Résumé
Bronchopulmonary carcinoids are are neuroendocrine neoplasms and those occurring peripherally produce corticotrophin, occasionally resulting in Cushing's syndrome [CS]. We report two cases of bronchial carcinoids in a 68-year-old woman with poor glycemic control and hypokalemia and in a 33-year-old woman with irritable behavior and hypokalemia. The diagnosis was based on the cortisol and adrenocorticotropic hormone levels, chest computed tomography [CT] results, and histopathology of the wedge-resected nodule. Diagnosis of CS caused by ectopic adrenocorticotropic hormone secretion by using various endocrine and imaging tests is challenging; moreover, positron emission tomography [PET] failed to locate the tumor. Thus, thoracoscopic resection is an excellent diagnostic and therapeutic procedure for CS
Résumé
A 36-year-old woman was admitted to our hospital complaining of chest tightness and progressive shortness of breath. Chest radiography showed a collapsed lung in the left hemithorax. After tuber thoracostomy, persistent air-leakage was noted even after five days. Video-assisted thoracoscopic surgery was carried out under general anesthesia, and one-lung ventilation was performed for one hour and 15 minutes. Eighteen hours after extubation, the patient experienced severe dyspnea with hypoxia. A chest radiograph revealed bilateral pulmonary edema. She was re-intubated, and her symptoms improved with mechanical ventilation and PEEP in the intensive care unit [ICU]. Although video-assisted thoracic surgery [VATS] is a safe and effective procedure, clinicians should keep in mind that bilateral re-expansion pulmonary edema [RPE] may occur after anesthesia for the treatment of pneumothorax