A Case of Bronchiolitis Obliterans Organizing Pneumonia After Thoracotomy / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 1040-1043, 1997.
Article
em Ko
| WPRIM
| ID: wpr-154251
Biblioteca responsável:
WPRO
ABSTRACT
We report a patient who suffered from bronchiolitis obliterans organizing pneumonia(BOOP) after Ivor Lewis operation for esophageal cancer. The patient presented low grade fever, dry cough and mild dyspnea at 4 day after operation. Chest roentgenograms and chest CT revealed bilateral patchy and infiltrative shadows. The respiratory symptoms worsened and respiratory failure developed with mild elevation of WBC count despite of conservative treatment. An open lung biopsy was done and the biopsy specimen showed bronchiolitis obliterans organizing pneumonia(BOOP). After several weeks of steroid therapy, there were marked clinical, physiological and roentgenographic improvements. Our experience suggests that BOOP may be one of the underlying pathology in a number of patients presenting with ARDS after thoracotomy. Since steroid therapy may improve survival in these patients, thoracic surgeons should heighten their index of suspicion for this entity. Early histologic diagnosis should be considered in patients with treatment-resistant ARDS after thoracotomy.
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Texto completo:
1
Índice:
WPRIM
Assunto principal:
Patologia
/
Insuficiência Respiratória
/
Tórax
/
Biópsia
/
Neoplasias Esofágicas
/
Bronquiolite
/
Bronquiolite Obliterante
/
Toracotomia
/
Tomografia Computadorizada por Raios X
/
Pneumonia em Organização Criptogênica
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
1997
Tipo de documento:
Article