Résumé
Bronchogenic cysts are extremely rare in the thymus. A showed dilated cyst wall lined by pseudostratified ciliated 74-year-old man was found to have ocular-type my asthenia epithelium. A bronchogenic cyst was diagnosed. Although gravis. Chest computed tomography showed a tumor in relatively rare, bronchogenic cysts should be included in the the anterior mediastinum. A thymoma was suspected, differential diagnosis of tumors in the anterior mediastinum and thymectomy was performed. Postoperative specimen in patients with my asthenia gravis
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