagnosis of Histoplasmosis and Recurring Fever

2021 ◽  
Author(s):  
Camila Edith Stachera Stasiak ◽  
David Henrique Nigri ◽  
Fabrícius Rocha Cardoso ◽  
Raphael Santos de Almeida Rezende d Mattos ◽  
Philippe Alcântara Gonçalves Martins ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Lower Lobe ◽  
Cervical Region ◽  
Emission Computed Tomography ◽  
Fdg Uptake ◽  
Emission Computed ◽  
Positron Emission ◽  
Positron Emission Computed Tomography ◽  
18F Fdg

This is a case report of a 37-year-old woman evaluated with 18F-fludeoxyglucose (18F-FDG) positron emission computed tomography/CT with recurrent fever after treatment with itraconazole for 6 weeks for histoplasmosis. The examination demonstrated a decrease in the dimensions of the pulmonary opacities previously identified in the left lower lobe and attributed to histoplasmosis. In addition to these pulmonary opacities, increased FDG uptake was also observed in lymph nodes present in the cervical region, mediastinum, left lung hilum, and hepatic hilum. Notably, other pulmonary opacities with ground-glass pattern that were not present in the previous computed tomography were detected in the right lower lobe, with mild 18F-FDG uptake. Nasal swab performed shortly after the examination was positive for COVID-19. In this case, the 18F-FDG positron emission computed tomography/CT study demonstrated findings consistent with active COVID-19 infection coexisting with inflammatory changes associated with histoplasmosis infection.

scholarly journals Asymptomatic Post-Traumatic Rupture of the Right Diaphragm Dome

2018 ◽  
Vol 28 (4) ◽  
pp. 102-109
Author(s):  
E. A. Losik ◽  
M. V. Fadeeva ◽  
V. V. Shchegelsky ◽  
R. T. Rzaev ◽  
A. V. Stepanov ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Radiograph ◽  
Vena Cava ◽  
Lower Lobe ◽  
Expectant Management ◽  
Traumatic Rupture ◽  
Thoracic Cavity ◽  
High Position ◽  
History Of ◽  
The Right

Aim.  This paper is aimed at presenting the materials of clinical observations associated with diagnosing rare-occurring ruptures of the right dome of the diaphragm that have been overlooked for a long period.Results.  A 61-year-old man was admitted to hospital with a diagnosis of chronic heart failure. Chest radiograph revealed a high position of the right dome of the diaphragm. Computed tomography revealed a defect in the central parts of the diaphragm on the right, the liver was rotated outward with its visceral surface deployed anteriorly and upward. In the right thoracic cavity, anterior to the liver, were the loops of the intestine and the outlet of the stomach.More than 30 years before, the patient had experienced an explosive trauma, which might have caused a rupture in the right dome of the diaphragm. A 70-year-old man, a smoker with a ten-year history of hypertension, was hospitalized with an increase in dyspnea, a cough with the discharge of purulent sputum, the feeling of heaviness behind the sternum. Chest radiograph revealed a high standing of the right dome of the diaphragm at the level of 3rd rib with a decrease in the volume of the right lung, and an increase in cardiac silhouette (cardiothoracic index 0.64). Computed tomography revealed a high standing of the right dome of the diaphragm as well as the compression of the middle and lower lobe of the right lung with the presence of compression atelectasis. The liver was rotated, displaced into the right thoracic cavity, the deformation of the inferior vena cava to the right was visualized due to the displacement and rotation of the liver. The consolidated fractures of 10th–12th ribs on the right were visualized. The patient had had a chest injury resulting from a traffic accident about 15 years before, with no X-ray examination having been conducted at that time.Conclusion.  In the case of left-sided diaphragm ruptures, which are much more frequent than the right-sided ones, the stomach, large and small intestines as well as spleen are displaced into the thoracic cavity. In the case of rightsided diaphragm ruptures, the liver and gallbladder are displaced into the thoracic cavity. Right-sided posttraumatic diaphragmatic hernias that are not diagnosed at the time of injury or trauma and continue to be asymptomatic for a number of years are very rare. The sensitivity and specificity of computed tomography for the diagnosis of diaphragm ruptures is 61–87 % and 72–100 %, respectively. In an acute period, the treatment of diaphragm ruptures is surgical. However, in long-term asymptomatic ruptures, expectant management is possible, particularly if the risk of surgical treatment is high. 

scholarly journals SPONTANEOUS PNEUMOTHORAX IN A TERM NEONATE: A CASE REPORT

2018 ◽  
Vol 11 (3) ◽  
pp. 5
Author(s):  
Mohammad Momen Gharibvand
Keyword(s):  
Case Report ◽  
Respiratory Distress ◽  
Spontaneous Pneumothorax ◽  
Tension Pneumothorax ◽  
Term Neonate ◽  
X Ray ◽  
Continuous Drainage ◽  
Chest X Ray ◽  
Male Neonate

 Spontaneous pneumothorax does not occur frequently in the newborn. The prevalence of spontaneous neonatal pneumothorax is twice in male as in female neonates. It should be suspected in any neonate with respiratory distress. In this article, we present a 2.6 kg term male neonate who developed respiratory distress 14 h after birth. An urgent chest X-ray anteroposterior was ordered for evaluation. Chest X-ray revealed a left-sided pneumothorax along with mediastinal and tracheal shift to the opposite side which was suggestive of tension pneumothorax. If considerable distress persists, continuous drainage of the pneumothorax should be provided by means of an intercostal drainage and an underwater seal.

Computed Tomography-Guided Percutaneous Drainage of Pneumomediastinum in a Newborn: A Case Report

2021 ◽  
Vol 17 ◽  
Author(s):  
Turkay Rzayev ◽  
Efe Soydemir ◽  
Safak Gucyetmez ◽  
Gursu Kiyan ◽  
Hulya Ozdemir ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Respiratory Distress ◽  
Percutaneous Drainage ◽  
Ct Guided ◽  
X Ray ◽  
Live Births ◽  
Surfactant Treatment ◽  
Newborn Girl ◽  
Chest X Ray

Background: Neonatal pneumomediastinum is seen in 2.5 per 1000 live births and mostly managed conservatively. An intervention is essential in cases with tension pneumomediastinum. Ultrasonography-guided (USG-guided) relief of pneumomediastinum has been reported in newborns. There are no reported cases of computed tomography-guided (CT-guided) drainage of pneumomediastinum in neonates. Case report: A newborn girl born at 34 week of gestation was intubated due to respiratory distress and received intratracheal surfactant treatment. Pneumomediastinum was detected at the chest X-ray on the 6th postnatal hour. On the second postnatal day, the patient's oxygen needs increased, tachypnea and subcostal retractions recurred, so it was decided to intervene. USG-guided drainage of the pneumomediastinum was attempted twice but was unsuccessful. Percutaneous drainage with CT guidance was performed successfully. Conclusion: This report aims to emphasize that CT-guided intervention of pneumomediastinum can be an effective alternative in a newborn if USG-guided intervention fails.

scholarly journals Isolated Congenital Bilateral Choanal Atresia and Nasopharyngeal Atresia- a case report

2013 ◽  
Vol 13 (1) ◽  
pp. 91-94
Author(s):  
Suman Das ◽  
Nirmalya Sarkar ◽  
Kaushani Chatterjee ◽  
Ayan Paul
Keyword(s):  
Congenital Anomaly ◽  
Case Report ◽  
Respiratory Distress ◽  
Infant Feeding ◽  
Choanal Atresia ◽  
Medical Science ◽  
Feeding Tube ◽  
Term Neonate ◽  
Infant Feeding Tube ◽  
Transnasal Surgery

A term neonate developed respiratory distress, paradoxical cyanosis (relieved by crying) soon after birth. Inability to insert No.5 French infant feeding tube through the nose into the pharynx led to the diagnosis of Bilateral Choanal Atresia , which was confirmed by HRCT Scan of the nose. Insertion of an oropharyngeal tube reduced the respiratory distress. Extensive investigations did not reveal any other congenital anomaly. The baby was treated with Transnasal Surgery. DOI: http://dx.doi.org/10.3329/bjms.v13i1.14454 Bangladesh Journal of Medical Science Vol. 13 No. 01 January2014: 91-94

scholarly journals Askin's Tumor in an Adult: Case Report and Findings on 18F-FDG PET/CT

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Gonca Kara Gedik ◽  
Oktay Sari ◽  
Tamer Altinok ◽  
Lema Tavli ◽  
Bugra Kaya ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Wall ◽  
Wedge Resection ◽  
Left Lung ◽  
Lower Lobe ◽  
Standardized Uptake Value ◽  
Left Lobe ◽  
Pathology Report ◽  
Positron Emission

Primitive neuroectodermal tumor (PNET) of the chest wall or Askin's tumor is a rare neoplasm of chest wall. It most often affects children and adolescents and is a very rare tumor in adults. In this case report, we present an Askin's tumor occurred in a 73-year-old male. The patient was admitted with a history of 3-month lower back pain and cough. In computed tomography, there was a lesion with dimensions of70×40×65 mm in the superior segment of the lower lobe of the left lung. Positron emission tomography/computed tomography with 18F-flourodeoxyglucose revealed a pleural-based tumor in the left lung with a maximum standardized uptake value of 4.36. No distant or lymph node metastases were present. The patient had gone through surgery, and wedge resection of the superior segment of left lobe and partial resection of the ipsilateral ribs were performed. Pathology report with immunocytochemistry was consistent with PNET and the patient received chemotherapy after that.

Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Thyroid Hormones ◽  
Protein Binding ◽  
Alpha Subunit ◽  
Normal Range ◽  
Thyroxine Binding Globulin ◽  
Free Thyroid Hormones ◽  
Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

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