scholarly journals Behçet's disease presenting with massive hemoptysis related to bronchovascular fistula: A case report

2021 ◽  
Vol 29 (3) ◽  
pp. 408-411
Author(s):  
Mehmet Ali Bedirhan ◽  
Naciye Arda ◽  
Elif Tanrıverdi ◽  
Volkan Yaran ◽  
Deniz Sansar ◽  
...  
Keyword(s):  
Lower Lobe ◽  
Lateral Wall ◽  
Punch Biopsy ◽  
Massive Bleeding ◽  
Pathological Examination ◽  
Massive Hemoptysis ◽  
High Dose ◽  
Thoracic Computed Tomography ◽  
Cyclophosphamide Treatment ◽  
The Right

A 37-year-old male patient was admitted to our hospital with recurrent hemoptysis, 50 mL per day. Thoracic computed tomography showed no pathology responsible for hemoptysis. Bronchoscopy revealed mucosal infiltrations and 2 to 3-mm blotch in the lateral wall of the right lower lobe. After punch biopsy of the suspected area, massive bleeding occurred. Right lower bilobectomy was performed urgently. A bronchovascular fistula was noticed at the specimen. Pathological examination result was compatible with clinically suspected Behçet"s disease. The patient was given high-dose steroid and cyclophosphamide treatment and received azathioprine maintenance treatment for 18 months. He has been symptom-free for three-year follow-up.

scholarly journals Recurrent cardiac hydatid cyst located near the root of the superior vena cava and the interatrial septum: a case report

2022 ◽  
pp. 1-4
Author(s):  
Redha Lakehal ◽  
Farid Aymer ◽  
Soumaya Bendjaballah ◽  
Rabah Daoud ◽  
Khaled Khacha ◽  
...  
Keyword(s):  
Hydatid Cyst ◽  
Facial Paralysis ◽  
Superior Vena Cava ◽  
Superior Vena ◽  
Vena Cava ◽  
Lower Lobe ◽  
Lateral Wall ◽  
Right Atrial ◽  
Risk Of Rupture ◽  
The Right

Introduction: Cardiac localization of hydatid disease is rare (<3%) even in endemic countries. Affection characterized by a long functional tolerance and a large clinical and paraclinical polymorphism. Serious cardiac hydatitosis because of the risk of rupture requiring urgent surgery. The diagnosis is based on serology and echocardiography. The aim of this work is to show a case of recurrent cardiac hydatid cyst discovered incidentally during a facial paralysis assessment. Methods: We report the observation of a 26-year-old woman operated on in 2012 for pericardial hydatid cyst presenting a cardiac hydatid cyst located near the abutment of the SCV discovered incidentally during an exploration for left facial paralysis: NYHA stage II dyspnea. Chest x-ray: CTI at 0.48. ECG: RSR. Echocardiography: Image of cystic appearance at the level of the abutment of the SVC. SAPP: 38 mmhg, EF: 65%. Thoracic scan: 30/27 mm cardiac hydatid cyst bulging the lateral wall of the right atrium and the trunk of the right pulmonary artery with fissured cardiac hydatid cyst of the apical segment of the right lung of the right lower lobe with multiple bilateral intra parenchymal and sub pleural nodules. The patient was operated on under CPB. Intraoperative exploration: Presence of a hard and whitish mass, about 03 / 03cm developed in the full right atrial wall opposite the entrance to the superior vena cava. Procedure: Resection of the mass removing the roof of the LA, the AIS and the wall of the RA with reconstruction of the roof of the RA by patch in Dacron and reconstruction of the IAS and the wall of the RA by a single patch in Dacron. Results: The postoperative suites were simple. Conclusion: The hydatid cyst is still a real endemic in Algeria, the cardiac location is rare but serious and can constitute a real surgical emergency, hence the importance of prevention. Keywords: Hydatid cyst of the heart; Recurrence; Surgery; Cardiopulmonary Bypass; Prevention

scholarly journals Gangrenous ischaemic colitis following lung wedge resection

2019 ◽  
Vol 12 (5) ◽  
pp. e227908 ◽  
Author(s):  
Kazuki Hayashi ◽  
Yasuhiko Ohshio ◽  
Jun Hanaoka
Keyword(s):  
Mesenteric Artery ◽  
Creatine Phosphokinase ◽  
Wedge Resection ◽  
Lower Lobe ◽  
Exploratory Laparotomy ◽  
Pathological Examination ◽  
Ischaemic Colitis ◽  
Intestinal Necrosis ◽  
General Thoracic Surgery ◽  
The Right

A 77-year-old man, who was taking prednisolone 7.5 mg, underwent wedge resection for nodules in the right lower lobe of the lung. The nodules were diagnosed as amyloid tumour. On the sixth postoperative day, sudden tachycardia, fever, creatine phosphokinase increase, renal dysfunction and metabolic acidosis were observed. CT showed no signs of infection, exacerbation of interstitial pneumonia, pulmonary embolism or occlusion in the major vessels of the mesentery. Exploratory laparotomy revealed intestinal necrosis in the inferior mesenteric artery area, and left hemicolectomy was performed. Postoperative pathological examination revealed gangrenous ischaemic colitis. Although gangrenous ischaemic colitis is not a complication specific to general thoracic surgery, it can be fatal. Because of the high risk of developing gangrenous ischaemic colitis in elderly patients and the increase in concomitant diseases, thoracic surgeons should always be mindful of the condition.

scholarly journals Dieulafoy’s disease of the bronchial tree: a case report

2017 ◽  
Vol 135 (4) ◽  
pp. 396-400 ◽  
Author(s):  
Massoud Baghai Wadji ◽  
Athena Farahzadi
Keyword(s):  
Case Report ◽  
Lung Resection ◽  
Lower Lobe ◽  
Fiberoptic Bronchoscopy ◽  
Arterial Embolization ◽  
Bronchial Tree ◽  
Massive Hemoptysis ◽  
Selective Embolization ◽  
Dieulafoy’S Disease ◽  
The Right

ABSTRACT CONTEXT: Dieulafoy’s disease of the bronchial tree is a very rare condition. Few cases have been reported in the literature. It can be asymptomatic or manifest with massive hemoptysis. This disease should be considered among heavy smokers when recurrent massive hemoptysis is present amid otherwise normal findings. The treatment can be arterial embolization or surgical intervention. CASE REPORT: A 16-year-old girl was admitted to the emergency department due to hemoptysis with an unknown lesion in the bronchi. She had suffered massive hemoptysis and respiratory failure one week before admission. Fiberoptic bronchoscopy revealed a lesion in the bronchus of the right lower lobe, which was suspected to be a Dieulafoy lesion. Segmentectomy of the right lower lobe and excision of the lesion was carried out. The outcome for this patient was excellent. CONCLUSION: Dieulafoy’s disease is a rare vascular anomaly and it is extremely rare in the bronchial tree. In bronchial Dieulafoy’s disease, selective embolization has been suggested as a method for cessation of bleeding. Nevertheless, standard anatomical lung resection is a safe and curative alternative.

scholarly journals Massive Pleural Effusion in an 18-Year-Old Girl with Ewing Sarcoma

2004 ◽  
Vol 11 (5) ◽  
pp. 363-365 ◽  
Author(s):  
Cengiz Özge ◽  
Mukadder Çalikoglu ◽  
Leyla Cinel ◽  
F Demir Apaydin ◽  
Eylem S Özgür
Keyword(s):  
Pleural Effusion ◽  
Ewing Sarcoma ◽  
Bone Tumour ◽  
Tracer Uptake ◽  
Whole Body ◽  
Pathological Examination ◽  
Younger Adults ◽  
Thoracic Computed Tomography ◽  
Three Phase ◽  
The Right

Ewing sarcoma is a bone tumour that commonly appears between ages five and 10 in the diaphysis of the long bones and predominantly presents with pain and swelling. The case of an 18-year-old girl who presented with back pain, cough, dyspnea, weakness and fever is described. Chest radiograph showed a homogenous density in the middle and inferior zones of the right hemithorax. Thoracic computed tomography revealed a diffuse pleural effusion and a 6.99 cmx4.45 cm solid mass composed of lobulated, small cystic lesions and calcifications in the right hemithorax. Biochemical analysis of pleural fluid showed hemorrhagic effusion and exudate. A pleural needle biopsy demonstrated solid uniform tumour cells with narrowed cytoplasm, round nuclei and uncertain nucleoli. All of the tumour cell cytoplasms stained with CD99. The pathological examination supported Ewing sarcoma. Three-phase Tc-99m methylene diphosphonate scintigraphy of the whole body showed pathological tracer uptake in a broad area of the eighth costal bone and in smaller areas of the ninth and 10th costal bones. This case is reported because Ewing sarcoma is a rare cause of pleural effusion in clinical practice among younger adults.

scholarly journals Tomographic findings in bronchial atresia

2021 ◽  
Vol 54 (1) ◽  
pp. 9-14
Author(s):  
Elazir Barbosa Mota Di Puglia ◽  
Rosana Souza Rodrigues ◽  
Pedro Augusto Daltro ◽  
Arthur Soares Souza Jr. ◽  
Marilene Monteiro Paschoal ◽  
...  
Keyword(s):  
Lower Lobe ◽  
Lung Parenchyma ◽  
Pulmonary Involvement ◽  
Middle Lobe ◽  
Pathological Examination ◽  
Surgical Specimen ◽  
Distal Lung ◽  
The Right ◽  
Ct Finding ◽  
Bronchial Atresia

Abstract Objective: To evaluate computed tomography (CT) findings in 23 patients with bronchial atresia. Materials and Methods: The CT images were reviewed by two radiologists who reached decisions by consensus. We included only patients who presented with abnormalities on CT and in whom the diagnosis had been confirmed by pathological examination of the surgical specimen (if the lesion was resected). The CT scans were assessed in order to identify the main findings and to map the distribution of the lesions (i.e., to determine whether the pulmonary involvement was unilateral or bilateral). Results: The main CT finding was the combination of bronchocele and hyperinflation of the distal lung. That combination was observed in all of the patients. The lesions were unilateral in all 23 cases, being seen predominantly in the left upper lobe, followed by the right lower lobe, right upper lobe, middle lobe, and left lower lobe. Conclusion: The diagnosis of bronchial atresia can be reliably made on the basis of a finding of bronchocele accompanied by hyperinflation of the adjacent lung parenchyma.

scholarly journals Novel intronicDICER1variation associated with pleuropulmonary blastoma in two siblings

2019 ◽  
Vol 12 (1) ◽  
pp. e227391
Author(s):  
Bruce D Leckey ◽  
John M Carney ◽  
Jessica M Sun ◽  
Elizabeth N Pavlisko
Keyword(s):  
Lower Lobe ◽  
Large Mass ◽  
Pathological Examination ◽  
Pleuropulmonary Blastoma ◽  
Upper Respiratory Tract ◽  
Basal Segment ◽  
Lung Malignancies ◽  
History Of ◽  
Upper Respiratory ◽  
The Right

Pleuropulmonary blastomas (PPB) are rare aggressive paediatric lung malignancies associated withDICER1variants. We present two cases, a 2-year-old girl with upper respiratory tract symptoms as well as a 6-month-old girl sibling undergoing screening due to family history of malignancy. Imaging of the 2-year-old girl revealed a large mass filling the right hemithorax which was determined to be a type II PPB after pathological examination. Imaging of the 6-month-old sibling demonstrated a small cystic lesion in the posterior basal segment of the right lower lobe which was determined to be a type 1r PPB after pathological examination. The 2-year-old girl received adjuvant chemotherapy while the baby sister underwent resection alone and both are alive and well at 12 months and 7 months, respectively. Sequence analysis in both cases confirmed the sameDICER1variation, c.2437-2A>G (likely pathogenic), which has not been previously described in the literature.

Resection of primary malignant lung melanoma: a case report

2018 ◽  
Vol 26 (9) ◽  
pp. 710-712 ◽  
Author(s):  
Hiroshi Yabuki ◽  
Kenta Kuwana ◽  
Muneo Minowa
Keyword(s):  
Malignant Melanoma ◽  
Lower Lobe ◽  
Pathological Examination ◽  
High Grade Fever ◽  
Lung Lobe ◽  
Segmental Bronchus ◽  
Lower Lung ◽  
Bronchoscopic Biopsy ◽  
Lateral Posterior ◽  
The Right

A 74-year-old man presented with chest pain and high-grade fever. Chest radiography revealed a consolidation in the right lower lung lobe, and computed tomography demonstrated atelectasis and infiltration of the right lower lobe, with pleural effusion. Bronchoscopy revealed a tumor occluding the inlet of the lateral/posterior basal segmental bronchus of the right lung, but bronchoscopic biopsy did not lead to a definitive diagnosis. Considering the possibility of obstructive pneumonia and pleuritis, we performed a right lower lobectomy, decortication, and pleuroclysis. Pathological examination revealed a malignant melanoma. The clinical and pathological findings suggested primary malignant melanoma of the lung.

scholarly journals Massive hemoptysis resulting from a fistula between the bronchus intermedius and pulmonary artery: a novel clinical presentation

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Gabrielle Yee ◽  
John D Hall ◽  
William R Hampton ◽  
Sai Yendamuri ◽  
Bo Xu ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Clinical Presentation ◽  
Massive Bleeding ◽  
Massive Hemoptysis ◽  
Pathologic Examination ◽  
Artery Pseudoaneurysm ◽  
Bronchial Fistula ◽  
Right Pulmonary Artery ◽  
The Right ◽  
Pulmonary Artery Pseudoaneurysm

Abstract This is a case of a woman with massive hemoptysis, associated with a pulmonary artery pseudoaneurysm, and a fistula between the right pulmonary artery and bronchus intermedius. Bronchoscopic evaluation revealed an endobronchial mass in the right bronchus intermedius, suspicious for a tumor. Upon biopsy of the mass, massive bleeding occurred. The right lung was surgically resected. No specific etiology for the fistula was identified on pathologic examination. To our knowledge, this is the first report of a pulmonary artery-bronchial fistula presenting without typically known predisposing factors.

scholarly journals Solitary neurofibroma of the right lateral wall of the oropharynx

2021 ◽  
Vol 55 (3) ◽  
pp. 236-237
Author(s):  
Winga Foma ◽  
Pani Awesso ◽  
Essobozou P. Pegbessou ◽  
Bathokedeou Amana
Keyword(s):  
General Anaesthesia ◽  
Supine Position ◽  
Lateral Wall ◽  
Orotracheal Intubation ◽  
Benign Tumour ◽  
Pathological Examination ◽  
Surgical Specimen ◽  
Solitary Neurofibroma ◽  
Diagnostic Certainty ◽  
The Right

Solitary neurofibroma of the oropharynx is extremely rare. Imaging explorations may be necessary, but the diagnostic certainty is pathological. We report a case of benign tumour of the oropharynx in a 25-year-old woman who was seen for a consultation with dysphagia, a change in voice and dyspnea in the supine position. The excision was performed under general anaesthesia with orotracheal intubation via the oropharyngeal route. Pathological examination of the surgical specimen revealed neurofibroma. Although rare, solitary neurofibroma of the oropharynx should be considered in any benign tumour in the area.

scholarly journals Bronchial Artery to Pulmonary Artery Fistula Presenting with Massive Hemoptysis in a Pediatric Patient

2021 ◽  
Author(s):  
Aoife Corcoran ◽  
Silvia Cardenas
Keyword(s):  
Pulmonary Artery ◽  
Bronchial Artery ◽  
Pulmonary Arteries ◽  
Lower Lobe ◽  
Massive Hemoptysis ◽  
Recurrent Bleeding ◽  
Moderate Volume ◽  
The Right ◽  
Pulmonary Artery Fistula ◽  
Right Bronchial Artery

Hemoptysis is a serious and potentially life-threatening event. Mortality is estimated at 13% for this chief complaint with age, volume of hemoptysis and receipt of blood products as risk factors for mortality. Hemoptysis is mostly seen in those with underlying congenital cardiac conditions or Cystic Fibrosis. We describe a unique case of a previously healthy 10 year old male who presented to the ED by EMS with a moderate volume episode of hemoptysis. He was admitted to the PICU where a sudden episode of massive hemoptysis precipitated by forced respiratory effort occurred during his examination. He decompensated and was emergently brought to the OR for airway evaluation by ENT and pulmonology. A large clot was found in the RML segment with brisk bleeding following removal of the clot. A 5 Fr bronchial blocker was placed to achieve hemostasis. Bronchial artery angiogram by IR demonstrated extravasation of contrast from right bronchial artery to segmental right lower lobe pulmonary artery shunt. He underwent embolization of the right bronchial artery. He was extubated the following day after no recurrent bleeding was confirmed with bronchoscopy. BA-PA fistulas are rare vascular anomalies in which an anastomosis is formed between systemic and pulmonary arteries. They are most commonly acquired, often described as secondary to chronic inflammatory lung diseases. BA-PA fistulas can also be congenital and have been seldom described in the literature. Our case highlights the importance of this rare diagnosis, which must remain on a pediatric pulmonologist’s differential due to the significant associated mortality.

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