Issue Information
(Source: Respirology Case Reports)
Source: Respirology Case Reports - March 28, 2024 Category: Respiratory Medicine Tags: ISSUE INFORMATION Source Type: research
Bronchial artery embolization for the treatment of delayed massive hemoptysis due to a retained bullet
This case presents the use of bronchial artery embolization for the treatment of delayed massive hemoptysis due to a retained bullet in a patient who was not suitable for surgery. AbstractBronchial artery embolization is a feasible option for treating hemoptysis caused by foreign objects in patients who are not candidates for surgery. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 27, 2024 Category: Respiratory Medicine Authors: Atif Saleem Siddiqui Tags: CLINICAL IMAGE Source Type: research
Massive pleural effusion in porous diaphragm syndrome due to lymphatic leakage after pelvic surgery
We present the case of a patient who developed a massive right pleural effusion after pelvic surgery, not thoracic surgery. Lymphatic leakage into the abdominal cavity after pelvic surgery can cause massive pleural effusion when complicated with porous diaphragm syndrome. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 26, 2024 Category: Respiratory Medicine Authors: Masashi Nishimura,
Takunori Ogawa,
Tomomi Tanigaki,
Koji Sumi,
Yasuhiro Enjoji,
Yohsuke Suyama,
Akihiko Kawana,
Yoshifumi Kimizuka Tags: CLINICAL IMAGE Source Type: research
A man having ‘cyst’ in the ‘cyst’!
We present a case of pulmonary hydatid cyst. Several linear areas of increased attenuation noted within the cyst in its dependent portion, which could represent ruptured cysts. Key messageHydatid disease is a zoonotic parasitic infestation caused by tapeworms, particularlyEchinococcus granulosus. The lung is the second most site followed by liver accounting for 10% –30% of the cases. Rupture of hydatid cyst can occur into pleura or bronchus. Surgery remains the mainstay of treatment for pulmonary hydatid. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 26, 2024 Category: Respiratory Medicine Authors: Asmita A. Mehta,
Divya Surendran,
Gopika Radhakrishnan Tags: CLINICAL IMAGE Source Type: research
Successful thoracoscopic operative approach for refractory pneumothorax in interstitial lung disease under local anaesthesia
We report the case of a 60-year-old man with ILD, utilizing home oxygen therapy, who experienced a successful recovery from a surgical intervention under local anaesthesia for pneumothorax. AbstractRefractory pneumothorax associated with interstitial lung disease (ILD) remains a challenging condition due to the patient's tolerability and lung compliance that restrict the feasibility of aggressive interventions. Additionally, many cases recur after improvement with treatment, and reports of successful management for this complicated condition are limited. Herein, we report the case of a 60-year-old man with ILD, utilizing h...
Source: Respirology Case Reports - March 25, 2024 Category: Respiratory Medicine Authors: Shinya Yamanaka,
Clara So,
Naoki Nishimura,
Tomoaki Nakamura,
Shinsaku Kabemura,
Ryosuke Kumagai,
Kohei Okafuji,
Atsushi Kitamura,
Fumitsugu Kojima,
Yutaka Tomishima,
Torahiko Jinta,
Toru Bando Tags: CASE REPORT Source Type: research
A unique case of bilateral ventricular infiltration by lung adenocarcinoma with paraneoplastic hypereosinophilia
We present a case of bilateral ventricular metastasis of lung adenocarcinoma accompanied by tumour-related hypereosinophilia. Intracavitary metastasis may occur in the presence of extensive disease, poorly differentiated tumours, or paraneoplastic hypereosinophilia. Key messageExistence of poorly differentiated tumour cells or paraneoplastic hypereosinophilia indicates extensive disease progression and poor prognosis in patients with malignancy. When these conditions are present, it is necessary to consider the possibility of intracardiac metastasis even in cases of lung adenocarcinoma. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 25, 2024 Category: Respiratory Medicine Authors: Masaaki Iwabayashi,
Takahiro Masuda,
Kosuke Tokushige,
Hiroko Jinno,
Kimihide Tada Tags: CLINICAL IMAGE Source Type: research
Utilizing medical thoracoscopy for the diagnosis of myelomatous pleural effusion: 2 case reports
We present two patients with biopsy proven myelomatous pleural effusion diagnosed via medical thoracoscopy (MT) followed by early commencement of myeloma specific chemotherapy which led to clinical, biochemical, and radiological resolution of the disease. AbstractMultiple myeloma (MM) is characterized by neoplastic proliferation of monoclonal antibody producing plasma cells. In clinical practice, pleural effusion is seen in up to 6% of MM patients, with many causative factors. Nevertheless, true myelomatous pleural effusion, defined as infiltration of the pleura by myeloma cells, is very rare. In this case report, we prese...
Source: Respirology Case Reports - March 25, 2024 Category: Respiratory Medicine Authors: Khai Lip Ng,
Sin Nee Tan,
Nai ‐Chien Huan,
Mona Zaria Nasaruddin,
Noriah Othman,
Jamalul Azizi Abdul Rahaman Tags: CASE REPORT Source Type: research
Stridor caused by endobronchial lymphoma in a middle ‐aged woman
Diffuse large B-cell lymphoma, primarily nodal in nature, can present with rare endobronchial involvement, underscoring the importance of considering it in the differential diagnoses of endobronchial lesions. Key messageDiffuse large B-cell lymphoma, primarily nodal in nature, can present with rare endobronchial involvement, underscoring the importance of considering it in the differential diagnoses of endobronchial lesions. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 25, 2024 Category: Respiratory Medicine Authors: Chih ‐hsi Pan,
Chien‐wen Chen Tags: CLINICAL IMAGE Source Type: research
Giant bullous emphysema successfully treated with percutaneous drainage followed by resection: A case complicated by lung cancer diagnosed by intraoperative biopsy
We report a case of bilateral GBE with multiple lung nodules that was treated with percutaneous drainage followed by bullectomy, and was successfully diagnosed with lung cancer by intraoperative needle biopsy. AbstractWe present a case of bilateral giant bullous emphysema (GBE) with rapidly progressive dyspnea. The dyspnea was thought to be due to tension bullae caused by the check valve mechanism in COVID-19 bronchitis. Multiple nodules were also detected on both sides of the lung. As the patient had poor pulmonary reserve for surgical bullectomy, we first performed percutaneous intracavitary drainage. Prior to this proce...
Source: Respirology Case Reports - March 25, 2024 Category: Respiratory Medicine Authors: Sachie Hasegawa,
Mako Yokoyama,
Toshihide Inui,
Hiroaki Ishikawa,
Hiroko Watanabe,
Masaki Kimura,
Susumu Yoshida,
Tohru Sakamoto Tags: CASE REPORT Source Type: research
A case report of Birt –Hogg–Dubé syndrome associated with severe airway obstruction in a 62‐year‐old female smoker
We report a case of a smoking individual diagnosed with BHD syndrome complicated by spontaneous pneumothorax and severe airway obstruction. The patient presented with chronic dyspnea and productive cough. Further work-up revealed severe obstructive airflow limitation, and multiple lung cysts in both lungs, accompanied centrilobular emphysematous changes. Genetic testing confirmed a heterozygous deletion of exons 6 –8 in thefolliculin gene, confirming the diagnosis of BHD. AbstractBirt –Hogg–Dubé syndrome (BHD) typically does not manifest airway obstruction despite the presence of multiple lung cysts. However, the lo...
Source: Respirology Case Reports - March 24, 2024 Category: Respiratory Medicine Authors: Kiyoshi Uemasu,
Toru Nyunoya Tags: CASE REPORT Source Type: research
Bevacizumab ‐induced pulmonary cystic disease
We report a unique case of a 73-year-old woman with a past medical history of metastatic endometrial adenocarcinoma status post-chemotherapy with bevacizumab that presented with worsening respiratory symptoms. A follow-up chest CT scan post chemotherapy showed the transformation of the metastatic lesions into cystic formations. After further extensive evaluation, she was diagnosed with pulmonary cystic disease secondary to bevacizumab. This case illustrates a rare presentation of secondary pulmonary cystic disease following Bevacizumab therapy in a patient with metastatic endometrial adenocarcinoma. It highlights the impor...
Source: Respirology Case Reports - March 20, 2024 Category: Respiratory Medicine Authors: Dakota McNierney,
Fahed Owda,
Hamza A. Salim,
Shatha M. A. Mallah,
Jehad Azar Tags: CASE REPORT Source Type: research
A case of surgical treatment for bronchial foreign bodies with obstructive pneumonia
Herein, we present a case of a foreign body in the airway of an older adult that could not be removed using bronchoscopy and required surgery. AbstractChildren and older adults are prone to unintentional foreign body aspiration. A 69-year-old man with fever and anorexia presented with obstructive pneumonia resulting from foreign body aspiration. Attempts to remove the foreign body using a bronchoscope failed due to its adhesion to the periphery of the bronchus. Although antibiotic therapy did not improve the obstructive pneumonia caused by the bronchial foreign body, surgery enabled an improvement. The surgical specimen sh...
Source: Respirology Case Reports - March 19, 2024 Category: Respiratory Medicine Authors: Yuki Yamashita,
Motoi Ugajin,
Saki Yanoma,
Masakatsu Yamashita,
Hisanori Kani Tags: CASE REPORT Source Type: research
Large malignant tracheo ‐oesophageal fistula with lung abscesses
Tracheo-oesophageal fistula (TOF) can arise as a rare complication of malignancy (especially oesophageal or lung cancers) and pose difficult diagnostic and management dilemmas. We explore a challenging case of large malignant TOF in this clinical image report. Key messageTracheo-oesophageal fistula (TOF) can arise as a rare complication of malignancy (especially oesophageal or lung cancers) and pose difficult diagnostic and management dilemmas. We explore a challenging case of large malignant TOF below. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 19, 2024 Category: Respiratory Medicine Authors: Kang Xiang Tan,
John Aukes Tags: CLINICAL IMAGE Source Type: research
A pitfall in chest imaging
Poland syndrome is a rare congenital disorder of the musculoskeletal system. The typical case presents with hypoplasia or aplasia of the pectoralis major muscle and varying degrees of ipsilateral limb abnormalities. Clinicians should be alert to abnormalities of the chest wall as well as the lungs if there is abnormal chest radiograph lucency. Key messageThe key feature of Poland syndrome is asymmetry in the chest wall. Clinicians should be alert to abnormalities of the chest wall as well as the lungs if there is abnormal chest radiograph lucency. (Source: Respirology Case Reports)
Source: Respirology Case Reports - March 19, 2024 Category: Respiratory Medicine Authors: Masamitsu Hamakawa,
Machiko Arita,
Yuji Toyota,
Tadashi Ishida Tags: CLINICAL IMAGE Source Type: research
A novel therapy for intractable chronic cough
Two cases of intractable chronic cough improved significantly with humidified high flow therapy (HHFT). The mechanisms by which HHFT improve intractable cough may include reducing airway dryness, inhibition of neutrophil inflammation and mucus obstruction, and splinting of the airways. HHFT significantly improved cough and health-related quality of life in two patients with interstitial lung disease. Further research is warranted to explore the role of domiciliary HHFT. AbstractTwo cases of intractable chronic cough improved significantly with humidified high flow therapy (HHFT). A 59-year-old woman with Primary Sjogren's ...
Source: Respirology Case Reports - March 16, 2024 Category: Respiratory Medicine Authors: Matthew Bricknell,
Chris Zi ‐Fan Zhao,
Natasha Smallwood,
Nicole Goh Tags: CASE REPORT Source Type: research
